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United India Insurance Company ... vs P.Kavitha Reddy And 3 Others
2023 Latest Caselaw 2655 Tel

Citation : 2023 Latest Caselaw 2655 Tel
Judgement Date : 23 September, 2023

Telangana High Court
United India Insurance Company ... vs P.Kavitha Reddy And 3 Others on 23 September, 2023
Bench: K.Lakshman, K. Sujana
             THE HON'BLE SRI JUSTICE K.LAKSHMAN
                             AND
              THE HON'BLE SMT JUSTICE K. SUJANA

                 M.A.C.M.A.No.1423 OF 2007
                            AND
       I.A.NO.7 OF 2007 (CROSS OBJ.No.37352 OF 2007)


COMMON JUDGMENT : (per Hon'ble Smt Justice K.Sujana)

       Feeling      aggrieved        by    the   order   and    decree        dated

30.11.2006 in O.P.No.963 of 2004 passed by the II Additional

Chief Judge, City Civil Court, Hyderabad, the United India

Insurance      Co.    Ltd.,     filed       M.A.C.M.A.No.1423       of        2007,

challenging the liability and quantum of compensation. On the

other hand, the claimant in the said O.P., filed Cross Objections

vide   I.A.No.7       of     2007         seeking     enhancement        of     the

compensation.


2.     For    the     sake      of        convenience,   the    appellant        in

M.A.C.M.A.No.1423 of 2007 is referred to as 'Insurance

Company' and the Cross Objector in I.A.No.7 of 2007 is referred

to as 'claimant'.


3.     Heard learned Standing Counsel for the Insurance

Company and learned counsel for the claimant.


4.     The    Court        below,    vide     order   dated    30.11.2006        in

O.P.No.963 of 2004 awarded an amount of Rs.29,25,000/- as
                                                         KL,J &SKS,J
                                                       Macma_1423_2007
                                                            &
                                                         I.A._7_2007
                                2


against the claim of Rs.37,00,000/- apart from proportionate

costs and interest @ 7.5% p.a., from the date of filing of petition

till realization of the same, to the claimant on behalf of the

injured for the injuries suffered by him in a motor accident.


5.    On considering the entire evidence, both oral and

documentary, the Court below held that the accident occurred

due to the rash and negligent driving of the driver of the bus

bearing No.AP 28 U 4238, hired by the RTC.


6.    The Insurance Company filed the appeal contending that

the Court below failed to see that the accident occurred in an

opposite direction between the bus bearing No.AP 28 U 4238

and the Hero Honda motorcycle bearing No.AP 10L 8063, on

which the injured was riding at the time of accident.        As per

charge sheet and as per the settled principles of law, the drivers

of both vehicles are equally responsible for the accident.        He

further contended that the Court below awarded Rs.5,00,000/-

under the head pain and suffering which is highly excessive,

Rs.7,00,000/- under the head loss of expectation of life is

contrary to the scientific method and Rs.5,00,000/- for future

surgeries is without any evidence. As such, the same is liable to

be set aside. His further contention is also that Rs.4,08,000/-

under the head of attendant charges, is in the absence of oral
                                                      KL,J &SKS,J
                                                    Macma_1423_2007
                                                         &
                                                      I.A._7_2007
                               3


evidence which is not maintainable and Rs.1,70,000/- under

the head of Physiotherapy is also without any evidence.


7.    Further, the learned Standing Counsel also contended

that the Insurance Company did not receive premium to cover

the risk when it was given on hire to the RTC and there was no

endorsement under India Motor Tariff on the insurance policy

on the bus bearing No.AP 28 U 4238 to show that the Insurance

Company is not liable to cover the risk. He further contended

that the Court below ought to have considered that the

Insurance Company did not receive premium to cover the risk

on the bus while it was on hire.      Therefore, the Insurance

Company is not liable to pay the compensation. Therefore,

prayed to set-aside the impugned order.


8.    On the other hand, the claimant filed cross objections

stating that the Court below grossly erred in awarding

compensation of Rs.29,25,000/- with interest @ 7.5% p.a.

instead of awarding the claim as prayed for.       It is further

contended that the Court below excluded doctor's fee for all the

three spells i.e., final bill consists of two parts, thereby not

allowing the claim of cross-objector in a total sum of

Rs.1,78,440/- from 11.11.2003 to 06.12.2003, from 07.12.2003

to 02.02.2004 and from 20.09.2004 to 01.10.2004. The Court
                                                         KL,J &SKS,J
                                                       Macma_1423_2007
                                                            &
                                                         I.A._7_2007
                                 4


below completely ignored the expenditure incurred under

medical bills for purchase of medicines of the cross-objector.

