High Court of KeralaSingle JudgeAppeal partly allowed; enhanced compensation to...

Remya Kottathu (H) v. Joseph Pandiyath and Bajaj Allianz General Insurance Co. Ltd. (MACA No. 2391 of 2013)

Case / Petition Number:MACA No. 2391 of 2013
Neutral Citation:/null

Case Details & Bench

Court
High Court of Kerala
Hon'ble Judges
  • M. R. Anitha
Judgment Date
2022-02-28
Court Decision / Holding
Appeal is allowed in part. Enhanced compensation determined at Rs. 2,98,250 (Rs. 12,000 for loss of earnings; Rs. 2,44,800 for permanent disability; Rs. 5,000 for permanent tooth loss; Rs. 30,000 for pain and suffering; Rs. 4,000 for loss of revenue due to dental extraction; Rs. 2,400 for bystander expenses in 2019; plus Rs. 30,034 in additional medical bills). The Bajaj Allianz General Insurance Co. Ltd. shall satisfy the enhanced amount, with interest at 7.5% per annum from the date of the petition excluding 313 days of delay, within two months from the certified copy of the judgment, after deducting the appellant’s liability towards court fee. There shall be no order as to costs.
Final Disposition
Appeal partly allowed; enhanced compensation to Rs. 2,98,250 (rounded to Rs. 2,98,250). Insurer to satisfy enhanced amount within two months from copy of judgment, excluding delay. No costs.

Parties to the Case

Appellants / Petitioners

  • Remya Kottathu (H)

Respondents

  • Joseph Pandiyath
  • 2nd respondent (name not disclosed in document)
  • Bajaj Allianz General Insurance Co. Ltd.

Legal Representation & Advocates

Counsels for Petitioners

  • • Sri. C.M. Tomy
  • • Sri. K.J. Josemon
  • • Sri. Mathew Skaria
  • • Sri. Sujesh J. Mathew

Counsels for Respondents

  • • Sri. C.I. Abraham
  • • Sri. Thomas M. Jacob
  • • Sri. Jose KuriaKose Vilangattill
  • • Sri. T.R. Jerry Sebastian
  • • Sri. Thomas M. Jacob SC-R3

Case Synopsis & Summary

The High Court of Kerala hears MACA 2391 of 2013 filed by Remya Kottathu challenging the Motor Accidents Claims Tribunal, Kottayam's award in OP(MV) 90/2011 for injuries from a July 3, 2010 accident involving a Maruti Omni van (KL 36/A 8274) driven by the 2nd respondent and an autorickshaw. The tribunal held the 2nd respondent negligent and awarded Rs. 2,46,352 as total compensation, with the Bajaj Allianz General Insurance Co. Ltd. liable to indemnify. The claimant sought enhancement on multiple heads, contending that the monthly income should be Rs. 6,000 rather than Rs. 4,000, supported by Ext. A14 (Kerala Tailoring Workers Welfare Board). She sustained serious injuries including open fracture and disability; Exts. A25–A27 show additional medical treatment in 2019. The respondents argued that the compensation was just and should not be enhanced. The court discusses established principles on calculating damages, citing Raj Kumar v. Ajay Kumar (two heads of damages: pecuniary and non-pecuniary), Ramachandrapa v. Royal Sundaram (income estimation for unskilled workers), and Syed Sadiq v. Divisional Manager (vegetable vendor income). The appeal is allowed in part, enhancing total compensation to Rs. 2,98,250, with interest at 7.5% p.a. from the petition date, excluding 313 days of delay, payable within two months from certified copy of the judgment; there is no costs order.

Provisions of Law Cited

Section 166 of the Motor Vehicles Act, 1988Workmen's Compensation Act, 1923

Legal Doctrines & Maxims

  • Two heads of damages: pecuniary (special) and non-pecuniary (general) damages.
  • Income should be fixed/estimated based on ground realities when documentary evidence is inadequate or absent (Ramachandrapa principle; not to rigidly require proof of income).
  • In injury cases, compensation encompasses heads such as treatment expenses, hospitalization, medicine, transportation, nourishment, loss of earnings, and damages for pain, suffering and trauma; future losses and disability considerations under the two-damages framework (Raj Kumar doctrine).

