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

Sreejith M.S. v. Oriental Insurance Company Limited

Case / Petition Number:MACA No. 3659 of 2019

Case Details & Bench

Court
High Court of Kerala
Hon'ble Judges
  • SHOBA ANNAMMA EAPEN
Judgment Date
2024-07-01
Court Decision / Holding
The appeal is allowed in part. The appellant/claimant is awarded an additional compensation of ₹14,03,040 over and above the tribunal’s award, with interest at 8% per annum from the date of petition till realization and proportionate costs. The insurer must deposit the amount within two months from receipt of a certified copy, and the claimant shall furnish PAN, AADHAAR and bank details for disbursement. If details are not furnished, deposit may be made before the tribunal. The artificial-limb claim, raised for the first time at final hearing, was not allowed.
Final Disposition
Appeal partly allowed; enhanced compensation of ₹14,03,040 with interest and costs; deposit ordered within two months; PAN/AADHAAR details required; artificial limb claim rejected due to non-pleaded basis.

Parties to the Case

Appellants / Petitioners

  • Sreejith M.S.

Respondents

  • First Respondent (Owner of the offending vehicle)
  • The Oriental Insurance Company Limited

Legal Representation & Advocates

Counsels for Petitioners

  • • Rahul Sasi
  • • Smt. Neethu Prem

Counsels for Respondents

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

Case Synopsis & Summary

On 07.06.2015, at about 3:50 pm, the claimant Sreejith M.S. sustained serious injuries while riding a motorcycle on the Madavana-Panangad public road after a collision with a motorcycle driven by the first respondent. The claimant filed OP(MV) 1962 of 2015 seeking compensation of ₹60,00,000 on account of permanent disability and loss of earnings. The Tribunal found negligence on the part of the rider of the offending vehicle and awarded ₹17,67,600 under heads of compensation. The insurer contested liability and quantum. In appeal, the appellant urged enhancement on multiple heads: (i) notional income as a painter earning ₹800 per day; (ii) raise notional monthly income to ₹12,000, recalculating loss of earnings; (iii) consider permanent disability at 70% including functional disability and future prospects, applying the Pranay Sethi-Sarla Verma doctrine; (iv) entitlement to flexible compensation for artificial limb; The appellant cited Ramachandrappa, Mohan Soni and Sarnam Singh to press his case. The court allowed the appeal in part, adopting higher notional income amounts and disability assessment, and directing enhanced compensation totaling ₹14,03,040 over the tribunal's award, with interest at 8% per annum and costs. The insurer was directed to deposit within two months, and the claimant to furnish PAN, AADHAAR and bank details; a claim for artificial limb expenses, raised only at final hearing, was declined.

Legal Doctrines & Maxims

  • Functional disability doctrine (work-specific evaluation)
  • Notional income principle (Ramachandrappa baseline)
  • Future prospects for disability (Pranay Sethi / Sarla Verma framework)
  • Disability assessment tied to nature of work (Mohan Soni / Sarnam Singh)

Submissions & Arguments

Contentions of Appellants / Petitioners

The appellant urged enhancement of compensation on several heads. He argued for a higher notional income based on his profession as a painter, citing evidence of earnings around ₹800 per day and demanding fixation of notional monthly income at ₹12,000. He contended that, applying established precedents (Ramachandrappa; Pranay Sethi; Sarla Verma; Sarnam Singh; Mohan Soni), the Tribunal erred in underestimating earnings, the degree of permanent disability (advocating 70% with 40% future prospects) and the consequential loss of earning capacity. He pressed for compensation for artificial limbs and related expenses, and for reconsideration of heads such as loss of earnings, future treatment, and disability. He relied on the decisions cited to justify enhanced compensation and the application of future-prospects principles.

