High Court of KeralaSingle JudgeAppeal Allowed; insurer to pay enhanced compens...

Premkumar v. Anoop and P. B. Chandran and Schoolamandalam Insurance Company Ltd.

Case / Petition Number:MACA NO.152 OF 2011

Case Details & Bench

Court
High Court of Kerala
Hon'ble Judges
  • Basant Balaji, J.
Judgment Date
2023-07-05
Court Decision / Holding
The appeal is allowed. The Tribunal’s finding that respondents 1 and 2 were jointly and severally liable is altered: the Insurance Company (3rd respondent) shall pay the amount to the appellant and recover it from respondents 1 and 2. Enhanced compensation is Rs. 1,68,500 (total Rs. 2,84,500) with interest at 7% per annum from the date of petition until realization, excluding 70 days due to delay. Apportionment fixed by the Tribunal is upheld. If any amount has already been paid, set-off applies. The claimant must provide bank details within one month for NEFT/RTGS transfer, and payment must be completed within one month thereafter. If the enhanced amount is greater than the original petition, the appellant shall pay the balance court fee. The liability now rests with the insurer to pay and recover from the owner and driver.)
Final Disposition
Appeal Allowed; insurer to pay enhanced compensation and recover from owner/driver; enhanced amount Rs. 1,68,500 with 7% interest; apportionment upheld; set-off; NEFT/RTGS payment within one month; no interest for 70 days; if enhanced amount exceeds original petition, balance court fee to be paid.

Parties to the Case

Appellants / Petitioners

  • Premkumar

Respondents

  • Anoop
  • P. B. Chandran
  • Schoolamandalam Insurance Company Ltd

Legal Representation & Advocates

Counsels for Petitioners

  • • Sri. Sheji P. Abraham

Counsels for Respondents

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

Case Synopsis & Summary

Premkumar sustained severe injuries in a motor vehicle accident on 22.03.2006 when travelling in a goods auto rickshaw on the Shornur–Thrissur road; the auto collided with a parked vehicle near Mythri Nagar. The auto, driven by Respondent 1 and owned by Respondent 2, was insured by Respondent 3. Premkumar claimed Rs. 9,23,500 (capped at Rs. 6,00,000) as compensation. The Motor Accidents Claims Tribunal, Ottapalam, awarded Rs. 2,30,200 with 7% interest, and exonerated the insurer on the ground that a passenger in a goods autorickshaw is not covered under the policy. The appellant urged that Section 147(1)(b)(1) of the MV Act applies to his case and, relying on United India Insurance Co. Ltd. v. Manoj (2011) 1 KLT 502, the insurer should not be exonerated and may be directed to pay and recover from the owner. He also invoked Ramachandrappa v. Manager, Royal Sundaram Alliance Insurance Co. Ltd (2011) 13 SCC 236 to press for higher income (Rs. 5,500/month) and 20% disability for enhanced damages. The insurer argued policy-violation bars liability, citing Manoj (DB). The Kerala High Court allowed the appeal in part, holding that the insurer must pay and recover from the owner/driver, and increased total compensation to Rs. 2,84,500 with interest at 7% from filing, while preserving apportionment and implementing a structured payment with set-off and time-bound NEFT/RTGS transfer.

Provisions of Law Cited

Section 147(1)(b)(1) of the Motor Vehicles Act, 1988

Legal Doctrines & Maxims

  • Policy terms govern insurer's liability under motor vehicle insurance, subject to judicial interpretation.
  • Where the insured vehicle carries a passenger in a goods autorickshaw, insurer's liability may depend on policy terms and judicial doctrine; policy violations do not automatically exonerate the insurer in all cases.
  • Right of insurer to recover amounts from the registered owner and driver if the insurer pays the claim.

Submissions & Arguments

Contentions of Appellants / Petitioners

The appellant contends that, despite a policy violation, the insurer cannot be exonerated under the MV Act by relying on Section 147(1)(b)(1) and judgments such as United India Insurance Co. Ltd. v. Manoj (2011) 1 KLT 502. He argues that the insurer should be directed to pay the compensation and recover it from the registered owner, consistent with Manoj. He also seeks higher quantum of damages by applying Ramachandrappa to fix income at Rs.5,500 per month and acknowledges a 20% disability, leading to enhanced compensation for loss of earnings, pain and suffering, and loss of amenities of life.

