Abhilash vs National Insurance Co. Ltd on 10 June, 2025

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Kerala High Court

Abhilash vs National Insurance Co. Ltd on 10 June, 2025

M.A.C.A. No. 526 of 2020

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             IN THE HIGH COURT OF KERALA AT ERNAKULAM

                                  PRESENT

              THE HONOURABLE MRS. JUSTICE C.S. SUDHA

  TUESDAY, THE 10TH DAY OF JUNE 2025 / 20TH JYAISHTA, 1947

                           MACA NO. 526 OF 2020

        AGAINST THE AWARD DATED 25.09.2019 IN OP(MV)NO.164

OF   2015     ON    THE    FILE   OF   THE   MOTOR   ACCIDENTS   CLAIMS

TRIBUNAL, NEYYATTINKARA.

APPELLANT/APPLICANT:

             ABHILASH,
             AGED 18 YEARS,
             S/O.VINUKUMAR, VISHNU BHAVAN,
             THEMBAMUTTOM, BALARAMAPURAM.P.O.,
             THIRUVANANTHAPURAM - 695 501.


             BY ADVS.
             SRI.R.T.PRADEEP
             SMT.M.BINDUDAS
             SRI.K.C.HARISH




RESPONDENT/3RD RESPONDENT:

             NATIONAL INSURANCE CO. LTD.,
             REPRESENTED BY THE DIVISIONAL MANAGER,
             ST.JOSEPH'S PRESS BUILDING, VAZHUTHACAUD,
             THIRUVANANTHAPRUAM-695 014.


             BY ADV SHRI.LAL K.JOSEPH


       THIS MOTOR ACCIDENT CLAIMS APPEAL HAVING BEEN FINALLY
HEARD ON 05.06.2025, THE COURT ON 10.06.2025 DELIVERED THE
FOLLOWING:
 M.A.C.A. No. 526 of 2020

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                                C.S.SUDHA, J.
                ----------------------------------------------------
                          M.A.C.A. No. 526 of 2020
                ----------------------------------------------------
                   Dated this the 10th day of June, 2025

                               JUDGMENT

This appeal under Section 173 of the Motor Vehicles

Act, 1988 (the Act) has been filed by the claim petitioner in O.P.

(MV) No.164/2015 on the file of the Motor Accidents Claims

Tribunal, Neyyattinkara, (the Tribunal), aggrieved by the amount

of compensation granted by Award dated 25/09/2019. The sole

respondent herein is the third respondent in the petition. In this

appeal, the parties and the documents will be referred to as

described in the original petition.

2. According to the claim petitioner, on

02/01/2015 at 09:30 am, while he was walking along the

Balaramapuram-Kattakada public road, motorcycle bearing

registration no. KL-20-G-8734, ridden by the second respondent,
M.A.C.A. No. 526 of 2020

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rashly and negligently knocked him down causing grievous

injuries to him.

3. The first respondent/owner and the second

respondent/rider remained ex parte.

4. The third respondent/insurer filed written

statement admitting the existence of a valid policy in respect of

the offending vehicle, but contended that the amount claimed was

exorbitant.

5. Before the Tribunal, no oral evidence was

adduced by either side. Exts.A1 to A12 were marked on the side

of the claim petitioner. No documentary evidence was adduced

by the respondents.

6. The Tribunal on consideration of the

documentary evidence and after hearing both sides, found

negligence on the part of the second respondent/rider of the

motorcycle resulting in the incident and hence awarded an

amount of ₹1,31,000/- together with interest @ 8% per annum

from the date of the petition till the date of realisation with
M.A.C.A. No. 526 of 2020

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proportionate costs. Aggrieved by the Award, the claim petitioner

has come up in appeal.

7. The only point that arises for consideration in

this appeal is whether there is any infirmity in the findings of the

Tribunal calling for an interference by this Court.

