RAMCHANDRA Vs R.M., UNITED INDIA INS.CO.LTD.
Bench: G.S. SINGHVI,GYAN SUDHA MISRA
Case number: C.A. No.-008725-008725 / 2012
Diary number: 21761 / 2007
Advocates: V. N. RAGHUPATHY Vs
P. N. PURI
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REPORTABLE
IN THE SUPREME COURT OF INDIA CIVIL APPELLATE JURISDICTION
CIVIL APPEAL NO. 8725 OF 2012
RAMCHANDRA ..Appellant
Versus
REGIONAL MANAGER UNITED INDIA INSURANCE CO. LTD. ..Respondent
J U D G M E N T
GYAN SUDHA MISRA, J.
The judgment and order dated 17.4.2007
passed by the High Court of Karnataka at Bangalore in
M.F.A.No. 6711/2004 (MV) is the subject matter of
challenge in this appeal whereby the learned single Judge
of the High Court was pleased to allow the appeal
preferred by the respondent No.1- United India Insurance
Company Ltd. through its Regional Manager holding
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therein that the liability of the respondent No.1-United
India Insurance Company Ltd. (shortly referred to as ‘the
Insurance Company’) to pay compensation is restricted to
one under the Workmen’s Compensation Act, 1923 and
the amount to which the respondent No.1 herein will be
liable to pay is Rs.32091/- (Rupees Thirty Two Thousand
and Ninety One Only) and the balance amount will have
to be borne by the insured -owner of the vehicle who had
been impleaded by the appellant/claimant as respondent
No. 2 herein but was allowed to be deleted by this Court
from the array of parties at the risk of the
appellant/claimant herein. The High Court vide its
impugned order was thus pleased to hold that the
liability of the insurance company/respondent No.1 is
restricted to the one under the Workmen’s Compensation
Act, 1923 only and hence was not liable to pay any
compensation under the Motor Vehicles Act, 1988.
2. The substantial question of law in this appeal
therefore is confined to determination of the question as
to whether the learned single Judge of the High Court
could have passed the impugned order holding therein
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that when the labourer/employee is injured during the
course of employment due to negligence of the driver
of the vehicle which caused the accident, then whether
the compensation could be limited to the amount
admissible under the Workmen’s Compensation Act or
compensation would also be payable under the Motor
Vehicles Act ?
The appellant/claimant has raised this question relying
specially on the ratio of the judgment of this Court in
Suresh Chandra vs. State of U.P. & Anr. reported in
1996 ACJ 1 wherein this Hon’ble Court has held that
when the labourer sustains injuries during the course of
his employment due to negligence of the driver which
met with an accident and the claim is made under the
Motor Vehicles Act, the compensation could not be
limited to the amount admissible under the Workmen’s
Compensation Act.
3. Relevant factual details giving rise to the
aforesaid question in this appeal disclose that the
appellant/claimant filed a claim petition claiming
compensation for the injuries sustained by him in a road
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traffic accident which took place on 10.9.1996 about
4.00 p.m. when the claimant was travelling in a Swaraj
Mazda Matator bearing registration No. KA-01-2337 as a
cleaner. According to the case of the claimant, the
driver of the vehicle drove the same in a rash and
negligent manner and when the said vehicle came near
Doddabande Crossing, the vehicle dashed against the
lorry bearing registration No. TN-28B-8397 which was
parked on the road as a result of which the appellant who
was travelling on the said vehicle as a cleaner sustained
grievous injuries. The injured was, therefore, taken for
the first aid treatment at Penukonda Government
Hospital and was later shifted to Victoria Hospital,
Bangalore as an inpatient. The 2nd respondent in this
appeal was Mr. S. Sathyamurthy who admittedly is the
owner of the vehicle Swaraj Mazda and the said vehicle
was insured with the 1st respondent herein the United
India Insurance Company Ltd. Hence, the claimant laid
claim against both the respondents before the Motor
Accident Claims Tribunal and Court of Small Causes at
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Bangalore wherein he urged that the respondents are
liable to pay just and adequate compensation.
