Citation : 2025 Latest Caselaw 600 Guj
Judgement Date : 7 July, 2025
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IN THE HIGH COURT OF GUJARAT AT AHMEDABAD
R/FIRST APPEAL NO. 3633 of 2023
FOR APPROVAL AND SIGNATURE:
HONOURABLE MS. JUSTICE NISHA M. THAKORE
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Approved for Reporting Yes No
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MASTER DHRUV TUSHARBHAI CHAUHAN
Versus
ARVIND RAMJI GHADHVI & ANR.
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Appearance:
MR. HEMAL SHAH(6960) for the Appellant(s) No. 1
MANDEEP SINGH SALUJA(8791) for the Defendant(s) No. 2
RULE SERVED for the Defendant(s) No. 1
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CORAM:HONOURABLE MS. JUSTICE NISHA M. THAKORE
Date : 07/07/2025
ORAL JUDGMENT
1. Heard Mr. Hemal Shah, learned advocate for the appellant. Mr. Mandeep Singh Saluja, learned advocate has appeared on behalf of respondent- Insurance Company. Notice issued upon the respondent no.1 has been duly served upon, however no appearance has been entered. Noticing the limited ground urged in the appeal, the matter is taken up for final hearing in absence of respondent no.1.
2. The present appeal is filed under Section 173 of the Motor Vehicles Act, 1988, being aggrieved and dissatisfied with the impugned judgment and award dated 20.05.2022 passed by the Motor Accident Claim Tribunal (Main), Kutch- Bhuj in MACP No. 18 of 2023. By the said impugned judgment, The tribunal has partly allowed the claim petition
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preferred by the present appellant- original claimant under Section 166 of the Motor Vehicle Act, 1988. The original opponents - respondents herein are jointly and severally liable to pay total compensation to the tune of Rs.3,93,500/- with interest at the rate of 9% pa from the date of filing of claim petition till its realization.
3. Learned advocate for the appellant, at the outset, has invited my attention to the findings and reasons assigned by the Tribunal while determining the amount of compensation towards the future loss of income. According to the learned advocate, the Tribunal committed gross error in ignoring the well settled principle laid down by the Hon'ble Supreme Court in the case of Master Mallikarjun vs. Divisional Manager, The National Insurance Company Limited and Anr., reported in (2014) 14 SCC 396. Learned advocate has further pointed out that indisputably the claimant was minor at the time of accident. The cogent material has been brought on record in this regard. In absence of any appeal being filed by the respondent - Insurance Company, the said aspect has attained the finality. The learned advocate has further pointed out that injured has sustained permanent partial disability. The medical certificate and the disability certificate has been produced on record at Exh.43 wherein the medical expert has assessed the disability of the injured as 31% of the body as a whole. He has therefore, submitted that in view of the decision of the Hon'ble Supreme Court in the case of Master Mallikarjun (supra), the Tribunal ought to have awarded an amount of Rs.4 lakhs under the head of pain and suffering and
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future, mental and physical shock, hardship, inconvenience and discomforts and loss of amenities on account of permanent disability. Learned advocate has further pointed out that the Tribunal committed gross error in deducting the amount of Rs.1 lakhs towards medical expenses which had been assessed as Rs.1,67,094/- by taking into consideration the amount being realized under the medi-claim policy. Reliance was placed on the decision of the Division Bench in the case of New India Insurance Company Limited vs. Shashikantbhai Harsukhlal Koticha and others rendered in First Appeal No.2263 of 2014 dated 21.07.2014. He has therefore, urged this Court to enhanced the amount of compensation under the aforesaid head.
4. Learned advocate for the respondent no.2- Insurance Company has vehemently objected to the aforesaid submissions. According to him, for the findings and reasons assigned by the learned Judge, the amount of compensation as awarded by the Tribunal calls for no interference in the present appeal. Objecting to the submissions made by learned advocate for the opponent claimant as regards the amount of compensation towards the medical expenses is concerned, learned advocate has submitted that since the amount has already been realised by virtue of medi- claim policy, there is no actual loss sustained by the claimant and is therefore, rightly been given set off. He has submitted that the Tribunal has therefore rightly not given the entire amount of medical expenses as claimed for.