The Court below not accepted the cash memo for purchase of

medical device for Rs.43,200/- and also ignored Rs.38,675/-

bills towards various diagnostic centers, as per the vouchers

enclosed under Ex.A.10.        The Court below grossly erred in

ignoring the guidelines pertaining to loss of expectation of life,

permanent    disability   by    granting   a   small   amount      of

Rs.7,00,000/- instead of Rs.24,38,400/- as claimed by the

cross objector.   Therefore, prayed the Court to enhance the

compensation.


9.    To prove that the accident occurred due to rash and

negligent driving of the driver of the bus, the petitioner in O.P.,

relied on Ex.A.1-FIR, Ex.A.2-certified copy of the case diary

part-II, Ex.A.3-M.L.C. issued by Yasoda Hospital, Ex.A.4-

certified copy of charge sheet and Ex.A.5- judgment in

C.C.No.349 of 2004.



10.   Now, the points that arise for consideration are :


1.

Whether the accident occurred due to the rash and negligent driving of the bus bearing No. AP 28 U 4238 ?

KL,J &SKS,J Macma_1423_2007 & I.A._7_2007

2. Whether the Cross objector is entitled for enhancement of compensation as prayed for ?

3. Whether the Appellant-Insurance Company is liable to pay the compensation?

POINT NO.1 :

11. The injured in the accident was not examined to

substantiate his claim, on the ground that his mental faculty

was not restored and he is incapable of taking any decisions.

12. Pw.1 is the wife of injured. However, she is not an

eyewitness to the incident. To prove rash and negligence on the

part of the driver of the bus, they relied on the evidence of Pw.2,

an eyewitness to the accident. Ex.A.4 charge sheet filed by the

Investigation officer also shows the name of Pw.2 as an

eyewitness. The investigation officer filed charge sheet stating

that the accident occurred due to rash and negligent driving of

the driver of the bus and in Ex.A.5 judgment also the driver

admits his negligence and he was also convicted and paid fine.

13. Rw.2, the driver of the bus having admitted rash and

negligence on his part, was examined to show that there was no

negligence on his part, and he did not even speak about the KL,J &SKS,J Macma_1423_2007 & I.A._7_2007

negligence on the part of the injured in driving the Hero Honda

motor cycle.

14. A cumulative reading of evidence of Pw.2 and Ex.A.1

proves that the accident occurred due to the negligent driving of

the driver of RTC bus, though it is vehemently argued that the

accident occurred due to the contributory negligence on the part

of the injured and driver of the bus.

15. The evidence of Rw.2 is no way helpful to the Insurance

Company as he admitted that accident occurred due to his

negligence under Ex.A.5 and he was convicted for the said

offence. Therefore, it can be held that the accident occurred

due to the rash and negligent driving of the bus. Accordingly,

this point is answered.

POINT NOs.2 & 3 :

16. To prove the injuries and treatment, the wife of the

injured was examined as Pw.1 and got marked Exs.A.6 to A.26

and X.1 to X.5 documents. On behalf of the injured, Pws.3 to 6

were examined. The injured was not examined before the Court

below, as he is not mentally fit because of the injuries suffered

in the accident.

KL,J &SKS,J Macma_1423_2007 & I.A._7_2007

17. Pw.1 in her evidence stated that the injured was shifted to

Yasoda Hospital, and was treated as an inpatient from

11.11.2003 to 02.02.2004. He was in coma for several days and

discharged on 02.02.2004. She further stated that the injured

could not regain his normalcy; he was not in a sound mind; he

was physically and psychologically unfit and incapable of taking

the responsibilities and decisions on his own as a result of head

injury sustained by him. The head injury resulted in

permanent diffuse brain damage. The injured was re-admitted

in Yasoda Hospital on 20.09.2004 and underwent major

neurological surgery on 21.09.2004 and discharged on

01.10.2004. The injured has spent more than Rs.14 Lakhs for

his treatment, transportation, attendant charges, medicines and

extra nourishment and he still requires further treatment which

may go up to few more lakhs.