4. The respondent No.1- insurance company
appeared and filed objections contending therein that the
vehicle was being driven without a valid and effective
driving license in contravention of the provisions of the
Act due to which the insurance company was not
required to pay any compensation. It was further
contended by the insurance company that the vehicle in
question is a passenger carrying vehicle and the policy
of insurance issued was only an act coverage in which the
claimant appellant was proceeding as a cleaner. Hence
the policy of insurance issued by the respondent does
not cover the risk of the cleaner as per Section 147 of
the Motor Vehicles Act since the policy of insurance
covering the accident vehicle being an act of coverage
does not cover the risk of the cleaner; hence the
respondent insurance company was not liable to pay
compensation. The respondent -insurance company,
therefore, sought dismissal of the claim petition.
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5. The respondent No.2/the owner of the vehicle
herein although was served with the notice, he failed to
appear before the tribunal and hence the matter
proceeded only against the respondent – insurance
company.
6. The Motor Accident Claims Tribunal on a
scrutiny and analysis of the evidence led by the
contesting parties, was pleased to record a finding that
the appellant/claimant was travelling in the Matadar van
and the accident took place due to rash and negligent
driving of the said van by its driver due to which the
appellant herein sustained grievous injuries. On the
basis of the evidence it was further recorded that the
appellant sustained fracture of right shaft femur. He was
an inpatient at Victoria Hospital for a period of one and a
half month wherein his leg was operated and rod was
fixed to the fractured bone, head injury was sutured and
treated conservatively. After discharge, he also had to
undergo follow up treatment by visiting the hospital for
a period of one year once in 15 days a month as
advised by the doctors. The tribunal on an assessment
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of the injury sustained by the claimant and the expenses
incurred on the treatment was pleased to hold that the
claimant was entitled to a sum of Rs.1,42,800/- towards
compensation.
7. Since the quantum of compensation is not
under challenge in this appeal, it is inessential to go into
the details of the nature of injury and the amount
awarded to the claimant. In addition, the plea of the
insurance company that the driver was not holding a
valid license had also been rejected by the tribunal which
finding is not under challenge and hence it is equally
inessential to deal with this aspect.
8. The principal ground of challenge at the
instance of the respondent-insurance company was that
the appellant was travelling in a matador van as a
cleaner; hence his remedy was to claim compensation
under the Workmen’s Compensation Act and the tribunal
had no jurisdiction to entertain the claim filed by the
cleaner.
9. However, the tribunal referred to the law laid
down by the full Bench of the Karnataka High Court in the
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case of Karnataka State Road Transport
Corporation and Ors. Vs. R. Maheshwari and Ors.
reported in ILR 2003 Kar 3562, wherein it was held that
the insurer shall be liable to indemnify the person or
classes of persons specified in the policy in respect of
any liability which the policy purports to cover even in
proceedings under the Motor Vehicles Act without such
liability having been first determined or adjudged under
the Workmen’s Compensation Act. In view of the ratio of
this decision, the tribunal was pleased to hold that the
respondent-insurance company being the insurer was
liable to pay compensation. The claim petition
consequently was allowed in part awarding compensation
of Rs. 1,42,800/- together with costs and interest at 6 per
cent per annum from the date of filing of claim petition
till the date of payment against the respondent –
insurance company and respondent-insured/owner of the
vehicle jointly and severally. However, the respondent-
insurance company being the insurer of the offending
vehicle, it was ordered to pay the entire compensation
awarded.
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10. The respondent-insurance company assailed
the judgment and order of the tribunal by filing a first
appeal bearing MFA No.6711/2004 in the High Court of
Karnataka at Bangalore wherein the learned single Judge
recorded that the only grievance of the appellant-
insurance company was that while allowing the claim
petition, the first respondent/claimant had put the entire
burden on the appellant to satisfy the amount of Rs.
1,42,800/- which was awarded to the claimant. The
counsel representing the insurance company submitted
before the High Court that it was not in dispute that the
claimant was travelling as a cleaner in the matador van in
question and, therefore, the liability of the appellant
ought to have been restricted under the Workmen’s
Compensation Act. As such, the order of the tribunal
could not be sustained in law to the extent of liability
over and above the liability under the Workmen’s
Compensation Act.