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5. Having heard the learned advocate appearing for the respective parties and having perused the findings and reasons assigned by the Tribunal, as rightly pointed out by learned advocate for the appellant, in absence of any challenge being made by the original opponents against the impugned judgment and award, the factual matrix of the case as regards the occurrence of accident and the particulars based on which the amount of compensation has been determined has remained undisputed. The injured is a 4 year child, who has admittedly sustained injuries on account of motor vehicle accident. The claimant has successfully established before the tribunal about the involvement of the vehicle and the liability of the Insurance Company towards the payment of compensation. The only limited aspect which is required to be re-examined by this Court in the present appeal is the amount of compensation, more particularly under the head of the loss sustained on account of permanent disability and the medical expenses. Noticing the fact that the child was aged 4 years at the time of accident and he having sustained permanent disability to the extent of 31% of body as a whole, in view of the legal principle laid down by the Hon'ble Supreme Court in the case of Master Mallikarjun (supra) which has been consistently being followed all throughout thereafter by this Court, the present appeal deserves consdieration. The Hon'ble Supreme Court in the case of Master Mallikarjun (supra) in para 12 has observed thus:
"12. Though it is difficult to have an accurate assessment of the compensation in the case of children
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suffering disability on account of a motor vehicle accident, having regard to the relevant factors, precedents and the approach of various High Courts, we are of the view that the appropriate compensation on all other heads in addition to the actual expenditure for treatment, attendant, etc., should be, if the disability is above 10% and upto 30% to the whole body, Rs.3 lakhs; upto 60%, Rs.4 lakhs; upto 90%, Rs.5 lakhs and above 90%, it should be Rs.6 lakhs. For permanent disability upto 10%, it should be Re.1 lakh, unless there are exceptional circumstances to take different yardstick. In the instant case, the disability is to the tune of 18%. Appellant had a longer period of hospitalization for about two months causing also inconvenience and loss of earning to the parents. The appellant, hence, would be entitled to get the compensation as follows: -
Head Compensation
Amount
Pain and suffering already Rs. 3,00,000/-
undergone and to be suffered
in future, mental and physical
shock,hardship, inconvenience,
and discomforts, etc., and loss
of amenities in life on account
of permanent disability.
Discomfort, inconvenience and Rs.25,000/-
loss of earnings to the parents
during the period of
hospitalization.
Medical and incidental Rs.25,000/-
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expenses during the period of
hospitalization for 58 days.
Future medical expenses for Rs.25,000/-
correction of the mal union of
fracture and incidental
expneses for such treatment.
Total Rs.3,75,000/-
6. The original claimant shall be entitled to amount of compensation of Rs.4 lakhs under the head of pain and suffering already undergone and to be suffered in future, mental and physical shock, hardship, inconvenience, and discomforts, etc., and loss of amenities in life on account of permanent disability. Thus, amount of Rs.2,81,500/- awarded by the Tribunal towards future loss of income, is required to be enhanced to the tune of Rs.4,00,000/- since the amount has been considered under the overall heads of the loss of amenities in life on account permanent disability, the amount of Rs.25,000/- awarded towards pain and suffering separately by the Tribunal is required to be set aside.
7. This brings me to the issue of medical expenses. It is an undisputed fact that the original claimant has suffered medical expenses to the tune of Rs.1,67,095/-. The aforesaid fact has been established by leading cogent material which includes the medical case papers produced on record at Exhibit 51, 52, 53 and 56 collectively. However, the Tribunal has proceeded to reduce the aforesaid claim of Rs. 1,67,095/ by awarding amount of Rs.67,095/- towards the medical expenses, mainly on the ground that the amount of Rs.1 lakh
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has been reimbursed under the medi-claim policy to the claimant. As rightly pointed out by learned advocate for the appellant, the aforesaid approach of the Tribunal is not in consonance with the legal principles laid down in this regard. It would be appropriate to reproduce the relevant observations of the Hon'ble Division Bench of this Court in the case of Shashikantbhai Harsukhlal Koticha (supra). Dealing with the similar contentions, the Hon'ble Division Bench has observed as under:
"7. In our view, the said contention should not detain us further since the issue is already covered by the earlier decision of this Court. The first one is the decision of this Court in thecase of REVABEN v/s KANTIBHAI NAROTTAMBHAI GOHIL,reported at 1994(2) GLR 1728, (First Appeal No.1287 of 1983) wherein the Division Bench of this Court (Coram : C.K.Thakkar & Y.B. Bhatti, JJ. (as Their Lordships then were)),while dealing with more or less similar contention qua the benefit available to the deceased, has observed at Para - 5.2 as under :
"Having considered the submission made by both the Counsels and having perused with the care the approach of the Tribunal in this regard, the only conclusion we can draw is that the entire approach is based on certain surmises and inferences which are not justified. Moreover, on a question of principle itself, no deduction could have been made from the damage awardable under this head, on account of the family pension which would be available to the claimants on account of the death of the deceased. We have no doubt, that no such deduction was permissible. The basic principle underlying the inadmissibility of such deductions is that the damages for the tortuous act which are awardable to the claimants are on the basis that the tort-feasor has committed the acts in question for which he is liable to pay damages. Obviously, the tort-feasor cannot be permitted to take advantage of his own wrong. If in fact, deductions were made on account of certain benefits which may accrue to
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the claimants on account of the death of the deceased, and if a set off is given in respect of these amount against the damages awardable, it would amount to conferring an advantage upon the tort-feasor. Even on basic principles, no such deduction can be made inasmuch as the benefits which would accrue to the dependents of the deceased are benefits which would even otherwise have accrued to the claimants on the death of the deceased, irrespective of how he had died. These principles are by how well settled and do not merit a lengthy discussion. Suffice it to say that these principles have been settled by a Division Bench of this Court in the case of Prataprai Arjandas Dhameja v/s Jivkuvarba, reported at [1982 (1)] GLR 437, and also in the case of Arunaben & ors. v/s Mehmoodbhai Imamali Kaji, reported at 1982 GLH 1010 : (1983) (1) GLR 156)."