Submissions & Arguments

Contentions of Appellants / Petitioners

The appellant contends that the Tribunal erred in fixing a monthly income of Rs. 4,000 for a tailor, arguing that Ext. A14 shows her membership in the Kerala Tailoring Workers Welfare Board and supports a higher income (Rs. 6,000). She contends that the medical evidence demonstrates serious injuries and subsequent treatment justifying enhanced compensation on heads including loss of earnings, permanent disability, pain and suffering, and future medical expenses. The appellant also argues for a higher treatment and attendant expenses given the 2019 medical interventions and disability status.

Contentions of Respondents

The insurer argues that the Tribunal’s award is just and adequate; it contends there is no occasion to interfere with compensation or liability, and that the petition for enhancement is unwarranted beyond the material on record; it notes that the policy covered the vehicle involved and asserts the driver’s negligence was properly considered by the Tribunal.

Cited Precedents (3)

Case NameCitationTreatmentExplanation
Ramachandrapa v. Manager, Royal Sundaram Alliance Insurance Co. Ltd.(2011) 13 SCC 236PositiveUsed to justify notionally fixing monthly income for unskilled workers when documentary evidence is lacking; supports the approach taken for the claimant's income.
Syed Sadiq v. Divisional Manager, United India Insurance Co. Ltd.(2014) 2 SCC 735PositiveApplied principle that income for a vegetable vendor can be reasonably determined without stringent documentary proof; supports higher income estimation.
Raj Kumar v. Ajay Kumar and Another(2011 (1) SCC 343 = 2010 KHC 5021PositiveOutlines two heads of damages and the framework for calculating pecuniary and non-pecuniary damages; used as doctrinal basis for compensation structure.

