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The New India Assurance Company Ltd vs Khursheda Begum And Ors
2025 Latest Caselaw 10 HP

Citation : 2025 Latest Caselaw 10 HP
Judgement Date : 1 April, 2025

Himachal Pradesh High Court

The New India Assurance Company Ltd vs Khursheda Begum And Ors on 1 April, 2025

IN THE HIGH COURT OF HIMACHAL PRADESH, SHIMLA

FAO No. : 37 of 2019 a/w CMPMO No. 255 of 2018

Reserved on: 17.03.2025 Decided on : 01.04.2025

1.FAO No. 37 of 2019

The New India Assurance Company Ltd. ....Appellant.

Versus

Khursheda Begum and Ors. ...Respondents.

2.CMPMO No. 255 of 2018

The New India Assurance Company Ltd. ....Petitioner.


                                     Versus

 Reva Devi and Ors.                                          ...Respondents

 Coram

The Hon'ble Mr. Justice Satyen Vaidya, Judge. Whether approved for reporting? 1 Yes

For the appellant : Mr. B.M. Chauhan, Sr. Advocate with Ms. Kamakshi Tarlokta, Advocate for the appellant in FAO No. 37 of 2019 and Mr. Parneet Gupta, Advocate, for the petitioner in CMPMO No. 255 of 2018.

For respondents : Mr. Sanjay Ranta, Advocate vice Mr. Sunil Kumar, Advocate, for

1 Whether reporters of the local papers may be allowed to see the judgment?


                                           ( 2025:HHC:8575 )



                                  respondents No. 1 to 6 in FAO
                                  No. 37 of 2019          and  for
                                  respondents No. 1 to 4 in CMPMO
                                  No. 255 of 2018.

                         :        Mr. Anuj Gupta, Advocate, for


                                  in CMPMO No. 255 of 2018.

Satyen Vaidya, Judge

By way of instant appeal, appellant (hereinafter

referred to as the Insurer) has assailed award dated

27.10.2016, passed by learned Motor Accident Claims

Tribunal, Shimla, H.P.( for short 'the tribunal') in MAC No. 5-

S/2 of 2015, whereby respondents No. 1 to 6 (hereinafter

referred to as claimants) have been awarded compensation to

the tune of Rs. 23,75,000/- with interest @ 7.5 % per annum

on the award amount from the date of filing of petition till

realization.

2. The claimants being legal heirs and dependents of

deceased Zakir Husain filed a petition under Section 166 of

the Motor Vehicles Act, for compensation on account of death

of Sh. Zakir Hussain, who had died in a road accident

involving vehicle No.DL-1GC-2621.

3. It was the case of the claimants that on 1.8.2014

Sh. Zakir Hussain was travelling in aforesaid vehicle

( 2025:HHC:8575 )

alongwith his goods. At about 9:00 PM, the said vehicle got

involved in an accident due to rash and negligent driving of

respondent No. 8 (hereinafter to be referred to as 'driver').

The vehicle involved in the accident was stated to be owned

by respondent No. 7 (hereinafter to be referred as 'owner')

and insured by the insurer (appellant herein)

4. The owner and driver filed their joint replies. It

was denied that the accident was caused due to rash and

negligent driving of the driver. It was disclosed that the

vehicle at the time of accident was insured by the insurer.

The driver of the vehicle was also stated to be holding a valid

and effective driving license.

5. The insurer filed its reply and did not deny to be

under a contract of insurance with the owner in respect of

vehicle involved in the accident. It was, however, alleged by

the insurer that the vehicle was being driven in violation of

the terms of the policy as also the Motor Vehicles Act and

Rules framed thereunder. The specific defence of the insurer

was that it was not liable to indemnify the owner as the

deceased Sh. Zakir Hussain was travelling in the vehicle as

gratuitous passenger. The objection as to the validity of

driving license of the driver was also taken.