8. The aforesaid decision again came up for consideration before this Court in the case of UNITED INDIA INSURANCE CO. v/s JIVANBHAI KANABHAI PATEL, (in First Appeal No. 655 of 2011, decided on 13.4.2011), reported at 2011 GLHEL - SC - 227800, wherein similar contention was raised and at Para - 6 to 11, it was observed thus :
6. It is worth noting that as recorded in the above referred observations, three Division Benches of this Court; one in the case Brevaben v. Kantibhai N. Gohil, reported in 1995 ACJ 548; another in case of Prataprai Arjandas Dhameja v. Bhupatsing Gagji, reported in 1982 ACJ 316 (Gujarat); and third one in case of Arunaben v. Mehmoodbhai Imamali Kaji, reported in 1983 ACJ 409 (Gujarat), have taken the view that the tortfeasor cannot be permitted to take advantage of his own wrong and if a set-off is given in respect of these amounts against the damages awardable, it would amount to conferring an advantage upon the tortfeasor. It has also been observed that no such deduction can be made inasmuch as the benefits, which would accrue to the dependent of the deceased are benefits which would even otherwise have accrued to the claimants on the death of the deceased irrespective of how he had died and such principles as per the
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above referred decision of the Division Benches of this Court are well settled.
7. Further, even if the contention is considered for the sake of examination that any amount was paid by the employer to the claimant on account of the Group Insurance Scheme, there was no evidence on record to show that the premium was not being deducted from the employee concerned, towards the Group Insurance scheme or that the expenses of such purpose were not passed over. Apart from the above, if the employer has taken the insurance of its employee, may be of Group Insurance Policy and if the employee concerned has claimed the compensation on account of the accident from the employer, who may be one of the tortfeasor, it might attract a different consideration, but in a case where the tortfeasor, who is appellant herein is not at all concerned with the contract of the Group Insurance, cannot be earn to have premium of its own wrong for the very statutory liability to compensate the injury of the third party as per the provisions of the Motor Vehicle Act read with the contract of Insurance with the owner of the vehicle through which the injury is sustained to the claimant.
8. The reliance placed upon the decision of the Apex Court in case of Helen C. Rebello (supra) is illfounded inasmuch as the principles laid down in the said decision by the Apex Court is not that the deduction is to be made, but on the contrary the conclusion recorded by the Apex Court in paragraph 36 the relevant of which reads as under:-
"36. ... How can an amount of loss and gain of one contract could be made applicable to the loss and gain of another contract. Similarly, how an amount receivable under a statute has any correlation with an amount earned by an individual. Principle of loss and gain has to be on the same place within the same sphere, of course, subject to the contract to the contrary or, any provisions of law."
9. Further, at paragraph 38, it was found by the Apex Court, relevant of which reads as under:-
"We have no hesitation to conclude that the set of decisions, which applied the principle of no deduction of the life insurance amount, should be
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accepted and the other set, which interpreted to deduct, is to be rejected. For all these considerations, we have no hesitation to hold that such High Courts were wrong in deducting the amount paid or payable under the life insurance by giving restricted meaning to the provisions of the Motor Vehicles Act basing mostly on the language of English statutes and not taking into consideration the changed language and intents of the legislature under various provisions of the Motor Vehicles Act, 1939."
The same view has been reiterated in the subsequent decision of the Apex Court in the case of United India Insurance Co. Ltd. v. Patricia Jean Mahajan and Ors. (supra). Under these circumstances, reliance upon the decision of the Apex Court is misconceived and is of no help for showing the legal position otherwise.
10.The aforesaid is coupled with the circumstances that after the conclusion of the case or the proceedings before the Tribunal a new ground is sought to be canvassed, which would require essentially the leading of evidence, including the opportunity of cross- examination by the parties.
11.Under the circumstances, the contention cannot be accepted and it cannot be said that the Tribunal has committed error in not deducting the amount, if any, paid by the employer to the claimant."
