IN THE HIGH COURT OF BOMBAY
M.S. Sonak, J.
Pratima Hari Gaonker - Appellant
Versus
Deepak Singh - Respondent
First Appeal No. 83/2018
Decided On : 07-01-2023
MOTOR VEHICLE ACCIDENT - COMPENSATION CLAIM - MOTOR VEHICLES ACT, Sec. 170(b), Sec. 149(2) - The court discussed the implications of Sec. 170(b) of the Motor Vehicles Act regarding the insurance company's ability to raise defenses when the owner and driver do not appear. The court emphasized the necessity of disposing of such applications before proceeding with the award. The court also interpreted the burden of proof on the insurance company to establish breaches of policy terms, particularly concerning the driver's licensing and sobriety, ultimately finding insufficient evidence to exonerate the insurer. The court's decision was influenced by precedents that highlight the importance of proper procedural adherence in compensation claims.
Fact of the Case:
The appeals challenge the Motor Accident Claims Tribunal's award regarding compensation for a fatal accident involving a motorcycle and a truck. The claimants sought additional compensation, while the insurance company contested the award, citing breaches of policy terms due to the driver's lack of a valid license and alleged intoxication.
Finding of the Court:
The court found that the Tribunal failed to formally dispose of the insurance company's application under Sec. 170(b) of the M.V. Act but allowed the insurance company to raise all defenses during the appeal. The court determined that the evidence did not support claims of a fundamental breach of the insurance policy, nor did it establish contributory negligence on the part of the deceased.
Issues: 1) Effect of non-disposal of Sec. 170(b) application; 2) Breach of insurance policy terms; 3) Contributory negligence; 4) Correctness of the deceased's income and compensation quantum; 5) Adherence to legal standards in compensation determination.
Ratio Decidendi: The court held that the insurance company must prove any breach of policy terms, which it failed to do. The court also emphasized the need for Tribunals to diligently address applications under Sec. 170(b) before proceeding with awards. The court adjusted the compensation based on a more accurate assessment of the deceased's income and the appropriate deductions for personal expenses.
Final Decision: Both appeals were partly allowed, with the compensation amount determined at Rs. 48,02,750.00, with interest at 7% p.a. The court maintained the apportionment of compensation among the claimants and directed the insurance company to deposit the enhanced amount within two months.
JUDGMENT/ORDER
1. The learned counsel for the parties agree that a common Judgment and Order can dispose of both these appeals. Both these appeals challenge the Judgment and Award dtd. 31/3/2018 made by the Motor Accident Claims Tribunal, North Goa (Tribunal), disposing of Claim Petition No.83/2015. First Appeal No.83/2018 is instituted by the claimants claiming additional compensation. First Appeal No.12/2022 is instituted by the insurance company objecting to the award of any compensation. Hence, it is only appropriate to consider and dispose of both these appeals by a common Judgment and Order.
2. Mr U. R. Timble, the learned counsel for the insurance company, pointed out that in the written statement filed by the insurance company and by filing a separate application, leave was applied under Sec. 170(b) of the Motor Vehicles Act (M.V. Act). Such leave was applied because neither the owner nor the truck driver involved in the accident bothered to appear or defend the proceedings. He submits that the Tribunal made no orders on these applications but proceeded to make the impugned award. Mr Timble, relying on National Insurance Co. Ltd. vs Smt. Jairani and others - First Appeal No.397/2008, decided by the Division Bench of the Allahabad High Court on 7/1/2009, submits that the award is rendered nullity in such a case. He placed on record this decision which is reported in ILR (Allahabad Series) at page 87.
3. Mr Timble, without prejudice, submits that since the insurance company was factually allowed by the Tribunal to raise all defences, including the defences other than those stipulated under Sec. 149(2) of the M.V. Act and was also allowed to cross-examine the witnesses or lead defence evidence, the appellant-insurance company would have no objection if the application under Sec. 170(b) of the M.V. Act which remained to be formally allowed, is allowed by this Court and the insurance company is permitted to urge all grounds, including the ground that the quantum of compensation is excessive and does not represent just compensation.
4. Mr. Timble submits that RW2, a private investigator (advocate) has clearly deposed that the license attached by the police authorities from the driver of the insured truck, was never issued by the RTO authorities in the name of such driver. Mr. Timble referred to the paper book's documents at pages 136 to 138. Based on this, Mr. Timble submitted that a licensed driver did not drive the insured truck, which amounts to a breach of the terms and conditions of the insurance policy. Mr. Timble submitted that the insurance company should have been exonerated from the liability.
5. Mr. Timble submitted that there is evidence about the driver bring under the influence of alcohol. He submits that even this amounts to an offence under the M.V. Act and a breach of the terms and conditions subject to which the insurance policy was issued. He submits that this is another reason why the insurance company should have been exonerated of the liability to pay any compensation amount.
6. Mr. Timble submits that the evidence bears out that there were two pillion riders i.e. the deceased, his wife and his minor son. He submits that this amounts to a breach of the traffic rules, and therefore, a case of contributory negligence is made out. Further, he presents that the Tribunal did not adequately consider this aspect; therefore, the compensation amount, or at least the apportionment, should be varied.
7. Finally, Mr. Timble submitted that the only income tax returns on record pertain to 2010-11, in which the returned income was Rs.1, 55, 000.00. He points out that AW2 (Chartered Accountant) has produced four balance sheets that the Tribunal has relied upon. However, they were neither signed by the deceased nor were any returns filed based on these balance sheets. Furthermore, he points out that the claimants produced no returns for the year subsequent to 2010-11. He, therefore, submits that the Tribunal was clearly in err
National Insurance Company Ltd. vs. Pranay Sethi and Ors.
Shri Man Bahadur Chettri vs. Shri Tenzing Chopel Bhutia and Anr.
The court established that the insurance company bears the burden of proving breaches of policy terms, and procedural adherence to applications under Sec. 170(b) of the M.V. Act is crucial for valid ....
The main legal point established in the judgment is the reduction of compensation for the death of the driver to the extent of 25% of the total award due to the driver's contributory negligence.
The main legal point established in the judgment is the application of legal provisions under the Motor Vehicles Act, particularly Sections 165, 166, 149, 2(21), and 2(47), in determining the compens....
An insurer cannot avoid liability for compensation due to an alleged breach of policy conditions without establishing through cogent evidence that such breach was fundamental to the accident. Additio....
The court established that civil liability in motor accident claims is determined independently of criminal proceedings, emphasizing the need for clear evidence of negligence.
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