Citation : 2023 Latest Caselaw 64 Tel
Judgement Date : 5 January, 2023
THE HON'BLE SMT. JUSTICE M.G.PRIYADARSINI
M.A.C.M.A. Nos. 4015 of 2014 & 4277 of 2014
COMMON JUDGMENT:
By order, dated 07.04.2014, the learned Chairman, Motor
Accident Claims Tribunal-cum-Additional chief Judge, City Civil
Courts at Hyderabad (for short, 'the tribunal') partly allowed
O.P.No.2887 of 2011 awarding total compensation of
Rs.19,02,140/- in favour of the claimant towards compensation.
Seeking enhancement of compensation, the claimant preferred
MACMA No. 4015 of 2014 and challenging the quantum of
compensation as excessive, the Insurance Company-M/s. Royal
Sundaram Alliance Insurance Company Limited, respondent No.
2 before the tribunal, preferred MACMA No. 4277 of 2015.
2. For the sake of convenience, the parties have been
referred to as arrayed before the Tribunal.
3. The claimant filed a petition under Section 166 of the
Motor Vehicles Act claiming compensation of Rs.30,00,000/- for
the injuries sustained by him in a motor vehicle accident that
took place on 01.12.2011. It is stated that on 01.12.2011, at
about 13:45 hours, while the claimant was proceeding on his
motorcycle towards Hi-tech city and when he reached the
MGP, J Macma_4015_2014&4277_2014
railway station flyover of high-tech city, the offending vehicle
i.e., Car bearing No.AP 37 BD 4116, owned by respondent No.1
and insured with respondent No.2, being driven by its driver in
a rash and negligent manner at high speed, dashed the
motorcycle of the claimant, as a result of which, the claimant
fell down and sustained grievous injuries. Immediately after the
accident, the claimant was shifted to Anupama Hospital; from
there he was shifted to Sunshine Hospital, where he underwent
operation to his spinal cord and incurred Rs.5,00,000/- towards
medical expenses. It is further stated that due to the injuries
on the spinal cord, the claimant is unable to do any work,
confined to bed and therefore, he laid the claim-petition
claiming compensation of Rs.30,00,000/-.
4. Considering the claim-petition, counter filed by the
Insurance Company and the oral and documentary evidence on
record, the Tribunal came to the conclusion that the accident
occurred due to the rash and negligent driving of driver of the
Car and awarded total compensation of Rs.19,02,140/- with
interest @ 7.5% per annum payable by respondent Nos.1 and 2
jointly and severally. Aggrieved by the said order, the Insurance
Company as well as the claimant filed the present appeals.
MGP, J Macma_4015_2014&4277_2014
5. Heard both sides and perused the material on available
on record.
6. The learned counsel for the appellant, claimant, submits
that the claimant has sustained grievous injuries i.e., (i) spinal
cord fracture (traumatic paraplegia) curved by D-12
compression; (ii) fracture with cord edema and proximal tibia
fracture right apart from other injuries. The claimant had
underwent for spinal cord surgery; that he had taken follow up
treatment; prolonged physiotherapy; that due to the injury to
the spinal cord fracture, the claimant is confined to bed; that
his limbs became defunct; his movements are restricted and
still undergoing treatment. It is contended that subsequent to
the operation at Sunshine Hospital on 01.12.2011, he was again
admitted at Ravi Helios Hospital on 27.12.2011 and discharged
only on 22.03.2012. Even thereafter, he was again admitted at
Udai Clinic on 03.10.2012 and was discharged on 04.10.2012.
It is contended that though P.W.5, the Associate Professor at
Gandhi Medical College, deposed that the claimant is suffering
with post-traumatic para paralysis i.e., weakness in both lower
limbs and suffered with permanent disability at 50%, the actual
MGP, J Macma_4015_2014&4277_2014
functional disability is 100% as the claimant is completely
confined to bed. It is further submitted that though the
tribunal has taken the monthly income of the claimant at
Rs.10,000/-, did not add future prospects to the established
income of the claimant and since the claimant has been
completely confined to bed, the tribunal ought to have awarded
the compensation duly adding future prospects. It is contended
that inasmuch as the claimant has suffered fracture to spinal
cord and confined to bed, the amount of Rs.2,000/- awarded
towards extra nourishment; Rs.1,500/- awarded towards
transportation to hospitals; Rs.25,700/- awarded towards
future medical expenses are meager and needs enhancement. It
is lastly contended that the tribunal was not justified in not
awarding amounts towards physiotherapy expenses; loss of
earnings during treatment period; loss of amenities in life;
attendant charges and pain and suffering. Therefore, the
learned counsel sought for enhancement of the compensation
awarded by the tribunal.