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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 MRS. JUSTICE M.R.ANITHA** **MONDAY, THE 28[TH] DAY OF FEBRUARY 2022 / 9TH PHALGUNA, 1943** **MACA NO. 2391 OF 2013** **AGAINST THE AWARD IN OPMV 90/2011 OF MOTOR ACCIDENT CLAIMS TRIBUNAL,** ## **KOTTAYAM** ## **APPELLANT/PETITIONER:** REMYA KOTTATHU (H), ETTUMANOOR VILLAGE, PUNNATHURA WEST P.O., KOTTAYAM. BY ADVS. SRI.C.M.TOMY SRI.K.J.JOSEMON SRI.MATHEW SKARIA SRI.SUJESH J.MATHEW ## **RESPONDENTS/RESPONDENTS:** 1 JOSEPH PANDIYATH, VAIKOM P.O. 686 141 2 UCHIMAHALI GRANDHI STREET, SIVATHIPATTI, THIRUNELVELI 627 001 3 THE BAJAJ ALLIANCE GENERAL INSURANCE CO.LTD ERNAKULAM - 682 011 BY ADVS. SRI.C.I.ABRAHAM SRI.THOMAS M.JACOB SRI.JOSE KURIAKOSE VILANGATTIL SRI.T.R.JERRY SEBASTIAN SRI.THOMAS.M.JACOB.SC-R3 THIS MOTOR ACCIDENT CLAIMS APPEAL HAVING COME UP FOR ADMISSION ON 28.02.2022, THE COURT ON THE SAME DAY DELIVERED THE FOLLOWING: MACA NO. 2391 OF 2013 2 ## **JUDGMENT** The appellant is the claimant in OP(MV).90/2011 on the file of Motor Accidents Claims Tribunal, Kottayam. The claim petition was filed under Section 166 of the Motor Vehicles Act, 1988, claiming compensation for the injury sustained to the appellant/claimant in a motor vehicle accident occurred on 3.7.2010, while the appellant/claimant and another were travelling in an autorikshaw bearing Reg.No.KL-5L-3175 along the Thalayolaparambu-Ernakulam road and when they reached at Midayikunnam near D.B. College, the maruthi Omni van bearing registration No.KL 36/A 8274 driven by the 2[nd] respondent, hit the autorikshaw and the appellant/claimant and the other passenger sustained injuries. They were immediately taken to the Medical College Hospital, Kottayam and treated there. Total compensation of Rs.7,10,800/ (Rupees Seven Lakh Ten Thousand and Eight Hundred only) has been claimed which was limited to Rs.5,00,000/- (Rupees Five Lakh only). 2. The 2[nd] respondent was driving the van at the relevant time. It is alleged that the accident happened due to the rash and MACA NO. 2391 OF 2013 3 negligent driving of the van by the 2[nd] respondent. The 1[st] respondent is the registered owner of the van. The van was insured with the Bajaj Alliance General Insurance Company Limited, 3[rd] respondent represented by the Manager. 3. The 1[st] and 2[nd] respondents filed written statement, contending that the compensation claimed by the appellant/claimant is excessive. The maruthi Omni van was insured with the 3[rd] respondent and was having valid policy at the relevant time in the name of the 1[st] respondent. The 2[nd] respondent was having valid driving licence for driving the van at the relevant time. Negligence alleged against the 2[nd] respondent is denied. It is contended that accident happened due to the negligence of the driver of the autorikshaw. The 3[rd] respondent is liable to indemnify the 1[st] respondent. 4. The 3[rd] respondent filed written statement, contending that the compensation claimed by the appellant/claimant is excessive. The age, occupation and monthly income of the appellant/claimant alleged are denied. Policy coverage with respect to the offending vehicle is admitted. It is contented that the accident happened due to the rash and negligent driving of the MACA NO. 2391 OF 2013 4 Autorikshaw. 5. Exhibits A1 to A24 were marked from the side of the claimant. There was no oral evidence from either side. 6. Tribunal on evaluating the evidence and the facts and circumstances found that the 2[nd] respondent was responsible for the accident. Total compensation of Rs.2,46,352/- was awarded and 3[rd] respondent was held liable to make good the loss. 7. Dissatisfied with the quantum of compensation awarded by the Tribunal under various heads, claimant came up in appeal before this Court on various grounds stated in the memorandum of appeal. 8. Heard the learned counsel for the appellant and the learned standing counsel for the 3[rd] respondent-insurer. Lower court records were called for and perused. 9. During the pendency of appeal, claimant filed IA No.1/2019 for receiving additional documents. It was heard along with appeal. Additional documents are the medical bills for the continued treatment undergone during 2019 at Little Lourdes Hospital, Kidangoor. That was allowed and the additional documents are marked as Exts.A25, A26 and Ext.A 27 (series). MACA NO. 2391 OF 2013 5 ## 10. Compensation awarded by the Tribunal under various ## heads are as follows:- |SI<br>No|Head of claim|Amount<br>claimed<br>(in rupees)|Amount<br>awarded (in<br>rupees)|Basis vital details<br>in a nut-shell| |---|---|---|---|---| |1|Transportation|5,000.00|2,000.00|In view of the<br>visits to the<br>hospital| |2|Extra nourishment|3,000.00|1,000.00|Nominal amount| |3|Damage to clothing|800.00|500.00|….do...| |4|Bystander expenses|25,000.00|3,800.00|Bystander<br>expenses for 19<br>days at the rate<br>of Rs.200/- per<br>day| |5|Medical expenses|60,000.00|46,652.00|As per Ext.A13<br>series medical<br>bills| |6|Loss of earning|72,000.00|24,000.00|4,000 x 6 =<br>24,000/-| |7|Pain and sufferings|75,000.00|26,000.00|In view of the<br>pain suffered by<br>the petitioner as<br>a result of the<br>injuries| |8|Loss of amenities|1,00,000.00|20,000.00|The injuries must<br>have restricted<br>his enjoyment of<br>life and also his<br>work| |9.