11. The learned single Judge of the High Court almost
summarily allowed the appeal as he was of the view that
the claimant having been a cleaner in the matador van
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insured with the appellant herein, the liability could not
have been over and above the liability under the
Workmen’s Compensation Act. The learned single Judge
in support of his view relied upon the judgment and
order reported in the case of National Insurance
Company Ltd. Vs. Lagamanna & Ors. reported in
2007 ACJ 50. The learned single Judge recorded that
the Division Bench in the said decision had held that
when no cover premium is paid to cover larger liability,
the liability of the insurance company will be restricted to
the one under the Workmen’s Compensation Act. It was,
therefore, held that in the light of such settled position
of law, the tribunal could not have put the entire liability
on the appellant. The learned single Judge, therefore,
directed that the liability of the insurance company was
restricted to one under the Workmen’s Compensation Act
which would be Rs.32,091/- and the balance will have to
be shouldered by the insured/owner of the vehicle. It was
further ordered that the rate of interest will be as per
order of the Motor Accident Claims Tribunal. The appeal
was allowed to this extent but a further direction was
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given that if excess amount had been deposited, the
same will be refunded to the insurance company.
12. Since, the insured/owner of the vehicle had never
appeared either before the tribunal or the High Court, the
claimant-appellant felt aggrieved and has, therefore,
come up in appeal before this court assailing the
judgment and order of the High Court wherein the
directions recorded hereinabove is under challenge.
13. Learned counsel for the appellant/claimant in
substance contended that the High Court ought not to
have passed the impugned order in view of the ratio of
the judgment and order passed by this Court in Suresh
Chandra vs. State of U.P. & Anr. reported in 1996 ACJ
1 wherein this Hon’ble Court has held that when the
labourers sustain injuries during the course of his
employment due to the negligence of the driver and the
claim is made under the Motor Vehicles Act, the
compensation could not be limited to the amount
admissible under the Workmen’s Compensation Act.
Therefore, it was submitted that the impugned order is
liable to be set aside by this Court. The counsel had
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further submitted that the tribunal was justified and
rightly directed the respondent-insurance company to
pay the compensation together with costs and interest
at 6 per cent per annum from the date of petition to the
date of payment and the first respondent/insurance
company being the insurer of the vehicle was rightly
directed to pay the entire compensation. The learned
single Judge was thus in error in allowing the appeal of
the respondent insurance company in part which is fit to
be struck down as illegal and invalid.
14. Learned counsel representing the insurance
company repelled the arguments advanced by the
counsel for the claimant/appellant and essentially
submitted that the liability of the insurance company to
pay compensation to the claimant cleaner who was
injured during the course of employment due to
negligence of the driver would not be entitled to claim
compensation under the Motor Vehicles Act but his
compensation would be limited to the amount
admissible under the Workmen’s Compensation Act.
Learned counsel while elaborating his submission
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however yielded to the extent that although the
insurance company may be held liable to pay
compensation under the Motor Vehicles Act beyond what
is admissible under Workmen’s Compensation Act, the
same would be payable provided the insured/owner of
the vehicle had paid higher premium to cover the liability
of its employees and only then the insurance company
would be liable to pay the compensation to the
employees over and above the liability under the
Workmen’s Compensation Act. In absence of payment of
cover premium, the liability of insurance company will be
restricted only to the one which is payable under the
Workmen’s Compensation Act. It was, therefore,
submittedthat the High Court was correct in allowing the
appeal of the insurance company by restricting its
liability to Rs. 32,091/- only and rightly ordered refund of
the amount by the claimant/appellant which has been
assailed by the claimant herein.
15. In support of his submission, counsel for the
insurance company has invited the attention of this Court
to the case of National Insurance Company vs.
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Prembai Patel & Ors., reported in (2005) 6 SCC 172. In
this matter, the claim petition had been filed by the
respondent/claimant 3 to 6 claiming compensation for
the death of one Sunder Singh who was an employee of
the insured/owner of the vehicle who died in the
accident in course of his employment and a claim
petition was filed claiming compensation under the
Motor Vehicles Act. The main question which arose for
consideration in the said appeal was whether the
appellant/insurance company was liable to pay the entire
amount of compensation awarded to the claimants or its
liability was restricted to that which was prescribed
under the Workmen’s Compensation Act. The learned
Judges in this matter observed as under:
“The insurance policy being in the nature of a contract, it is permissible for an owner to take such a policy wherein the entire liability in respect of the death of or bodily injury to any such employee as is described in sub clauses (a) or (b) or (c) of the proviso 1 to Section 147 (1)(b) of the Motor Vehicles Act may be fastened upon the insurance company and the insurance company may become liable to satisfy the entire award. However, for this purpose, the owner must take a policy of that particular kind for which he may be required to pay additional premium and the policy must clearly show that the liability of the insurance company in case of death of or bodily injury in the aforesaid kind of
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employee is not restricted to that provided under the Workmen’s Compensation Act and is either more or unlimited depending upon the quantum of premium paid and the terms of the policy.”
