High Court of KeralaSingle JudgeThe appeal is allowed as above. The Tribunal’s ...

Varghese, S/O Ouseph v. Linto Augustine Edathipparamban House; Varghese, S/O Poulose Edasserry House; The New India Insurance Co. Ltd.

Case / Petition Number:MACA 2268 of 2012

Case Details & Bench

Court
High Court of Kerala
Hon'ble Judges
  • Murali Purushothaman
Judgment Date
2023-07-04
Court Decision / Holding
The appeal is allowed as above.
Final Disposition
The appeal is allowed as above. The Tribunal’s dismissal is set aside; compensation of Rs.5,74,400 with 6% interest from the date of petition to be deposited within two months is awarded.

Parties to the Case

Appellants / Petitioners

  • Varghese, S/O Ouseph, Mattathy House, Kathikudam Desom & P.O., Kallur Vadakkummuri Village, Mukundapuram Taluk, Thrissur District, Unsound person represented by next friend and guardian his wife Lissy Varghese

Respondents

  • Linto Augustine Edathipparamban House, Cheruvaloor P.O., Pin 680 321
  • Varghese, S/O Poulose Edasserry House, Chirangara, Koratti East P.O., Thrissur District - 680 308
  • The New India Insurance Co. Ltd., DO VI, Thrissur, C/O Bajaj Auto Finance Thrissur - 680 001

Legal Representation & Advocates

Counsels for Petitioners

  • • Sri. P.V.Baby
  • • Sri. A.N.Santhosh

Counsels for Respondents

  • • Sri. PMM.NajeeB Khan

Case Synopsis & Summary

This MACA 2268 of 2012 arises from an appeal by Varghese (the petitioner in O.P(M.V) No.434 of 2005) before the Kerala High Court against a Motor Accidents Claims Tribunal, Irinjalakuda order dismissing a petition under Section 163A of the Motor Vehicles Act, 1988. The accident occurred on 06.11.2004, when the petitioner, riding a motorcycle, allegedly collided with another vehicle owned by the 1st respondent and insured with the 3rd respondent. The Tribunal held the petitioner negligent, relying on Ext. B1 and a decision in National Insurance Co. v. Sinitha, and dismissed the petition. The appellant contends that the insurer cannot raise negligence in a Section 163A proceeding, citing United India Insurance Co. Ltd. v. Sunil Kumar, which clarified that the 163A process is to deliver final compensation under a structured formula without adjudicating fault, and that relying on Sinitha’s view is incorrect post-Sunil Kumar. The Insurance Company pressed remand and argued that other aspects of the claim were not considered. The High Court, however, preferred to compute compensation under the Second Schedule, noting the accident was in 2004 and the medical evidence supports significant disability. It assesses 100% loss of earning capacity (per PW2) with a 14x multiplier (per Sarla Verma) and awards Rs.5,54,400 for loss of earning capacity, plus Rs.5,000 for pain and suffering and Rs.15,000 for medical expenses, totaling Rs.5,74,400 with 6% interest. The appeal is allowed as above, and the insurer is directed to deposit the amount within two months.

Provisions of Law Cited

Section 163 (A) of the Motor Vehicles Act, 1988Section 163A(2)Section 140(4) of the Motor Vehicles Act, 1988Second Schedule of the Motor Vehicles ActWorkmen's Compensation Act, 1923 - Schedule I for disability/Earning capacity

Legal Doctrines & Maxims

  • Final compensation under Section 163A is a final award based on a structured formula, not requiring proof of negligence (Sunil Kumar)
  • Insurer cannot raise a defence of negligence in Section 163A proceedings (Sunil Kumar)
  • Sarla Verma multiplier principle for disability (14 multiplier for age 44)

Submissions & Arguments

Contentions of Appellants / Petitioners

The petitioner filed a petition under Section 163A seeking compensation for injuries sustained in a 2004 accident. The Tribunal rejected the petition, holding negligence on the part of the claimant based on Ext.B1 and Sinitha. The appellant relies on United India Insurance Co. Ltd. v. Sunil Kumar (SC) which held that in 163A matters, insurers cannot raise the defence of negligence by the victim; Sunil Kumar doubted Sinitha and clarified that 163A awards are final under a structured formula, not contingent on proving driver negligence. The appellant argues this understanding invalidates the Tribunal’s dismissal. The court is urged to proceed under the Second Schedule to compute compensation, given the petitioner’s disability and the lack of contested income data, without remand.