( 2025:HHC:8575 )

6. Learned Tribunal framed the following issues:-

(1). Whether Sh. Zakir Hussain died in a road side accident on 01.08.2014 at about 9.00 P.M. involving vehicle No. DL-1GC-2621 driven by respondent No.2 in a rash and negligent manner? OPP

(2) If issue No.1 is proved in affirmative, for what amount of compensation the claimants are entitled and from whom?

OPP

(3) Whether the claim petition is not maintainable? OPRs

(4) Whether the claimants have not approached to this tribunal with clean hands, if so, its effect? OPR-1 and 2

(5) Whether the deceased was travelling in the vehicle in question as gratuitous passenger, if so, its effect? OPR-3

(6) Whether the vehicle in question was being permitted to ply in violation of the terms and conditions of the insurance policy, if so, its effect? OPR-3.


           (7)    Whether the driver of the offending
                  vehicle was       not holding         valid
                   and effective    driving licence at the

time of accident, if so, its effect? OPR-3

(8) Relief.

Issues No 1 and 2 were decided in affirmative. All other

issues were decided in negative. Accordingly, the petition was

allowed awarding compensation in favour of the claimants, as

noticed above.

( 2025:HHC:8575 )

7. The insurer has assailed the findings of learned

Tribunal. Exception has been taken to the findings of learned

tribunal in so far as the deceased was held to be occupant of

vehicle in the capacity of owner of goods. The quantum of

compensation awarded to the claimants has also been

challenged. It has been contended that the learned Tribunal

has assessed the monthly income of deceased Sh. Zakir

Hussain at Rs. 10,000/- without any evidence to that effect.

According to the insurer, learned Tribunal should have been

guided by the minimum wages payable under the Minimum

Wages Act at the relevant time. Further, the award of loss of

future prospects @ 50% has also been assailed as being

excessive. In addition, assessment of compensation under

the heads 'loss of estate', 'loss of love and affection' and 'loss

of consortium @ Rs. 1, 00,000/- each' has been said to be not

in conformity with the settled legal position. To similar effect,

the objection has been raised as to grant of Rs. 50,000/- as

compensation towards burial charges.

8. The insurer has also raised a new ground of

appeal that there was no subsisting contract of insurance

between the insurer and owner. The owner had not paid any

premium. Admittedly such a plea had not been raised by the

( 2025:HHC:8575 )

insurer before learned tribunal. In order to prepare factual

foundation in pleadings and also to prove their contention,

the insurer has filed applications under Order 6 Rule 17 of

the Code of Civil Procedure, (for short 'CPC'), seeking leave to

amend the reply and another application under Order 41 Rule

27 of the Code, to lead additional evidence.

9. Noticeably, for amendment of reply, two

separate applications have been filed by insurer. One of the

applications has been numbered as CMP No. 1366/2019

and the other as CMP No. 5587 of 2018. CMP No. 1366 of

2019 is prior in time having been filed on 22.03.2017,

whereas CMP No. 5587 of 2018 was filed on 23.05.2018.

Thus, only subsequent application i.e. CMP 5587 of 2018

will be considered and the prior application CMP 1366 of

2019 having being rendered infructuous after filing of

subsequent application on same cause shall stand disposed

of as such.

10. The other application CMP No. 1367 of 2019

has been filed by the insurer under Order 41 Rule 27 of

CPC seeking leave to lead additional evidence. Yet, another

application has been filed by insurer as CMP No. 4120 of

( 2025:HHC:8575 )

2019 seeking leave to file additional documents as a

supplement to the application CMP No. 1367 of 2019.

11. All the above applications are being taken for

decision alongwith the main appeal in order to avoid

repetition of narration of facts.

12. I have heard learned counsel for the parties and

have also gone through the record of the case carefully.

13. Learned Senior Counsel for insurer has

vehemently contended that after the passing of award by

learned Tribunal, the matter was got investigated by the

insurer and it was found that there was no policy of

insurance qua vehicle No. DL-1GC-2621. As per him, the

owner had not paid any premium to the insurer for the said

vehicle. He also submitted that on further verifications, it

has transpired that the policy of insurance allegedly

claimed by the owner to be of vehicle No. DL-1GC-2621,

was in fact issued for some other vehicle owned by one Mr.