8. Heard both sides.

9. It was quite vehemently argued by the learned

counsel for the claim petitioner that the Tribunal committed a

gross illegality/mistake in relying on the dictum in Master

Mallikarjun v. Divisional Manager, National Insurance

Co.Ltd., 2013 KHC 4670 ; (2014) 14 SCC 396 in granting

compensation. Ext.A9 disability certificate shows that due to the

injuries, 13% permanent disability was caused to the claim

petitioner. Therefore, the Tribunal based on the dictum in Raj

Kumar v. Ajay Kumar, (2011) 1 SCC 343 ought to have taken

the functional disability as 26%. However, the Tribunal without

any reason or justification fixed the disability at 7%, which is

liable to be interfered with. It was also submitted that if the
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Tribunal had any doubts about Ext.A9 certificate, it ought to have

referred the claim petitioner to a Medical Board or summoned the

doctor concerned to get necessary clarifications, and fix the

percentage of disability accordingly. In support of the

arguments, reference was made to the dictums in Kajal v.

Jagdish Chand, (2020) 4 SCC 413 ; Master Ayush v. Branch

Manager, Reliance General insurance Company Limited,

(2022) 7 SCC 738 and Branch Manager, United India

Insurance Company Limited v. Mujeeb Rahman A.P., 2025

(1) KHC 606.

10. Per contra, it was submitted by the learned

counsel for the third respondent/insurer that the Tribunal has not

committed any infirmity in relying on the dictum in Master

Mallikarjun (Supra) and granting compensation and therefore

the Award calls for no interference.

11. The claim petitioner was a 13 year old boy

when the incident occurred on 02/01/2015. Ext.A2 wound

certificate; Ext.A3 discharge summary and Ext.A9 disability
M.A.C.A. No. 526 of 2020

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certificate show the injuries sustained in the incident. Ext.A3

discharge summary dated 14/01/2015 issued by the Medical

College Hospital, Thiruvananthapuram reads thus –

“FINAL DIAGNOSIS

BIMALLEOLAR # (TYPE 2 EPIPHYSEAL INJURY
LATERAL MALLEOLUS, TYPE 1 EPIPHYSEAL INJURY
MEDIAL MALLEOLUS)

CLINICAL FEATURES

Admitted as a case of pain and deformity (R) ankle, patient
was clinically and radiologically diagnosed as bimalleolar
#(TYPE 2 EPIPHYSEAL INJURY LATERAL MALLEOLUS,
TYPE 1 EPIPHYSEAL INJURY MEDIAL MALLEOLUS),
patient was managed operatively with 1/3rd tubular plate
for fibula and k wire fixation for medial malleolus, post op
uneventful. W/I: clean. edema decreased, hence discharged.

TREATMENT GIVEN AND COURSE IN HOSPITAL
1/3rd tubular plate for fibula and k wire fixation for medial
malleolus”

The Apex Court in Raj Kumar v. Ajay Kumar, (2011)1 SCC

343 followed in Anthony Swami v. M.D., KSRTC, (2020)7

SCC 161 held that the heads under which compensation is

awarded in personal injury cases are the following:

Pecuniary damages (Special Damages)

(i) Expenses relating to treatment, hospitalization,

medicines, transportation, nourishing food, and miscellaneous
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expenditure.

(ii) Loss of earnings (and other gains) which the injured

would have made had he not been injured, comprising:

(a) Loss of earning during the period of treatment.

(b) Loss of future earnings on account of permanent

disability.

(iii) Future medical expenses.

Non – pecuniary damages (General Damages)

(iv) Damages for pain, suffering and trauma as a

consequence of the injuries.

(v) Loss of amenities (and / or loss of prospects of

marriage).

(vi) Loss of expectation of life (shortening of normal

longevity).

In routine personal injury cases, compensation will be

awarded only under heads (i), (ii)(a) and (iv). It is only in serious

cases of injury, where there is specific medical evidence

corroborating the evidence of the claimant, that compensation
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will be granted under any of the heads (ii)(b), (iii), (v) and (vi)

relating to loss of future earnings on account of permanent

disability, future medical expenses, loss of amenities (and / or

loss of prospects of marriage) and loss of expectation of life. It

was further held that where the claimant suffers a permanent

disability as a result of injuries, the assessment of compensation

under the head of loss of future earnings, would depend upon the

effect and impact of such permanent disability on his earning

capacity. The Tribunal should not mechanically apply the

percentage of permanent disability as the percentage of economic

loss or loss of earning capacity. What requires to be assessed by

the Tribunal is the effect of the permanently disability on the

earning capacity of the injured; and after assessing the loss of

earning capacity in terms of a percentage of the income, it has to

be quantified in terms of money, to arrive at the future loss of

earnings (by applying the standard multiplier method used to

determine loss of dependency). However in some cases, on

appreciation of evidence and assessment, the Tribunal may find
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that percentage of loss of earning capacity as a result of the

permanent disability, is approximately the same as the percentage

of permanent disability in which case, of course, the Tribunal

will adopt the said percentage for determination of compensation

(see for example, the decisions in Arvind Kumar Mishra v.

