AMICUS AI
Citation Codes
Equivalent Citations
citation codes
Case Number
Disposition
Judges
Acts
  • Building and other Construction Workers Welfare Cess Act, 1966
  • Workmen's Compensation Act, 1923
  • Section 166 of the Act
  • Section 166 of the Motor Vehicles Act, 1988
  • the 1983 Income Tax Act
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Cites
Cited by
Citation Codes
Equivalent Citations
citation codes
Case Number
Disposition
Judges
Acts
  • Building and other Construction Workers Welfare Cess Act, 1966
  • Workmen's Compensation Act, 1923
  • Section 166 of the Act
  • Section 166 of the Motor Vehicles Act, 1988
  • the 1983 Income Tax Act
Smart Summary

Factual and Procedural Background

The first appellant suffered severe head injuries in a road accident on 31-12-2003 while riding his bicycle along the Alappuzha-Kollam Highway. A claim petition under Section 166 of the Motor Vehicles Act, 1988 was filed before the Motor Accidents Claims Tribunal, Alappuzha. In its award dated 20-01-2009, the Tribunal found rash and negligent driving on the part of the offending vehicle (KL-02-9779), assessed permanent disability at 50 %, and granted a total compensation of Rs 4,00,000.

Dissatisfied, the victim and his wife appealed to the High Court of Kerala. On 16-03-2017 the High Court, noting that the appellant was “virtually lying as a vegetable”, enhanced disability to 100 %, fixed notional monthly income at Rs 3,500, applied multiplier 16, and awarded an additional Rs 4,47,000 with interest at 9 % p.a.

The present civil appeal before the Supreme Court is by the victim and his wife seeking further enhancement of compensation.

Legal Issues Presented

  1. Whether the High Court erred in omitting any addition towards loss of future prospects while computing loss of future earnings for a claimant with 100 % disability.
  2. Whether the multiplier of 16 (applied by the High Court) or 17 (applied by the Tribunal) is appropriate given the claimant’s age.
  3. Whether additional amounts are payable for continuous caregiver/attendant charges and future medical treatment.
  4. Whether any deduction should be made for alleged contributory negligence or receipt of benefits under other welfare statutes.

Arguments of the Parties

Appellants’ Arguments

  • The victim remains totally incapacitated; compensation awarded is inadequate.
  • An addition for loss of future prospects is mandatory under Pranay Sethi (2017) 16 SCC 680.
  • Multiplier 17, as taken by the Tribunal, should be retained.
  • Separate and substantial compensation is required for a full-time caregiver and future medical expenses.

Respondent Insurance Company’s Arguments

  • Contended contributory negligence, alleging the victim was under the influence of alcohol and sought a 50 % reduction.
  • Questioned fixation of monthly income at Rs 3,500 relying on Ramachandrappa (2011) 13 SCC 236.
  • Suggested the claimant might have already received benefits under other welfare statutes.
  • Opposed attendant charges, asserting no documentary proof of such expenses.

Table of Precedents Cited

Precedent Rule or Principle Cited For Application by the Court
Ramachandrappa v. Royal Sundaram Alliance Insurance Co. Ltd., (2011) 13 SCC 236 Guidelines for determining income of a daily wager. Cited by insurer to dispute Rs 3,500 monthly income; Court declined to disturb High Court’s factual finding.
Arvind Kumar Mishra v. New India Assurance Co. Ltd., (2010) 10 SCC 254 Concept of “just compensation”. Referenced by insurer; Court found no merit to reduce compensation on that basis.
National Insurance Co. Ltd. v. Kusuma, (2011) 13 SCC 306 Assessment of compensation in accident claims. Invoked by insurer; not accepted for reduction.
Mohan Soni v. Ram Avtar Tomar, (2012) 2 SCC 267 Disability must be linked to nature of claimant’s work. Court noted Tribunal and High Court had already followed this approach.
Priya Vasant Kalgutkar v. Murad Shaikh, (2009) 15 SCC 54 Computation of compensation for minors. Court held ratio inapplicable to present facts.
National Insurance Co. Ltd. v. Pranay Sethi, (2017) 16 SCC 680 Standardisation of future prospects addition (40 % for self-employed below 40 years). Basis for adding 40 % to income while calculating loss of future earnings.
Parminder Singh v. New India Assurance Co. Ltd., (2019) 7 SCC 217 50 % addition for future prospects in 100 % disability cases; possibility of lump-sum attendant charges. Court applied the methodology but chose 40 % addition (self-employed) and adopted lump-sum caregiver award.
Sanjay Verma v. Haryana Roadways, (2014) 3 SCC 210 Future prospects in injury cases. Supported view that future prospects can be added even when claimant survives with disability.
Sarla Verma v. DTC, (2009) 6 SCC 121 Multiplier table based on age. Multiplier 16 applied for age 35–40 years.
Kajal v. Jagdish Chand, (2020) 4 SCC 413 High quantum for pain, suffering and attendant charges in 100 % disability of a minor. Used for guidance; Court nonetheless fixed lower but substantial amounts suited to facts.
Mallikarjun v. National Insurance Co. Ltd., (2014) 14 SCC 396 Compensation for pain and suffering of minors. Referenced by appellants; Court distinguished on facts.
Raj Kumar v. Ajay Kumar, (2011) 1 SCC 343 When 100 % loss of earning capacity is awarded, separate award for loss of amenities may be nominal. Court reduced loss of amenities from Rs 40,000 to Rs 10,000 following this guidance.

