THE GAUHATI HIGH COURT (HIGH COURT OF ASSAM, NAGALAND, MIZORAM AND ARUNACHAL PRADESH)
SUSMITA PHUKAN KHAUND, J.
Sri Saiman Mahilary, S/o Sri khargeswar Mahilary of Vill - Petitioner
Versus
The United India Insurance Co. Ltd, Represented by Its Divisional Manager, Bongaigaon Divisional Office And Ors. – Respondent
MACApp. 174 of 2016
Decided On : 19-12-2025
| Table of Content |
|---|
| 1. claimant's injuries and treatment highlighted. (Para 1 , 5 , 12) |
| 2. insurance company's defense concerning policy coverage. (Para 2 , 4 , 13 , 15) |
| 3. tribunal's finding on insurance coverage and evidence. (Para 6 , 7 , 18) |
| 4. legal precedents regarding liability of insurance. (Para 9 , 17 , 22) |
| 5. court's final order on compensation. (Para 26 , 27 , 28 , 29) |
JUDGEMENT :
SUSMITA PHUKAN KHAUND, J.
The appellant in this case is Sri Saiman Mahilary, who is aggrieved by the quantum of compensation and he has prayed for enhancement of the compensation. The respondents in this case are the United India Insurance Co. Ltd., the Branch Manager of United India Insurance Co. Ltd., Sri Kanaj Kumar Brahma, who was the owner of the offending vehicle and Sri Jwngsar Basumatary, who was the driver of the offending vehicle and are arrayed as respondents No. 1 to 4 respectively.
2. It is submitted that the appellant has spent more than Rs.4,00,000/-(Rupees Four Lacs) as medical expenses but a lesser amount was awarded by the learned Tribunal. It is also submitted that the Insurer did not adduce proper evidence. It is also contended that the Tribunal has ignored that the driver was holding a valid driving license.
3. The appellant is aggrieved by the judgment and order dated 19.12.2015 of the learned Trial Court passed in MAC Case No. 64/2014.
4. Per contra, learned counsel for the Insurance Company laid stress in their argument that the policy of the offending vehicle was Act only policy and thus, the owner is liable to pay. It is submitted that this judgment was correctly passed by the learned Tribunal. The learned counsel for the Insurance Company has prayed to dismiss this appeal as this appeal is devoid of merits.
5. The genesis of the case was that on 06.11.2013 at about 10:00 PM, when the claimant along with Jwngsar Basumatary was proceeding on the way from a mela in a motorcycle bearing registration No. AS-01/L-8380, suddenly a street dog came in front of their motorcycle and the respondent No. 4 Jwngsar Basumatary lost control and they met with an accident. The claimant was a pillion rider and he sustained grievous injuries on his person. He was admitted to MRM Hospital, Kokrajhar and thereafter, he was referred to Lower Assam Hospital and Research Centre, Bongaigaon. He had to undergo three major brain operations and fortunately, he recovered after his prolonged treatment.
6. It was held by the learned Tribunal that the offending vehicle was duly insured with the respondent No. 1 Insurance Company and the policy No. 1306053113P103799673 was valid at the time of the accident as it was valid from 20.09.2013 upto 19.09.2014. The claimant as PW-1, to substantiate his evidence, exhibited Form-54, MVI report and medical documents etc. He has also stated that the driver of the offending vehicle was holding a valid driving licence and this fact although disputed by the respondents had remained uncontroverted.
7. The learned Tribunal has observed that the witness Krishna Chouhan (PW- 2) has substantiated the evidence of the claimant as he was an eye witness. It was held by the Tribunal that the expenses were Rs.2,65,688/- (Rupees Two Lacs Sixty Five Thousand Six Hundred and Eighty Eight) and the claimant was an indoor patient from 07.11.2013 upto 21.11.2013 at Hayat Hospital, Guwahati. His injuries were diagnosed as head injury, brain contusion B/L, right tempero-parietal EDH/SDH with calvarial fracture.
8. After assessing the loss of income for three months, and after considering the notional income as the income of the claimant, the claimant was awarded Rs.3,24,688/- (Rupees Three Lacs Twenty Four Thousand Six Hundred and Eighty Eight).
9. It was held that the policy was a “liability policy” and therefore, as per the decision of the Apex Court in General Manager, United Insurance Co. Ltd. Vs. M. Laxmi & Ors. reported in AIR 2009 SC 626 , the owner of the offending vehicle was directed to pay the compensation.
10. Heard learned counsel Mr. I
India Assurance Company Limited-Versus-Roshanben Rahem Ansha Fakir and Another
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The court ruled that an insurance company must substantiate the terms of an 'act only' policy; failing which, the insurer is liable to compensate for injuries including those of a pillion rider.
Act policy excludes coverage for pillion rider on two-wheeler as gratuitous passenger; LMV (NT) licence invalid for motorcycle; insurer exonerated, owner liable for compensation.
An 'Act Only Policy' does not cover pillion riders unless additional premium is paid, and such riders cannot be treated as third parties under the insurance policy in the context of liability for acc....
The main legal point established in the judgment is that the risk of the pillion rider cannot be covered under the 'Act Only Policy' without any extra premium.
An act only policy under the Motor Vehicles Act does not cover the risk of a pillion rider, and the insurance company is not liable to pay compensation for injuries sustained by a pillion rider.
The main legal point established in the judgment is that under an 'act only' policy, the insurance company's liability does not extend to covering the risk of the pillion rider, as per the interpreta....
Insurance liability under a 'Liability only Policy' does not extend to cover claims for injuries or deaths of gratuitous passengers, including pillion riders.
A learner's licence is valid under the Motor Vehicles Act, and the Insurance Company failed to prove breach of policy conditions, leading to a revised compensation amount.
Point of law: It must be remarked that the claimant has not raised any issue about the finding on the point of contributory negligence and apportionment of liability between the two vehicles, to wit,....
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