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The Hdfc Ergo General Insurance vs Sathishkumar .... 1St
2022 Latest Caselaw 10633 Mad

Citation : 2022 Latest Caselaw 10633 Mad
Judgement Date : 21 June, 2022

Madras High Court
The Hdfc Ergo General Insurance vs Sathishkumar .... 1St on 21 June, 2022
                                                                               C.M.A.No.2134 of 2021
                                                                           and C.M.A.No.1743 of 2020

                                  IN THE HIGH COURT OF JUDICATURE AT MADRAS

                                                 DATED: 21.06.2022

                                                     CORAM

                                     THE HONOURABLE Ms.JUSTICE P.T.ASHA

                                              C.M.A.No.2134 of 2021
                                                        and
                                              C.M.A.No.1743 of 2020
                                                        and
                                    CMP.No.11784 of 2021 in C.M.A.No.2134 of 2021


                     1.The HDFC ERGO General Insurance
                                         Company Ltd.,
                       First Floor, 165/166, Reclamation Backbay
                       H.T.Parekh Marg, Church Gate
                       Mumbai
                       Maharastra – 400 020.

                        Having its Branch Office at :
                        Empire Arcade, No.356/1
                        Omalur Main Road, Opp. New Bus Stand
                        Salem, Tamil Nadu – 636 004.   ... Appellant in CMA.No.2134/2021

                     2.Sathishkumar                      ... Appellant in CMA.No.1743/2020

                                                        - Vs.-

                     1.Sathishkumar                     .... 1st Respondent in CMA.No.2134/2021

2.Dhanvanth .... 2nd Respondent in CMA.No.2134/2021 .... 1st Respondent in CMA.No.1743/2020

https://www.mhc.tn.gov.in/judis C.M.A.No.2134 of 2021 and C.M.A.No.1743 of 2020

3.Senthilkumar .... 3rd Respondent in CMA.No.2134/2021 .... 2nd Respondent in CMA.No.1743/2020

4.The HDFC ERGO General Insurance Company Ltd., First Floor, 165/166, Reclamation Backbay H.T.Parekh Marg, Church Gate Mumbai Maharastra – 400 020.

Branch Office at : Empire Arcade, No.356/1 Omalur Main Road, Opp. New Bus Stand Salem, Tamil Nadu – 636 004. ... 2nd Respondent in CMA.No.1743/2020

Prayer in CMA.No.2134 of 2021: Civil Miscellaneous Appeal filed under Section 173 of the Motor Vehicles Act, 1988, to set aside the decretal order and award dated 27.01.2020 passed in M.C.O.P.No.1175 of 2018 by the learned Motor Accident Claims Tribunal (Special Sub-ordinate Judge-II), Salem, and to dismiss the claim and allow the CMA.

Prayer in CMA.No.1743 of 2020: Civil Miscellaneous Appeal filed under Section 173 of the Motor Vehicles Act, 1988, to allow the above civil miscellaneous appeal and enhance the award in the judgment and decree dated 27.01.2020 made in M.A.C.T.O.P.No.1175 of 2018 on the file of the Motor Vehicle Accident Claims Tribunal / Special Subordinate Judge No.II, Salem.

In CMA.No.2134 of 2021 :

                                       For Appellant     :      Mr.N.Somasundaar
                                       For Respondents :        Mr.C.Paraneedharan [R1]




https://www.mhc.tn.gov.in/judis
                                                                                           C.M.A.No.2134 of 2021
                                                                                       and C.M.A.No.1743 of 2020

                     In CMA.No.1743 of 2020 :
                                                For Appellant     :     Mr.C.Paraneetharan
                                                For Respondents :       Mr.N.Somasundaar [R3]
                                                                        R1 & R2 - Not ready in notice

                                                  COMMON              JUDGMENT


Both the insurance company as well as the claimant before the Tribunal

are aggrieved by the judgment passed by the Special Subordinate Judge-II,

Salem in M.C.O.P.No.1175 of 2018.

2. C.M.A.No.1743 of 2020 is filed by the claimant seeking

enhancement of the compensation awarded by the Tribunal and

C.M.A.No.2134 of 2021 is filed by the Insurance Company seeking reduction

of the compensation as the Tribunal has adopted a multiplier method for

arriving at a compensation under the head of "Loss of disability", which is not

a functional disability.

