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The Claims Manager vs Smt G Sunanda
2024 Latest Caselaw 5563 Kant

Citation : 2024 Latest Caselaw 5563 Kant
Judgement Date : 22 February, 2024

Karnataka High Court

The Claims Manager vs Smt G Sunanda on 22 February, 2024

                                          -1-
                                                         NC: 2024:KHC:7541
                                                    MFA No. 2274 of 2015
                                                C/W MFA No. 5521 of 2015



                   IN THE HIGH COURT OF KARNATAKA AT BENGALURU

                     DATED THIS THE 22ND DAY OF FEBRUARY, 2024

                                       BEFORE
                       THE HON'BLE MR JUSTICE C.M. POONACHA
                  MISCELLANEOUS FIRST APPEAL NO. 2274 OF 2015 (MV-I)
                                         C/W
                  MISCELLANEOUS FIRST APPEAL NO. 5521 OF 2015 (MV-I)
             IN MFA NO. 2274/2015
             BETWEEN:

                  THE CLAIMS MANAGER,
                  UNITED INDIA INSURANCE COMPANY LIMITED,
                  NO.487/1, CMH ROAD,
                  NEAR AMAR JYOTHI NURSING HOME,
                  INDIRANAGAR 1ST STAGE,
                  BENGALURU - 560 038.

                  BY REGIONAL MANAGER,
                  UNITED INDIA INSURANCE CO. LTD.,
                  5TH FLOOR, KRISHI BHAVAN,
                  NRUPATHUNGA ROAD, HUDSON CIRCLE,
                  BANGALORE - 560 001, BY ITS MANAGER.
                                                               ...APPELLANT
Digitally    (BY SRI. O. MAHESH, ADVOCATE)
signed by
BHARATHI S
Location:    AND:
HIGH COURT
OF           1.
KARNATAKA         SMT. G. SUNANDA,
                  AGE 37 YEARS,
                  D/O G. KRISHNA MURTHY,
                  RESIDING AT NO.151, 3RD CROSS,
                  POOJA LAYOUT, NEAR ANNYARB TEMPLE,
                  KALKERE, BENGALURU - 560 043.
                  RECENTLY RESIDING AT NO.39,
                  SAPTHAGIRI 5TH CROSS, 1ST BLOCK, AKSHAYANAGAR,
                  BENGALURU - 560 016.
                              -2-
                                            NC: 2024:KHC:7541
                                       MFA No. 2274 of 2015
                                   C/W MFA No. 5521 of 2015



2.   SHRI C.K. SUDHEER VARMA,
     NO.62, MANJUNATHANAGAR,
     RICHES GARDEN, KALKERE
     MAIN ROAD, BEHIND KOSHYS
     HOSPITAL, R.M. NAGAR,
     BENGALURU - 560 016.
                                               ...RESPONDENTS
(BY SRI. D. MANMOHAN, ADVOCATE FOR R1;
    VIDE ORDER DATED 23.03.2015 NOTICE TO R2 IS
    DISPENSED WITH)

      THIS MFA IS FILED U/S 173(1) OF MV ACT AGAINST THE
JUDGMENT AND AWARD DATED 10.12.2014         PASSED IN MVC
NO.1353/2013 ON THE FILE OF THE XII ADDITIONAL SMALL CAUSES
JUDGE, MEMBER, MACT, BANGALORE, AWARDING COMPENSATION
OF Rs.3,69,477/- WITH INTEREST @ 6% P.A. FROM THE DATE OF
PETITION TILL REALIZATION.
IN MFA NO. 5521/2015

BETWEEN:

     SRI. G. SUNANDA,
     DAUGHTER OF G. KRISHNA MURTHY,
     NOW AGED ABOUT 37 YEARS,
     R/AT NO.151, 3RD CROSS,
     POOJA LAYOUT, NEAR ANJANEYA TEMPLE,
     KALKERE, BENGALURU - 560 043,
     PRESENTLY RESIDING AT NO.39,
     SAPTHAGIRI, 5TH CROSS,
     1ST BLOCK, AKSHYANAGAR,
     BENGALURU - 560 016.
                                                  ...APPELLANT
(BY SRI. D. MANMOHAN, ADVOCATE)

