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2025 Supreme(Gau) 2142

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

Advocates Appeared:
For the Petitioner: Mr.P Barman, Ms.P Mazumdar, Mr.I A Talukdar
For the Respondent: Mr.J John, Mr.K K Bhatta, Mr.A Talukdar

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.

Headnote:(A) Motor Vehicles Act, 1988 - Validity of Insurance Policy - Claim for enhancement of compensation for accident injuries - The appellant incurred medical expenses exceeding Rs.4,00,000/- but was awarded lesser compensation. The learned Tribunal had established the offending vehicle was insured, but the insurance policy was an 'act only' policy, limiting liability for pillion riders. The court emphasized the insurer's obligation to pay the determined compensation. (Paras 5, 9, 18, 24, 27)

(B) Compensation Calculation - Compensation awarded for medical expenses, loss of income, and non-pecuniary damages totaling Rs.4,51,123/-. The court directed the Insurance Company to satisfy the award and recover from the vehicle owner. (Paras 26, 27)

(C) Injury Liability - The court ruled the term 'liability only' was not substantiated by evidence from the insurer, as the policy's applicability to pillion riders was unresolved. (Paras 16, 24)

Facts of the case:
The claimant was a pillion rider who suffered grievous injuries in an accident caused by the sudden appearance of a street dog. The appellant underwent three major brain surgeries. (Paras 5, 12, 26)

Findings of Court:
The appellant is entitled to Rs.4,51,123/- as compensation, including medical expenses, loss of income, and non-pecuniary damages. (Paras 26, 27)

Issues: Whether the Tribunal awarded sufficient compensation and whether the policy covered liability for the pillion rider. (Paras 11, 16)

Ratio Decidendi: The court found the insurer must prove the nature of the policy and its applicability regarding pillion riders. The absence of adequate evidence led to an order for compensation payment. (Paras 24, 27)

Result: Appeal is partly allowed.

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

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