18. The medical experts had been ruled out the injured

regaining normalcy during his life time. Due to the surgeries

undergone by him, he has impaired vision, hearing and senses

and he is confined to bed and needs a permanent assistance

throughout his life even to attend to calls of nature, for taking

food and other daily activities.

KL,J &SKS,J Macma_1423_2007 & I.A._7_2007

19. The injured was highly qualified and has completed M.Sc,

B.Ed. He was appointed as a lecturer in Layola Academy P.G

and Degree College, Old Alwal, Secunderabad in the year 1999

and he was a part time scholar doing Ph.D in Chemistry from

Osmania University an autonomous organization under the

Ministry of Human Research Development, Government of

India, a prestigious institution and has received appointment

order after occurrence of the accident. His future was

completely shattered, he lost his earnings during the period of

treatment and due to the accident he was permanently disabled.

20. The evidence of Pw.3 is that he is a Neurosurgeon in

Yasoda Hospital and he treated the injured. According to him,

the injured had a severe brain injury with multiple areas of

bleeding in the brain, right common peroneal nerve injury,

aspiration pneumonitis, hydrocephalus. The general condition

of the injured does not permit him to undergo surgery on his

leg. At that time priority was given to management of brain

injury. Soon after admission, he underwent two surgeries and

thereafter three shunt surgeries were performed. According to

him, the vision and hearing of the injured was impaired. Even

the last CT scan shows excessive accumulation of fluid in the

brain and he would require repeated brain surgeries for KL,J &SKS,J Macma_1423_2007 & I.A._7_2007

treatment of hydrocephalus. The injured has permanent partial

neurological disability, which was technically estimated at 60%.

Professionally and in real life terms, his disability is considered

to be 100%. He requires treatment throughout his life and even

he requires help in his daily activities.

21. Pw.4 is the other expert in Yasoda Hospital, and his

evidence is that as the injured sustained severe head injury, he

was treated conservatively for the fracture of tibia. The fracture

was very bad and he was not in a fit state for surgery and

therefore not operated upon. The injured right knee is

completely still, left knee and elbow are also stiff to a large

extent as a result of malunion of tibia and subluxation of femur

over tibia. It is a permanent disability and he cannot walk in his

life. Pw.4 assessed the disability of the injured at 75%.

22. As seen from the evidence of Pws.3 and 4 and the

documents filed by the claimant, the injured is totally bed

ridden and crippled on account of injuries sustained by him in

the accident. The Insurance Company is also not disputing the

treatment taken by the injured and to prove the bills, the

claimant examined Pw.5-Billing manager of Yasoda Hospital.

His evidence is that the discharge bill dated 06.12.2003 is for an

amount of Rs.3,47,136/-, the discharge bill dated 02.02.2004 is KL,J &SKS,J Macma_1423_2007 & I.A._7_2007

for an amount of Rs.3,03,418/- and the third bill dated

01.10.2004 is for an amount of Rs.1,08,198/-. An amount of

Rs.3,20,000/- was paid on behalf of the injured. Ex.A.10

contains the advance receipts, some personal receipts and some

final bills. Therefore, the injured is entitled for an amount of

Rs.5,96,894/- towards medical bills.

23. The injured is further entitled for medical equipments like

Alfa Bed Beptamix & Urine case, back rest, folding wheel chair,

elbow crutches pair and back splints and calipers. As the

injured requires the said equipments throughout his life, it is

just and proper to grant an amount of Rs.27,920/- towards

medical equipments.

24. The injured has undergone physiotherapy. Though he did

not examine anyone on this aspect, but as deposed by Pw.3, the

injured requires physiotherapy. Admittedly, the injured has paid

an amount of Rs.1,17,250/- towards Physiotherapy charges,

which is evident from Ex.A.10-medical bills. Therefore, the

injured is entitled for an amount of Rs.1,17,250/- towards

Physiotherapy charges.

25. The injured has also taken treatment in NIMS by paying

an amount of Rs.60/- per sitting per day. The evidence of Pws.3 KL,J &SKS,J Macma_1423_2007 & I.A._7_2007

and 4 as well as Pw.1 is that petitioner requires an attendant

throughout his life. Therefore granting of consolidated amount

of Rs.50,000/- towards treatment for future physiotherapy

from the date of petition would serve the purpose.