AND:

1.   THE UNITED INDIA INSURANCE CO. LTD.,
     NO.487/1, CMH ROAD,
     NEAR AMR JYOTHI NURSING HOME,
     INDIRANAGAR 1ST STAGE,
     BENGALURU - 560 038,
                                                 -3-
                                                              NC: 2024:KHC:7541
                                                          MFA No. 2274 of 2015
                                                      C/W MFA No. 5521 of 2015



         REPRESENTED BY ITS MANAGER.

2.       SRI. C.K. SUDHEER VARMA,
         S/OF NOT KNOWN,
         AGED MAJOR,
         NO.62, MANJUNATHANAGAR,
         RICHES GARDEN, KALKERE MAIN ROAD,
         BEHIND KOSHYS HOSPITAL,
         R.M. NAGAR, BENGALURU - 560 016.
                                                                 ...RESPONDENTS
(BY SRI. O. MAHESH, ADVOCATE FOR R1;
    VIDE ORDER DATED 18.07.2016, NOTICE TO R2 IS
    DISPENSED WITH)

     THIS MFA IS FILED U/S 173(1) OF MV ACT AGAINST THE
JUDGMENT AND AWARD DATED10.12.2014 PASSED IN MVC
NO.1353/2013 ON THE FILE OF THE 12TH ADDITIONAL SMALL
CAUSES JUDGE, MEMBER, MACT, BENGALURU, PARTLY ALLOWING
THE CLAIM PETITION FOR COMPENSATION AND SEEKING
ENHANCEMENT OF COMPENSATION.

      THESE APPEALS, COMING ON FOR FURTHER HEARING, THIS
DAY, THE COURT DELIVERED THE FOLLOWING:
                                        JUDGMENT

The MFA No.2274/2015 is filed by the Insurer and MFA

No.5521/2015 is filed by the claimants. Both the appeals are

filed challenging the judgment and award dated 10.12.2014

passed in MVC No.1353/2013 on the file of the XII Additional

Small Causes Judge, Member, MACT, Bangalore1. Hence,

both the appeals are taken up together for consideration.

Hereinafter referred to as the 'Tribunal'

NC: 2024:KHC:7541

2. For the sake of convenience, the parties herein

are referred as per their ranking before the Tribunal.

3. It is the case of the claimant that on 18.06.2012

when she was riding her Honda Activa scooter bearing

Registration No.53/K-2910, a TVS scooty bearing

Registration No.53/R-1634 being ridden in a rash and

negligent manner, came and hit the vehicle of the claimant

on the front side, causing the accident in question, due to

which she sustained grievous injuries.

4. Claiming compensation for the injuries, she has

filed the claim petition before the Tribunal arraying the

insurer and the owner of the offending Scooty as Respondent

Nos.1 and 2 respectively. The said respondents entered

appearance before the Tribunal and filed statement of

objections.

5. The claimant examined herself as PW1, her

employee was examined as PW2 and two doctors was

examined as PW3 and PW4. Exs.P.1 to P.22 were marked in

evidence. The rider of the vehicle was examined as RW1 and

NC: 2024:KHC:7541

the representative of the insurer was examined as RW.2.

Ex.R.1 policy copy was marked in evidence.

6. The Tribunal by its judgment and award dated

10.12.2014 has partly allowed the claim petition and

awarded a compensation of `3,69,477/- together with

interest at 6% per annum and directed the first respondent

Insurer to pay the compensation. Being aggrieved, the above

appeals are filed.

