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New India Assurance Co. v. Senthil Kumar

Madras High Court
Nov 20, 2008
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Judicial Opinion — Structured Summary

Factual and Procedural Background

Two Civil Miscellaneous Appeals were filed against an award dated 21.09.2001 in M.C.O.P. No. 1003 of 1998 before the Motor Accidents Claims Tribunal (II Judge, Small Causes Court), Chennai.

C.M.A. No. 1485 of 2002 was filed by New India Assurance Company seeking reduction of the compensation granted by the Tribunal. C.M.A. No. 1545 of 2002 was filed by the injured claimant, Senthilkumar, seeking enhancement.

The accident occurred on 21.10.1997 at Anna Salai, Chennai. The claimant, age 24 and employed at ESI Hospital, was struck by a van (TN-07-F-9072) and sustained spinal fracture and compression diagnosed as paraplegic injury. He was in hospital as an inpatient for approximately 399 days across several admissions and claimed amended compensation of Rs. 25,35,000/- (originally Rs. 12,00,000/-).

The claimant led witnesses and documentary evidence (Exs. A-1 to A-17) including discharge summaries, medical bills, disability certificate (Ex. A-12) and salary/leave/service certificates. The insurer led no oral or documentary evidence.

The Tribunal awarded Rs. 8,53,000/- with interest at 9% p.a. on various heads (transport, nourishment, attender charges, medical expenses, loss of earning power, pain and suffering, disability assessed at 100%, etc.). The insurer challenged only the quantum; negligence and liability were not disputed by the insurer.

Legal Issues Presented

  1. Whether the quantum of compensation awarded by the Tribunal was excessive and required reduction (as contended by the insurer) or required enhancement (as contended by the claimant).
  2. Whether compensation could be awarded under both (a) loss of earning power and (b) disability in view of the Full Bench decision in Cholan Roadways Corporation Ltd. v. Ahmed Thambi.
  3. Whether the Tribunal's computation of future loss should adopt the multiplier method and, if so, the appropriate multiplier to apply for a 24‑year‑old claimant assessed with 100% disability and earning Rs. 3,000 per month at the time of accident.
  4. Whether certain specific heads (medical expenses as per bills, attender charges split into two heads, loss of expectation of life, pain and suffering/mental agony) required adjustment in light of record and applicable principles.

Arguments of the Parties

Appellant (New India Assurance Company) — Arguments

  • Conceded negligence and insurance liability but contested the quantum awarded by the Tribunal.
  • Relied on the Full Bench decision in Cholan Roadways Corporation Ltd. v. Ahmed Thambi to argue that compensation under both loss of earning power and disability cannot be simultaneously awarded.
  • Contended that medical expenses were overstated: actual payable as per bills was Rs. 2,85,000/- (not Rs. 3,35,500/-) because an advance had been included and should be deducted.
  • Argued that the Tribunal's separate awards for loss of marital prospects and loss of expectation of life were excessive and overlapping; loss of expectation of life (Rs. 25,000/-) could not be justified in addition to loss of marital prospects (Rs. 25,000/-).
  • Submitted that multiplier method should be adopted for future loss of income and, applying multiplier 15 to monthly income of Rs. 3,000/-, the claimant's loss of earning power should be Rs. 5,40,000/- (Rs. 3,000 × 12 × 15). Sought modification/reduction of the award accordingly.

Respondent (Injured Claimant) — Arguments

  • Claimant's counsel emphasized that the claimant is totally immobile and paraplegic, requiring a lifetime attender and ongoing medical attention.
  • Sought enhancement of the Tribunal's award to address the grievous nature of injury and future care needs.