26. As Pws.3 and 4, categorically asserted that there is no

chance of the injured regaining normalcy and as he has

undergone surgeries and is totally disabled, he is entitled to

Rs.7,00,000/- under the head pain and suffering. As the

injured is permanently disabled, under the head permanent

disability, he is entitled for just compensation. As seen from the

record, the evidence of Pws.3 and 4 speaks about the disability

of the injured. Both the witnesses Pw.3-Neuro surgeon and

Pw.4-Orthopaedic surgeon categorically deposed that injured is

permanently disabled and he will continue to require help even

in daily routine activities like eating, bathing and attending to

nature calls. Therefore, loss of earning capacity is taken as

100%. The injured was earning Rs.23,840/- per month as a

lecturer in Chemistry in Loyola Academy P.G and Degree College

as per Ex.A.23 and was aged about 31 years at the relevant time

as per Ex.A.14. Hence, the appropriate multiplier to be applied

is '17'. Therefore, the injured is entitled to Rs.48,63,360/-

(Rs.23,840/- x 12 x17) towards permanent disability.

KL,J &SKS,J Macma_1423_2007 & I.A._7_2007

27. As the injured is not able to sit, squat or to attend to any

of his normal daily functions and his conjugal happiness has

been snatched away and permanently became disabled, he is

entitled to an amount of Rs.10,00,000/- towards loss of

expectation of life. As the injured was bed ridden, he requires

attendant to attend to his daily necessities. Though the claimant

claimed Rs.3000/- per month, the Court below awarded

Rs.2000/-. As such, by applying multiplier 17, it comes to

Rs.4,08,000/- (Rs.2000/- x 12 x17) which is sufficient. The

further evidence of Pw.3 is that the injured requires future

surgeries. The Court below awarded an amount of

Rs.5,00,000/- under the head future surgeries which meets the

ends of justice and there is no need to interfere with the same.

28. The Court below awarded an amount of Rs.25,000/-

towards transportation as the injured was shifted to the hospital

for three to four times and he also went to NIMS, therefore, it is

not exorbitant and there is no need to interfere with the said

amount. Hence, he is entitled to Rs.25,000/- towards

transportation charges.

29. Thus, in all the claimant is entitled to Rs.82,88,424/- as

compensation under the following heads :

KL,J &SKS,J Macma_1423_2007 & I.A._7_2007

Medical expenses : Rs. 5,96,894/-

Medical equipments                    :     Rs.27,920/-

Physiotherapy                         :     Rs.1,17,250/-

Future Physiotherapy                  :     Rs.50,000/-

Pain and suffering                    :     Rs.7,00,000/-

Permanent disability                  :     Rs.48,63,360/-

Loss of expectation of life           :     Rs.10,00,000/-

Attendant charges                     :     Rs.4,08,000/-

Future surgeries                      :     Rs.5,00,000/-

Transportation                        :     Rs.25,000/-

                                          ___________________
             Total                    :     Rs.82,88,424/-
                                           ___________________

30. Further, the contention of learned Standing counsel for

the Insurance Company is that the subject vehicle was hired by

the RTC and therefore, the Insurance Company is not liable to

pay the compensation. But at the time of arguments, the

learned Standing counsel has withdrawn the said statement, as

it is settled law. Hence, the Insurance Company is liable to pay

the compensation. Accordingly, point Nos.2 and 3 are

answered.

31. IN THE RESULT, M.A.C.M.A.No.1423 of 2007 is dismissed

and I.A.No.7 of 2007 (Cross-Objection No.37352 of 2007) is

allowed. The order and decree dated 30.11.2006 in O.P.No.963 KL,J &SKS,J Macma_1423_2007 & I.A._7_2007

of 2004 passed by the II Additional Chief Judge, City Civil

Court, Hyderabad, is modified by enhancing the compensation

from Rs.29,25,000/- to Rs.82,88,424/- with interest @ 7.5% per

annum from the date of petition till realization. As the policy is

in force, the respondents in Cross-Objection No.37352 of 2007

are jointly and severally liable to pay the compensation. The

respondents in Cross-Objections are directed to deposit the

above said amount with interest and costs, after deducting the

amount, which was already deposited, within one month from

the date of receipt of certified copy of this judgment. No order

as to costs.

Miscellaneous applications, if any, pending in this appeal,

shall stand closed.

_________________ K.LAKSHMAN, J

______________ K. SUJANA, J Date :23.09.2023 Rds

 
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