Contentions of Respondents

The Insurance Company argues that the Tribunal did not adjudicate all aspects of the claim and requests remand to consider other factors. It contends that Section 163A proceedings are not a simple fault-free remedy and that negligence should be a factor, contrary to the Sunil Kumar interpretation. It also notes the age and earning capacity of the claimant and seeks a careful assessment rather than a blanket computation.

Cited Precedents (3)

Case NameCitationTreatmentExplanation
National Insurance Co. v. Sinitha2011 (4) KLT 821DistinguishedTribunal relied on Sinitha; High Court distinguished Sinitha’s reasoning in light of Sunil Kumar, leading to reversal of the Tribunal’s approach.
United India Insurance Co. Ltd. v. Sunil Kumar and Another2019 (12) SCC 398PositiveSC held that in Section 163A proceedings, insurer cannot raise negligence; this guided the court’s approach in the present case.
Sarla Verma & Ors. v. Delhi Transport Corporation & Anr.2010 (2) KLT 802 (SC)PositiveUsed to justify the 14 multiplier for disability/earning capacity in the assessment.

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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 MURALI PURUSHOTHAMAN ``` ``` TUESDAY, THE 4[TH] DAY OF JULY 2023 / 13TH ASHADHA, 1945 ``` ## **`MACA NO. 2268 OF 2012`** ``` AGAINST THE JUDGMENT DATED 05.06.2012 IN OPMV 434/2005 OF MOTOR ACCIDENTS CLAIMS TRIBUNAL, IRINJALAKUDA ``` ## **`APPELLANT/PETITIONER:`** ``` VARGHESE, S/O. OUSEPH MATTATHY HOUSE, KATHIKUDAM DESOM & P. O. KALLUR VADAKKUMMURI VILLAGE, MUKUNDAPURAM TALUK, THRISSUR DISTRICT, UNSOUND PERSON REPRESENTED BY NEXT FRIEND AND GUARDIAN HIS WIFE LISSY VARGHESE. ``` ``` BY ADVS. SRI. P.V.BABY SRI. A.N.SANTHOSH ``` ## **`RESPONDENTS/RESPONDENTS:`** - **`1 LINTO AUGUSTINE EDATHIPARAMBAN HOUSE, CHERUVALOOR P. O. PIN - 680 321.`** - **`2 VARGHESE, S/O. POULOSE EDASSERRY HOUSE, CHIRANGARA, KORATTY EAST P.O. THRISSUR DISTRICT - 680 308.`** - **`3 THE NEW INDIA INSURANCE CO. LTD., DO VI, THRISSUR, C/O. BAJAJ AUTO FINANCE THRISSUR - 680 001.`** ``` BY ADVS. SRI. PMM.NAJEEB KHAN ``` ``` THIS MOTOR ACCIDENT CLAIMS APPEAL HAVING COME UP FOR ADMISSION ON 04.07.2023, THE COURT ON THE SAME DAY DELIVERED THE FOLLOWING: ``` ``` M.A.C.A No.2268 OF 2012 ``` ``` 2 ``` ## **JUDGMENT** This is an appeal preferred by the petitioner in O.P(M.V) No.434 of 2005 on the file of the Motor Accidents Claims Tribunal, Irinjalakuda, whereby the petition filed under Section 163 (A) of the Motor Vehicles Act, 1988 (for short, ‘the Act’) was dismissed by the Tribunal. The parties are referred to as per their status in the claim petition. 2. According to the petitioner, while he was riding a motor cycle on 06.11.2004, it hit against another motor cycle ridden by the 2[nd] respondent, owned by the 1[st] respondent and insured with the 3[rd] respondent and he sustained serious injuries. He filed the petition for compensation under Section 163(A) of the Motor Vehicles Act. 3. Respondents 1 and 2 remained ex-parte before the Tribunal. The 3[rd] respondent Insurance ``` M.A.C.A No.2268 OF 2012 ``` ``` 3 ``` Company filed a written statement contending that the petition is not maintainable. The insurance coverage of the offending vehicle was admitted. It was also contended that the petitioner was negligent in riding the vehicle and caused the accident. 4. The Tribunal relied on Ext.B1 scene Mahazar and police charge sheet to hold that the petitioner was negligent in riding. Relying on the decision in **National Insurance Co. v. Sinitha** [2011 (4) KLT 821], the Tribunal came to the conclusion that the petition filed under Section 163 (A) of the Act was not maintainable and accordingly, it was dismissed. Challenging the dismissal of the claim petition, the petitioner has come up in appeal. 