Bombay High Court's Crucial Ruling on Motor Accident Claim with 'Pay and Recover' Order. High Court directs Cholamandalam Insurance to compensate the victim's family, upholding the Motor Accident Tribunal’s award with minor modifications.


Summary of Judgement

The case revolves around an appeal filed by Cholamandalam M.S. General Insurance Co. Ltd. against an award granted by the Motor Accident Claims Tribunal (MACT) in Pune. The tribunal had awarded ₹50.60 lakh to the widow and parents of the deceased, who was killed in a motorcycle accident involving a dumper. The High Court upheld the tribunal's decision, enforcing the "pay and recover" mechanism, where the insurance company would pay compensation to the claimants and recover it from the owner of the dumper due to a lack of valid license and permit. The compensation was marginally modified to ₹1.2 crores after recalculating the loss of income and managerial loss, with interest.

1. Background:

The case arose from a motor accident on January 16, 2014, where Prabin Kumar, riding his motorcycle, was hit by a dumper. He died due to multiple injuries sustained from the crash. His widow (Respondent No. 1) filed a claim under Section 166 of the Motor Vehicles Act, seeking compensation.

2. Insurance Appeal:

Cholamandalam M.S. General Insurance Co. Ltd., the appellant, challenged the award granted by MACT, arguing that the driver of the dumper did not possess a valid license or fitness certificate at the time of the accident. The insurer's appeal focused on the quantum of the compensation rather than the accident's liability.

3. Tribunal’s Decision:

The tribunal had directed the insurance company to pay the compensation but allowed it to recover the amount from the dumper's owner due to the breach of policy. It awarded ₹50.60 lakh with 7.5% interest, which was to be apportioned among the widow and the deceased’s parents.

4. Income Calculation:

The insurance company argued that the tribunal wrongly calculated the loss of income by not deducting personal expenses and applying a higher managerial loss. The widow countered, seeking enhancement of compensation, contending that the deceased's full income from his business should have been considered.

5. High Court Judgment:

After hearing both sides, the High Court made minor modifications:

  • The total loss of income was recalculated, including managerial loss and future prospects, leading to a revised compensation of ₹1.2 crores.
  • The court upheld the 'pay and recover' order, allowing the insurance company to recover the amount from the vehicle owner due to policy breaches.
  • 60% of the compensation was granted to the widow and 40% to the deceased’s parents, with provisions for part of the amount to be invested in fixed deposits.

Acts and Sections Discussed:

  1. Motor Vehicles Act, 1988 (Section 166): Deals with compensation claims in motor vehicle accidents.
  2. Section 173 of the Motor Vehicles Act: Relates to appeals against Motor Accident Claims Tribunal awards.
  3. Judicial Precedents: Various Supreme Court judgments on calculating compensation and considering loss of income, including K. Ramya v. National Insurance and Pranay Sethi case, were referred to.

Ratio Decidendi:

The court balanced the claimant's rights and the insurer's liability. It was established that while the insurance company was obligated to pay the claimants under the "pay and recover" principle, it could recover the sum from the vehicle owner due to the lack of a valid license. The court also reiterated that future prospects and managerial losses must be considered while calculating compensation for a deceased's dependents.


Subjects:

  • Motor Accident Claims
  • Pay and Recover Order
  • Compensation Law
  • Insurance Appeals

The Judgement

Case Title: Cholamandalam M. S. General Insurance Co. Ltd. Through its Manager Versus Smt. Poonam Gupta

Citation: 2024 LawText (BOM) (10) 105

Case Number: FIRST APPEAL NO. 596 OF 2023 WITH CROSS OBJECTION (ST) NO. 6039 OF 2023 WITH INTERIM APPLICATION NO. 7177 OF 2024 IN FIRST APPEAL NO. 596 OF 2023

Date of Decision: 2024-10-10