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1990 Supreme(Kar) 330

Karnataka High Court
New India Assurance Company Limited - Appellant
Versus
R.Sridhara - Respondent
Decided On : 07-23-90
M.F.A. : 1144 of 1990

Advocates:
K.SURYANARAYANA MURTHY

Headnote:

Insurance - Workmen's Compensation - Liability of Insurance Company under Group Insurance Policy

Fact of the Case:

The claimant, an employee, suffered a hand injury at work and sought compensation. The employer and the insurer denied liability, but the Commissioner awarded compensation, holding the insurer liable under a group insurance policy.

Finding of the Court:

The Court rejected the insurer's appeal, clarifying that the insurer was liable under the group insurance policy and that there was no dual liability. The Court did not entertain the insurer's hyper-technical defense.

Issues: Dispute over liability for work-related injury compensation between the employer and the insurer under a group insurance policy.

Ratio Decidendi: The Court clarified that the insurer's liability under the group insurance policy could not be disputed, and rejected the insurer's hyper-technical defense.

Final Decision: The appeal by the Insurance Company was rejected, affirming the Commissioner's award of compensation and holding the insurer liable under the group insurance policy.

( 1 ) THIS is an Insurer's appeal against the award of the Commissioner for Workmen's compensation, Shimoga.

( 2 ) THE petitioner before the Commissioner was an employee of the Mannar Flaps Manufacturers, Shimoga. While he was working on 5-4-1988 his hand was caught in the machine of his employer and his left hand fingers came to be crushed. He was immediately taken to the hospital at Shimoga known as Macgan Hospital and treated there. He claimed compensation before the first respondent-Commissioner for injuries suffered in the course of his employment, in connection with the employment. He was getting a sum of Rs. 390/- per mensem as income or Rs. 13/- per day as wages. He had worked for more than 2 years with his employer. He claimed a compensation of Rs. 44,144/ -.

( 3 ) THE claim was resisted by the employer inter alia on the ground that the claimant was not being paid Rs. 390/- as wages; he was only working in Malbar rubber Manufacturers on daily wages of Rs. 10/ -. In the month of December 1987, the claimant came as helper at Rs. 12/- per day wages. The employer denied that his hand got crushed as claimed in the claim petition. It also alleged that he was not careful in the course of his employment. It was only on account of his carelessness his left hand suffered injuries. Therefore, the employer pleaded that the claim petition be rejected.

( 4 ) THE claimant had arrayed the appellant-New India Assurance Company Limited as the second party before the Commissioner in view of the fact that the manufacturer employer had taken out Group Insurance Policy against miscellaneous accidents in his establishment during the relevant period. Under that policy the manufacturer assured a sum of Rs. 1,00,000/- maximum covering 4 employees at Rs. 25,000/- per head. It denied all the averments made in the claim petition and added that the claim petition had not been made within the framework of law i. e. , the workmen's Compensation Act and there was no liability on the part of the Insurance company because the policy was not issued with reference to the Workmen's Compensation act. It also denied certain allegations in the claim petition concerning the extent of injury, the treatment and the age of the claimant. On such pleadings the commissioner formulated the following 4 points that fell for determination. They were:"1. Whether the claimant was an employee of the first respondent and in the course of such employment suffered an accident resulting in disability pleaded?2. Whether the claimant proves his age and wages?3. If so, what is extent of disability to the limb proved by the claimant?4. Between the two respondents, who is liable to pay the compensation?

( 5 ) IT was in evidence that the claimant was about 18 years having regard to the medical certificate issued. It was also in evidence that he was treated at the Macgan hospital and the doctor certified that the claimant having lost use of all the fingers of his left hand due to the crush it received in the machinery, the extent of disability of the limb should be taken at 60%, though he had stated as 65% in oral evidence. He certified the age to be about 18 years. By his own parole evidence the claimant proved that he was employed by the first respondent flap manufacturer, that on the relevant date he was working in the factory and it was in the course of his employment that he suffered the injury by accident and that he was not in any way negligent or careless.

( 6 ) ON behalf of the first respondent-manufacturer employer, the Chief Trustee of the Trust which owned the manufacturing unit gave oral evidence. But he did not, in the course of his examination, deny the mutilation, the hand suffered. In the result, the case of the petitioner came to be accepted and compensation was fixed at Rs. 24,867-84 ps. on the basis that he drew Rs. 338/- per mensem. He directed that the said amount be paid by the second respondent-Insurance Company.

( 7 ) AGGRIEVED by the same the present appeal




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