The learned Judges in this ruling held that this
interpretation is in consonance with the view expressed
by a Constitution Bench in New India Assurance
Company Ltd. vs. C.M. Jaya & Ors., reported in
(2002) 2 SCC 278 wherein while interpreting the
provisions of Section 95 (2) of the Motor Vehicles Act
1939, the Court held as under in para 10 of the report :-
“……………………The liability could be statutory or contractual. A statutory liability cannot be more than what is required under the statute itself. However, there is nothing in Section 95 of the Act prohibiting the parties from contracting to create unlimited or higher liability to cover wider risk. In such an event, the insurer is bound by the terms of the contract as specified in the policy in regard to unlimited or higher liability as the case may be. In the absence of such a term or clause in the policy, pursuant to the contract of insurance, a limited statutory liability cannot be expanded to make it unlimited or higher. If it is so done, it amounts to rewriting the statute or the contract of insurance which is not permissible.”
Several other authorities were also relied upon which
were rendered in New India Assurance Co. Ltd. vs.
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Shanti Bai & Ors. (1995) 2 SCC 539 and Amrit Lal
Sood vs. Kaushalya Devi Thapar & Ors., (1998) 3 SCC
744 wherein it was held that in case of insurance policy
not taking any higher liability by accepting a higher
premium, the liability of the insurance company is neither
unlimited nor higher than the statutory liability fixed
under Section 95 (2) of the Motor Vehicles Act 1939. It
was further laid down that it is open to the insured to
make payment of additional higher premium and get
higher risk covered in respect of 3rd party also. But in
the absence of any such clause in the insurance policy,
the liability of the insurer cannot be unlimited in respect
of 3rd party and it is limited only to the statutory liability.
16. The learned Judges therefore held that in case the
owner of the vehicle wants the liability of the insurance
company in respect of death of or bodily injury to any
such employee as is described in clauses (a) or (b) or (c)
of proviso (i) to Section 147 (1) (b), the same should not
be restricted to that under the Workmen’s Compensation
Act but should be more or unlimited, but he must take
such a policy by making payment of extra premium and
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the policy should also contain a clause to that effect.
However, where the policy mentions “a policy for Act
Liability” or “Act Liability”, the liability of the insurance
company qua the employees as aforesaid would not be
unlimited but would be limited to that arising under the
Workmen’s Compensation Act. The learned Judges were,
therefore, pleased to hold that the liability of the
insurance company to satisfy the award would be
restricted to that arising under the Workmen’s
Compensation Act and the owner of the vehicle was held
liable to satisfy the remaining portion of the award.
17. A perusal of the aforesaid judgment and order of
this Court thus indicate that this Court has clearly held
that the liability to pay compensation in respect of
death or bodily injury to an employee should not be
restricted to that under the Workmen’s Compensation
Act but should be more or unlimited. However, the
determination would depend whether a policy has been
taken by the vehicle owner by making payment of extra
premium and whether the policy also contains a clause
to that effect.
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18. Thus in so far as the view of the High Court is
concerned to the extent that the compensation would be
restricted to be paid only to the extent which is payable
under the Workmen’s Compensation Act by making a
sweeping generalisation, the same is clearly contrary to
the view taken by this Court even in the judgment and
order on which reliance has been placed by the counsel
for the respondent-insurance company as it is sufficiently
clear and unambiguously laid down which is recorded
hereinbefore that the compensation payable to the
employee cannot be restricted merely under the
Workmen’s Compensation Act and it can be expanded
provided the contractual document which is the policy of
insurance incorporates such clause regarding the
premium to be paid taking into account the nature of the
policy.