5. The learned counsel for the petitioner relied on the decision in **United India Insurance Co. Ltd. v. Sunil Kumar and Another** [2019 (12) SCC 398] wherein, the Supreme Court held that claim petition ``` M.A.C.A No.2268 OF 2012 ``` ``` 4 ``` being a proceeding under Section 163 (A) of the Act it is not open for the insurer to raise any defence of negligence on the part of the victim. The said judgment was rendered on reference by a two Judge Bench of the Apex Court doubting the reasoning in **Sinitha’s case** (supra). In paragraphs 8 and 9, the Court held:- “8. From the above discussion, it is clear that grant of compensation under S.163-A of the Act on the basis of the structured formula is in the nature of a final award and the adjudication thereunder is required to be made without any requirement of any proof of negligence of the driver/owner of the vehicle(s) involved in the accident. This is made explicit by S.163A(2). Though the aforesaid section of the Act does not specifically exclude a possible defence of the Insurer based on the negligence of the claimant as contemplated by S.140(4), to permit such defence to be introduced by the Insurer and/or to 10 understand the provisions of S.163A of the Act to be contemplating any such situation would go contrary to the very legislative object behind introduction of S.163A of the Act, namely, final compensation within a limited time frame on the basis of the structured formula to overcome situations where the claims of compensation on the basis of fault liability was taking an unduly long time. In fact, to understand S.163A of the Act to permit the Insurer to raise the defence of negligence would be to bring a proceeding under S.163A of the Act at par with the proceeding under S.166 of the Act which would not only be ``` M.A.C.A No.2268 OF 2012 ``` ``` 5 ``` self - contradictory but also defeat the very legislative intention. 9. For the aforesaid reasons, we answer the question arising by holding that in a proceeding under S.163A of the Act it is not open for the Insurer to raise any defence of negligence on the part of the victim.” In the light of the said judgment, the finding of the Tribunal that since the petitioner/victim himself was negligent, the petition filed under Section 163 (A) of the Act is not maintainable, cannot be sustained. 6. The learned counsel for the Insurance Company contended that since the Tribunal has not gone into other aspects regarding the claim, the matter shall be remanded to the Tribunal. 7. Since the accident is of the year 2004 and the income of the petitioner is not disputed and the disability certificate issued by the Medical Board is available on record, I am of the view that, the matter need not be remanded to the Tribunal and the compensation due to the petitioner can be arrived at ``` M.A.C.A No.2268 OF 2012 ``` ``` 6 ``` on the basis of the structured formula in the Second Schedule of the Act. 8. The petitioner claimed an amount of Rs.3,300/- as monthly income, which is not disputed. As regards the percentage of permanent disability, the Special Medical Board in Ext.X1 report has found that the total permanent neurological disability of the petitioner is 75%. The Neuro Surgeon, who was a signatory to Ext.X1 was examined as PW2. He has deposed that the petitioner has 100% loss of earning capacity. As per Clause 4 (i) of the Schedule, for pain and suffering arising out of grievous injuries, the claimant will be entitled for Rs.5,000/as compensation. Therefore, I am inclined to award an amount of **Rs.5,000/-** towards pain and suffering. 9. Ext.A11 series of bills would show that the petitioner has incurred more than Rs.1,00,000/towards medical expenses. As per Clause 4 (ii) of the ``` M.A.C.A No.2268 OF 2012 ``` ``` 7 ``` Schedule, the petitioner is entitled for an amount of **Rs.15,000/-** towards medical expenses. 10. With regard to disability compensation, as per Schedule I under the Workmen Compensation Act, 1923, read with note thereto, I find that, the percentage of loss of earning capacity of the petitioner will come to 100%. Since the petitioner was aged 44 years at the time of the accident, the multiplier to be applied is ‘14’ ( **Sarla Verma & Ors. V. Delhi Transport Corporation & Anr.** [2010 (2) KLT 802 (SC)]). Accordingly, I fix the compensation for disability/loss of income as **Rs.5,54,400/-** (3,300x12x14x100%). 11. Accordingly, the petitioner will be entitled for an amount of **Rs.5,74,400/-** (5,54,400 + 5,000 + 15,000) as compensation for the injuries sustained in the accident. The Insurance Company shall deposit the said amount before the Tribunal with 6% interest ``` M.A.C.A No.2268 OF 2012 ``` ``` 8 ``` per annum from the date of petition till date of deposit, within a period of two months from the date of receipt of a copy of this judgment. The appeal is allowed as above. **Sd/-** ``` MURALI PURUSHOTHAMAN JUDGE ``` SPR