New India Assurance Co.Ltd., 2010 (10) SCALE 298 and

Yadava Kumar v. D.M., National Insurance Co. Ltd., 2010

(8) SCALE 567).

12. In the light of the aforesaid dictum, the

argument that when permanent disability is assessed as 13%,

functional disability ought to have been fixed at 26%, is

apparently incorrect.

13. In Master Mallikarjun (Supra) it has been

held by the Apex court that compensation is to be worked out

under the non-pecuniary heads in addition to the actual amounts

incurred for treatment done and / or to be done, transportation,

assistance of attendant, etc. The main elements of damage in the

case of child victims are pain, shock, frustration, deprivation of
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ordinary pleasures and enjoyment associated with healthy and

mobile limbs. The compensation awarded should enable the

child to acquire something or to develop a lifestyle which would

offset to some extent the inconvenience or discomfort arising out

of the disability. Appropriate compensation for disability should

take care of all the non-pecuniary damages. In other words, apart

from this head, there shall only be the claim for the actual

expenditure for treatment, attendant, transportation, etc. It has

been further held that it is difficult to have an accurate

assessment of the compensation in the case of children suffering

disability on account of a motor vehicle accident and that the

appropriate compensation on all other heads in addition to the

actual expenditure for treatment, attendant etc. should be as

follows – ₹1 lakh if permanent disability is upto 10%, unless

there are exceptional circumstances to take a different yardstick ;

₹3 lakhs if the disability is above 10% and upto 30% , ₹4 lakhs if

the disability is upto 60% ; ₹5 lakhs if the disability is upto 90%

and ₹6 lakhs if the disability is above 90%. In the said case, the
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disability was to the tune of 18%. The claimant therein was

hospitalised for a period of two months causing inconvenience

and loss of earnings to the parents and hence an amount of

₹3,75,000/- along with 6% interest was granted to the claimant.

13.1. In Kajal (Supra) a young girl suffered serious

injuries resulting in damage to her brain. According to the

medical report produced, due to the head injury sustained she

was left with a very low IQ and severe weakness in all her four

limbs. She had severe hysteria and urinary incontinence. Her

disability was assessed as 100%. One of the members of the

Medical Board who had issued the disability certificate deposed

before the Tribunal that as per the assessment done, her I.Q. was

less than 20% of a child of her age and her social age was only of

a 9 month old child. This meant that Kajal while lying on the bed

would grow up to be an adult with all the physical and biological

attributes which a woman would get on attaining adulthood,

including menstruation etc., but her mind would remain of a 9

month old child and she would never understand what was
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happening all around her. Hence, in such circumstances, it was

held that it was a case where departure had to be made from the

normal rule as the pain and suffering suffered by the child was

such that no amount of compensation would be able to

compensate it.

13.2. In Master Ayush (Supra) the victim was a 5

year old child who was rendered paraplegic due to the accident

after having suffered grievous injuries. He was unable to move

both his legs and had complete sensory loss in both legs, urinary

incontinence, bowel constipation and bed sores. He had lost his

childhood and was dependent on others for his routine work.

Hence compensation was accordingly granted.