9. Once again, similar aspect came to be considered by this Court when the similar contention was raised in the case of ORIENTAL INSURANCE COMPANY LTD. v/s BAKULABEN MAHESHBHAI SHANTILAL BHATT, REPORTED AT 2013 (33) GHJ 112. In Para - 11 & 12 it was observed thus :
11. Learned advocate for the appellant also submitted that the claimant who had already received some amount under the Medi Claim Policy from another insurance company is not entitled to receive any amount towards the medical expenses from the insurer in the present case. We find that the decision of Hon'ble the Supreme Court in case of National Insurance Company Ltd. Versus Sebastian K. Jacob (supra) relied by him is on different facts and cannot be applied to the facts of the present case. In the said case, there were two different insurance companies for two different vehicles involved in the
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accident and out of those two different insurance companies, the claimant had already received amount of medical expenses from one of the companies which was the insurer of one of the vehicles. In the present case, respondent No.1 has not received any amount of medical expenses either from the insurer of Maruti Van or from the GSRTC prior to the award of medical expenses passed by the Claims Tribunal. What was received by the claimant is the amount under her independent medi-
claim policy, therefore, it cannot be said that the claimant is receiving double amount under the same head. In fact, this Court in the case of Revaben, wd/o. Nathubhai Mohanbhai v/s. Kantibhai Narottambhai Gohil reported in 1994 (8) GLR 1728 has settled this issue by holding that the tort-feasor is liable to pay damages for his tortious act and cannot be permitted to take advantage of his own wrong. It is required to be mentioned that for medi-claim policy, separate premium is required to be paid and only then, a person is entitled to claim the amount incurred for medical treatment on the basis of such medi claim policy and, therefore, what is being received under the medi-claim policy is an independent right other than the claim under the Motor Vehicles Act and, therefore, argument advanced by the learned advocate for the appellant is devoid of any merits and stands rejected.
12. In the result, the appeal as also the Cross Objections are partly allowed to the extent stated above. Respondent No.1 claimant is held entitled to receive the total compensation of Rs.19,35,000.00 with 9 per cent interest per annum. The appellant and respondent No.2 shall jointly and severally pay to the claimant 75% of the above said amount of compensation and respondent No.3 and 4 shall jointly and severally pay 25% of the above said amount of compensation with proportionate costs and 9% interest per annum. The appellant and respondents no.3 and 4 are directed to deposit the above said amount of compensation with costs and interest in the proportion of their liability before the Claims Tribunal within six weeks from the date of pronouncement of this judgment and order, if such amount is not deposited or falling short."
10. We may also record that in another decision of this Court in the case of SATISHKUMAR RASIKLAL DOCTOR v/s BALDEVBHAI CHHAGANBHAI THAKORE, reported at 2007 (1) GCD 727, similar view was taken by observing that the set-off or the deduction of the amount received by
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the claimant for medi-claim policy cannot be considered."
In light of the aforesaid legal position, the tribunal committed error in deducting an amount of Rs. 1 lakh towards the medical expenses. Thus, the appellant is held entitled to enhanced amount of compensation towards the medical expenses from Rs.67,094/- to Rs.1,67,094/-.
8. For the foregoing reasons, the enhanced amount of compensation is determined as under:
Particulars Amount of compensation
Future Prospects 4,00,000/-
Medical Expenses 1,67,094/-
Attendant Charges 15,000/-
Total Compensation 5,82,094/-
Awarded by Tribunal 3,93,500/-
Enhanced compensation 1,88,594/-
8.1. Hence, the impugned judgment and award dated
20.05.2022 passed by the Motor Accident Claim Tribunal (Main), Kutch-Bhuj in MACP No. 18 of 2023 is hereby modified and present appeal is allowed to the aforesaid extent. The appellant- original claimant is held entitled to compensation of an amount of Rs.5,82,094/-. Since by impugned judgment and award the Tribunal has awarded an amount of Rs.3,93,500/-, the appellant shall be entitled to enhanced amount of compensation to the tune of Rs.1,88,594/- (Rs.5,82,094 - Rs.3,93,500/-) with interest at the rate of 9% from the date of filing of claim petition till its actual realization. The respondents - original opponents are held jointly and severally liable to pay such enhanced amount
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of compensation with proportionate costs and interest. Let, the aforesaid amount be deposited with the concerned Tribunal within a period of 8 weeks from the date of receipt of the present order. On deposit of the aforesaid amount, the Tribunal shall be at liberty to release and disburse the entire award amount in favour of the original claimant, after due verification. Let, such exercise be undertaken by the Tribunal strictly in accordance with the guidelines prescribed by the Hon'ble Supreme Court in this regard; preferably within a period of two weeks from deposit of such amount.
9. With these observations, the appeal stands allowed to the aforesaid extent.
(NISHA M. THAKORE,J) RATHOD KAUSHIKSINH
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