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2026 Supreme(Gau) 983

IN THE GAUHATI HIGH COURT HIGH COURT OF ASSAM, NAGALAND, MIZORAM & ARUNACHAL PRADESH) 
MRIDUL KUMAR KALITA, J.
The Oriental Insurance Co. Ltd., A Co., Represented By Its Regional Manager – Appellant 
Versus
Mrs Sushila Devi, W/o Late Subhash Ch. Yadav. and Ors. – Respondent 
MACApp. 95 of 2017 WITH CO 17 of 2019
Decided On : 20-04-2026

Advocates Appeared:
For the Appellant :Mr. S.K. Goswami, Advocate.
For the Respondents:Mr. D. Mondal, Advocate., Ms. N. Deka, Advocate., Ms. J. Baishya, Advocate.

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. Additionally, personal expense deductions in death claims must strictly correspond to the number of existing dependents.

Headnote:(A) Motor Vehicles Act, 1988 - Section 166 - Death in motor accident - Liability of insurer - Breach of policy condition regarding invalid driving license - Burden of proof rests upon insurer to establish that policy breach was fundamental and contributed to accident - Failure to produce cogent evidence, such as examination of transport authority, prevents exemption from liability - Mere allegation of invalid license is insufficient to absolve insurer (Paras 30-32, 37).

(B) Compensation - Determination of - Deduction for personal and living expenses - Where deceased leaves more than six dependents, standard deduction should be one-fifth of income rather than half - Tribunal erred in applying 50% deduction (Para 40).

(C) Consortium - Loss of - Definition of consortium is a compendious term encompassing spousal, parental, and filial consortium - Where multiple children are left behind, they are entitled to parental consortium in addition to spousal consortium awarded to the surviving spouse (Paras 50-51).

Facts of the case:
An insurer appealed against a tribunal's motor accident claim award, contending that the vehicle owner violated policy conditions by allowing a driver with an invalid license to operate the vehicle. Simultaneously, the claimants filed a cross-objection seeking enhancement of compensation, arguing that the deduction for personal expenses was incorrectly calculated and that all dependents were entitled to loss of consortium.

Findings of Court:
The court held that the insurer failed to provide sufficient, admissible evidence to prove the breach of policy conditions. It further found that the tribunal misapplied the deduction ratio for personal expenses given the number of dependents and failed to account for parental consortium for all dependents.

Issues: The primary issues were whether the evidence produced was sufficient to prove a fundamental breach of the insurance policy regarding the driving license and the correct method for calculating dependency and consortium components of compensation.

Ratio Decidendi: Insurance providers must prove an alleged breach of policy through cogent evidence and must establish that such a breach was fundamental to the cause of the accident. Additionally, compensation calculations must align with established principles regarding the number of dependents for personal expense deductions and provide for all forms of consortium to minor and dependent children.

Result: Appeal dismissed; cross-objection allowed; compensation enhanced.

Table of Content
1. procedural background and established facts of the motor accident claim case. (Para 1 , 2 , 5 , 6 , 7 , 8)
2. verification of claimant identity based on signature consistency despite differing modes (thumbprint vs. signature). (Para 3 , 4 , 28)
3. insurance company liability requires proving fundamental breach of policy conditions by the insured. (Para 9 , 10 , 11 , 12 , 13 , 14 , 15 , 16 , 17 , 20 , 21 , 22 , 26 , 27 , 29 , 30 , 31 , 32 , 33 , 34 , 35 , 36 , 37 , 38)
4. principles for calculating compensation, personal expense deductions, and inclusion of consortium. (Para 18 , 19 , 23 , 24 , 25 , 39 , 40 , 41 , 42 , 43 , 44 , 45 , 46 , 47 , 48 , 49 , 50 , 51 , 52 , 53 , 54 , 55 , 56 , 57)

JUDGMENT :

MRIDUL KUMAR KALITA, J.

[1] Heard Mr. S. K. Goswami, the learned counsel for the appellant. Also heard Mr. D. Mondal, the learned counsel for the respondent Nos. 1 to 7/claimants as well as the cross objectors. Also heard Ms. N. Deka, the learned counsel for the respondent No.8 as well as Ms. J. Baishya, the learned counsel for the respondent No.9.

[2] By this common judgment this court intends to dispose of the MAC Appeal No. 95/2017 filed by the Insurance Company, namely, Oriental Insurance Company Limited as well as the Cross Objection No. 17/2019 filed by the respondents no. 1 to 7/claimants.

[3] At the beginning of making his submissions, Mr. S. K. Goswami, the learned counsel for the appellant, has pointed out to this court that before the Motor Accident Claims Tribunal, No. 2, Kamrup (M), Guwahati in the MAC Case No. 1218/2013, the claimant No. 1 had put her left thumb impression in the claims application. Whereas, before this Court while filing vakalatnama in the instant MAC Appeal No. 95/2017, she has put her signatures, which is a matter of grave concern and which raises doubt regarding the identity of the claimant no.1.

[4] On this aspect, the learned counsel for the respondent Nos. 1 to 7/cross objectors has submitted that though it is true that the claimant has put her thumb impression in the claims petition, however, while giving her testimony as PW-1 before the Tribunal, she has inscribed her signatures in Hindi on the deposition form and the said signature tallies with the signature given by the claimant No. 1 in the vakalatnama before this Court. Hence, he submits that there is no doubt regarding the identity of claimant No. 1 in this case.

[5] The facts relevant for consideration of this MAC Appeal, in brief, are that, on 26.04.2013, at about 12.30 pm, the husband of the claimant No.1, namely Subhash Chandra Yadav was proceeding on the left side of the MRD Road, at New Guwahati under Chandmari Police Station. At that time a mini city bus bearing registration No. AS-25-A-6593 coming from Noonmati side in a rash and negligent manner knocked him down. As a result of the said accident said Subhash Chandra Yadav sustained grievous injuries and was immediately shifted to Guwahati Medical College and Hospital. However, he succumbed to his injuries. Thereafter, the claimant No.1, who is the wife of the deceased Subhash Chandra Yadav and claimant No.2 to 7 who are the children of the deceased filed an application under Section 166 of the Motor Vehicles Act, 1988, before the Motor Accident Claims Tribunal, No.2 Kamrup (Metro) Guwahati, seeking compensation for the death of late Subhash Chandra Yadav in the aforementioned vehicular accident. The said claim case was registered as MAC Case No.1218/2013.

[6] The present appellant i.e., the Oriental Insurance Company Limited contested the claim case by filing written statement. Whereas, the driver and the owner of the offending vehicle did not appear before the Motor Accident Claims Tribunal and the claims case proceeded ex-parte against them.

[7] Upon pleadings of the parties the Motor Accident Claims Tribunal framed the following issues:

(i) Whether the death was caused to the victim Subhash Chandra Yadav due to involvement of vehicle bearing Registration No. AS-25-A

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