High Court of KeralaSingle JudgeAppeal allowed; compensation enhanced; insurer ...

Raveendran and Others v Abdul Jaleel and Sukkoor and The Oriental Insurance Co. Ltd.

Case / Petition Number:M.A.C.A.No. 98 of 2012

Case Details & Bench

Court
High Court of Kerala
Hon'ble Judges
  • P. B. Suresh Kumar
Judgment Date
2019-04-09
Court Decision / Holding
The appeal is allowed; the compensation is refixed at Rs.9,45,401. The insurer remains liable to pay and is entitled to recover the same from the vehicle owner after disbursement, subject to the statutory provisions and the principles laid down in Pranay Sethi and Ramachandrappa. Interest at 7.5% is awarded, with an exclusion for the period of delay in filing the appeal (653 days).
Final Disposition
Appeal allowed; compensation enhanced; insurer liable to pay and recover from owner; interest awarded as specified; final order directs payment and subsequent recovery by insurer from owner after disbursement.

Parties to the Case

Appellants / Petitioners

  • Raveendran
  • Kousalya
  • Rajitha
  • Ranjith

Respondents

  • Abdul Jaleel
  • Sukkoor
  • The Oriental Insurance Co. Ltd.

Legal Representation & Advocates

Counsels for Petitioners

  • • K.P. Sudheer

Counsels for Respondents

  • • George Cherian (Thiruvalla)
  • • George Cherian (Sr.)

Case Synopsis & Summary

This Kerala High Court Motor Accident Claims Appeal (MACA No. 98 of 2012) challenges a MACT award dated 28-11-2009 in O.P.(MV) No.645/2007 arising from a motor accident on 20-12-2006 that killed Rajeesh, a 19-year-old casual labourer who was travelling as a passenger in a goods autorickshaw. The Tribunal awarded claimants Rs.2,33,801, but held the insurer not liable on the basis that the deceased was not a person covered by the policy, given the vehicle’s seating capacity. The insurer relied on United India Insurance Co. v. Suresh and Abdul Rehman to contend exoneration from liability. The claimants argued the insured’s liability cannot be wholly effaced merely because the victim was an unlisted passenger; they invoked Poonam (SC) and later SC/NIC decisions to support insurer liability to pay and recover from the owner if policy conditions were breached. The High Court re-examines the policy’s terms, the application of Section 149(1), and the precedents on insurer liability. It adopts the broader view that the insurer is liable to pay compensation to the claimants and may recover from the owner, and then recalculates quantum using Ramachandrappa, Pranay Sethi, and Magma decisions, expanding loss of dependency, funeral, estate, and filial consortium components, ultimately increasing total compensation to Rs.9,45,401 with 7.5% interest (650+ days delay excluded).

Provisions of Law Cited

Motor Vehicles Act, 1988, Section 149(1)

Legal Doctrines & Maxims

  • Insurer liability to pay compensation to victims not fully covered by policy persists under Section 149(1); insurer may recover from the vehicle owner if policy conditions are breached.
  • Future prospects in loss of dependency (Ramachandrappa) and application of Pranay Sethi principles; deduction for personal expenses for a bachelor; multiplier method for dependency claims.
  • Breach of insurance contract as a ground for insurer recourse; policy limitations versus statutory protection of claimants (Poonam).

Submissions & Arguments

Contentions of Appellants / Petitioners

Appellants contend that the deceased was a passenger covered by the policy and that the Tribunal erred in exonerating the insurer. Citing Suresh, Poonam, and Ramachandrappa, they argue that under Section 149(1) the insurer's obligation to compensate is not negated simply because the policy does not expressly cover the passenger; the insurer may recover from the owner upon disbursement of compensation. Abdul Rehman’s Kerala Division Bench ruling is argued to be superseded by later Supreme Court decisions. The claimants seek enhancement of quantum by adopting Rs.5,500/month as income (instead of Rs.3,000), adding 40% future prospects, applying an 18-year multiplier, deducting personal expenses, and including loss of estate, funeral expenses, and filial consortium; they request the insurer to pay first and then recover from the owner after satisfying the claimants.