7. On the other hand, the contention of the learned Standing
Counsel appearing for the insurance company, is that the
Tribunal erred in awarding Rs.5,00,000/- towards treatment
MGP, J Macma_4015_2014&4277_2014
and medicines without considering the fact that the claimant
has already received Rs.90,000/- under medi -claim policy the
said reimbursement of treatment/medical expenses disentitle
the applicant to claim compensation under the Act as it is
nothing but double-benefit.
8. Insofar as the manner in which the accident took place,
the Tribunal has framed the Issue No.1 as to whether the
accident had occurred due to rash and negligent driving of the
driver of the Car, and having considered the evidence of P.W.1
and Exs.A.1 & A.2, it has categorically observed that the
accident has occurred due to the rash and negligent driving of
the driver of the car and has answered the issue in favour of the
claimant and against the respondents which needs no
interference by this Court.
9. Insofar as the quantum of compensation is concerned, as
seen from Ex.A.3, wound certificate, the claimant has sustained
fracture of proximal tibia and fracture of neck of fibula right and
those injuries are grievous in nature. Ex.A.4, discharge
summary issued by Sunshine Hospital, shows that the claimant
was admitted in the hospital on 01.12.2011 and underwent
MGP, J Macma_4015_2014&4277_2014
surgery and was discharged on 10.12.2011. So also, Ex.A.5,
discharge summary issued by Ravi Helios Hospital, shows that
he was admitted in the said hospital on 27.12.2011 and
discharged on 22.03.2012. It is also on record that he had
taken continuous physiotherapy for muscular stimulation for
left lower limb. Exs.A.6 and A.7, discharge summaries, further
disclose that the claimant had taken follow up treatment.
10. P.W.2, Neuro-Surgeon of Sunshine Hospital, deposed
regarding the treatment taken by the claimant and he further
deposed that the claimant suffered D-12 compression fracture
of spine and spinal cord edema and contusion and that the
claimant underwent surgery for spine injury. It is his specific
evidence that due to the injuries, the claimant is not in a
position to walk, bear weight on both legs and he cannot do his
normal duties. He further asserted that Exs.A.3, A.4, A.8, A.9,
A.16 and A.24 are issued from their hospital. P.W.4, the
Physiotherapist at Ravi Helios Hospital, deposed as to the
claimant's taking physiotherapy under him for muscular
stimulation. He too deposed that in spite of the physiotherapy,
the claimant was unable to stand and walk due to the defunct
of lower limbs. P.W.5, the Assistant Professor at Gandhi
MGP, J Macma_4015_2014&4277_2014
Medical Hospital, deposed that the claimant has suffered 50%
permanent disability and he has substantiated Ex.A.20,
disability certificate, issued by the competent Medical Board in
assessing the disability of the claimant at 50%. From the above
evidence, it is clear that in spite of continuous treatment and
physiotherapy, the claimant is unable to walk and move and
has been bedridden. Such being the case, though the medical
board assessed the disability of the claimant at 50%, this Court
is inclined to fix the functional disability at 75%.
11. Coming to the income, the claimant was aged 38 years as
seen from Ex.A.20. According to the claimant, he was working
as employee in M/s. MetaMax Communications Limited and
getting income of Rs.11,500/- per month. Though he filed
Ex.A.18, pay slips and Ex.A.19, appointment letter, issued by
MetaMax Communications Limited, since none connected
thereto was examined, the tribunal has rightly fixed the monthly
income of the claimant at Rs.10,000/-.
12. Insofar as the future prospects are concerned, recently,
the Apex Court in Sidram v. The Divisional Manager, United
MGP, J Macma_4015_2014&4277_2014
India Insurance Company Limited (CIVIL APPEAL No. 8510
OF 2022, dated 16.11.2022) has observed as under:-
"31. It is now a well settled position of law that even in cases of permanent disablement incurred as a result of a motor-accident, the claimant can seek, apart from compensation for future loss of income, amounts for future prospects as well. We have come across many orders of different tribunals and unfortunately affirmed by different High Courts, taking the view that the claimant is not entitled to compensation for future prospects in accident cases involving serious injuries resulting in permanent disablement. That is not a correct position of law. There is no justification to exclude the possibility of compensation for future prospects in accident cases involving serious injuries resulting in permanent disablement. Such a narrow reading is illogical because it denies altogether the possibility of the living victim progressing further in life in accident cases - and admits such possibility of future prospects, in case of the victim's death."
(emphasis added)
13. In view of above said decision, the appellant is entitled to
future prospects. As the age of the appellant is 38 years at the
time of the accident, he is entitled the future prospects at 40%
as per the decision of the Apex Court in National Insurance
Company Limited Vs. Pranay Sethi and others1.