7. Learned counsel appearing for the insurer

assailing the judgment of the Tribunal submits that the

complaint was lodged on 24.06.2012 i.e., six days after

occurrence of the accident and the said delay in lodging the

complaint has not been properly explained. That the police

records i.e., IMV report (Ex.P4), Mahazar (Ex.P5), sketch

(Ex.P6) cannot be believed, since, they have been prepared

pursuant to the instructions of the brother of the claimant

who has not seen the occurrence of the accident. It is further

submitted that the damage to the vehicle as is forthcoming

from the IMV report (Ex.P4) clearly discloses that the

accident has occurred due to the claimant herself hitting

NC: 2024:KHC:7541

against the insured scooty from behind and hence, the

manner of the occurrence of the accident as averred in the

claim petition has not been proved. It is further submitted

that it is the case of the claimant that immediately after the

accident, the claimant was treated at R.K.Poly Clinic and

Hosmat Hospital and thereafter she was treated at Panacea

Hospital. However no documents pertaining to the treatment

taken by the claimant at R.K.Poly Clinic and Hosmat Hospital

have been produced. That the doctors have been examined

by the claimant are not the treated doctors and there is no

evidence adduced by the claimant with regard to the

treatment undertaken immediately after the occurrence of

the accident. The case put forth by the claimant with regard

to the avocation is also seriously disputed by the Insurer and

it is submitted that PW2 who is the alleged employer has

admitted that the company which the claimant claimed that

she was working in had closed and PW2 was not the

employer of the said company. Further submits that the pay

slip (Ex.P9) has not been proved. Hence, he seeks for

NC: 2024:KHC:7541

allowing the appeal filed by the insurer and granting of the

relief sought for.

8. Per contra, learned counsel for the claimant

justifying the findings of the Tribunal regarding the manner

of the occurrence of the accident submits that the complaint

lodged by the claimant (Ex.P2) clearly discloses that the

claimant has in detail set out the manner as to be occurrence

of the accident as well as stated regarding the delay for

lodging the complaint, that the owner and rider of the

offending vehicle had assured that the medical expenses of

the claimant would be reimbursed and damages to the

vehicle would be paid for and when it was realized that the

injuries are grievous in nature, they have refused to pay

towards the same and hence, the complaint has been

lodged. Further reliance is placed on the statement of

objections filed by the owner of the offending vehicle and the

testimony of RW1 i.e., the rider of the offending vehicle who

is the wife of the owner of the vehicle. It is contended that

the reading of the police documents as well as the testimony

adduced by the claimants and the stand of the owner and

NC: 2024:KHC:7541

testimony of the rider of the offending vehicle, that the case

put forth by the claimants have been adequately proved.

Further it is submitted that the Tribunal has in detail

examined the said aspect of the matter and the said finding

of the Tribunal ought not to be interfered with by this Court

in the present appeal. It is contended that the quantum of

compensation awarded by the Tribunal is on the lower side.

Hence, he seeks for allowing the appeal filed by the

claimants and dismissing the appeal filed by the insurer.

9. The submissions of both the learned counsels

have been considered and the material on record has been

perused including the records of the Tribunal. The questions

that arise for consideration are:

(i)."Whether the finding of the Tribunal on Issue No.1 as to whether the claimant had proved the accident as averred in the claim petition is just and proper?

(ii). Whether the compensation awarded by the Tribunal is liable to be interfered with?

NC: 2024:KHC:7541

Regarding question No.(i):-

10. The claimant has averred in the claim petition that

when she was riding her Honda Activa scooter, a TVS scooty

came and hit the vehicle of the claimant on the front side. It

is forthcoming from the complaint (Ex.P2) that the claimant

has stated that the offending vehicle came and hit the

vehicle of the claimant, due to which she fell down. That the

rider of the offending vehicle took the claimant to R.K. Poly

Clinic and thereafter, the brother of the claimant took her to

Hosmat hospital by an ambulance and the rider of the scooty

had assured that the treatment would be paid for. However

after taking further treatment when it was noticed that

grievous injuries have been sustained, when they refused to

pay for the expenses, the complaint was lodged and hence,

there was delay in lodging the complaint.