Table of Precedents Cited

Precedent Rule or Principle Cited For Application by the Court
Cholan Roadways Corporation Ltd. v. Ahmed Thambi (Full Bench) — 2006 (4) C.T.C. 433 = 2006-3-L.W. 1025 (F.B.) Establishes that compensation under two heads — loss of earning power and disability — cannot both be granted (i.e., disallowing double recovery under these two heads). The Court relied on this Full Bench decision to hold that compensation cannot be granted both for loss of earning power and separately for disability; consequently the Tribunal's award under the disability head (Rs. 1,00,000/-) was set aside and the multiplier method was applied to compute loss of earning power.
United India Insurance Co. Ltd. v. Veluchamy — 2005 ACJ 1483 Sets out parameters and principles for when the multiplier method may be adopted in injury/permanent disablement cases (factors include nature/extent of disablement, avocation, effect on employment/earning power). The Court applied these parameters to conclude that multiplier method could be appropriate in this case (paraplegia, 100% disability, loss of employment capacity) and used the guidance to select an appropriate multiplier based on facts (age, nature of injury, evidence of total loss of employment/avocation).
General Manager, Kerala State Road Transport Corporation v. Susamma Thomas & Ors. — (1994) 1 ACC 346 (SC) = AIR 1994 SC 1631 Affirms that the multiplier method is the proper method for capitalising future loss of dependency/earning capacity, explains rationale for multiplier and cautions against aggregate methods; discusses how to choose/scale multiplier. The Court invoked the Supreme Court's exposition to justify using the multiplier method as the accepted approach and to guide selection of the multiplier. Using that reasoning and the claimant's young age, the Court adopted multiplier 15 to compute future loss of income.

Court's Reasoning and Analysis

The Court's analysis proceeded in a stepwise manner, grounded in the evidence and the cited precedents:

  1. Nature of injury and medical assessment: The claimant suffered fracture and compression of the spinal cord diagnosed as paraplegic injury; Ex. A-12 assessed disability at 100% and this assessment was not disputed. Given the grievous and permanent nature of the injury, the claimant would require lifelong attendant care and continued medical attention.
  2. Applicability of multiplier method and prohibition of double recovery: Relying on the Full Bench decision in Cholan Roadways, the Court held that compensation under both loss of earning power and disability cannot be awarded together. Because the disability was established at 100% and the evidence supported a complete loss of earning capacity, the multiplier method was appropriate to quantify future loss of income.
  3. Selection of multiplier and its computation: Applying the principles in United India Insurance v. Veluchamy and the Supreme Court's guidance in Susamma Thomas about the multiplier method, the Court considered the claimant's age (24), monthly income (Rs. 3,000) and total disability, and adopted multiplier 15. The calculation for loss of earning power: Rs. 3,000 × 12 × 15 = Rs. 5,40,000/-. The insurer's suggested figure based on multiplier 15 was accepted as the appropriate assessment for loss of earning power.
  4. Adjustment of specific heads:
    • Medical expenses: The claimant's counsel did not dispute that an advance should be deleted. The Court accepted that the actual medical bills amounted to Rs. 2,85,000/- (not Rs. 3,35,500/-) and reduced the award on this head accordingly.
    • Attender charges: The Tribunal had separately awarded Rs. 60,000/- and Rs. 15,000/- for different periods. The Court treated attender charges as a single component for lifelong care and adjusted the combined award to Rs. 50,000/-.
    • Loss of expectation of life and loss of marital prospects: The Tribunal had granted Rs. 25,000/- for loss of marital prospects and an additional Rs. 25,000/- for loss of expectation of life. The Court found the latter duplicative/unjustified in the circumstances and set aside the Rs. 25,000/- awarded for loss of expectation of life.
    • Pain and mental suffering: The Tribunal had awarded Rs. 60,000/- for pain and Rs. 15,000/- for mental agony (total Rs. 75,000/-). Considering other awards (including an adequate award for loss of earning power), the Court reduced the combined award for pain and mental agony to Rs. 40,000/-.
    • Transport and extra nourishment: Transport expenses were increased from Rs. 7,500/- to Rs. 10,000/- given prolonged treatment; extra nourishment (Rs. 10,000/-) was confirmed.
  5. Net result of modifications:
    • The Tribunal's total award of Rs. 8,53,000/- was modified in various heads leading to a revised total of Rs. 9,60,000/-.
    • Interest: The Court confirmed interest at 9% on the original award because of the timing (accident 1997, award 2001). However, the enhanced portion (the increase of Rs. 1,07,000/-) was ordered to carry interest at 7.5% per annum from the date of the claim petition until deposit.
    • Practical directions: The insurance company was given eight weeks to deposit the enhanced compensation; it stated that the full award had previously been deposited and that the claimant had been permitted to withdraw 50% by earlier order. The claimant was entitled to withdraw the balance in court deposit and would be entitled to withdraw the enhanced portion upon deposit by the insurer.

