High Court of KeralaDivision BenchAppeal allowed; impugned order modified; 5th re...

New India Assurance Company Limited v. Lilla Francis and others

Case / Petition Number:MFA No. 85 of 2013

Case Details & Bench

Court
High Court of Kerala
Hon'ble Judges
  • K. M. Joseph
  • A. K. Jayasankaran Nambiar
Judgment Date
2014-02-11
Court Decision / Holding
The appeal is allowed. The impugned order is modified: the direction that the appellant (insurer) pay interest is vacated. Instead, the 5th respondent (the contractor) shall be liable to pay interest from the date of the accident at 12% till the date of deposit as ordered by the Commissioner. The amount already deposited by the appellant representing the interest directed to be paid can be withdrawn by it.
Final Disposition
Appeal allowed; impugned order modified; 5th respondent (contractor) to pay interest from the date of the accident at 12% until deposit; insurer’s deposited amount can be withdrawn; neutral_citation_field_present:null} }} } } } } } } } } } } } } } } } } } } } } } } } } } } } } } } } } } } } } } } } } } } } } } } } } } } } } } } } } } } } } } } } } } } } } } } } } } } } } } } } } } } } } } } } } } } } } } } } } } } } } } } } } } } } } } } } } } } } } } } } } } } } } } } } } } } } } } } } } } } } } } } } } } } } } } } } } } } }

Parties to the Case

Appellants / Petitioners

  • The New India Assurance Company Limited

Respondents

  • Lilla Francis
  • Daleela Francis
  • Dideena A.F.
  • Deepthy Francis
  • Jolly John

Legal Representation & Advocates

Counsels for Petitioners

  • • Sri. Mathews Jacob (Sr.)
  • • Sri. P. Jacob Mathew

Counsels for Respondents

  • • Sri. Jimmy George
  • • Sri. C. Anilkumar (Kalesseril)
  • • Sri. A.S. Benoy

Case Synopsis & Summary

This Kerala High Court judgment deals with MFA No. 85 of 2013, an appeal by the New India Assurance Company Limited (insurer) challenging a Workmen's Compensation Commissioner’s order that awarded death compensation and, notably, interest at 12% from the date of the accident (23 May 2008) until deposit. The claimants, Lilla Francis, Daleela Francis, Dideena A.F., Deepthy Francis and JolIy John, represented as respondents/applicants, contended that the insurer’s exclusion of interest under the insurance contract should not defeat the statutory liability to pay interest under the Workmen's Compensation Act, especially in a death case where the employer–employee relationship was not in serious dispute. The insurer argued that the insurance contract contains a clause excluding liability to pay interest and relied on decisions such as New India Assurance Co. Ltd. v. Harshadbhai Amrutbhai Modhiya (2006) (2) KLT 667) and Kancherla Bhagya v. K. Balakotaiah (2004 ACJ 453), along with an unreported MFA No. 8/2006. The respondents argued that the exclusion should not override statutory liability and that the Court should not impermissibly shift responsibility. The bench analyzed Sections 3(1), 4, and 4A(1)-(2) of the Workmen's Compensation Act and Section 147 of the Motor Vehicles Act, noting the insurer may exclude interest by contract, but the outcome should reflect the facts and contract terms. Ultimately, the appeal was allowed with modification: the impugned order’s directive for the insurer to pay interest was vacated, and the 5th respondent (the contractor) was held liable to pay interest from the date of the accident at 12% till the date of deposit, with the insurer’s deposited amount available for withdrawal.

Provisions of Law Cited

Workmen's Compensation Act, Section 22Workmen's Compensation Act, Section 3(1)Workmen's Compensation Act, Section 4Workmen's Compensation Act, Section 4A(1)Workmen's Compensation Act, Section 4A(2)Motor Vehicles Act, Section 147

Legal Doctrines & Maxims

  • Contractual exclusion of liability for interest can be enforced under insurance contracts (as recognized by Apex Court); Employer remains liable to pay compensation under the Workmen's Compensation Act irrespective of an insurance contract unless excluded by contract; The court looks to the terms of the contract to determine the insurer's liability and to the statutory framework for interest obligations.

Submissions & Arguments

Contentions of Appellants / Petitioners

The insurer argued that there is a contract of insurance containing an exclusion clause that bars liability to pay interest; it relied on settled Supreme Court authority (e.g., New India Assurance Co. Ltd. v. Harshadbhai Amrutbhai Modhiya; Kancherla Bhagya v. K. Balakotaiah) and an unreported MFA No. 8/2006 to contend that interest could be excluded under the terms of the insurance contract. It asserted that delay in payment and the facts of the case should be addressed by applying the contract, and that the employer–employee relationship may not be determinative when the insurer’s contractual rights are clearly stated.