11. It is forthcoming that the owner of the offending

vehicle has filed the statement of objections, wherein it is

stated that his wife was riding the offending vehicle and

immediately after the accident, both the claimant and the

wife of the second respondent have taken first aid treatment

- 10 -

NC: 2024:KHC:7541

at R.K.Poly Clinic and that both the claimant and the second

respondent decided not to report to the police station

regarding the accident and agreed to bear the cost of repairs

of the respective vehicles. It is further submitted that,

subsequently due to conduct of the claimant and her brother,

they have approached the police and filed a false complaint.

12. The claimant has examined herself as PW1 who has

stated regarding the manner of occurrence of the accident.

Although PW1 has been cross-examined, there are no

admissions with regard to the manner of occurrence of the

accident and with regard to the delay in lodging the

complaint to dilute her testimony. PW1 has stated that after

lodging the complaint, the police have not recorded further

statements and that her brother showed the place of the

accident in the police record and that he was not an eye-

witness to the accident.

13. RW1 in her testimony has stated that the accident

had occurred when the claimant hit the backside of the

offending vehicle. She has stated that since the accident had

occurred due to the rash and negligent riding of the vehicle

- 11 -

NC: 2024:KHC:7541

of the claimant, she was not responsible for the same and

she did not file a complaint against the claimant.

14. The Motor Vehicle Accident (IMV) report (Ex.P4)

discloses that the left side head light of the Scooty and the

front wheel fender is dented, lift side head light vizer of the

Honda Activa has been damaged.

15. If, the manner of occurrence as deposed by RW1

is considered, the damages occurred to the vehicle as is forth

coming from Ex.P4 does not tally. It is not in dispute that the

case of the claimant and the case of the owner of the

offending vehicle that immediately after the occurrence of

the accident they have taken treatment together is

consistent with one another. If the manner of occurrence of

the accident as detailed by the claimant in the complaint

(Ex.P1) and the sketch (Ex.P6) are noticed, they are

consistent with each other.

16. Further, despite the owner of the vehicle stating

in the statement of objections that when the claimant and

her brother started making illegal demands, they have made

- 12 -

NC: 2024:KHC:7541

written submission to the police station and the case was not

registered, no copy of any complaint or complaint to any

higher authority is placed on record. Although the claimant-

PW1 has in detail been cross-examined as to the occurrence

of the accident there is nothing which dilutes her testimony.

Having regard to the testimony of PW1 as well as the

testimony of RW1 as also the damages caused by the

vehicle, it is clear that the accident has occurred in the

manner as averred in the claim petition.

17. The Tribunal noticing the said aspect of the

matter, has further taken note on that the fact that RW1 in

her cross-examination has admitted that she has not lodged

any complaint against the claimants and that she has

admitted that in the case lodged against her, she has

pleaded guilty before the Criminal Court. It has further

noticed the damages to the vehicle as forth coming from

(Ex.P4) and recorded a finding that the claimant has proved

the accident as averred.

18. Although it is the vehement contention of the

learned counsel for the insurer that RW1 in the cross-

- 13 -

NC: 2024:KHC:7541

examination has specifically stated that she has not pleaded

guilty before the Criminal Court but has only admitted to

having paid the fine, the relevant records with regard to the

Criminal Court have not been produced so as to demonstrate

that the charge made against the driver of the offending

vehicle has not been accepted by her and her admission as

to payment of fine was conditional in some manner.

19. Learned counsel for the Insurer has also

vehemently contended that the claimant has not produced

any documents to demonstrate that she had taken treatment

at R.K. Poly Clinic as contended by her. It is relevant to note

that in the statement of objection of the owner of the vehicle

it is placed on record that both the rider of the offending

vehicle as well as the claimant have taken first aid treatment

through R.K.Poly Clinic. Hence, the said fact as to be

claimant have been taken treatment at R.K.Poly Clinic has

specifically been admitted even by the rider and owner of the

vehicle.