3. The parties are referred to in the same rank as before the Tribunal.

https://www.mhc.tn.gov.in/judis C.M.A.No.2134 of 2021 and C.M.A.No.1743 of 2020

4. The claimant has filed the above M.C.O.P. seeking compensation

for the injuries sustained by him in a road accident on 24.04.2018. It is the

case of the claimant that he is a Trainee Doctor with Annapoorna Medical

College, Salem, earning a monthly income of Rs.25,000/-. On 24.04.2018 at

about 04.00 p.m he was travelling in his Royal Enfield Bike, bearing

Registration No.TN 90 C 4528 on the Seeragapadi Salem Main Road. When

he was opposite the HDFC ATM, a car bearing Registration No.TN 30 BE

6333 belonging to the second respondent and insured with the third

respondent-Insurance Company, which was travelling in a rash and negligent

manner in the same direction, suddenly swerved to the left, as a result of

which, the claimant had sustained grievous injury. Therefore, the claimant had

filed the above claim petition seeking compensation of a sum of Rs.15,00,000/-

5. The first respondent-driver remained ex-parte and the second

respondent-owner had not filed a counter. The third respondent-Insurance

Company had filed a counter denying the accident, quantum, claim and also

put the claimant to proof that the driver of the car had a valid driving licence.

https://www.mhc.tn.gov.in/judis C.M.A.No.2134 of 2021 and C.M.A.No.1743 of 2020

6. The Tribunal, on considering the evidence, held that the accident

was only on account of the negligence of the first respondent and therefore, the

respondents 2 and 3 are liable to compensate the claimant. The Tribunal, after

observing that the claimant, who claimed to be a training Doctor, had not

produced any proof to show the same, proceeded to fix a notional income at

Rs.20,000/-. Thereafter, the Tribunal, relying upon the disability certificate

issued by the Medical Board, awarded a sum of Rs. 6,80,369/-.

7. Aggrieved by the fact that after observing that the claimant was

only entitled to compensation for the disability under the percentage method,

the Tribunal has awarded a sum of Rs.1,00,000/- under the head of "loss of

amenities"" and a sum of Rs.1,20,000/- towards the "loss of income" for 6

months.

8. Learned counsel appearing for the appellant would submit that in

the judgment reported in 2011 ACJ 1[Raj Kumar -vs- Ajay Kumar and

another], the Hon'ble Supreme Court has held that the loss of amenities would

be awarded only in the case of serious injuries, which is corroborated by the

medical evidence. In the instant case, the Tribunal itself come to the

https://www.mhc.tn.gov.in/judis C.M.A.No.2134 of 2021 and C.M.A.No.1743 of 2020

conclusion that that the injuries were not serious in nature and has awarded

compensation under the head of "compensation for disability" on a percentage

basis. Therefore, he would submit the amount under the head of "loss of

amenities" is to be set aside. That apart, the claimant has not produced any

proof to show that he is a Doctor and that the award of the Tribunal fixing a

notional income of Rs.20,000/- per month is erroneous and therefore, the

amount under the head of "Loss of Income" is also to be set aside.

9. Per contra, the learned counsel appearing for the appellant in

C.M.A.No.1743 of 2020 would submit that the medical board has assessed the

disability at 40% and the report would state that he has lost his sensation in the

ring and little finger and he is unable to carry on his routine activities.

Therefore, he would submit that the Tribunal ought to have adopted a

multiplier method.

10. The issue revolves around the nature of injuries sustained by the

claimant and whether the injury has resulted in a functional disability to him

and loss of earning capacity. The Discharge Summary issued by the Dharan

Hospital, where the claimant has undergone his initial treatment is marked as

https://www.mhc.tn.gov.in/judis C.M.A.No.2134 of 2021 and C.M.A.No.1743 of 2020

Ex.P7. The report would indicate that there is a crush injury to the left ring

finger, lacerated deep wound and abrasion over left lumber area. The Hospital

has adopted the following procedure:

Procedure:

1. Wound debridement K wire fixation.

2. Debridement / abdominal flap corner

3. Flap division with inset

11. The claimant has been discharged within a day. Thereafter, after

the filing of the petition, the claimant has been referred to the Medical Board.