2017 ACJ 2700
MGP, J Macma_4015_2014&4277_2014
14. Therefore, by adding 40% future prospects, the monthly
income of the appellant comes to Rs.14,000/- (Rs.10,000/- +
Rs.4,000/-). In view of the judgment of Sarla Verma Vs. Delhi
Transport Corporation2, the suitable multiplier to be adopted
for calculating the loss of earnings would be '15'. Therefore, the
loss of earnings on account of the disability comes to
Rs.14,000/- x 12 x 15 x 75/100 = Rs.18,90,000/-. However,
the amount awarded by the tribunal towards medical expenses
is not interfered with. As rightly pointed out by the learned
counsel for the claimant, considering the fact that the claimant
suffered fracture to spinal cord, has taken follow up treatment
for a considerable period at different hospitals, confined to bed,
the amounts awarded under the heads of transportation
charges; extra nourishment; future medical expenses are
meagre and need to be enhanced. So also, considering the
nature of injuries and the period of treatment, the tribunal was
not right in denying the amounts under the heads of pain &
suffering; attendant charges; physiotherapy expenses; loss of
earnings during treatment; and loss of amenities in life.
Therefore, considering the medical evidence, nature of injuries
2009 ACJ 1298
MGP, J Macma_4015_2014&4277_2014
and length of treatment, this Court is inclined to enhance the
amounts as under:-
Sl.N Claim made under the Amount Amount now
o. head granted by granted/
tribunal enhanced by
this Court
1. Transport to Hospitals 1,500/- 25,000/-
2. Medical expenses 4,32,940/- 4,32,940/-
3. Extra Nourishment 2,000/- 20,000/-
4. Pain & Suffering --- 40,000/-
5. Attendant Charges --- 25,000/-
6. Future medical expenses 25,700/- 50,000/-
7. Physiotherapy expense --- 30,000/-
8. Loss of earnings during --- 1,00,000/-
treatment period
9. Loss of amenities to life --- 1,00,000/-
10. Future loss of earnings 14,40,000/- 18,90,000/-
Total amount 19,02,140/- 27,12,940/-
15. There remains the contention of the learned Standing
Counsel for the Insurance Company that since the claimant has
already been reimbursed Rs.90,000/- towards
treatment/medicine expenses under Medi-claim policy, the said
amount has to be deducted from the compensation amount.
MGP, J Macma_4015_2014&4277_2014
This Court sees no force in the said contention since the said
reimbursement of expenses under an independent contract of
insurance has no bearing upon the claim under a statutory
liability. Moreover, the applicant had paid premium for
purchasing the said insurance. Thus, the benefit, which
emanated from the said contract, cannot be adjusted against
the compensation payable under the Act. In a recent judgment
delivered by the Hon‟ble Bombay High Court in Royal
Sundaram Alliance Insurance Co. Ltd. -v- Ajit Chandrakant
Rakvi and Ors.3, the issue of double-benefit has been decided
in a similar manner basing on the decision of the Apex Court in
Helen C. Rebello v. Maharashtra State Road Transport
Corporation and Another4. It was held by the court that the
nature of the proceedings under the Act is of relevance and a
claim petition for compensation in regard to motor accident filed
by the injured is neither a suit nor an adversarial lis in the
traditional sense. Thus, the benefits emanating from an
independent and unconnected contract of insurance cannot be
considered by the Tribunal as it besets with variables rooted in
contract.
2020 ACJ 691
1999 ACJ 10 (SC)
MGP, J Macma_4015_2014&4277_2014
16. In the result, M.A.C.M.A. No. 4015 of 2014 filed by the
claimant stands allowed in part enhancing the quantum of
compensation awarded by the tribunal from Rs.19,02,140/- to
Rs.27,12,940/- to be paid by the respondents jointly and
severally. Consequently, M.A.C.M.A. No. 4277 of 2014 stands
dismissed. The enhanced amount shall carry interest at 7.5%
per annum from the date of filing of the O.P. till the date of
realization. The respondent No. 2 is directed to deposit the
amount within a period of two months from the date of receipt
of a copy of this order. On such deposit, the claimant is entitled
to withdraw the same. There shall be no order as to costs.
Miscellaneous petitions, if any, pending shall stand
closed.
_____________________________ JUSTICE M.G.PRIYADARSINI 05.01.2023 Tsr
MGP, J Macma_4015_2014&4277_2014
THE HON'BLE SMT. JUSTICE M.G.PRIYADARSINI
M.A.C.M.A. Nos. 4015 of 2014 & 4277 of 2014
DATE: 05-01-2023
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