|Permanent disability|3,00,000.00|1,22,400.00|4,000x12x17x15<br>divided by<br>100=1,22,400| |10.|For future expenses|70,000.00|Not allowed|Other heads<br>allowed| ||TOTAL|7,10,800.00<br>limited to<br>Rs.5,00,000/-|2,46,352.00|------------| MACA NO. 2391 OF 2013 6 11. According to the learned counsel for the appellant/claimant, the claimant was a tailor. Though she was not examined, A14 the attested copy of Identity card issued from Kerala Tailoring Workers Welfare Board has been produced. But the Tribunal fixed Rs.4,000/- as monthly income which is very low. He would also contend that compensation awarded by the Tribunal under other heads are very low and hence seeks for enhancement of compensation on all heads. 12. The learned standing counsel for insurer on the other hand would contend that a just and reasonable compensation has already been awarded and no interference is called for in this appeal. 13. I would first deal with the aspect of monthly income in ## _**Ramachandrapa v. manager, Royal Sundaram Alliance Insurance**_ _**Company Limited**_ **[(2011) 13 SCC 236]** , the Hon'ble Apex Court notionally fixed the monthly income of a coolie in the year 2004 at Rs.4,500/-. It was held that a claimant working as coolie cannot be expected to produce any documentary evidence to substantiate their claim. It is also held that in the absence of any other evidence contrary to the claim made by the claimant, the Tribunal MACA NO. 2391 OF 2013 7 should have accepted the claim of the claimant. It is also held that in a given case if the claim made is so exorbitant or if the claim made is contrary to ground realities the Tribunal may not accept the claim and may proceed to determine the possible income by resorting to some guess work which may include the ground realities prevailing at the relevant point of time. 14. In _**Syed Sadiq v. Divisional manager, United India Insurance Co. Ltd.**_ **[(2014) 2 SCC 735]** Apex Court was dealing with an appeal which arouse out of an accident occurred on 14-08-2008. Claimant was a vegetable vendor aged about 24 years who sustained injury to the lower end to right femur and left upper arm and his right leg had to be amputated. Question arouse about his monthly income. Following the principles in Ramchandrapa's case it was held that there is no reason for the Tribunal and the High Court to ask for evidence of monthly income of the appellant/claimant. It is further found that going by the present state of economy and rising prices in agricultural products a vegetable vendor is reasonably capable of earning Rs.6,500/per month. 15. The appellant/claimant in this case was 26 years old at MACA NO. 2391 OF 2013 8 the time of accident on 3.7.2010 and according to her she is a tailor. Ext.A14 is the attested copy of the identity card to show that she is a member of Kerala Tailoring Workers Welfare Fund Board, Kottayam. But it will not prove her actual monthly income. Hence, as per the settled principles the monthly income of the appellant/claimant can very well be fixed as Rs.6,000/- instead of Rs.4,000/- taken by the Tribunal. ## 16. In _**Raj Kumar v. Ajay Kumar and Another**_ **(2011 (1)** **SCC 343 = 2010 KHC 5021)** the Apex Court has elaborately discussed the general principles relating to compensation in injury cases. In personal injury cases, heads under which the compensation is awarded has been classified into two as pecuniary damages (Special damages) and non pecuniary damages (general damages). In paragraph No.5, the heads coming under pecuniary damages and non pecuniary damages have been enumerated. In personal injury cases, compensation would be awarded only under the heads ie, expenses relating treatment, hospitalization, medicine, transportation nourishing food and miscellaneous expenditure and loss of earning during the period of treatment as well as damages for pain, suffering and trauma as a consequence MACA NO. 2391 OF 2013 9 of the injuries. 17. In cases of serious injuries, where there is specific medical evidence corroborating evidence of the claimants, the compensation would be granted under the heads loss of earning (and other gains) which the injured would have made had he not been injured, comprising : - Loss of future earnings on account of permanent disability, Future medical expenses, Loss of amenities (and/or loss of prospects of marriage) and Loss of expectation of life (shortening of normal longevity). 18. The assessment of non pecuniary damages under the damages for pain, suffering and trauma, loss of amenities and loss of expectation of life involves determination of lump sum amounts with reference to circumstances such as age, nature of injury/deprivation/disability suffered by the claimant and the effect thereof on the future life of the claimant. The tribunal in the judgment had found that as per the schedule attached to Workmen's Compensation Act, 1923, the percentage of disability for amputation below hip with stump not exceeding 12.70 cms in length measured from hip from deep of grave trenchanter is 80%. But amputation below hip with stump exceeding 12.70 cms in MACA NO. 2391 OF 2013 10 length measured from hip of grave trenchanter but not beyond middle thigh is 70%. 