Contentions of Respondents

Respondents submit that the vehicle is a three-wheeler goods carriage with seating capacity for one; the deceased was not a policy-covered person and the insurer is exonerated per Suresh and Abdul Rehman; they contend that the apex court’s Poonam decision does not alter the fundamental policy limitation, and the Tribunal correctly exonerated the insurer. They argue for limiting liability to the insured’s risk and enforcing the policy’s terms, which should cap the insurer’s responsibility and require the owner to bear liability. They emphasize that the award should not be augmented by subsequent case-law developments not applicable to the facts of 2006.”},

Cited Precedents (6)

Case NameCitationTreatmentExplanation
United India Insurance Co. Ltd. v. Suresh2008 (4) KLT 552 (SC)Partly Overruled / LimitedThe decision is cited to discuss exoneration of insurer in three-wheeler cases; the present judgment notes that subsequent Supreme Court rulings (Poonam) clarified that insurer liability may persist, limiting Suresh’s exoneration effect.
New India Assurance Company Ltd. v Abdul Rehaman2013 ACJ 1152DistinguishedDivision Bench ruling relied on Suresh to exonerate the insurer in similar facts; the present judgment distinguishes it as not controlling in light of later SC decisions.
United India Insurance Co. Ltd. v. Poonam2011(1) KLT SN 108 SCPositiveSC decision cited to support insurer liability to pay even to non-covered passengers under Section 149(1) and to allow recovery from the owner after compensation is paid.
Ramachandrappa v. Manager, Royal Sundaram Alliance Insurance Company Limited(2011) 13 SCC 236PositiveUsed to determine appropriate monthly income for loss of dependency (Rs.5,500) and for future prospects adjustments.
National Insurance Company Ltd v. Pranay Sethi2017(4) KLT 662 (SC)PositiveApplied for future prospects and related computation guidance in calculating dependency loss.
Magma General Insurance Co. Ltd. v. Nanu Ram and others2018 ACJ 2782PositiveCited for filial consortium allowance to claimants (parents).