Court's Reasoning and Analysis

1. Monthly Income: The Supreme Court accepted the High Court’s factual determination of Rs 3,500 per month, finding no reason to interfere.

2. Future Prospects: Relying on Pranay Sethi, the Court held that self-employed victims under 40 years are entitled to a 40 % addition to income. Applying this, monthly income became Rs 4,900 (3,500 + 40 %).

3. Multiplier: Guided by Sarla Verma, multiplier 16 (age bracket 35-40) was affirmed; plea for multiplier 17 was rejected.

4. Loss of Future Earnings: Annual income of Rs 58,800 (4,900 × 12) multiplied by 16 gave Rs 9,40,800. Because disability is 100 %, no deduction for personal expenses was made.

5. Caregiver & Future Medical Expenses: Observing the appellant’s vegetative state and continuous need for assistance, the Court awarded a lump-sum Rs 7,00,000 for attendant charges and future treatment, following the flexible approach in Parminder Singh.

6. Pain and Suffering / Loss of Amenities: Considering the severity yet applying Raj Kumar, pain and suffering was enhanced to Rs 3,00,000 while loss of amenities was reduced to Rs 10,000.

7. Other Heads: Amounts granted by lower courts for medicines, transport, nourishment and damage to clothing were retained.

8. Rejection of Insurer’s Objections: Allegations of alcohol consumption, contributory negligence, and receipt of other statutory benefits lacked evidentiary support and were raised too late; hence they were dismissed.

Holding and Implications

DISPOSED OF WITH ENHANCED COMPENSATION.

The Supreme Court recalculated compensation at Rs 20,26,800 with 9 % interest, adjusted against sums already paid. The balance is to be deposited in a one-year interest-bearing fixed deposit for the first appellant within eight weeks, with interest withdrawable periodically. No costs were awarded.

Implication is confined to the parties: the judgment clarifies that addition for future prospects applies even in injury cases with 100 % disability and emphasises reasonable caregiver costs, but it does not create a new precedent beyond existing jurisprudence.

    Lalan D. Alias Lal And Another v. Oriental Insurance Company Limited .

    Aniruddha Bose, J.— The appellants before us are, a victim of a road accident and his wife. The first appellant is the victim. The accident occurred on 31-12-2003 while the victim was riding his bicycle along the side of Alappuzha-Kolam Highway. At the time of institution of the claim petition before the Motor Accidents Claims Tribunal, Alappuzha under Section 166 of the Motor Vehicles Act, 1988 (“the Act”), out of which this appeal arises, the first appellant was unconscious and was represented by his wife as the legal guardian and next friend. She was also a co-applicant before the Tribunal. It was claimed before the forum of first instance that the victim was skilled labourer in a building construction project. His date of birth is 20-5-1969. Before the Tribunal, his age at the time of accident was found to be above 34 years. He suffered, inter alia, head injury causing brain concussion, brain stems injury, diffuse axonal injury on left side. He had to undergo extensive treatment in two hospitals, being Medical College Hospital, Vandanam, Alappuzha and thereafter at Medical Trust Hospital, Ernakulam. He had to spend about six weeks in these two hospitals. Thereafter also his treatment continued. The claim was not contested by the first respondent — the owner of the vehicle and was decided ex parte against him. Before us also, it was only the Insurance Company who contested the appeal. The first respondent was deleted from the array of the parties by an order of this Court passed on 9-4-2019 2019 SCC OnLine SC 1888.

    2. The Tribunal found involvement of the vehicle registered as KL-2/No. 9779. Rash and negligent driving by the driver of that vehicle was also proved. As regards condition of the first appellant, the Tribunal, in its award, found that the victim had “right aided hemiparesis and there is weakness on the other side also. He is completely bedridden and he could not speak properly and he has some mental problem also. Tube was fitted for the passage of urine …”. The Tribunal in its award made on 20-1-2009 assessed permanent disability of the appellant to be 50%.