Holding and Implications

Core Rulings:

  • C.M.A. No. 1485 of 2002 (by insurer): Dismissed. The insurer's appeal for reduction of the award was not allowed; there was no order as to costs.
  • C.M.A. No. 1545 of 2002 (by claimant): Allowed in part. The Tribunal's award was enhanced from Rs. 8,53,000/- to Rs. 9,60,000/-. The enhanced amount of Rs. 1,07,000/- will carry interest at 7.5% p.a. from the date of the claim petition until deposit. The insurer was granted eight weeks to deposit the enhanced amount. The claimant may withdraw the balance in court deposit and, after deposit by the insurer, the enhanced compensation.

Implications:

  • The Court applied established precedent to prohibit double recovery for both disability and loss of earning power; consequently, awards must be structured to avoid duplication between these heads where both are claimed and full disability is proved.
  • The multiplier method remains the accepted approach for quantifying future loss of earnings in injury cases where it is appropriate; the Court applied the parameters set out in United India Insurance v. Veluchamy and the Supreme Court's guidance in Susamma Thomas to adopt multiplier 15 given the claimant's age and total disability.
  • The immediate practical effect is an upward modification of the Tribunal's award to Rs. 9,60,000/- with specified interest and deposit directions. The opinion does not purport to create any new legal precedent beyond applying and following existing Full Bench and Supreme Court authorities.

No other legal or procedural directives beyond those summarized above were issued. There was no separate order as to costs in either result.

Show all summary ...

Both the above appeals have been filed against the award dated 21.9.2001 passed in M.C.O.P No. 1003 of 1998 on the file of the Motor Accidents Claims Tribunal (II Judge, Small Causes Court), Chennai.

2. C.M.A No. 1485 of 2002 has been filed by the New India Assurance Company, challenging the award seeking reduction in the compensation.

3. C.M.A No. 1545 of 2002 has been filed by the injured claimant seeking enhancement of the compensation.

4. It is a case of injury. The brief facts of the case are as follows:— The accident in this case happened on 21.10.1997 The injured claimant Senthilkumar, aged 24 years, employed in ESI Hospital, K.K Nagar, was about to cross the road at Anna Salai, near Pay & Accounts Office, Chennai. He was hit by a van TN-07-F-9072 driven by its driver in a rash and negligent manner. In that accident he suffered fracture and injuries as follows:—

“Fracture and Compression of spinal chord which has been diagnosed as paraplegic injury.”

A sum of Rs. 12 lakhs was originally claimed as compensation and subsequently amended to Rs. 25,35,000/- stating that the disability suffered by the injured claimant is 100%. According to the injured claimant, he was treated in the Government Hospital as inpatient from 21.10.1997 to 13.2.1998 and thereafter from 13.2.1998 to 8.6.1998 On the third occasion he was treated at Sri Ramachandra Hospital from 8.6.1998 to 13.11.1998 He was treated for nearly 399 days as inpatient.

5. In support of the claim, the injured claimant Senthilkumar was examined as P.W 1. P.W 2 is the claimant in another case relating to the same accident. P.W 3 is the mother of the injured claimant. P.W 4 is the co-worker of the injured claimant. P.W 5 is Dr. Thiagarajan, who assessed the disability of the injured claimant. P.W 6 is the Inspector of Police. P.W 7 is the employer of ESI Corporation. Exs. A-1 to A-17 were marked as detailed below:—

Exs. A-1 to A-3 are the discharge summaries,

Ex. A-4 series are the medical bills,

Ex. A-5 is the doctor's estimate,

Ex. A-6 is the salary certificate,

Ex. A-7 is the leave certificate,

Ex. A-8 is the F.I.R,

Ex. A-9 is the sketch,

Ex. A-10 is the O.P Chit,

Ex. A-11 is the service certificate of P.W 4, Sanjeevi,

Ex. A-12 is the disability certificate of the injured claimant,

Ex. A-13 is the disability certificate of Padhmini, the claimant in another case,

Ex. A-14 is the details of leave certificate,

Ex. A-15 is the letter from medical department,

Ex. A-16 is the certificate stating that the claimant cannot work and Ex. A-17 is the certificate for retirement from service.