13.3. In Mujeeb Rahman A.P. (Supra) a learned

Single Judge of this Court was dealing with the case of death of a

minor child. In the said case the argument advanced by the

insurer that the principle laid down by the Apex Court in Kajal

and Master Ayush could not be applied since those cases were

concerning the determination of disability compensation payable
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to a minor child on account of 100% permanent disability and

were lying in a vegetative state, was rejected. It was held that as

the claim arises on account of the death of a minor, the Court

cannot remain oblivious of the fact that non application of the

principle as laid down in Kajal and Master Ayush would lead to

a clear disparity and would create two classes of claimants. In

one class, the victim would be lying in a paraplegic stage and in

the other, the claimants would be imbedded in profound grief

over the death of their child but cannot claim parity in

compensation. In cases of permanent disability, when it is

permissible for the Tribunal and courts to apply the multiplier

system even if the claimant is a minor, to hold that the multiplier

system cannot apply while considering the claim for

compensation on account of death of a minor defies logic and

does not find support of law. In the light of the dictum in Angad

Tiwari v. National Insurance Company Ltd., 2024 KHC

8590, the learned Single Judge concluded that in a case of death

of a minor child, the application of the table formulated in
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National Insurance Company v. K.K.Assainar, 2019 (4) KLT

39 cannot be applied in view of the decision in Kajal (Supra);

Master Ayush (Supra) and Angad Tiwari (Supra). Therefore, it

was held that while calculating the notional income of the

deceased minor child in a claim under Section 166 of the Act, the

notification issued by the State of Kerala in terms of the

provisions contained in the Minimum Wages Act in respect of a

skilled worker has to be applied. The Tribunals throughout the

State have been directed to apply the multiplier system by fixing

the multiplicand in accordance with the notification issued under

the Minimum Wages Act, 1948 while considering a claim

petition under Section 166 of the Act on account of death of a

minor child.

14. Apparently, the facts of the aforesaid cases

relied on by the learned counsel for the claim petitioner cannot be

applied to the facts of the case on hand in the light of the injuries

sustained by the claim petitioner herein. As held in Master

Mallikarjun (Supra) if the disability is above 10% and upto 30%
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of the whole body, the amount of compensation to be awarded is

₹3,00,000/-. As per Ext.A9 the whole body disability caused is

13% and, therefore, the claim petitioner will be entitled to an

amount of ₹3,00,000/- as compensation under this head.

15. The impugned Award is modified to the

following extent :

  Sl.        Head of        Amount        Amount       Modified    in
  No.        claim          claimed       Awarded      appeal
                                         by Tribunal
    1     Loss of              --            --             --
          earning                                          (No
                                                       modification)
    2    Transportation     ₹10,000/-     ₹2,000/-       ₹2,000/-
         expenses                                          (No
                                                       modification)
    3     Extra             ₹5,000/-      ₹5,500/-       ₹5,500/-
          nourishment                                      (No
                                                       modification)
    4     Damage to         ₹10,000/-      ₹500/-        ₹500/-
          clothing                                         (No
                                                       modification)
    5     Medical           ₹50,000/-     ₹3,000/-       ₹3,000/-
          expenses                                         (No
                                                       modification)
    6     Bystander's       ₹5,000/-         --             --
          expenses                                         (No
                                                       modification)
    7      Pain and         ₹50,000/-        --             --
          sufferings                                       (No
                                                       modification)
    8     Loss of          ₹1,50,000/-       --              --
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          amenities                                        (No
          and                                          modification)
          enjoyment in
          life
    9    Permanent         ₹30,000/-     ₹1,00,000/-    ₹3,00,000/-
         disability
    10 Discomfort,             --        ₹20,000/-      ₹20,000/-
       inconvenience                                       (No
       and loss of                                     modification)
       earning to the
       parents
          Total            ₹3,10,000/-   ₹1,31,000/-    ₹3,31,000/-



In the result, the appeal is allowed by enhancing the

compensation by a further amount of ₹2,00,000/- (total

compensation ₹3,31,000/-, that is, ₹1,31,000/- granted by the

Tribunal + ₹2,00,000/- granted in appeal) with interest at the rate

of 8% per annum from the date of petition till date of realization

(excluding the period of 168 days delay in filing the appeal) and

proportionate costs. The third respondent/insurance company is

directed to deposit the compensation with interest and costs

before the Tribunal within a period of 60 days from the date of

receipt of a copy of the judgment. On deposit of the

compensation amount, the Tribunal shall disburse the amount to
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the claim petitioner at the earliest in accordance with law after

making deductions, if any.

Interlocutory applications, if any pending, shall stand

closed.

SD/-

C.S. SUDHA
JUDGE

ak

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