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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 P.B.SURESH KUMAR** **TUESDAY, THE 09TH DAY OF APRIL 2019 / 19TH CHAITHRA, 1941** ## **M.A.C.A.No. 98 of 2012** **AGAINST THE AWARD DATED 28-11-2009 IN O.P.(MV)No.645/2007 of MOTOR ACCIDENT CLAIMS TRIBUNAL TIRUR** ## **APPELLANTS/PETITIONERS:** - **1 RAVEENDRAN, S/O.AYYAPPAU, MANKUZHIYIL HOUSE, KAINIKARA, POILISSERY, MALAPPURAM DISTRICT.** - **2 KOUSALYA, W/O.RAVEENDRAN, MANKUZHIYIL HOUSE, KAINIKARA, POILISSERY, MALAPPURAM DISTRICT.** - **3 RAJITHA, D/O.RAVEENDRAN, MANKUZHIYIL HOUSE, KAINIKARA, POILISSERY, MALAPPURAM DISTRICT.** - **4 RANJITH, S/O.RAVEENDRAN, MANKUZHIYIL HOUSE, KAINIKARA, POILISSERY, MALAPPURAM DISTRICT. BY ADV. SRI.K.P.SUDHEER** ## **RESPONDENT/S:** - **1 ABDUL JALEEL,** - **S/O.MOIDEENKUTTY, PANANKATTIL HOUSE, KAINIKKARA, P.O.POILISSERY-676102, MALAPPURAM DISTRICT.** - **2 SUKKOOR, S/O.MOHAMMEDKULATHIL HOUSE, KAINIKKARA, P.O.POILISSERY-676102, MALAPPURAM DISTRICT.** - **3 THE ORIENTAL INSURANCE CO. LTD., BRANCH OFFICE, TIRUR-676101, MALAPPURAM DISTRICT.** **BY ADVS. SRI.GEORGE CHERIAN (THIRUVALLA) SRI.GEORGE CHERIAN (SR.)** **THIS MOTOR ACCIDENT CLAIMS APPEAL HAVING BEEN FINALLY HEARD ON 09.04.2019, THE COURT ON THE SAME DAY DELIVERED THE FOLLOWING:** M.A.C.A.No. 98 of 2012 -2- ## **J U D G M E N T** The claimants in a proceedings for compensation before the Motor Accidents Claims Tribunal have come up in this appeal challenging the award passed in the proceedings. 2. One Rajeesh died in a motor accident took place on 20.12.2006. The parents and siblings of the deceased were the claimants in the proceedings before the Tribunal. It is stated in the claim petition that the deceased was a coolie, aged 19 years. A sum of Rs.5,75,000/- was claimed by way of compensation in the proceedings. The accident occurred while the deceased was travelling in a goods autorickshaw sharing the seat of the driver and he died on account of the injuries sustained when the goods autorikshaw dashed against a wall. The case set out by the claimants in the claim petition was that the accident occurred on account of the negligence of the driver of the goods autorickshaw and the claim was, therefore, preferred against the owner, driver and insurer of the goods autorikshaw. The insurer of the goods autorickshaw contested the claim petition, contending that the deceased who was sharing the seat of the driver is not a person covered by the M.A.C.A.No. 98 of 2012 -3- policy. The Tribunal found that the claimants are entitled to a sum of Rs.2,33,801/- by way of compensation and consequently, passed an award directing the owner of the vehicle to pay the said compensation, accepting the contention raised by the insurer that the deceased was not covered by the policy. As noted, the claimants are aggrieved by the award. 3. Heard the learned counsel for the appellants as also the learned counsel for the insurer. 4. The learned counsel for the insurer, placing reliance on the decision of the Apex Court in **United India Insurance Co.Ltd. v. Suresh** [2008 (4) KLT 552 (SC)], contended that the vehicle involved in the accident is not one in which persons could be carried and as such, the policy issued by the insurer would not cover the risk of the persons carried in the vehicle, other than the driver. According to the learned counsel, the Tribunal, in the circumstances, ought to have exonerated the insurer from the liability to pay compensation to the claimants. The learned counsel also placed reliance on the decision of the Division Bench of this court in **New India Assurance Company Ltd. v** . **Abdul Rehaman** [2013 ACJ 1152] in support of the said contention. Per contra, the learned counsel for the claimants contended that the deceased was a M.A.C.A.No. 98 of 2012 -4- person covered by the policy of insurance and the submission made to the contrary by the learned counsel for the insurer is incorrect and unsustainable. It was also contended by the learned counsel that even if it is found that the deceased is not a person covered by the policy of insurance, the insurer is not entitled to be exonerated from the liability and they can only recover the compensation directed to be paid to the claimants from the owner, after paying the same to the claimants. The learned counsel placed reliance on the decision of the Apex Court in **United India Insurance Co. Ltd. v. Poonam** [2011(1) KLT SN 108 SC], in support of the said contention. 