Contentions of Respondents

The Respondent insurer contended that liability and quantum were disputed and that the Tribunal’s findings should stand. They argued that the notional income and disability calculations should reflect the evidence on record and not permit an inflated figure. They also submitted that the artificial-limb expenses, though part of the award, should not be enhanced, especially since the pleadings for such expenses were not properly raised in the appeal. They emphasized that any enhancement must be grounded in evidence and that the tribunal’s assessment was otherwise reasonable.

Cited Precedents (6)

Case NameCitationTreatmentExplanation
Ramachandrappa v. Manager, Royal Sundaram Alliance Insurance Company Ltd.(2011) 13 SCC 236PositiveUsed as baseline for notional income; court adjusted the amount upward based on evidence and avocation.
Sarnam Singh v. Shriram General Insurance Company Ltd. and others2023 LiveLaw (SC) 498PositiveApplied to support enhanced disability evaluation in light of amputation and related consequences.
Mohan Soni v. Ram Avtar Tomar(2012) 2 SCC 267PositiveCited for principle that disability evaluation should consider the nature of the work.
National Insurance Co. Ltd. v. Pranay Sethi(2017(4) KLT 662(SC))PositiveUsed to justify inclusion of future prospects in disability calculation.
Sarla Verma v. Delhi Transport Corporation2010(2) KLT 802(SC)PositiveGuided the standard for evaluating future prospects and disability in the context of age and occupation.
Zakeer Hussain v. Jayakumar & Another2022 (1) KHC 546Mentioned OnlyCited to support artificial-limb expenditure claim but not granted due to lack of prior pleadings.