19. In the light of the aforesaid legal position, it is clear
that the High Court was not correct in holding that the
claimant/appellant was not entitled to any compensation
over and above the liability under the Workmen’s
Compensation Act and hence the direction issued by the
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High Court that the appellant/insurance company,
respondent herein, will be liable to pay only Rs. 32091/-
and the balance will have to be shouldered by the
insured/owner of the vehicle is fit to be struck down as
invalid as the High Court had failed to examine the nature
and clauses of the policy which was not produced even
before the Tribunal.
20. The claimant/appellant is surely entitled to the
amount of compensation over and above the Workmen’s
Compensation Act in view of the ratio of the decisions
referred to hereinbefore. The rider no doubt is that
the statutory liability cannot be more than what is
required under the statute under Section 95 of the Motor
Vehicles Act which cannot bind the parties or prohibit
them from contracting or creating unlimited or higher
liability to cover wider risk and the insured is bound by
the terms of the contract specified in the policy in regard
to unlimited or higher liability as the case may be.
Thus, it is although correct that limited statutory liability
cannot be extended to make it unlimited or higher, it is
also manifestly clear that insofar as the entitlement of
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the claimant/deceased cleaner of the vehicle is
concerned, the same cannot be restricted to the
compensation under the Workmen’s Compensation Act
and is entitled to compensation even under the Motor
Vehicles Act which will depend upon the terms and
conditions of the policy of insurance.
21. From this legal position it is also equally clear that in
the instant matter insofar as the entitlement of the
claimant to the compensation under the Motor Vehicle
Act is concerned, the right of the claimant is not affected.
However, the respondent/insurance company had filed
an appeal in the High Court contending that the order of
the Tribunal could not be sustained in law to the extent of
liability over and above the liability under the Workmen’s
Compensation Act and on this point the contention of the
appellant/company has been accepted by the High Court
overlooking the more important fact that the Respondent
insurer company had neither produced the policy of
insurance before the High Court nor led any evidence to
establish that as per terms and conditions of policy extra
premium had not been paid.
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22. The question, therefore, is whether the amount of
compensation could rightly be apportioned between the
insurer/insurance company and the insured/owner of the
vehicle. However, the owner of the vehicle had not
appeared before the tribunal but the insurance company
allowed the matter to be proceeded before the tribunal
and when the respondent/insurance company filed an
appeal in the High Court, the insured/owner of the vehicle
once again failed to appear but the Respondent-
Insurance Company did not pursue for his appearance.
The High Court, however, further overlooked that the
apportionment of the amount of compensation between
the owner of the vehicle and the insurance company
was an inter se dispute between insurance company and
the insured/owner of the vehicle and, therefore, the
order due to non-appearance of the insured/owner of the
vehicle could not have been passed to the detriment of
the claimant as the claimant in any case is entitled to the
amount of compensation determined by the tribunal. If
the insurance company acquiesced with the situation and
allowed the proceeding to continue even in absence of
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the insured/owner of the vehicle who has been held
liable to pay the amount even though the insured might
have been liable to pay higher premium, the
consequence of the same obviously will have to be borne
by the insurance company and the claimant cannot be
made to suffer.
23. Hence, at the stage of appeal before the High
Court, we find no legal justification for the High Court to
leave it open to the insurance company to realize the
amount of compensation beyond Rs.32,091/- from the
insured/owner as the plea of the respondent/insurance
company althrough was that the claimant is not entitled
to any compensation beyond the extent of liability under
the Workmen’s Compensation Act and the
respondent/insurance company had not taken the
alternative plea either before the tribunal or the High
Court that in case the claimant is held entitled to
compensation beyond the extent of liability under the
Workmen’s Compensation Act, the same was not
payable as no extra premium was paid by the
insured/owner under the policy of insurance. The
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insurance company had failed to raise any plea before
the courts below i.e. either the Motor Accident Claims
Tribunal or the High Court and it did not even contend
that in case the claimant is entitled to any
compensation beyond what was payable under the
Workmen’s Compensation Act, it is the insured owner
who was liable to pay as it had no contractual liability
since the insured/owner of the vehicle had not paid any
extra premium. Thus, this plea was never put to test or
gone into by the Motor Accident Claims Tribunal since the
insurance company neither took this plea nor adduced
any evidence to that effect so as to give a cause to the
High Court to accept this plea of the insurance company
straight away at the appellate stage.