    3. Compensation was awarded by the Tribunal under the following heads, applying the multiplier of 17:

    Compensation for loss of earning Rs 20,000 Cost of medicine and treatment charges Rs 68,000 Transportation charges Rs 6000 Bystander expenses Rs 6000 Extra nourishment Rs 1500 Damage to clothing Rs 500 Compensation for pain and suffering Rs 30,000 Compensation for permanent disability and loss of earning power Rs 2,55,500 Compensation for loss of amenities Rs 10,000 Compensation for future treatment Rs 2500 Total Rs 4,00,000

    4. The victim and his wife appealed to the High Court of Kerala at Ernakulam seeking enhancement of compensation. The High Court considered certain additional documents. The appellant established before the High Court the need to continue his treatment subsequent to the award of the Tribunal. It was opined in the judgment of the High Court delivered on 16-3-2017 2017 SCC OnLine Ker 11394, that the condition of the appellant was such that it was more than sufficient to arrive at a finding that he was virtually lying as vegetable. The victim had permanent locomotor disability of right hemiplegia sequelae of head injury which was not likely to improve. The High Court found that the victim needed a full-time caregiver as he was not in a position to move around on free will. The High Court assessed the degree of disability to be reckoned as 100% for working out proper compensation and applied the multiplier of 16 considering his age. We shall reproduce the High Court's decision on quantum of compensation in the next paragraph of this judgment.

    5. The Medical Board at the Medical College Hospital, Alappuzha had certified the victim's permanent disability to be 50%, which was the basis for assessment of degree of his disability by the Tribunal. The Tribunal's award was made, as we have already indicated, in the year 2009. But considering the position of the victim, while hearing the appeal in the year 2017, the High Court attributed the percentage of his disability to be 100%. The High Court enhanced his notional monthly income to Rs 3500 per month. In the judgment under appeal, it was observed and held : (Lalan D. case 2017 SCC OnLine Ker 11394, SCC OnLine Ker paras 8-9)

    “8. It is true that the accident was in the year 2003, but it was on the last day of the year and by the dawn of the next day, it was to begin with the year 2004. Evidently, the injured was maintaining a family of his own, consisting of his wife, who is the second appellant/second claimant. By virtue of the present state of affairs, it can be reasonably presumed that the wife will not be in a position to move about for getting some job and she has to be near her husband throughout, to give constant care and attention, even for meeting the calls of nature, for administration of medicines and for food intake. In the said circumstance, we find that the notional monthly income fixed by the Tribunal requires some modification. We enhance the same to Rs 3500 per month. The proper multiplier, as rightly pointed out by the learned Senior Counsel appearing for the insurer is “16”; in view of the date of birth of the injured being 25-9-1969. On re-working the compensation towards disability, it comes to Rs 6,72,000 (3500 × 12 × 16 × 100/100). After giving credit to the sum of Rs 2,55,000 awarded by the Tribunal, the balance comes to Rs 4,17,000. Since we have awarded compensation for disability, reckoning it as 100%, the compensation of loss of earning awarded by the Tribunal becomes irrelevant and insignificant and hence the said amount of Rs 20,000 is deleted. Hence the balance payable comes to Rs 3,97,000.
    9. The compensation under the heads “pain and suffering” and towards “loss of amenities and enjoyment in life” also require some modification. Taking into the totality of the facts and circumstances, we award a further sum of Rs 10,000 under the head “pain and suffering” and a sum of Rs 40,000 towards loss of amenities and enjoyment in life. Thus, the total balance compensation comes to Rs 4,47,000 (Rupees four lakhs forty-seven thousand only), which shall be satisfied with interest @ 9% from the date of petition till realisation, within “one month” from the date of receipt of a copy of the judgment.”

    6. The appellants have asked for further enhancement of compensation before us. Grievance of the appellants is that the victim has been under-compensated, having regard to the degree of injury suffered by him. He has specifically raised the plea for award of compensation under the head of loss of future prospects. It is also his case that the High Court erred in law in applying the multiplier of 16. It has been urged on behalf of the appellants that the multiplier 17 as per the award of the Tribunal, should have been retained.