A perusal of the disability certificate-Ex C1 would show that the Medical

Board has not taken into consideration the Discharge Summary-Ex.P7 and the

Wound Certificate-ExP3 issued by the Dharan Hospital on 24.04.2018. The

Medical Board has examined the claimant on 31.12.2019 nearly a year and a

half after the surgery has been successfully effected. The Board has not even

taken an X-Ray and has simply relied on the discharge summary and thereafter

proceeded to pass the clinical notings. Therefore, this certificate cannot be

relied upon to state that the injury sustained is of a serious in nature and has

resulted in a functional disability to the claimant. Therefore, the adoption of

https://www.mhc.tn.gov.in/judis C.M.A.No.2134 of 2021 and C.M.A.No.1743 of 2020

percentage method by the Tribunal is in order. As rightly pointed out by the

learned counsel for the appellant-Insurance Company in C.M.A.No.2134 of

2021, namely, the Insurance Company, a sum of Rs.1,00,000/- under the head

of "loss of Amenities"", especially, when the injuries are not of serious nature

has to be set aside. The petitioner, who claims to be a Doctor, has not

produced a single shred of evidence to substantiate the same. Therefore, the

adoption of a monthly income of Rs.20,000/- is on the higher side and the same

has been reduced to Rs.10,000/-. Therefore, the claimant will only be entitled

to a sum of Rs.60,000/-. under the head of "Loss of Income".

12. The learned counsel for the claimant would submit that the

accident is of the year 2018 and the adoption of a sum of Rs.3,000/- per

percentage of disability is on the lower side and the appropriate income to be

adopted is Rs.5,000/-, which has not been seriously rebutted by the learned

counsel for the insurance Company. Therefore, the compensation under the

head of "loss of disability" is enhanced to a sum of Rs.5,000 x 40 =

Rs.2,00,000. Therefore, the re-worked compensation would be as follows:-





https://www.mhc.tn.gov.in/judis
                                                                                       C.M.A.No.2134 of 2021
                                                                                   and C.M.A.No.1743 of 2020


                                               Heads             Amount by the Amount Awarded
                                                                   Tribunal     by this Court
                                                                      in Rs.       in Rs.
                                    Loss of Disability                  1,20,000        2,00,000
                                                                   (3,000 x 40%)   (5,000x 40%)
                                                                                     (enhanced)
                                    Pain and Sufferings                  50,000          50,000
                                    Loss of Amenities                   1,00,000              NIL
                                    Medical expenses                    1,94,369        1,94,369
                                    Loss of Income                      1,20,000            60,000
                                    (10,000 x 6)                                      (Reduced)
                                    Transportation Charges               25,000             25,000
                                    Extra Nourishment Charges            50,000          50,000
                                    Attendant Charges                    20,000             20,000
                                    Damages to Clothing and                1,000             1,000
                                    Article
                                    Total                               6,80,369        6,00,369



13. These appeals are partly allowed and the impugned Award of the

Tribunal is modified, reducing the compensation amount from Rs.6,80,369.00

to Rs.6,00369.00. The appellant in C.M.A.No.2134 of 2021-Insurance

Company is directed to deposit the said amount to the credit of

M.C.O.P.No.1175 of 2018 along with interest at the rate of 7.5% per annum

from the date of claim petition till the date of deposit and costs as awarded by

the Tribunal, less, the amount, if any already deposited, within a period of six

weeks from the date of receipt of a copy of this judgment. On such deposit

https://www.mhc.tn.gov.in/judis C.M.A.No.2134 of 2021 and C.M.A.No.1743 of 2020

being made, the appellant in C.M.A.No.1743 of 2020 / claimant is permitted to

withdraw the award amount, along with accrued interest and costs as awarded

by the Tribunal, less, the amount, if any already withdrawn, by filing necessary

application before the Tribunal. The claimant is directed to pay the Court fee

for the compensation amount, if required. The Tribunal below shall not

disburse the award amount till such time as the certified copy showing proof of

payment of Court fee has been produced by the claimants. In other respects,

the Award of the Tribunal is hereby confirmed. There shall be no order as to

costs in the present appeal. Consequently, connected miscellaneous petition is

closed.

21.06.2022

Index:Yes/No Speaking Order : Yes/No srn

To

1. The Special Sub Judge II, (Motor Accident Claims Tribunal), Salem

2.The Section Officer, V.R.Section, High Court of Madras, Chennai.

https://www.mhc.tn.gov.in/judis C.M.A.No.2134 of 2021 and C.M.A.No.1743 of 2020

P.T.ASHA.J

srn

C.M.A.No.2134 of 2021 and C.M.A.No.1743 of 2020

21.06.2022

https://www.mhc.tn.gov.in/judis

 
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