No oral or documentary evidence was let in on behalf of the insurance company.

6. As per the evidence of the doctor supported by medical records and Ex. P-12 disability certificate, it is assessed at 100% and also taking into consideration the age, occupation, nature of injury, period of treatment and the treatment given, the Tribunal granted the following amounts as compensation with interest at 9% per annum:—

Sl. No. Heads Amount granted by the Tribunal 1 Transport to hospital expenses Rs. 7,500/- 2 Extra nourishment Rs. 10,000/- 3 Attender charges (for helping the injured claimant in daily work) Rs. 60,000/- 4 Attender charges (for helping the injured claimant in attending daily duties) Rs. 15,000/- 5 Mental agony Rs. 15,000/- 6 Medical expenses Rs. 3,35,500/- 7 Loss of marital prospects Rs. 25,000/- 8 Loss of expectation of life Rs. 25,000/- 9 Loss of earning power Rs. 2,00,000/- 10 Pain and suffering Rs. 60,000/- 11 Disability assessed at 100% Rs. 1,00,000/- Total Rs. 8,53,000/-

7. The insurance company has filed the appeal C.M.A No. 1485 of 2002 stating that the compensation granted in this case is erroneous and has to be reduced and modified.

8. The finding of negligence on the part of the driver of the van and the liability of the insurance company to compensate the claimant is not disputed by the counsel appearing for the insurance company, the only contention raised by the counsel for the insurance company is with regard to the quantum of compensation.

9. According to the counsel appearing for the insurance company, the sum of Rs. 2,00,000/- granted towards loss of earning power and Rs. 1,00,000/- granted towards disability cannot be granted in view of the Full Bench decision of this Court in Cholan Roadways Corporation Ltd. v. Ahmed Thambi reported in 2006(4)C.T.C 433 = 2006-3-L.W. 1025(F.B). Further, there is an error in compensation granted based on the medical bills in a sum of Rs. 3,35,500/-. The actual amount payable to the injured claimant is Rs. 2,85,000/- only as per bills. An excess amount is granted which is relatable to the advance paid and it has to be deducted. He pleaded that the Tribunal granted substantial amount towards loss of marital prospects and therefore, the sum of Rs. 25,000/- granted towards loss of expectation of life cannot be justified. For pain and suffering higher amount has been granted. He further pleaded that in this case multiplier method can be adopted and the compensation granted under disability has to be set aside. If multiplier method is adopted, at best, the claimant will be entitled to Rs. 5,40,000/- (Rs. 3,000/- × 12 × 15 = Rs. 5,40,000/-) towards loss of earning power, besides compensation on other heads. Hence, he sought for modification of the award.

10. Learned counsel for the injured claimant, who filed C.M.A No. 1545 of 2002 for enhancement of compensation stated that the injured claimant is totally immobile and paraplegic and therefore, he needs the support of an attender throughout his lifetime. He needs constant medical attention in future. She, therefore, prayed enhancement of the award amount.

11. In this case, the injured claimant suffered fracture and compression of the spinal chord and has been diagnosed as a paraplegic injury. According to Webster Dictionary paraplegic means “complete paralysis of the lower half of the body usually resulting from damage to the spinal chord”. The disability assessed in this case under Ex. A-12 is 100% and that is not in dispute. Therefore, adopting multiplier method will be appropriate. In view of the Full Bench decision in Cholan Roadways Corporation, compensation under two heads, viz., loss of earning power and for disability cannot be granted.

12. In so far as the medical expenses is concerned, it is not disputed by the claimant's counsel that the amount paid as advance should be deleted and the actual amount as per medical bills is Rs. 2,85,000/- and not Rs. 3,35,500/-. Therefore, the amount granted for medical expenses has to be modified.

13. In view of the grievous nature of the injury, the injured claimant would require an attender for the rest of his life. The Tribunal has granted a sum of Rs. 60,000/- and Rs. 15,000/- separately. Whether it is during the period of treatment or after the treatment, the compensation towards attender charges has to be granted as one component. Therefore, the sum of Rs. 60,000/- and Rs. 15,000/- has to be suitably modified under one head as compensation towards attender charges. Keeping in mind the expenses which occur for taking care of the injured claimant, the claimant is granted a sum of Rs. 50,000/- towards attender charges as one component.