    7. On behalf of the Insurance Company, prayer of the appellants for enhancement of compensation has been opposed. It has been argued that there was contributory negligence on the part of the first appellant in that he was under the influence of liquor at the time of accident. On that count, they want reduction of 50% of the compensation from the judgment and order under appeal. Quantification of his monthly income as Rs 3500 has also been questioned by the Insurance Company in their counter-affidavit. Ramachandrappa v. Royal Sundaram Alliance Insurance Co. Ltd. (2011) 13 SCC 236 has been referred to in this regard. On the question as to what would constitute just compensation, Arvind Kumar Mishra v. New India Assurance Co. Ltd. (2010) 10 SCC 254 and National Insurance Co. Ltd. v. Kusuma (2011) 13 SCC 306 have been cited on their behalf.

    8. It has also been argued that as he was a construction worker, he must have had received compensation under the Building and other Construction Workers Welfare Cess Act, 1966 as also the Workmen's Compensation Act, 1923. The Insurance Company's case is that personal expenses of the victim ought to have been taken to be one-fourth of the loss of income assessed. The plea for attendant charges has been resisted on the ground that no service by any bystander had been proved and no bill for expenses for surgery or hospitalisation during the last 17 years had been produced. The Insurance Company, however, has not come up in appeal questioning the High Court's finding on the heads of compensation and quantum of compensation awarded under these heads. These submissions of the Insurance Company we cannot entertain at this stage while dealing with the victim's appeal for enhancement of compensation. Otherwise also, we do not think these submissions have any legal basis in the context of the present appeal. The forum of first instance or the High Court did not return any finding on the first appellant being under influence of alcohol. In the victim's appeal, we cannot permit the Insurance Company to raise this plea at this stage. Moreover, submission that the appellant must have drawn compensation under different welfare statutes is inferential. The Insurance Company has not disclosed any evidence to sustain their stand on this count.

    9. The High Court has assessed monthly income of the victim to be Rs 3500. This was enhanced from the Tribunal's quantification of Rs 2500 per month. We do not want to disturb the finding of the High Court on this point. This is essentially a finding on question of fact.

    10. The respondent Insurance Company has cited Mohan Soni v. Ram Avtar Tomar (2012) 2 SCC 267 to contend that in the context of loss of future earning, physical disability resulting from an accident ought to be judged with reference to the nature of work being performed by the person suffering the disability. The approach of the Tribunal as also the High Court in the case of the victim has been in that line only.

    11. The respondents also sought to rely upon the decision of this Court in Priya Vasant Kalgutkar v. Murad Shaikh (2009) 15 SCC 54. This case, however, relates to computation of compensation for injuries suffered by a minor. Ratio of this decision has no application in the facts of this case. We are, however, also of the opinion that the High Court went wrong in not awarding any sum under the head of loss of future prospects. In National Insurance Co. Ltd. v. Pranay Sethi (2017) 16 SCC 680, a Constitution Bench has opined that the standardisation of just compensation is to include addition of future prospects to the income of the victim at the time of occurrence of the accident. This was a case where the victim had succumbed to the injuries. The present appeal relates to a victim, who has survived the accident but his disability has been assessed to be 100% by the High Court. We confirm this finding of the High Court.

    12. In Parminder Singh v. New India Assurance Co. Ltd. (2019) 7 SCC 217, a Bench comprising of two Judges of this Court found 50% of the income of the victim was to be assessed as loss of future prospects. Earlier, this Court broadly took the same view in Sanjay Verma v. Haryana Roadways (2014) 3 SCC 210.

    13. The course mandated by this Court in Parminder Singh (2019) 7 SCC 217 is addition to the monthly income of the victim, 50% thereof as loss of future prospects to arrive at compensation for loss of income for the purpose of application of the multiplier. This method of computation is based on sound logic and we choose to apply the same methodology in this appeal also. The loss of earning capacity of the first appellant is 100%. On this basis, his loss of future earnings would have to be calculated treating income of the victim to be Rs 3500 per month, to which loss of future prospects @ 40% thereof is to be added, which would make it Rs 4900 per month. This is the computation method directed by the Constitution Bench in Pranay Sethi (2017) 16 SCC 680 so far as self-employed persons are concerned. We direct addition of 40% as there is no material before us to prove that the victim had a permanent job. Evidence before the Tribunal was that he was a skilled labourer in a building construction project. There was no evidence that he was on their permanent roll.

    14. The multiplier to be applicable in this case would be 16 following the specification contained in Sarla Verma v. DTC (2009) 6 SCC 121. Accordingly, his loss of future earnings would have to be calculated first by multiplying Rs 4900 by 12, which would come to Rs 58,800. This would be his annual income. Once multiplier of 16 is applied, his loss of future earning would come to Rs 9,40,800, considering that degree of his disability is 100%. As the appellant has survived though at present in almost “coma stage” as observed by the High Court, we reject the Insurance Company's plea for making any deduction towards personal living expenses.