P. Nagraj.

14. In order to consider the insurer's prayers for

amendment of reply and to lead additional evidence it will

be necessary to revert to the records of learned Tribunal.

During the entire proceedings before the learned Tribunal

( 2025:HHC:8575 )

the insurer had not denied the existence of insurance

policy in respect of vehicle No. DL-1GC-2621, a copy of

which was tendered by the owner in his evidence. Hence,

the Tribunal had rightly not framed any issue as to the

existence or validly of policy of insurance. Accordingly, the

award came to be passed whereby the insurer has been

saddled with liability to satisfy the award.

15. The amendment sought by the insurer by way

of CMP No. 5587 of 2018 is as under:-

"1 (a) That there is no contract of insurance between the respondent No.3 and respondent No.1 Kamal Kumar as the offending vehicle was at no point of time insured with the respondent No.3.

"That the contents of para-15 of the petition are wrong and hence denied vehemently. There is no contract of insurance between the respondent No.3 and respondent No. 1 Kumar Kamal as the offending vehicle was at no point of time insured with the respondent No.

3."

16. It is alleged by the insurer that it was not aware

about the correct factual position before passing of award

and thus, the amendment was being sought at the very

first opportunity after acquiring the knowledge of alleged

fraud being committed by the owner.

17. The proviso to Order 6 Rule 17 of CPC,

prohibits the amendment to the pleadings, in case, such

( 2025:HHC:8575 )

amendment was sought after commencement of trial

unless the party seeking amendment satisfies the Court

that he could not seek such amendment before

commencement of trial despite due diligence.

18. In the case at hand, the party seeking

amendment is a public sector undertaking having benefit

of being advised on each and every technical or legal

aspect of the matter. In application for amendment, it has

been stated that despite due diligence, the insurer had not

been able to take the defence as is now sought to be taken.

19. The inability of a party to seek amendment in

pleading before commencement of trial should be proved

despite exercise of due diligence. The term "due diligence"

in above context cannot be construed to be mere formal

expression of words. It has to be established by the party

seeking amendment that meaningfully due diligence had

been exercised by it. However, in the case at hand the

reply was filed on behalf of the insurer before learned

Tribunal after verification of its contents by the Senior

Divisional Manager, Divisional Office, Shimla. Now as per

the new stand of insurer the contents of reply filed by it

before learned Tribunal were factually incorrect, meaning

( 2025:HHC:8575 )

thereby that the said senior officer had not taken due care

to verify the facts before signing and verifying the contents

of the reply. Hence, the exercise of due diligence at the end

of insurer was seemingly missing. That being so, the

insurer does not qualify the test prescribed by proviso to

Order 6 Rule 17 of the CPC.

20. The insurer has claimed that it has got the

matter investigated through an investigator. An FIR has

also been registered and the investigation is going on.

Thus, there is no indefeasible or conclusive proof that the

stand now taken by insurer is correct and the one earlier

taken was not so. The insurer can get its score settled with

the owner by way of independent proceedings and in case

the insurer succeeds in proving its case it may claim the

amount from the owner in accordance with law. The

insurer will have liberty to make such claim in accordance

with law.

21. Even otherwise, the fact sought to be

incorporated by way of amendment will lead to a de-novo

trial as to questions of fact. The claim of the claimants

cannot be defeated. It can be noticed that the accident had

taken place on 01.10.2014. The claimants have already

( 2025:HHC:8575 )

been fighting the legal battle for more than ten years. The

dispute, if any, as is alleged to have arisen between the

insurer and the owner cannot be used to deny the

claimants their dues keeping in view the beneficial nature

of legislation. In this view of the matter also, the

amendment sought to be made cannot be said to be

necessary for adjudication of real matter in controversy i.e.

the entitlement of claimants to compensation.

22. Thus, the application for amendment of reply

filed by the insurer is dismissed.

23. The insurer by way of additional evidence

intends to prove the fact that the owner had allegedly

committed cheating and fraud and also to prove the fact

that the policy which is claimed to have been issued for

vehicle No. DL-1GC-2621 by owner, in fact, was issued for

some other vehicle belonging to Mr. P. Nagraj.