14. The Tribunal has granted a sum of Rs. 25,000/- towards loss of marital prospects. Therefore, the grant of further sum of Rs. 25,000/- towards loss of expectation of life cannot be justified. Accordingly, the said sum of Rs. 25,000/- granted towards loss of expectation of life is set aside.

15. There is no dispute that the injured claimant was earning Rs. 3,000/- per month. The age of the injured claimant was 24 years at the time of accident. The injured claimant suffered 100% disability.

16. The Division Bench of this Court in United India Insurance Co. Ltd. v. Veluchamy reported in 2005 ACJ 1483 sets out the parameters as to when the multiplier method can be adopted in the case of injury. In Paragraph 11 of the decision reads thus:—

“11. The following principles emerge from the above discussion:

(a) In all cases of injury or permanent disablement ‘multiplier method’ cannot be mechanically applied to ascertain the future loss of income or earning power.

(b) It depends upon various factors such as nature and extent of disablement, avocation of the injured and whether it would affect his employment or earning power, etc. and if so, to what extent?

(c) (1) If there is categorical evidence that because of injury and consequential disability, the injured lost his employment or avocation completely and has to be idle for the rest of his life, in that event loss of income or earnings may be ascertained by applying the ‘multiplier method’ as provided under the Second Schedule to Motor Vehicles Act, 1988.

(2) Even so there is no need to adopt the same period as that of fatal cases as provided under the Schedule. If there is no amputation and if there is evidence to show that there is likelihood of reduction or improvement in future years, lesser period may be adopted for ascertainment of loss of income.

(d) Mainly it depends upon the avocation or profession or nature of employment being attended by the injured at the time of accident.”

17. The choice of multiplier will depend upon the facts and circumstances of each case. The Apex Court in General Manager, Kerala State Road Transport Corporation v. Susamma Thomas and others reported in (1994)1 ACC 346 (SC) = AIR 1994 SC 1631 has broadly summarized the position in paragraph 11, which reads as follows:—

“11. It is necessary to reiterate that the multiplier method is logically sound and legally well-established. There are some cases which have proceeded to determine the compensation on the basis of aggregating the entire future earnings for over the period the life expectancy was lost, deducted a percentage therefrom towards uncertainties of future life and awarded the resulting sum as compensation. This is clearly unscientific. For instance, if the deceased was, say, 25 years of age at the time of death and the life expectancy is 70 years, this method would multiply the lost of dependency for 45 years-virtually adopting a multiplier of 45-and even if one-third or one-fourth is deducted therefrom towards the uncertainties of future life and for immediate lump sum payment, the effective multiplier would be between 30 and 34. This is wholly impermissible. We are aware that some decisions of the High Courts and of this court as well have arrived at compensation on some such basis. These decisions cannot be said to have laid down a settled principle. They are merely instances of particular awards in individual cases. The proper method of computation is the multiplier method. Any departure, except in exceptional and extraordinary cases, would introduce inconsistency of principle, lack of uniformity and an element of unpredictability and an element of unpredictability for the assessment of compensation. Some judgments of the High Courts have justified a departure from the multiplier method on the ground that section 110-B of the Motor Vehicles Act, 1939, in so far as it envisages the compensation to be ‘just’, the statutory determination of a ‘just’ compensation would unshackle the exercise from any rigid formula. It must be borne in mind that the multiplier method is the accepted method of ensuring a ‘just’ compensation which will make for uniformity and certainty of the awards. We disapprove these decisions of the High Courts which have taken a contrary view. We indicate that the multiplier method is the appropriate method, a departure from which can only be justified in rare and extraordinary circumstances and very exceptional cases.