    15. We also find that there was no compensation awarded towards expenses for a caregiver barring a paltry sum of Rs 6000 as bystander expenses. The defence of the Insurance Company for keeping the said sum at that negligible level is that no evidence had been led as regards expenses incurred towards any medical attendant. But going by the work the victim was doing and his physical state of being resulting from his injuries, conclusion has to be inevitable that he required and still requires caregiver round-the-clock and round the year to remain barely functional. Judging by the stratum of the society he comes from, it would be irrational to expect that he would have been in a position to directly engage a caregiver after his accident. It would not be an unreasonable assumption that his family members must have had to fit into that role. They could perform the role of caregiver only by diverting their own time from any form of gainful employment which could have generated some income. We proceed on the same assumption on his requirement of continued medical treatment post-discharge from the hospital. There is observation in the judgment of the High Court that he was undergoing treatment in “Aarogya Keralam” Palliative Caring Scheme.

    16. We are of the opinion that Rs 7,00,000 ought to be awarded as lump sum, composite amount for medical attendant charges and future medical treatment. In Kajal v. Jagdish Chand (2020) 4 SCC 413 for attendant charges, a Bench of two Judges of this Court has held that the multiplier methodology ought to be applied. On the other hand, in Parminder Singh (2019) 7 SCC 217 a lump sum amount has been awarded. In the facts of the given case, we are of the opinion that award of lump sum would be the proper course considering the fact that the first appellant was a daily labourer. In traumatic times after his accident, his family was unlikely to maintain detailed records of the expenses incurred.

    17. Under the head pain and suffering the High Court has awarded a sum of Rs 40,000. The appellants want this sum to be raised to Rs 6,00,000 relying on a judgment of this Court in Mallikarjun v. National Insurance Co. Ltd. (2014) 14 SCC 396 In Kajal (2020) 4 SCC 413, where the victim was a young girl of 12 years having suffered 100% disability, the amount awarded was Rs 15,00,000 under the heads pain and suffering and loss of amenities. But this judgment qualified such award with a caveat that the sum was awarded in peculiar facts and circumstances of the case. In Raj Kumar v. Ajay Kumar (2011) 1 SCC 343 it has been observed that when compensation is awarded by treating loss of future earning capacity to be 100% or even anything more than 50% the need to award compensation separately under the head of loss of amenities or loss of expectation of life may disappear. As a result, only a token or nominal amount may have to be awarded under those heads.

    18. It is a fact that in Kajal (2020) 4 SCC 413 and Mallikarjun (2014) 14 SCC 396, the victims were minor children. Their loss of income and permanent disability compensation were computed treating their income to be Rs 15,000 p.a. So far as the present appeal is concerned, the High Court has assessed the annual income to be Rs 42,000 (Rs 3500 × 12). But this very fact cannot altogether deprive the victim from compensation under the head pain and suffering. The High Court had awarded Rs 10,000 only under this head. We assess the same to be Rs 3,00,000. Considering the observations made in Raj Kumar (2011) 1 SCC 343, to which we have already referred, we reduce the sum awarded by the High Court under the head loss of amenities from Rs 40,000 to Rs 10,000.

    19. We accordingly modify the award as made by the High Court and direct the respondent Insurance Company to make payment as compensation under the following heads (which also includes the heads under which sums were awarded by the Tribunal and the High Court):

    Compensation Heads Amount (in Rs) Compensation for permanent disability and loss of future earning 9,40,800 Medical attendant charges (bystander charges) and future treatment cost 7,00,000 Pain and suffering 3,00,000 Medicines & treatment charges 68,000 Transportation charges 6000 Extra nourishment 1500 Damage to clothing 500 Loss of amenities 10,000 Total 20,26,800

    20. The aforesaid sum will carry interest @ 9% p.a. Upon adjusting the sum already paid, the amount we have awarded shall be released to the appellants. Interest on the differential sum shall be computed from the date of filing of the application under Section 166 of the Act. The said amount shall be invested in an interest bearing fixed deposit account of a nationalised bank for a period of one year in the name of the first appellant within eight weeks. The appellants shall be entitled to withdraw the interest therefrom on a regular basis during the tenure of the fixed deposit. Thereafter, the entire sum shall be paid over to the appellants.

    21. The appeal is disposed of in the above terms. Pending applications, if any, shall stand disposed of. There shall be no order as to costs.

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    Comments

    Lalan D. Alias Lal And Another v. Oriental Insurance Company Limited .
    (Sep 17, 2020)