Contentions of Respondents

The respondents argued that while insurance contracts may exclude some liability, the statutory scheme under the Workmen's Compensation Act requires compensation and interest in death cases; they noted the insurer had intimated the accident, and there was no sustained evidence that the employer–employee relationship was disputed. They contended that exclusionary clauses cannot defeat the statutory obligation, and that the factual findings of the Commissioner should be respected unless clearly erroneous; they pressed that the ultimate liability for interest should be anchored to the statutory framework and the facts rather than a blanket application of contract terms.

Cited Precedents (3)

Case NameCitationTreatmentExplanation
New India Assurance Co. Ltd. v. Harshadbhai Amrutbhai Modhiya2006 (2) KLT 667PositiveApex Court held that an insurer may exclude liability to pay interest by contract; the judgment is cited by appellant to support exclusion of interest.
Kancherla Bhagya v. K. Balakotaiah and another2004 ACJ 453PositiveCited as a supporting authority for the potential exclusion of interest in insurance contracts within the WCA framework.
MFA No. 8/2006 (unreported)MFA No. 8/2006 (unreported)Mentioned OnlyUnreported case cited without published authority; mentioned to support a point but not relied upon as a binding precedent.

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Extracted Judgment Text

Exact text extracted from official judgment records.

IN THE HIGH COURT OF KERALA AT ERNAKULAM PRESENT: THE HONOURABLE MR.JUSTICE K.M.JOSEPH & THE HONOURABLE MR. JUSTICE A.K.JAYASANKARAN NAMBIAR TUESDAY, THE 11TH DAY OF FEBRUARY 2014/22ND MAGHA, 1935 MFA.No. 85 of 2013 () ---------------------- (AGAINST THE ORDER/JUDGMENT IN WCC 44/2009 of W.C.C.,ERNAKULAM DATED 29-02-2012 APPELLANT(S)/2ND OPPOSITE PARTY:-: ---------------------------------- THE NEW INDIA ASSURANCE COMPANY LIMITED, ERNAKULAM, NOW REPRESENTED BY ITS MANAGER, REGIONAL OFFICE, M.G.ROAD, KOCHI - 11. BY ADVS.SRI.MATHEWS JACOB (SR.) SRI.P.JACOB MATHEW RESPONDENT(S)/APPLICANTS AND 1ST OPPOSITE PARTY:-: -------------------------------------------------- 1. LILLA FRANCIS, W/O.LATE FRANCIS, ARRAKKAL HOUSE, MOOLAMKUZHY BEECH ROAD, KOCHI - 682 002. 2. DALEELA FRANCIS, D/O..LATE FRANCIS, ARRAKKAL HOUSE, MOOLAMKUZHY, BEECH ROAD, KOCHI - 682 002. 3. DIDEENA A.F., D/O.LATE FRANCIS, ARRAKKAL HOUSE, MOOLAMKUZHY, BEECH ROAD, KOCHI - 682 002. 4. DEEPTHY FRANCIS, D/O..LATE FRANCIS, ARRAKKAL HOUSE, MOOLAMKUZHY, BEECH ROAD, KOCHI - 682 002. 5. JOLLY JOHN, CONTRACTOR, THEKKUMATTATHIL HOUSE, CHERUPARAMBATH ROAD KADAVANTHARA, KOCHI - 682 020. R5 BY ADV. SRI.C.ANILKUMAR (KALLESSERIL) R5 BY ADV. SRI.A.S.BENOY R1 -R 4 BY ADV. SRI.JIMMY GEORGE THIS MISC. FIRST APPEAL HAVING BEEN FINALLY HEARD ON 1102-2014, THE COURT ON THE SAME DAY DELIVERED THE FOLLOWING: ## **K. M. JOSEPH & A.K.JAYASANKARAN NAMBIAR, JJ** **----------------------------------------------------** M.F.A.(WCC)No. 85 OF 2013 **----------------------------------------------------** Dated this the 11[th] day of February 2014 ## J U D G M E N T ## K.M. Joseph, J The appellant is the second opposite party in the proceedings under Section 22 of the Workmen's Compensation Act. Besides ordering payment of compensation amount of Rs.2,71,120/-, the appellant has also been mulcted with liability to pay interest at 12% from 23/5/2008(date of the accident of the employee) till the date of deposit within 30 days of receipt of that order. It is the said direction, which is impugned before us. 2. We heard the learned senior counsel for the appellant and the learned counsel for respondents 1 to 4. 3. The learned senior counsel for the appellant would contend that it is a clear case where there is a contract of insurance. Significantly, there is a clause in the contract by which the insurer has been excluded from the liability to pay interest. This fact is not in dispute. However, the Commissioner has proceeded to award interest on the basis MFA No.85/2013 2 that intimation has been given by the employer and that the matter is delayed by the appellant. He submits that in view of the clear provision contained in the contract, the appellant cannot be called upon to pay interest. He relied on the judgments of the Apex Court in **New India Assurance Co.Ltd. v. Harshadbhai Amrutbhai Modhiya (2006 (2) KLT 667), Kancherla Bhagya v. K.Balakotaiah and another (2004 ACJ 453)** and unreported judgment in MFA No. 8/2006. 4. Per contra, the learned counsel for the respondents 1 to 4 would submit that principle of the above mentioned decisions will not apply to the facts of this case. He would submit that it is a case where the employer intimated the appellant about the accident. It is a case of death and nothing stood in the way of the appellant from honouring the obligations, which had incurred under the contract of insurance. Therefore the appellant cannot, at the end of the day, plead exclusionary clause in the contract of insurance in support of its immunity from paying the interest. In this case it is, no doubt, true that the appellant had taken the contention that employer - employee relationship is disputed. MFA No.85/2013 3 But, there is no evidence in support of the same. The appellant has not adduced oral evidence. The Commissioner has in fact found that, initially the appellant denied all the averments in the application, but did not make any objection to the interest claimed by the applicants. It is also found that the contention of the appellant that, the first opposite party has not intimated the alleged accidental injury, is not sustainable in view of Exts.B1 and B3. It is thereafter that the Commissioner proceeded to pose questions as to whether the applicants are eligible for interest from the date of accident and who among the opposite parties are liable to pay interest. 