The Tata Aig General Insurance Co. Ltd vs Suraj Kumar
- Neutral2025 INSC 707
Ratio decidendi
The rule this decision rests on
An insurer's liability in motor accident claims is limited to indemnifying the loss of estate of the insured through pecuniary compensation; the insurer cannot be required to undertake ongoing obligations to monitor or ensure the future wellbeing of the accident victim, but instead must be awarded monetary compensation computed to cover all foreseeable future expenses including mobility aids and medical care, calculated on the basis of ascertainable costs and periodicity of replacement rather than through specific performance of in-kind obligations.
Written by Miss Lucy from the judgment below, not taken from a headnote.
Judgment
As delivered
2025 INSC 707 Non-Reportable
IN THE SUPREME COURT OF INDIA CIVIL APPELLATE JURISDICTION
Civil Appeal No…….…….of 2025 (@Special Leave Petition (C) No.3484 of 2020)
THE TATA AIG GENERAL INSURANCE CO. LTD.
APPELLANT(S) VERSUS
SURAJ KUMAR & ORS. RESPONDENT(S) JUDGEMENT
K. VINOD CHANDRAN, J.
1. Leave granted.
2. The Insurance Company is in appeal from an order of
the High Court which directed the appellant to provide
prosthetic limbs and one motorized wheelchair to the
satisfaction of the victim, who was the claimant before the
Motor Accident Tribunal. There was a further direction to
provide the telephone numbers of two responsible officers
of the company and pay the cost of travel to the claimant Signature Not Verified Digitally signed by Jayant Kumar Arora from Patna to Delhi for carrying out the fitment of the Date: 2025.05.15 18:38:31 IST Reason:
prosthetic limbs and procurement of the motorized
Page 1 of 6 CA @ SLP (C) No. 3484 of 2020 wheelchair. In addition, the insurance company was
directed to ensure the proper functioning of the prosthetic
limbs and the wheelchair at least twice a year presumably to
ensure replacement on normal means and terms.
3. The Insurance Company is before us contending that
as an insurer, the liability is only to indemnify the loss of
estate of the insured, that too, in monetary terms, by
pecuniary compensation as awarded by the Tribunal.
Monitoring the victim of the accident and ensuring his
wellbeing in future will not be the duty of the insurer nor can
such an obligation be cast on it.
4. We are of the opinion that the appellant is perfectly
right in raising such a contention against the impugned
order. It would have been better for the High Court to have
computed the monetary compensation which would cover
the aspect of provision of mobility and prosthetic limb, as
also compute in monetary terms, as to what would ensure
the future wellbeing of the victim. This could very well have
been done upon ascertaining the price of the wheelchair or
the prosthetics and also the periodicity of replacement
Page 2 of 6 CA @ SLP (C) No. 3484 of 2020 while awarding attendant charges and future treatment
expenses.
5. On facts, the respondent has suffered an accident
while he was travelling in a Tempo of his employer as a
cleaner on 21.12.2008. The vehicle was driven rashly and
negligently and it hit a stationary tanker. Sufficient evidence
was produced before the Tribunal regarding the accident
and the negligence alleged. The disability was proved by
way of examining a Medical Technician and the Doctor who
treated the victim and also the Doctor who was a member of
the Board which examined the victim, assessed his disability
and issued the certificate. PW-3/A was the disability
certificate which found both his lower limbs having 90%
impairment, one having been amputated. The income of the
respondent was assessed at Rs.4000/-. 50% was added for
future prospects and the multiplier was taken as 17. The
Tribunal on the pecuniary and non-pecuniary aspects
awarded total compensation of Rs.16,34,400/- with 9%
interest adopting the functional disability to be 100%. The
Insurance Company did not file an appeal, and it was the
Page 3 of 6 CA @ SLP (C) No. 3484 of 2020 claimant who took the matter in appeal to the High Court,
wherein the impugned order was passed.
6. We cannot accept the order of the High Court though it
would, to some extent, be an ideal one by ensuring the
victim’s well being. The Insurance Company which has
indemnified the owner of the motor vehicle as against any
loss of estate caused by reason of an accident of the vehicle
cannot be required to ensure the future wellbeing, which in
any event can be computed in monetary terms and awarded
as ‘just compensation’.
7. Looking at the total picture of the disability, the
requirement for providing sufficient mobility to the victim,
as also the future medical expenses, would be incidental to
the future wellbeing of the victim. The victim was 22 years
old when he was rendered almost immobile by the injuries
suffered in an accident. A prosthetic limb, would in any
event cost approximately Rs.2 lakhs and it would have to be
changed in every five years. Even on a conservative
estimate, the victim would require the change of at least five
prosthetic limbs in his lifetime considering his age. The
Page 4 of 6 CA @ SLP (C) No. 3484 of 2020 provision of wheelchair would also take approximately
Rs.40,000/- which also would have to be changed every five
years. Hence, the total amount of Rs.10 lakhs for the
prosthetic limbs and another Rs.2 lakhs for the wheelchair
would take care of the future wellbeing of the victim
8. We, hence direct the Insurance Company to pay an
additional amount of Rs.12 lakhs to the victim with simple
interest @ 6 %, which shall be paid within a period of two
months.
9. We are conscious of the fact that the claimant has not
approached this Court, and the appeal is filed by the
Insurance Company. However, before the High Court it was
the claimant who filed the appeal for compensation; the
insurer having accepted the award, but more importantly,
we are not increasing the award but only stating the award
in monetary terms as is prayed now before this Court by the
Insurance Company. We do not think a remand would be
proper, especially since the accident occurred almost a
decade and a half before. Hence, we set aside the
Page 5 of 6 CA @ SLP (C) No. 3484 of 2020 impugned order and decide the appeal for enhancement
filed by the claimant before the High Court.
10. The respondent is directed to provide the details of his
account into which the insurance company shall deposit/
transfer the balance amounts due, after deducting the
amounts already paid if any, through online mode within the
time as stipulated above.
11. The appeal is disposed of on the above terms.
12. Pending applications, if any, shall stand disposed of.
...……….……………………. J.
(SUDHANSHU DHULIA)
………….……………………. J.
(K. VINOD CHANDRAN)
NEW DELHI;
MAY 15, 2025.
Page 6 of 6 CA @ SLP (C) No. 3484 of 2020
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