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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 SHOBA ANNAMMA EAPEN MONDAY, THE 1[ST] DAY OF JULY 2024 / 10TH ASHADHA, 1946 MACA NO. 3659 OF 2019** **OPMV NO.1962 OF 2015 OF MOTOR ACCIDENT CLAIMS TRIBUNAL,** ## **ERNAKULAM** ## **APPELLANT/PETITIONER:** **SREEJITH M.S., AGED 31 YEARS, S/O.SURESH V.A., MANNATHIPARAMBU HOUSE, VADAKKUM BHAGOM, CHEPPANAM, PANANGAD P.O., COCHIN - 682 506.** **BY ADVS. RAHUL SASI SMT.NEETHU PREM** ## **RESPONDENT/2ND RESPONDENT:** **THE ORIENTAL INSURANCE COMPANY LIMITED, REGIONAL OFFICE, METRO PLACE, OPP. NORTH RAILWAY STATION, ERNAKULAM, COCHIN - 682 011, REPRESENTED BY ITS REGIONAL MANAGER.** **BY ADVS. JACOB MATHEW P MATHEWS JACOB (SR.)(M-186)** **THIS MOTOR ACCIDENT CLAIMS APPEAL HAVING COME UP FOR HEARING ON 01.07.2024, THE COURT ON THE SAME DAY DELIVERED THE FOLLOWING:** MACA NO. 3659 OF 2019 **==> picture [31 x 8] intentionally omitted <==** **==> picture [35 x 12] intentionally omitted <==** ## JUDGMENT This appeal has been filed by the claimant in OP(MV) No.1962 of 2015 on the file of the Motor Accidents Claims Tribunal, Ernakulam. The respondent herein was the second respondent before the tribunal. 2. The case of the appellant/claimant is that on 07.06.2015 at 3.50 pm, while he was riding a motorcycle bearing Reg.No.KL-39-D-1218 through Madavana - Panangad public road, a motorcycle bearing Reg.No.KL-39-B-8673 owned and ridden by the first respondent hit against the motorcycle ridden by the appellant, whereby he sustained serious injuries. He approached the tribunal claiming a total compensation of 60,00,000/-.₹ 3. The first respondent remained ex parte before the tribunal. The respondent insurer filed a written statement, admitting the policy coverage for the offending vehicle, but disputing the liability and quantum of compensation claimed. Before the tribunal, the evidence consists of oral evidence of MACA NO. 3659 OF 2019 **==> picture [31 x 8] intentionally omitted <==** PWs 1 & 2 and documentary evidence as Exts.A1 to A17 on the side of the appellant/claimant and Ext.X1 as court evidence. No evidence was adduced by the respondent insurer. The tribunal, after analysing the pleadings and materials on record, held that the accident took place on account of the negligence of the rider of the offending vehicle and awarded a sum of 17,67,600/- as compensation under₹ different heads against the second respondent being the insurer. Dissatisfied with the quantum of compensation awarded by the tribunal, the claimant has come up in appeal. 4. Heard the learned counsel for the appellant and the learned Standing Counsel for the respondent insurer. 5. The learned counsel for the appellant claims enhancement mainly under the following heads; 5.1. Notional income - The learned counsel for the appellant submits that the oral evidence of PWs 1 and 2 would show that the appellant was a painter by profession and the evidence of PW2 would reveal that the appellant was earning ₹800/- per day. Here, in this case, the appellant proved before the tribunal in evidence that he was a painter by profession. MACA NO. 3659 OF 2019 **==> picture [31 x 8] intentionally omitted <==** Further, though PWs 1 and 2 were cross-examined, their depositions could not be controverted by the respondent insurer. It is a fact that even going by the decision in Ramachandrappa v. Manager, Royal Sundaram Alliance Insurance Company Ltd. [(2011) 13 SCC 236], the notional monthly income of a coolie is 10,000/-. However, considering₹ the avocation of the appellant and also considering the fact that the claim of the appellant that he was earning 800/- per₹ day is proved in evidence, I deem it appropriate to fix his notional monthly income at 12,000/-.₹ 5.2. Loss of earnings - Since the notional monthly income of the appellant is refixed at 12,000/-, compensation₹ towards loss of earning for a period of 12 months has to be recalculated, which would come to 1,44,000/-. Thus, the₹ appellant will be entitled to get an additional compensation of ₹24,000/towards loss of earnings after deducting the compensation of 1,20,000/- awarded by the tribunal. ₹ 5.3. Permanent disability - Ext.X1 certificate shows that the appellant was referred to the Medical Board and the disability of the appellant was assessed by the Medical Board MACA NO. 3659 OF 2019 **==> picture [31 x 8] intentionally omitted <==** at 40%. This is a case where the appellant underwent amputation of the left leg below the knee and being a painter by profession, amputation of his left leg may prevent him from continuing with the same avocation. It is seen that the tribunal estimated his disability as functional disability at 50% for awarding compensation towards permanent disability, which does not appear to be reasonable. The learned counsel relied on the judgment of the apex court in Sarnam Singh v. Shriram General Insurance Company Ltd. and others [2023 LiveLaw (SC) 498]. That was a case wherein the injured was working as a Gunman and on account of the amputation of the right leg above the knee, he was terminated from service. The apex court found that a person with his right leg amputated cannot perform his duty as a Gunman. The apex court, while rendering the afore judgment, considered the judgment in Mohan Soni