Contentions of Respondents

The respondents contend there is no liability of the insurer since the passenger was in a goods autorickshaw, a policy-condition violation. They rely on the Division Bench decision in Manoj to argue insurer should not be liable and that recovery should be from the owner and driver. The insurer maintains that liability should be kept within the policy terms and aided by established authorities; the challenge is limited to the quantum and recovery mechanism.

Cited Precedents (2)

Case NameCitationTreatmentExplanation
United India Insurance Co. Ltd. v. Manoj[(2011) 1 KLT 502]Positive relied upon to contend that insurer cannot be exonerated solely due to policy violation and that insurer may be directed to pay and recover from owner.
Ramachandrappa v. Manager, Royal Sundaram Alliance Insurance Co. Ltd[(2011) 13 SCC 236]Positiveused to justify increasing the claimant's monthly income to Rs.5,500 and evaluating disability and loss of earnings.

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Extracted Judgment Text

Exact text extracted from official judgment records.

M.A.C.A. NO.152 OF 2011 : 1 : # **`IN THE HIGH COURT OF KERALA AT ERNAKULAM`** # **`PRESENT`** ``` THE HONOURABLE MR.JUSTICE BASANT BALAJI WEDNESDAY, THE 5[TH] DAY OF JULY 2023 / 14TH ASHADHA, 1945 ``` ``` MACA NO. 152 OF 2011 ``` ``` AGAINST THE ORDER/JUDGMENT OPMV 677/2006 OF MOTOR ACCIDENT CLAIMS TRIBUNAL, OTTAPPALAM ``` ## **`APPELLANT/PETITIONER:`** ``` PREMKUMAR S/O.BALAKRISHNAN NAIR,KIDANGAPPILLY HOUSE,, CHEMBOOTHARA, THRISSUR DISTRICT,. BY ADV SRI.SHEJI P.ABRAHAM ``` ## **`RESPONDENTS:`** ``` 1ANOOP S/O CHANDRAN KAIPPALLY HOUSE,, ROSE BAZAR, VIYYUR, THRISSUR DISTRICT-680515. 2P.B.CHANDRAN S/O.BALAN, PUZHAKKAL HOUSE,, VALAPPAYA, THRISSUR- 680509. 3CHOOLAMANDALAM INSURANCE COMPANY LTD NSC ROSE ROAD, CHENNAI-600001,, POLICY NO.VCV.00017480- 000-01 VALID FROM, 17/07/2005 TO 16/7/2006. BY ADVS. SRI.P.JACOB MATHEW SRI.MATHEWS JACOB SR. MATHEWS JACOB SR ``` ``` THIS MOTOR ACCIDENT CLAIMS APPEAL HAVING COME UP FOR ADMISSION ON 05.07.2023, THE COURT ON THE SAME DAY DELIVERED THE FOLLOWING: ``` M.A.C.A. NO.152 OF 2011 : 2 : ## **JUDGMENT** (Dated this the 5[th] day of July 2023) The petitioner, being dissatisfied with the award in O.P (MV) No.677/2006 on the files of the Motor Accidents Claims Tribunal, Ottapalam, has filed this appeal, claiming enhancement of compensation. 2. On 22.03.2006, the appellant, while traveling in a goods auto rikshaw bearing registration No.KL 8 X 8953 with his goods through Shornur – Thrissur road, and when the auto rikshaw reached the place near Mythri Nagar, the autorickshaw hit another parked vehicle. The autorickshaw was driven by the 1[st] respondent in a rash and negligent manner, and it was owned by the 2[nd] respondent and insured by the 3[rd] respondent. Due to the accident, the appellant sustained serious injuries and was admitted as an inpatient in Aswini Hospital, Thrissur. The appellant claimed Rs.9,23,500/- (limited to Rs.6,00,000/-) as compensation. The accident happened due to the negligence of the 1[st] respondent, driver of the goods autorickshaw, and therefore the 2[nd] respondent, the owner of the vehicle, is liable to pay the amount, and the 3[rd] respondent being the insurer, is liable to indemnify the 2[nd] respondent. 3. Respondent Nos. 1 and 2 remained exparte. The 3[rd] respondent ## M.A.C.A. NO.152 OF 2011 : 3 : alone filed a written statement admitting the insurance policy of the offending vehicle. The age, income, occupation, and quantum of the compensation claimed were disputed. The Tribunal relying on the oral evidence of PW1 and PW2 and documents Exts.A1 to A8 and B1, awarded a total compensation of Rs. 2,30,200/- with interest at the rate of 7 % per annum from the date of petition till realisation from respondents 1 and 2 jointly and severally. 