19. Appellant/claimant in this case sustained the following injuries as per Ext.A7 wound certificate:- _Loss of teeth (R) Upper incisor,_ _Lacerated wound lower lip (R) side, 4x1x0.5 cm, Lacerated wound (R) leg medical aspect 6x3x1 cm, Lacerated wound foot dorsum 2x1x1 cm_ . 20. Ext.A11 discharge summary would reveal that maluniting oblique # middle third tibia, delayed union Weber C Bimalleolar ®. She was treated by partial Fibulectomy + ORIF with interlocking nail tibia + Bone grafting + Cancellous screw fixation medical malleolus+ Syndesmotic screw fixation. Wound healed. BK slab retained. 21. It is contended that the appellant/claimant had undergone inpatient treatment for 21 days in the hospital. The appellant/claimant sustained type 1 open fracture both bones of right leg, lacerated wound lower lip right side and lacerated wound right foot dorsum. Initially, she had undergone inpatient treatment from 3.7.2010 to 10.7.2010 and thereafter from MACA NO. 2391 OF 2013 11 ## 10.11.2010 to 22.11.2010. 22. The learned counsel also contends that the appellant/claimant has lost her teeth out of this accident, and he brings to my attention Ext.A9 to substantiate that allegation. Ext.A9 is the original case record issued from Dental College, Kottayam with dated seal 27/7/2010. It would show that she underwent treatment for complaint of pain of tooth. Missing is also described. But the Doctor was not examined and it could not be proved. However, Ext.A7 wound certificate refers about loss of (R) upper incisor. Claimant is only 26 year old young lady. So definitely she is entitled for compensation on that account. The appellant/claimant also produced Ext.A12 disability certificate issued by the medical board. The medical board assessed 30% locomotor disability. The Tribunal adopted only 15% permanent disability. The medical records as well as the subsequent treatment undergone by the appellant in the year 2019 have been produced. In view of the serious nature of injuries and the procedures of treatment undergone by the claimant, 30% permanent disability assessed by the medical board can very well be accepted, especially because she is a tailor and the main injury is on the leg. MACA NO. 2391 OF 2013 12 Ext.A25 the treatment certificate of the year 2019 shows that she had undergone treatment with Maluniting # Tibia + Delayed Union Bimalleolar fracture (R) and her fractures united and the implants were removed on 4/4/2019. She was discharged on 6/4/2019 and her sutures were removed on 13/4/2019. Ext.A26 is the discharge summery. It is also proved that she was treated for implant removal under spinal anaesthesia on 4.4.2019. Along with the treatment certificate and discharge summery she produced medical bills for Rs.30,034/-. 23. In view of the medical records including the disability certificate issued by the medical board the loss of earnings for 6 months awarded by the Tribunal is seems to be reasonable and it can be refixed as Rs.36,000/- (Rs.6,000 x 6). The amount already awarded by the Tribunal is Rs.24,000/-. Deducting the amount already awarded, the balance would be Rs.12,000/- (36,000– 24,000). Towards permanent disability the Tribunal awarded Rs.1,22,400/- and it can be enhanced as Rs.3,67,200/(6000x12x17x30/100). Deducting the amount already awarded, the claimant is entitled to get enhanced compensation of Rs.2,44,800/- (3,67,200–1,22,400) under that head. Towards loss MACA NO. 2391 OF 2013 13 of right incisor teeth claimant is entitled to get Rs.5,000/-. Towards pain and sufferings Tribunal awarded Rs.26,000/-. Taking into account the further treatment and surgery undergone by the appellant/claimant, it can be enhanced as Rs.30,000/-. Deducting the amount already awarded, the claimant is entitled to get enhanced compensation of Rs.4,000/- (30,000–26,000) under that head. Ext.A27 series medical bills are for Rs.30,034/- towards the additional medical expenses. In addition, she is entitled to enhanced compensation for bystander expenses in 2019 at Rs.600 x 4= Rs.2,400/-. In the result, appeal is allowed in part by enhancing compensation to **Rs.2,98,234/-** rounded to **Rs.2,98,250/-** (Rupees two lakh ninety eight thousand two hundred fifty only) (Rs.12,000+2,44,800+5,000+4,000+30,034+2,400) which will carry interest @ 7.5% per annum from the date of petition excluding the period of delay of 313 days in filing the appeal. 3rd respondent, the Insurance Company, shall satisfy additional compensation granted in this appeal together with interest within a period of two months from the date of receipt of certified copy of this judgment deducting the liability of the appellant/claimant towards balance MACA NO. 2391 OF 2013 14 ## court fee. The appellant shall provide the Bank account details (attested copy of relevant page of bank pass book, Bank Account number and IFSC code of the branch) before the Tribunal with a copy to the learned Standing Counsel for the insurer, within one month from the date of receipt of certified copy of this judgment. There will be no order as to costs. Sd/- **M.R.ANITHA JUDGE** ska