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2026 Supreme(Cal) 158

IN THE HIGH COURT AT CALCUTTA
Biswaroop Chowdhury, J.
National Insurance Company Limited - Appellant
Versus
Sri Kalyan Dangre & Ors. - Respondent
F.M.A.T. (MV) 181 of 2024 With COT 145 of 2024
Decided On : 30-04-2026

Advocates:
Advocate Appeared:
For the Appellant : Mr. Saibalendu Bhowmik, Adv.
For the Respondent: Mr. Jayanta Banerjee, Adv. Mr. Sandip Bandyopadhyay, Adv. Mrs. Ruxmini Basu Roy, Adv. Mr. Argha Bhattacharjee, Adv.

A delay in reporting a motor accident does not invalidate a claim given humanitarian priorities. Insurers must provide affirmative, cogent evidence to substantiate allegations of license forgery and cannot exercise recovery rights without conducting a formal inquiry that affords the vehicle owner a proper opportunity to be heard.

Headnote:(A) Motor Vehicles Act, 1988 - Sections 166 and 9 - Death in motor accident - Delay in filing report - It is a well-settled principle that a delay in lodging a report cannot be a ground to doubt a claim, as kith and kin prioritize the immediate medical treatment of a victim over administrative formalities following a tragic accident. (Para 18)

(B) Driving License - Allegation of forgery - Burden of proof - It is mandatory for an insurer to prove a breach of policy conditions through cogent oral and documentary evidence; alleging a license is fake without producing it or summoning the owner for verification does not shift the burden of proof. (Paras 24, 28)

(C) Pay and Recovery - Procedural compliance - An insurer cannot be granted a right to recover compensation from a vehicle owner without conducting a formal enquiry and providing the owner a fair opportunity to be heard regarding the alleged policy violation, ensuring principles of natural justice are upheld. (Paras 28, 35)

Facts of the case:
A pedestrian was struck by a speeding vehicle and subsequently succumbed to his injuries. The family members filed a claim for compensation. The insurer contested the application, citing a significant delay in reporting the incident to authorities, challenging the validity of the operator's driving license, and disputing the earnings of the deceased.

Findings of Court:
The court held that human behavior during medical emergencies prevents mechanical promptitude in reporting incidents; thus, the delay was not fatal to the claim. The insurer failed to produce the contested license or sufficient proof to substantiate the allegation of forgery, rendering the defense invalid. The court relied on the employer's certification to establish income and upheld the necessity of a formal, fair process before ordering any recovery against the owner.

Issues: The main issues addressed were whether a delay in reporting an incident vitiates the claim, the burden of proof required to establish a violation of insurance policy terms related to driving credentials, and the procedural requirements for an insurer to claim recovery rights.

Ratio Decidendi: Claims involving accidental death must be decided on the basis of substantive evidence rather than procedural delays in reporting. Allegations of policy breach require concrete proof by the insurer, and recovery orders must be preceded by an inquiry that gives the insured an opportunity to present their case.

Result: Appeal allowed in part; compensation amount modified for being just and reasonable; liberty granted to the insurer for recovery subject to the completion of a fair inquiry process.

Table of Content
1. factual overview and procedural history of the motor accident claim case. (Para 1 , 2 , 3 , 4 , 5 , 6 , 7 , 8)
2. summary of rival contentions regarding procedural delays (fir), evidence veracity, and licensing validity. (Para 9 , 10 , 11 , 12 , 13 , 14 , 17)
3. evidence of accident and impact of delayed fir on claimant's case credibility. (Para 18 , 19)
4. doctrine of pay-and-recovery and burden of proof regarding breach of insurance policy conditions. (Para 20 , 21 , 22 , 23 , 24 , 25 , 26 , 27 , 28 , 29)
5. methodology for calculating compensation, future prospects, and dependency loss in motor accident cases. (Para 30 , 31 , 32 , 33)
6. final appellate order, modification of award, and directions for recovery proceedings. (Para 34 , 35 , 36)

Judgment :

Biswaroop Chowdhury, J.

1.The Appellant before this Court was an opposite party in a case under Section 166 of the Motor Vehicles Act 1988 and is aggrieved by the Judgment and Award dated 17.02.2024. Passed by Learned Additional District Judge 4th Court Paschim Medinipur in MAC Case No. 160 of 2017. The claimants/respondents no-1 and 2 being also aggrieved by the Judgment and Award passed by the Learned Trial Court have filed cross objection being COT No-145 of 2024.

2. The case of the claimants before Learned Trial Court may be summed up thus:

3. On 31/12/2016 at about 10.00 P.M. the victim was returning his house from Chhota Tangra near Khargapur SD. Hospital by foot through the left side of Chhota Tangra to Jhapatapur Road. At that time on the way near Chhota Tangra Kali Mandir under Khargapur Town P.S. one Motor Cycle bearing No. WB-36E/2518 came from Khargapur. S.D. Hospital side towards Jhapatapur side with a very high speed and in rash and negligent manner and dashed the victim from his back side as he was thrown off and he came in contact with road side pole and received head injury and other injuries all over his body and became unconscious. Immediately after accident local people admitted him in Khargapur S.D. Hospital. As the injuries were serious he was referred to Midnapore Medical College and Hospital in that night but the victim died on the next day ie on 01/01/2017 in Midnapore Medical College and hospital.

4. The accident took place solely due to rash and negligent driving of the driver of the Motor Cycle bearing No. WB-36E/2518. The deceased was a bachelor. He was working as security Guard under Contractor DOLPHIN ENTERPRISE Subhas Pally Khargapur and he was posted at NURSING TRAINING SCHOOL, Khargapur S.D. Hospital and was drawring salary of Rs. 9,500/- (Rupees nine thousand and five hundred) approx. He was the sole earning member of his family consisting of himself and the petitioners. On his death the whole family is put to inconceivable difficulties and hardship and the petitioners received tremendous mental pain and shock which will continue throughout their lives.

5. Pursuant to the filing of this case notice was issued upon opposite party vehicle owner and opposite party Insurance Company. Opposite party owner although appeared and filed written statement but thereafter did not contest the case. Opposite Party National Insurance Company filed written statement and contested the case. ISSUES were framed and evidence was adduced by the claimants and Insurance Company. Learned Trial Judge by Judgment and Award dated 17-02-2024 was pleased to dispose the claim case by observing and directing as follows:

‘Hence it is ordered that the MAC case no-160 of 2017 be and the same is allowed on contest without cost against the OP No-2, National Insurance Company Limited and in ex-parte against the owner of the vehicle without costs.

6. However in accordance with the direction of Hon’ble Supreme Court in the above referred judgment reported in 2018 (1) TAC 360(SC) the insurance company is at liberty to recover the amount from the owner of the vehicle after making payment of the compensation to the petitioners.

7. OP No. 2 National Insurance Company Limited,

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