5. The accident was occurred on 23/5/2008. It is also true that it is a case of death. In the case of death and if employer - employee relationship is not in dispute, the Workmen's Compensation Act provides formula for determining compensation. Therefore, ordinarily the insurer, if the contract of insurance is admitted and the insurer has been intimated about the happening of the incident resulting in death and that the facts are not in dispute, should not shrug off its responsibility in honouring the commitments, which are MFA No.85/2013 4 undertaken under the contract of Insurance. This principle comes into more sharp focus when the insurer is a public sector unit and is also aware of the claim under the Workmen's Employees Compensation Act. In this context it is noted that there is liability on the employer to make payment within 30 days failing which the liability to pay interest is incurred from the date of the accident and the insurer has specifically chosen to exclude it in the contract. 6. Notwithstanding the observation which we had made herein before, the fate of this case must be decided with reference to impact of the exclusionary clause. The contention is taken by the learned counsel for the respondents 1 to 4 that when there is a contract of insurance, the liability to pay compensation will be shifted from the employer to the insurer. We are afraid that there is no merit in the said contention as such. As per Section 3(1) of the Act, if personal injury is caused to an employee by accident arising out of and in the course of his employment, his employer shall be liable to pay compensation in accordance with the provisions contained in Chapter II. Section 4 deals with the amount of compensation payable in various situations. MFA No.85/2013 5 Section 4(a) deals with compensation for death resulting from injury. Thereafter Section 4A(1) provides that compensation under Section 4 is to be paid as soon as it falls due. Sub section (2) of Section 4A being relevant we extract the same. It reads as follows; (2). In cases where the employer does not accept the liability for compensation to the extent claimed, he shall be bound to make provisional payment based on the extent of liability which he accepts, and, such payment shall be deposited with the Commissioner or made to the employee, as the case may be, without prejudice to the right of the employee to make any further claim. “ 7. Therefore, it is clear that irrespective of whether there is a contract of insurance or not the liability is cast on the employer to make payment. A contract of insurance is not a statutory requirement, under the Workmen's Compensation Act except in a case covered by Section 147 of the Motor Vehicles Act. If there is such contract, we cannot hold that the employer will cease to be liable to the employee MFA No.85/2013 6 or legal representatives to make payment in a case of injury or death as the case may be respectively. When there is a contract of insurance, the insurers indemnifies the insured. Under the Workmen's Compensation Act, it is always open to the employer to enter into contract of insurance. The terms of the contract of insurance, except in a case covered by Section 147 of the Motor Vehicles Act, are to be decided between the parties viz. employer and the insurer. Necessarily, the court must look into the terms of the contract in order to find out the extent of liability of the insurer. As held by the Apex Court, it is open to the insurer to exclude the liability to pay interest. Therefore, irrespective of the question as to whether there was delay and also whether delay is occasioned due to non payment of the amount by the insurer even though the claim was lodged by the employer within the time, it is still open to the insurer to ward off the liability to pay interest in view of the contractual provision which enables it to do so. It is noted that this contention is raised not by the employer who has entered into the contract with the insurer, but the contention is taken by the applicants. Whatever that be, we would think that in view of the legal MFA No.85/2013 7 position, the contention of the applicants has to fail. The appeal is allowed. The impugned order is modified. The direction of the Commissioner, that the appellant will pay interest, is vacated. Instead, the 5[th] respondent shall be liable to pay interest from the date of the accident at the rate of 12% till the date of deposit as ordered by the Commissioner. The amount already deposited by the appellant representing the interest directed to be paid, can be withdrawn by it. Sd/- **K. M. JOSEPH, JUDGE .** **Sd/-** **A.K.JAYASANKARAN NAMBIAR, JUDGE.** dpk. /True copy/ PS to Judge.