24. Since, there is no such pleadings of insurer on

record, the proof of facts not pleaded cannot be allowed.

The amendment as sought by the insurer has already been

declined.

25. The insurer has not been able to satisfy the

requirements of order 41 rule 27 of the Code. The absence

( 2025:HHC:8575 )

of due diligence at the end of insurer already has been

found to be missing. Keeping in view the nature of instant

proceedings as also the right of insurer to seek its claims,

if any, from the owner separately, this court does not find

the evidence sought to be produced by insurer necessary

for adjudication of this appeal.

26. Accordingly, CMPs No. 1367/2019 and 4120 of

2019 are also dismissed.

27. As regards the assessment of income of

deceased the evidence on record sufficiently suggests that

the occupation of deceased was that of a merchant dealing

with the sale of apple crop in the market. The learned

Tribunal has assessed the income of deceased at Rs.

10,000/- per month.

28. At the time of hearing of instant appeal, learned

Senior Counsel for the appellant submitted that the

learned Tribunal should have made the assessment of

income of deceased on the basis of minimum wages

payable during the relevant period as the income of the

deceased was not documented anywhere. He has placed on

record notification dated 24.05.2014 issued by the

Government of H.P., detailing the minimum wages

( 2025:HHC:8575 )

applicable to the different categories of workmen in the

year 2014. Learned counsel for the appellant placed

reliance on the judgment passed by Hon'ble Supreme

Court on 17.10.2022 in Civil Appeal No. 7593 of 2022,

titled as Manusha Sreekumar and Ors. Vs. The United

India Insurance Co. Ltd. (2022) 17 SCC 321 and

judgment dated 07.02.2025, passed by Hon'ble 'Supreme

Court in Civil Appeal No. 2209 of 2025, titled as

Jitendra Vs. Sadiya and others, 2025 SCC Online SC

261 to assert that when the definite proof as to income of a

person is lacking the Tribunal can be guided by the rates

of wages prescribed under Minimum Wages Act.

29. The proposition that in absence of documented

income of a victim of motor vehicle accident, the wages

fixed under Minimum Wages Act and some guess work can

act as yardstick to determine such income, is not

disputed, however, its application depends on facts of

each case. In the case at hand, the evidence was led that

the deceased was earning around Rs. 15,000/- per month.

The wife of the deceased had also made deposition to such

effect. There cannot be any better person than wife to

know about the income of her husband, as she runs the

( 2025:HHC:8575 )

household from the money provided to her by the

husband. In the instant case, the deceased had not less

than six dependents and it cannot be presumed that he

could run his household with a lesser amount than

Rs. 10,000/- per month.

30. Even from the perusal of the minimum wages of

different categories as shown in the notification provided

by learned counsel for insurer, it is found that the highest

wages per day were payable to the categories like

Instructors was @ Rs. 350/- per day, to the Junior

Engineers and Draftsman etc.@ Rs. 380 per day and to

Hydrogeologist @ Rs. 440 per day. Though, the income of

the deceased could not be compared with the categories of

the workers detailed in the aforesaid notification, yet in

view of the established fact that the deceased was working

as merchant, his category definitely could not be equated

with the unskilled or semi-skilled workers. In case certain

categories of workers were being paid minimum wages @

Rs. 350/- or Rs. 380/- per day, the assessment of Rs.

10,000/- per month in the case of deceased Sh. Zakir

Hussain cannot be said to be unreasonable. Another fact

that cannot be lost sight of while making a guess work in

( 2025:HHC:8575 )

such like matter is that a merchant or business man in

ordinary circumstances have to work for long hours during

the day unlike the workmen who are entitled to fixed

minimum wages for specified number of hours. The

workmen also become entitled to extra remuneration for

working overtime.

31. Thus, there is no material on which this Court

may take a view different than the view taken by learned

Tribunal with respect to the monthly earning of deceased.