5. Ext.B1 is the policy of insurance issued in respect of the vehicle involved in the accident. It is seen that the seating capacity of the vehicle as noted in Ext.B1 is only one. In other words, a person like the deceased who was sharing the seat of the driver cannot be said to be a person covered by the policy. The question remains to be considered is as to whether the insurer is entitled to be exonerated from the liability on that ground. It is seen that in **Abdul Rehaman,** on identical facts, a Division Bench of this court, placing reliance on **Suresh,** held that in a three wheeler goods carriage, the driver could not have allowed anybody else to share the seat, M.A.C.A.No. 98 of 2012 -5- and exonerated the insurer from the liability. But, it is seen that in **Suresh** , even after holding so, the Apex Court held that such cases would only establish a case of breach of conditions of the contract of insurance. The same view has been reiterated by the Apex Court in **Poonam. Poonam** was a case where the question arose for consideration was as to whether the persons carried in the vehicle over and above the persons permitted to be carried are covered under the policy. Though it was held in the said case that the liability of the insurer is confined to the number of persons covered by the policy and not beyond the same and that the persons carried in excess of the limit are liable to be treated as third parties, the Apex Court took the view that the insurer is liable to pay compensation to them as well and that they can only realise the compensation from the owner after paying the same to the claimants. The relevant portion of the judgment of the Apex Court reads thus : “However, the liability of the Insurance Company to make payment even in respect of persons not covered by the insurance policy continues under the provisions of sub-section (1) of Section 149 of the Act, as it would be entitled to recover the same if it could prove that one of the conditions of the policy had been breached by the owner of the vehicle. In the instant case, any of the persons travelling in the vehicle in excess of the permitted number of six passengers, though entitled to be compensated by the owner of the vehicle, would still be entitled to receive the compensation amount from the insurer, who could M.A.C.A.No. 98 of 2012 -6- then recover it from the insured owner of the vehicle.” In the light of the decisions of the Apex Court in **Suresh** and **Poonam,** the impugned award exonerating the insurer from the liability is liable to be modified permitting the insurer to realise the compensation from the owner of the vehicle after paying the same to the claimants. 6. Coming to the quantum, it is seen that the Tribunal has computed the compensation payable to the claimants for loss of dependency, reckoning the monthly income of the deceased at Rs.3,000/-. In the light of the decision of the Apex Court in **Ramachandrappa v. Manager, Royal Sundaram Alliance Insurance Company Limited.** [(2011) 13 SCC 236], the accident being one took place in the year 2006, according to me, the Tribunal should have reckoned the monthly income of the deceased at Rs.5,500/-. Further, in the light of the decision of the Apex Court in **National Insurance Company Ltd v. Pranay Sethi** [2017(4) KLT 662 (SC)], the income so arrived at has to be enhanced by 40% towards future prospects of the deceased. Since the deceased was a bachelor, one half of the income will have to be deducted towards personal expenses. The multiplier to be applied in the matter of computing the compensation for loss of dependency M.A.C.A.No. 98 of 2012 -7- to the persons in the age group of the deceased is '18'. If compensation for loss of dependency is worked out on the above basis, the same would come to Rs.8,31,600/(5500x140/100x18/2x12). As the Tribunal has granted only a sum of Rs.1,80,000/- under this head, the claimants are entitled to a further sum of Rs.6,51,600/- by way of compensation under the above head. Towards compensation for loss of estate, it is seen that only a meager sum of Rs.5,000/- was granted. Likewise, towards funeral expenses also, a sum of Rs.5,000/- was granted. In the light of the decision of the Apex Court in **Pranay Sethi,** having regard to the fact that the accident took place in the year 2006, I am of the view the claimants are entitled to a sum of Rs.10,000/- each under the above two heads. The claimants are, therefore, entitled to a further sum of Rs.10,000/- under the said heads. No compensation is seen granted by the Tribunal towards filial consortium to the parents. Having regard to the decision of the Apex court in **Magma General Insurance Co. Ltd.** v. **Nanu Ram and others** (2018 ACJ 2782), according to me, the claimants 1 and 2 who are the parents of the deceased are entitled to filial consortium, which I fix at Rs.25,000/- each. Thus, the claimants are entitled to a total sum of Rs.7,11,600/- M.A.C.A.No. 98 of 2012 -8- in addition to the compensation already granted. In the result, the appeal is allowed, refixing the compensation payable to the claimants at Rs.9,45,401/-. Needless to say, the claimants will be entitled to interest for the entire compensation at the rate of 7.5%, except for the period of delay in filing the appeal, viz, 653 days. It is made clear that on deposit of the compensation, the insurer will be entitled to realise the same from the owner. **Sd/-** **P.B.SURESH KUMAR** **JUDGE**