Delhi High Court

Functional Disability for Motor Accident Claims Must Reflect Actual Impact on Earning Capacity, Not Just Medical Impairment.

M/S National Insurance Co Ltd v. Anil Kumar & Ors [MAC.APP. 493/2014]

Delhi High CourtJUDGMENT: no citation2 MIN READSOURCE JUDGMENT
THE ORIGINAL LAWLENS SUMMARY
01

Facts

The Appellant (Insurance Company) challenged the award dated 28th February 2014 passed by MACT, Saket Courts, which granted ₹21,52,901/- to Respondent No. 1 (the injured claimant)

Source reference: p. 1

On 20th March 2011, the claimant, a TSR driver, was hit by an offending vehicle while riding his motorcycle

Source reference: p. 1

The claimant suffered a 90% permanent disability in his left lower limb due to a femur fracture treated with external fixtures

Source reference: p. 1, 2

The Tribunal originally assessed his functional disability at 100%, equating it to a total loss of earning capacity

Source reference: p. 2
02

Issues

1. Whether the assessment of 100% functional disability was legally sustainable given the nature of the injuries and vocation of the claimant

Source reference: p. 2 / para. 3

2. Whether the claimant was entitled to future prospects and a revised multiplier in light of established precedents

Source reference: p. 5 / para. 8-9
03

Law Applied

The Court applied the principles laid down in *Raj Kumar v. Ajay Kumar (2011) 1 SCC 343*, which distinguishes between medical disability and functional disability (loss of earning capacity), holding that 100% loss should only be imputed if the person is completely disabled from earning any livelihood

Source reference: p. 2-3

It followed *National Insurance Company Ltd. v. Pranay Sethi (2017) 16 SCC 680* regarding the mandatory grant of future prospects even in injury cases

Source reference: p. 5

Additionally, the multiplier was determined as per the table in *Sarla Verma v. Delhi Transport Corporation (2009) 5 SCC 121*

Source reference: p. 5
04

Reasoning

The High Court found the Tribunal’s assessment of 100% functional disability erroneous.

Source reference: no citation

Applying *Raj Kumar*, the Court reasoned that since the claimant's injury involved the left lower limb treated with plating (not amputation or paralysis), he could still theoretically engage in some lesser scale of activities or alternative vocations

Source reference: p. 2, 4

Consequently, the Court reduced the functional disability from 100% to 75%

Source reference: p. 5

However, the Court observed that the Tribunal failed to award 30% future prospects required for a 45-year-old skilled worker under *Pranay Sethi*

Source reference: p. 5

and failed to apply the correct multiplier of 14 for the claimant’s age bracket

Source reference: p. 5

By integrating these adjustments—lower disability percentage but higher multiplier and future prospects—the Court recalculated the compensation

Source reference: p. 6
05

Holding

The Court partially allowed the appeal, modifying the award.

It held that functional disability is 75%, the multiplier is 14, and future prospects of 30% must be added

Source reference: p. 5-6

The total compensation was enhanced from ₹21,52,901/- to ₹22,10,699/-, carrying interest at 9% per annum

Source reference: p. 6

The Insurance Company was directed to deposit the enhanced amount of ₹57,798/- within four weeks for release to the claimant

Source reference: p. 6
Delhi High Court

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M/S National Insurance Co Ltd v. Anil Kumar & Ors [MAC.APP. 493/2014]

Delhi High Court · no citation

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