4. The Tribunal has held in the said judgment that, since the petitioner was traveling in a goods autorickshaw along with the driver in the driver seat, there was no insurance coverage for the passenger traveling in a goods autorickshaw and there is a violation of policy condition. Therefore, the insurer is not liable to indemnify the owner of the vehicle. On said finding, the Tribunal exonerated the insurer from paying the amount. 5. Heard Sri.Sheji P.Abraham, learned counsel appearing for the appellant, and Sri.P.Jacob Mathew, learned counsel appearing for the 3[rd] respondent. 6. The learned counsel for the appellant argued that the finding of the Tribunal exonerating the insurer/ 3[rd] respondent is not correct. He has taken a contention in the Tribunal itself that the petitioner was ## M.A.C.A. NO.152 OF 2011 : 4 : traveling along with the goods, and so, he will come under Section 147(1) b(1) of the MV Act. He also relied on judgment of this Court in **United India Insurance Co. Ltd. v. Manoj [(2011) 1 KLT 502]** to contend the proposition that the owner of goods in a goods autorickshaw sharing the seat with the driver and even though there is v iolation of policy conditions, the Insurance company cannot be exonerated and what the Tribunal can do is to direct the insurance company to pay the amount and recover it from the registered owner, after making the payment of the claimant. The second contention raised is regarding the inadequacy of the compensation awarded. According to the learned counsel for the appellant, the appellant was aged 40 years at the time of the accident and was a welder by profession, earning an income of Rs.6,000/- per month. But the Tribunal took the monthly income at Rs.3,000/- per month. Relying on the decision reported in **Ramachandrappa V. Manager, Royal Sundram Alliance Insurance** **Co. Ltd[(2011) 13 SCC 236],** it was contended that the appellant’s monthly income should be Rs.5,500/-. The next contention raised is that, as per Ext.A7 disability certificate issued by the Doctor, the disability is 20% and the Doctor was examined as PW2; therefore, the Tribunal was not justified in reducing the percentage of disability from ## M.A.C.A. NO.152 OF 2011 : 5 : 20% to 15%. Due to the accident, the appellant could not do his job for six months, and therefore, he prays that loss of earnings be granted @ Rs.5,500/- for six months. He also claims enhancement of compensation towards pain and suffering and loss of amenities of life. 7. The learned Senior counsel for the 3[rd] respondent submits that the appellant was traveling in a goods autorickshaw along with the driver of the goods autorickshaw. The number of persons who can travel inside the autorickshaw is one for a goods autorickshaw. Therefore, the appellant is not a passenger in the goods autorickshaw, and he is not entitled to claim compensation from the insurance company. The same being a policy condition violation, he can only recover the amounts from the registered owner and driver of the vehicle. As far as the 1[st] contention raised by the counsel for the appellant is regarding the right of recovery from the insurance company and giving a right to the company to recover it from the registered owner. The Division Bench of this Court in **United India Insurance Co. Ltd.** (supra) has already held so. Therefore, the 1[st] contention is answered in favour of the appellant, and the finding entered by the Tribunal that the appellant can recover the amounts only from respondents 1 and 2 is modified and hold that the 3[rd] respondent shall ## M.A.C.A. NO.152 OF 2011 : 6 : pay the amounts to the appellant and recover the same from respondents 1 and 2. 