The multiplier represents the number of years' purchase on which the loss of dependency is capitalised. Take, for instance, a case where annual loss of dependency is Rs. 10,000/-. If a sum of Rs. 1,00,000/- is invested at 10 per cent annual interest, the interest will take care of the dependency perpetually. The multiplier in this case works out to 10. If the rate of interest is 5 per cent per annum and not 10 per cent, then the multiplier needed to capitalise the loss of the annual dependency at Rs. 10,000/- would be 20. Then the multiplier, i.e, the number of years' purchase of 20 will yield the annual dependency perpetually. Then allowance to scale down the multiplier would have to be made taking into account the uncertainties of the future, the allowances for immediate lump sum payment, the period over which the dependency is to last being shorter and the capital feed also to be spent away over the period of dependency is to last, etc. Usually in English courts the operative multiplier rarely exceeds 16 as maximum. This will come down accordingly as the age of the deceased person (or that of the dependents, whichever is higher) goes up.”

18. Considering the young age of the injured claimant, if multiplier 15 is adopted the injured claimant will be entitled to a sum of Rs. 5,40,000/- (Rs. 3,000/- × 12 × 15 = Rs. 5,40,000/-) towards loss of income due to the injury.

19. Due to the prolonged period of hospitalisation and also the mental agony undergone by the injured claimant, suitable compensation is to be granted. A sum of Rs. 60,000/- towards pain and suffering and a sum of Rs. 15,000/- towards mental agony, totally Rs. 75,000/- has been granted. Adequate compensation has been granted for loss of earning power. Therefore, as against the sum of Rs. 75,000/-, the sum of Rs. 40,000/- is granted towards pain and suffering and mental agony.

20. The sum of Rs. 7,500/- granted towards transport expenses is enhanced to Rs. 10,000/- considering the long period of treatment. The sum of Rs. 10,000/- granted for extra nourishment is confirmed as the health of the injured claimant is affected due to the spinal chord injury.

21. Accordingly, the compensation granted by the Tribunal is modified as follows:—

Sl. No. Heads Amount granted by the tribunal Amount granted by this Court 1 Transport to hospital expenses Rs. 7,500/- Rs. 10,000/- 2 Extra nourishment Rs. 10,000/- Rs. 10,000/- 3 Attender charges (for helping the injured claimant in daily work) Rs. 60,000/- — 4 Attender charges (for helping the injured claimant in attending daily duties) Rs. 15,000/- — 5 Attender charges — Rs. 50,000/- 6 Mental agony Rs. 15,000/- — 7 Pain and suffering Rs. 60,000/- — 8 Pain and suffering and mental agony — Rs. 40,000/- 9 Medical expenses Rs. 3,35,500/- Rs. 2,85,000/- 10 Loss of marital prospects Rs. 25,000/- Rs. 25,000/- 11 Loss of expectation of life Rs. 25,000/- — 12 Loss of earning power Rs. 2,00,000/- Rs. 5,40,000/- 13 Disability assessed at 100% Rs. 1,00,000/ — Total Rs. 8,53,000/- Rs. 9,60,000/-

22. The interest granted at 9% stands confirmed as the accident in this case happened in the year 1997 and the award is of the year 2001. However, the enhanced compensation of Rs. 1,07,000/- will suffer interest at 7.5% per annum from the date of claim petition till date of deposit.

23. Counsel appearing for the insurance company states that as per order dated 16.9.2002 passed in C.M.P No. 11428 of 2002 entire award amount has been deposited and the claimant was permitted to withdraw 50% of the award amount as per order dated 15.11.2002, He prays eight weeks' time to deposit the enhanced compensation and is granted.

24. C.M.A No. 1485 of 2002: In the result, the Civil Miscellaneous Appeal No. 1485 of 2002 filed by the insurance company is dismissed. There will be no order as to costs.

25. C.M.A No. 1545 of 2002:— In the result, the Civil Miscellaneous Appeal No. 1545 of 2002 filed by the injured claimant is allowed in part as follows:—

(i) The award of the Tribunal is enhanced to Rs. 9,60,000/- from Rs. 8,53,000/-.

(ii) The enhanced amount of compensation of Rs. 1,07,000/- will suffer interest at 7.5% per annum from the date of claim petition till date of deposit.

(iii) The insurance company is granted eight weeks' time to deposit the enhanced award amount with interest.

(iv) The claimant is entitled to withdraw the balance compensation lying in court deposit. Further, he is also entitled to withdraw the enhanced compensation as determined by this Court on deposit by the insurance company.

(v) There shall be no order as to costs.

VCJ/VCS