24. Consequently, the High Court’s view impliedly
holding that the claimant/appellant was not entitled to
any compensation under the Motor Vehicles Act beyond
the entitlement under the Workmen’s Compensation Act
so as to leave it open to the Respondent/Insurance
Company to realise it from the owner of the vehicle at the
belated stage of appeal before the High Court when the
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respondent/insurance company had failed even to urge
the alternative plea regarding non-payment of extra
premium by the owner of the vehicle and had even
reconciled to the fact that the owner of the vehicle had
failed to appear in spite of service of notice, is not fit to
be sustained.
25. At this stage, we deem it appropriate to take note of
an important step which the insurance company
generally fail to take and that is related to non
appearance of the owner of the vehicle in spite of service
of notice. The insurance companies although contend
before the Motor Accident Claims Tribunal and even at
the appeal stage that it is the owner of the vehicle which
is liable to bear a part or the entire liability of making the
payment of compensation to the claimant in view of the
nature of policy, or even due to invalid licence by the
driver of the owner of the vehicle, the insurance company
fails to lead any evidence to establish as to how the
owner and not the insurance company is liable to pay the
compensation and even submits to non appearance of
the owner of the vehicle whose appearance is vital in
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view of inter se contest between the owner of the vehicle
and the insurance company. In absence of the owner of
the vehicle, when the Motor Accident Claims Tribunal or
the High Court leaves it open to the insurance company
subsequently to realise the amount from the owner of the
vehicle by instituting a fresh proceeding in view of the
ratio of the case of General Manager, Kerala State
Road Transport Corporation, Trivandrum Vs.
Sussama Thomas, (1994) 2 SCC 176, it gives rise to a
fresh proceeding between the owner and the insurance
company putting unnecessary burden on the Motor
Accident Claims Tribunal to try the issue all over again.
In fact, if the insurance company were to succeed in
establishing by leading cogent evidence at the initial
stage itself before the Tribunal that it is the owner of the
vehicle which is liable to pay even if the evidence is ex
parte in nature, it would at least facilitate the issue in the
subsequent proceeding when the insurer initiates
proceeding for realising the amount from the
owner/insured. But in absence of such evidence, the
insurer/companies are a loser and enures advantage to
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the owner who happens to gain by choosing not to
appear. The Insurance Companies would fair better if
they were to address this issue before the Tribunal itself
instead of becoming wiser at the stage of appeal. What
is wished to be emphasized is that if the owner chooses
not to appear before the Tribunal although his
appearance is necessary in a given case, the insurance
company would do well instead of acquiescing with their
absence to their detriment giving an upper edge to the
owner at their own peril.
26. In the instant matter, we have noted that the High
Court although had granted liberty to the insurance
company to realise the amount from the owner of the
vehicle, it failed to record expressly that the respondent
insurance company shall pay the amount to the
appellant/claimant determined by the Motor Accident
Claims Tribunal although impliedly the High Court has not
denied the amount to the claimant/appellant. But in
absence of a categorical direction to the
respondent/insurance company to pay the entire amount
to the appellant as determined by the Motor Accident
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Claims Tribunal, the appellant is bound to confront
impediments in realizing the amount. Hence, the
direction of the High Court is clarified to the extent by
recording that the respondent/insurance company shall
pay the balance amount also beyond Rs.32,091/- along
with interest to the Claimant expeditiously but not later
than a period of six weeks from the date of receipt of this
order.
27. We are , thus, pleased to hold that the judgment
and order of the High Court which impliedly held that the
employee/claimant is entitled to compensation only
under the Workmens’ Compensation Act and not under
the Motor Vehicle’s Act stands set aside and the liberty
granted to the Respondent/Insurance Company to realise
the amount from the owner without a corresponding
direction to the Respondent/Insurance company to pay
the amount to the Claimant/Appellant making the
appellant liable to realise it from the owner of the vehicle
stands modified as indicated hereinbefore. The appeal
accordingly is allowed but we refrain from making any
order as to costs.
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………………………………..J (G.S. Singhvi)
………………………………..J (Gyan Sudha Misra)
New Delhi, August 2, 2013
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