7. Regarding the enhancement of compensation, the appellant’s income is taken as Rs.5,500/-, in view of the dictum laid down in **Ramachandrappa (supra)** . The percentage of disability is taken as 20% since the doctor who has issued the certificate has been examined and proved adequately before the Tribunal. Therefore, the Tribunal ought to have accepted the percentage of disability as 20. Thus the loss of permanent disability can be calculated as Rs.5,500x12x15x20/100 =Rs.1,98,000/-. 8. As far as pain and suffering are considered, it can be seen that the injuries noted are “ lacerated wound from anterior corner of right eye, through the root of nose, lacerated wound right side of the nose 5X1 c.m, lacerated wound 7X1 cm occipital area upper, haematoma over lumber area of spine” and investigation also showed frontal ribs right dislocation fracture L3,L4 vertebra and fracture of nasal bone and cerebral oedema. Considering the injuries sustained mentioned above, I am inclined to award an enhancement of the amount under the head pain and suffering than what is awarded by the Tribunal. Though the appellant claimed Rs.1,00,000/-, the Tribunal has M.A.C.A. NO.152 OF 2011 : 7 : awarded Rs.25,000/-. Taking note of the injuries mentioned above, a further sum of Rs.25,000/- is awarded under this head. 9. For loss of amenities in convenience and life, against the claim of Rs.40,000/- only Rs.10,000/- is awarded. Since there are vertebra fractures and severe injuries in the ribs, there may be a loss of amenities for the appellant. Hence, a further sum of Rs.10,000/- is awarded to the said head. 10. The appellant claimed loss of earnings for six months. I am of the view that loss of earnings for 3 months can be granted. Thus, the compensation under loss of earnings, with the new income, would be Rs.5,500 X 3= Rs.16,500/- 11. Accordingly, the following enhancements are made to the award passed by the Tribunal: |Sl. No|The compensation claimed<br>under different heads|Amt. Awarded by<br>Tribunal(Rs.)|Amt. Awarded by<br>this Court(Rs.)| |---|---|---|---| |1|Compensation for continuing<br>orpermanent disability|81,000/-|1,98,000/-| |2|Pain and suffering|25,000/-|50,000/-| |3|Loss of amenities and<br>conveniences etc.|10,000/-|20,000/-| |4|Loss of earnings|--|16,500/-| ||Total|1,16,000/-|2,84,500/-| ||Amount enhanced =**2,84,500 - 1,16,000 = Rs.1,68,500/-**||| M.A.C.A. NO.152 OF 2011 : 8 : In the result, the appeal is allowed as follows: - (i) The finding entered by the Tribunal that, respondents 1 and 2 are jointly and severally liable to pay compensation to the appellant is modified and it is held that, even though the liability is jointly and severally on respondents 1 and 2, the Insurance company- 3[rd] respondent shall pay the amount to the appellant and recover the same from respondents 1 and 2. - (ii) The appellants are entitled for a sum of Rs.1,68,500/(Rupees one lakh sixty eight thousand and five hundred only) as enhanced compensation with interest at the rate of 7% per annum from the date of petition till realisation. The appeal is filed with a delay of 70 days. Hence the enhanced compensation awarded by this Court will not carry interest for 70 days, as per the order dated 17.1.2022. - (iii) The apportionment of compensation fixed by the Tribunal is upheld. All other findings entered by the Tribunal stand confirmed. If any amounts have already been paid, the same shall be granted set off. The claimants shall produce the details of the Bank account before the Insurance Company/Tribunal within one month from the date of receipt of a certified copy of this judgment, and amount shall be transferred to the Bank account directly through NEFT/RTGS mode, within a period of one month thereafter. If the Bank account is not furnished within the M.A.C.A. NO.152 OF 2011 : 9 : time stipulated, it is made clear that no interest shall run on the enhanced amount after the period stipulated by this Court. (iv) If the enhanced amount is higher than the amount claimed in the original petition, the appellant will have to pay balance court fee. Sd/- **BASANT BALAJI, JUDGE** AP