20. Upon a re-appreciation of the oral and

documentary evidence on record, it is clear that the Tribunal

- 14 -

NC: 2024:KHC:7541

has adequately appreciated the relevant factual aspect of the

matter and having notice that the material on record, has

recorded a finding that the accident has occurred in the

manner as averred in the claim petition and that the

claimant has proved the issue no.1 framed by it.

21. In view of the aforementioned the appellant has

failed to demonstrate that the finding recorded by the

Tribunal on issue no.1 framed by it for consideration, is in

any manner erroneous, having been recorded without taking

into consideration any specific material on record and is

liable to be interfered by this Court in the present appeal.

Hence, question No.(i) is answered in the affirmative.

Regarding question No.(ii):-

22. A Perusal of the wound certificate (Ex.P3) and the

discharge summary (Ex.P8) discloses that the claimant has

sustained fracture of the right knee joint and tear in

posterior horn of lateral meniscus and ACL tear. Exs.P3 and

P8 is issued by Panacea Hospital. Ex.P8 discloses that the

claimant underwent a surgery for treatment of the injuries

- 15 -

NC: 2024:KHC:7541

sustained and ACL reconstruction was done and screw was

inserted. PW3 is the medico legal consultant at Panacea

Hospital and he has deposed with regard to the treatment

taken by the claimant at the said hospital. It is stated by

PW2 that the MLC procedure was done at Hosmat Hospital

and thereafter, the claimant took treatment at Panacea

Hospital.

23. It is forthcoming from perusal of medical bills

(Ex.P10) that the claimant has taken treatment at Hosmat

Hospital as well as Panacea Hospital. PW4 is an Orthopedic

Surgeon at Bowring and Lady Curzon Hospital, Bangalore

and he has given evidence only with regard to the disability,

after the interaction with the claimant and upon perusal of

the photocopies of the inpatient records from Panacea

Hospital, PW3 has assessed the disability of the claimant at

12.25% to the whole body. PW2 has not assessed any

disability and has merely stated regarding the treatment

taken by the claimant at Panacea Hospital and produced the

relevant medical documents of the said hospital. The

- 16 -

NC: 2024:KHC:7541

Tribunal has reassessed the functional disability to the

claimant at 8%.

24. With regard to the income, the claimant has

averred in the claim petition that she is a processing

manager and the name of the employer is stated as Raksha

Corporate Services at Bengaluru. In the evidence of PW1, it

is deposed that she was studying B.B.A at correspondence

and she has working as processing Manager and earning a

sum of Rs.22,000/- per month. PW2 who has been examined

and has stated that the claimant was working as Processing

Manager at Raksha Corporate Services at Bengaluru since

one year. However, in the cross-examination PW2 has stated

that he has left the job of M/s. Raksha Corporate Services in

the month of December-2012 and that the said entity is not

in existence as on the date of giving evidence and that it was

closed in the month of March-2013, and the said company

has not doing any business. He further admits that as on

the date of evidence, he is in no way connected with M/s

Raksha Corporate Services. The claimant has also produced

a pay slip of Raksha Coporation Services as Ex.P9 which

- 17 -

NC: 2024:KHC:7541

discloses the gross earning as Rs.22,000/- per month. The

Tribunal appreciating the case of the claimant with regard to

the avocation and income has disbelieved the testimony of

PW2 as well as Ex.P9. Since the claimant has not produced

any other material on record, the income of the claimant has

been assessed as notional income and `7,000/- is assessed

as monthly income.

25. It is forthcoming that the claimant has not

produced any documents to demonstrate that she was

pursuing her education or she was an employee, apart from

examining PW2 and producing Ex.P9. The claimant has also

not produced any bank account statement to demonstrate

that she was earning any monthly income. It is not the case

of the claimant that she has started working at some other

entity, apart from Raksha Corporate Service. Having regard

the same, the finding of the Tribunal with regard to the

income and avocation of the claimant is just and proper and

no interference with the same is warranted.