32. The other contention of the insurer that the

Tribunal has wrongly awarded loss of future prospects @

50% needs to be upheld. Admittedly, the deceased was not

employed in any permanent establishment, therefore, his

loss of future prospects were to be assessed @ 40% in

terms of the judgment passed by Hon'ble Supreme Court

in National Insurance Company Ltd. Vs. Pranay Sethi,

(2017) 16 SCC 680.

33. Further, the award of amounts under the

heads loss of estate, loss of love and affection, loss of

consortium @ Rs. 1, 00,000/- each also needs to be

interfered with in order to bring these in terms of

judgment passed in Pranay Sethi's (supra) and Magma

( 2025:HHC:8575 )

General Insurance Company Limited Vs. Nanu

Ram alias Chuhru Ram and others, (2018) 18 SCC

130.

34. Thus, the compensation payable to the

claimants can be quantified as under: -

Loss of dependency

Monthly Income Rs.10,000/-

Add 40% (Rs. 4000/-) towards Loss of future prospects

Rs.10,000+Rs.4000=Rs 14,000

Less 1/4th on personal expenses

Rs.14,000- Rs. 3500=Rs 10,500

Total loss of dependency

Rs.10500X12X15=Rs18,90,000/-

Loss of Consortium:Rs.40,000X6=Rs. 2,40,000/-

       Loss of estate                   Rs. 15,000/-

       Burial Charges                   Rs. 15,000/-

       Total                            Rs. 21,60,000/-



35. The claimants shall also be entitled to interest

@ 7.5% per annum on the entire award amount from the

date of petition till actual realization.

( 2025:HHC:8575 )

36. The insurer has not been able to prove on

record that the deceased was travelling as gratuitous

passenger in the vehicle.

37. In light of above discussion, the appeal is

partly accepted and the award dated 27.10.2016, passed

by learned Motor Accident Claims Tribunal, Shimla, H.P.

in MAC No. 5-S/2 of 2015, is modified to the extent, as

detailed above. The apportionment of compensation

amount between the claimants shall be in the same ratio

as ordered by learned Tribunal.

38. The appeal is, accordingly disposed of, so also

the pending miscellaneous application(s), if any.

39. By way of this petition, the insurer has assailed

the order dated 20.03.2018, passed by learned Motor

Accident Claims Tribunal-II, Shimla, in MACP No. 17-S/2

of 2015, whereby the application of the insurer to amend

the reply has been dismissed.

40. For adjudication of this petition, it is relevant

to notice that the cause for filing MAC petition No. 17-S/2

of 2015 has arisen from the same accident involving same

vehicle as is the subject matter of FAO No. 37 of 2019

( 2025:HHC:8575 )

decided hereinabove Obviously, the insurer is common in

both the cases.

41. The reasons, on which the application (CMP No.

5587 of 2018) for amendment of reply had been filed by

the insurer in FAO No. 37 of 2019, the same reasons

weighed with insurer for filing application for amendment

of reply in MACP No. 17-S/2 of 2015. The only difference is

that in FAO No. 37 of 2019, the application was moved at

appellate stage and in MACP No. 17-S/2 of 2015, the

application was moved before the decision by learned

Motor Accident Claims Tribunal. However, the result

cannot be different. The petition for amending the reply

deserves to be dismissed in MACP No. 17-S/2 of 2015 for

the same reasons as have been assigned by this Court for

dismissing the application CMP No. 5587 of 2018 in FAO

No. 37 of 2019. The said reasons will apply mutatis

mutandis for dismissal of the instant petition. In addition

to the reasons for which the application of the insurer for

amendment of reply has been dismissed by learned Motor

Accident Claims Tribunal-II, in MACP No. 17-S/2 of 2015,

the reasons assigned by this Court for dismissing CMP

( 2025:HHC:8575 )

No. 5587 of 2018 in FAO No. 37 of 2019 shall also be read

into the order.

42. The petition, is accordingly, disposed of, so

also the pending miscellaneous application(s), if any.




                                        (Satyen Vaidya)
1st April, 2025                             Judge
      (sushma)
 

 
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