v. Ram Avtar Tomar and others [(2012) 2 SCC 267], in which it was held that any physical disability resulting from an accident has to be judged with reference to the nature of work being performed by the person who suffered disability, and enhanced the loss of earning capacity to 100% in the Judgment in Sarnam Singh (supra). In Sarnam Singh MACA NO. 3659 OF 2019 **==> picture [31 x 8] intentionally omitted <==** (supra), the age of the injured was 50 years and 5 months. In the present case, the Medical Board assessed the permanent disability of the injured at 40%. Hence, considering the fact that the appellant was only aged 28 years at the time of the accident and also considering his avocation, I am of the opinion that the functional disability of 30% also has to be taken into account for awarding compensation along with permanent disability. Accordingly, considering permanent disability and functional disability, the percentage of disability is taken as 70% for assessing compensation towards permanent disability. Since there is permanent disability of 70%, future prospects at 40% also is to be considered along with the notional income as the appellant was only 28 years at the time of the accident. Thus, following the decisions reported in National Insurance Co.Ltd. v. Pranay Sethi [2017(4) KLT 662(SC)] and Sarla Verma v. Delhi Transport Corporation [2010(2) KLT 802(SC)], the appellant will be entitled to get a compensation of 23,99,040/- (16800 x 12 x₹ 17 x 70%) towards permanent disability. Hence, there will be an additional amount of 13,79,040/- under the head of₹ permanent disability. MACA NO. 3659 OF 2019 **==> picture [31 x 8] intentionally omitted <==** 5.4. For fixing artificial limb - The learned counsel for the appellant submits that though compensation towards expenses for fixation of artificial limb was sought before the tribunal, the same was awarded towards treatment expenses. Placing reliance on a decision of this Court in Zakeer Hussain v. Jayakumar & Another [2022 (1) KHC 546], the learned counsel for the appellant claims that the tribunal ought to have granted compensation towards expenses for fixing artificial limbs three times during the lifetime of the injured. On a perusal of the award, it is seen that 1,50,000/- was₹ incurred by the appellant for purchase of artificial limb and the said amount was awarded by the tribunal along with medical expenses. However, on a perusal of the memorandum of appeal, it is seen that no claim was raised in the appeal for further compensation towards artificial limb and it was raised for the first time during the final hearing. The appellant cannot take the respondents by surprise for a further claim of compensation for artificial limb. Hence, I am not inclined to grant any enhanced compensation towards expenses for artificial limb. MACA NO. 3659 OF 2019 **==> picture [31 x 8] intentionally omitted <==** 6. Though the appellant claimed enhancement of compensation under other heads also, on a perusal of the records available, I am not inclined to interfere with the compensation awarded by the tribunal under other heads since it appears to be just and reasonable. Thus, the impugned award of the tribunal is modified as follows; |Sl.<br>No.|Head of Claim|Amount<br>claimed<br>(in )<br>₹|Amount<br>awarded<br>by the<br>tribunal<br>(in )<br>₹|Modified<br>in appeal<br>(in )<br>₹|Total<br>compensation<br>(in )<br>₹| |---|---|---|---|---|---| |1.|Loss of earnings|216000|120000|24000|144000| |2.|Transport to<br>hospital and back<br>to home|100000|10000||10000| |3.|Extra<br>nourishment|100000|25000||25000| |4.|Damage to<br>clothes and<br>articles|7000|1000||1000| |5.|Bystander<br>expenses|100000|5750||5750| |6.|Treatment<br>expenses|300000|235850||235850| |7.|For fixing<br>artificial limb|1000000|||| MACA NO. 3659 OF 2019 ..9.. |8.|Pain and<br>suffering|300000|150000||150000| |---|---|---|---|---|---| |9.|Disability|3000000|1020000|1379040|2399040| |10.|Future treatment|200000|50000||50000| |11.|Disfiguration|300000|||| |12.|Loss of earning<br>power|3000000|||| |13.|Short<br>expectation in<br>life|200000|||| |14.|Loss of amenities<br>and comforts|500000|150000||150000| ||Total|9323000|1767600|1403040|3170640| Accordingly, the appeal is allowed in part and the appellant/claimant is awarded an additional compensation of ₹14,03,040/- (Rupees fourteen lakh three thousand and forty only) over and above the compensation awarded by the tribunal with interest @ 8% per annum from the date of petition till realization and proportionate costs. The respondent insurer shall deposit the said amount together with interest and costs within a period of two months from the date of receipt of a certified copy of this judgment. The claimant shall furnish copies of the PAN Card, AADHAAR Card MACA NO. 3659 OF 2019 **==> picture [37 x 8] intentionally omitted <==** and bank details before the respondent insurer within a period of one month so as to enable the insurance company to make the deposit as ordered above. In case of failure to furnish details as above, it shall be open for the insurance company to deposit the said amount before the tribunal. Upon such deposit being made, the entire amount shall be disbursed to the appellant at the earliest in accordance with law. Sd/- SHOBA ANNAMMA EAPEN JUDGE bka/-