- 18 -

NC: 2024:KHC:7541

26. The Tribunal has also appreciated the medical

records and the assessment of the disability by the Tribunal

is just and proper.

27. In view of the aforementioned, the compensation

is re-assessed as follows:

i. The Tribunal has awarded the compensation towards

pain and suffering in a sum of `30,000/- which is just

and proper;

ii. The Tribunal has awarded a sum of `1,97,957/-

towards medical expenses. The said compensation have

been awarded as per the medical bills produced, is just

and proper and the said compensation is rounded off as

`1,98,000/-;

iii. The Tribunal has awarded the compensation towards

future medical expenses in a sum of `5,000/- which is

just and proper;

iv. The Tribunal has awarded a sum of `14,000/- towards

loss of earning during laid up period. Having regard to

the period for which the claimant was treated as an

- 19 -

NC: 2024:KHC:7541

inpatient, the laid up period is taken as three months

and compensation towards the same is reassessed as

(`7,000 X 3 ) = `21,000/-;

v. The Tribunal has awarded totally a sum of `15,000/-

towards loss of amenities, Conveyance, food and

nourishment and attendant charges. It is forthcoming

that the claimant was treated as an inpatient at

Panacea Hospital from 24.07.2012 to 27.07.2012 and

the surgery was performed on 25.07.2012. It is

forthcoming from the same that the MLC procedure was

done on 18.06.2012 and MRI was done on 26.06.2012.

Hence, it is clear that from the date of the accident i.e.,

18.06.2012 the claimant has taken treatment up to end

of June-2012. Hence, it is just and proper that the

compensation towards loss of amenities be awarded in

a sum of `20,000/- and compensation towards food and

nourishment, conveyance and attendant charges be

awarded in a sum of Rs.20,000/-.

- 20 -

NC: 2024:KHC:7541

vi. The Tribunal has assessed the compensation towards

loss of future earning capacity in a sum of (`7000 X 12

X 16 x 8%) = `1,07,520/- which is just and proper.

28. Accordingly, the total compensation under various

heads is re-assessed as follows:

Sl.No.            Heads            Amount         Amount
                                   awarded by the awarded by this
                                   Tribunal (`)   Court (`)

1.       Pain and suffering                 30000.00       30000.00

2.       Loss of income during              14000.00       21000.00
         laid up period

3.       Medical expenses                  197957.00      198000.00

4.       Loss of future earning            107520.00      107520.00

6        Loss of amenities,                 15000.00       20000.00
         conveyance, food and
         nourishment,
         attendant charges etc

7        Loss of amenities                        00       20000.00

8        Future medical                      5000.00         5000.00
         expenses

                 Total                     369477.00     401520.00



29. Hence, the appellant/claimant is entitled for an

enhancement of `32,043/- (`401520 - `369477) together

with interest at 6% p.a.

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NC: 2024:KHC:7541

30. In view of the aforementioned, the following:

ORDER

i) MFA No.2274/2015 is dismissed and MFA No.5521/2015 is allowed in part;

ii) The judgment and award dated 10.12.2014 passed in MVC No.1353/2013 on the file of the XII Additional Small Causes Judge, Member, MACT, Bangalore is modified to the extent stated herein. In all other respects, the judgment and award of the Tribunal remain unaltered;

iii) The appellants/claimants are entitled to an enhancement of `32,043/- with interest at 6% per annum from the date of petition till its realization, in addition to the compensation awarded by the Tribunal;

iv) The amount deposited by the Appellant in MFA No.2274/2015 be transmitted to the Tribunal for disbursement. The insurer shall deposit the balance amount together with accrued interest within eight weeks from the date of receipt of a copy of this judgment;

vi) The Registry to draw the modified award accordingly;

vii) No costs.

Sd/-

JUDGE

 
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