Facts
The respondent/claimant, Eti Ray, sustained severe injuries on August 27, 2019, when a bus collided with the Toto she was traveling in at Midnapur
Source reference: p. 1-2An FIR was lodged the next day naming vehicle WB-33A/6350, but the complainant later submitted a notarial affidavit changing the offending vehicle’s number to WB-33D/2950, asserting the initial number was an error
Source reference: p. 3-4The insurance company (Appellant) contested the claim, alleging "fraudulent implantation" of the vehicle and a lack of route permit
Source reference: p. 5The Motor Accident Claims Tribunal (MACT) allowed the claim, awarding Rs. 15,31,087 with 9% interest
Source reference: p. 2-3The Appellant challenged this award on grounds of identity of the vehicle and excessive quantum
Source reference: p. 3-6Issues
1. Whether the offending vehicle (WB-33D/2950) was fraudulently implanted to claim compensation
Source reference: p. 9-102. Whether the lack of a displayed route permit constituted a violation of policy conditions absolving the insurer of liability
Source reference: p. 5, 11-123. Whether the quantum of compensation awarded by the Tribunal, including the calculation of future prospects and interest, was excessive
Source reference: p. 5-6, 13-14Law Applied
The court applied Section 166 of the Motor Vehicles Act, 1988 regarding compensation for motor accidents
Source reference: p. 1It relied on National Insurance Co. Ltd. v. Pranay Sethi [(2017) 16 SCC 680] for the standardization of future prospects and non-pecuniary damages
Source reference: p. 7, 9The court also applied evidentiary principles from Kusum Lata v. Satbir [(2011) 3 SCC 646], which establishes that the absence of a vehicle number in an FIR is not fatal to a claim if identity is established during investigation
Source reference: p. 8Furthermore, the court emphasized that in beneficial legislation, the burden is on the insurer to prove "fraud" or "implantation" through independent investigation or examination of Investigating Officers (I.O.)
Source reference: p. 11-12Reasoning
The Court rejected the appellant’s plea of implantation, noting that while the FIR initially cited a different number, it correctly identified the bus name ("Abhinandan") and its specific route
Source reference: p. 7The subsequent correction via affidavit was validated by the police investigation and the charge sheet, which the insurer failed to rebut by calling the I.O. as a witness
Source reference: p. 10-11The Court observed that the insurer conducted no independent investigation to prove fraud and failed to specifically plead "implantation" in its written statement
Source reference: p. 8, 11Regarding the route permit, the Court held that since the insurer did not adduce evidence or examine the owner, it could not claim a policy violation at the appellate stage
Source reference: p. 12However, the Court identified an arithmetical error in the Tribunal’s calculation, where the sum of individual heads (Rs. 13,51,087) did not match the final awarded figure (Rs. 15,31,087)
Source reference: p. 14Holding
The High Court upheld the finding of rash and negligent driving against vehicle WB-33D/2950 but modified the quantum.
It held that the original award was mathematically inconsistent and excessive. The Court reduced the total compensation to a "just and reasonable" sum of Rs. 13,00,000.
Source reference: p. 14The interest rate was also reduced from 9% to 6% per annum from the date of filing the claim. The Appellant was directed to deposit the modified amount with the Registrar General within eight weeks
Source reference: p. 14Original Court PDF
NATIONAL INS CO LTDvsETI RAY AND ANR
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