Tag: Insurance Claim

Can a Court Award More Than You Claimed? Supreme Court Upholds ‘Just Compensation’ in Accident Cases
3Mar By The Legal ChamberNo Comments
Supreme Court

Can a Court Award More Than You Claimed? Supreme Court Upholds ‘Just Compensation’ in Accident Cases

The Supreme Court allowed the appeal in part, holding that tribunals can award compensation exceeding the claimed amount under the Motor Vehicles Act to ensure just and fair relief. It emphasized adding future prospects to monthly income for calculating loss of earnings due to functional disability. The Court also granted a lump sum for attendant care based on the claimant's age and injuries. Facts Of The Case: On 26.01.2012, the appellant, R. Logeshkumar, aged 21, was riding a motorcycle from Selaiyur to Medavakkam in Chennai. At the Kamarajapuram junction, a jeep owned by the first respondent and insured by the second respondent came from the opposite direction in a rash and negligent manner, without sounding a horn, and collided with his motorcycle. The accident caused grievous injuri...
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Supreme Court: Insurance Claim Can’t Be Denied Based on Age of Equipment
3Feb By The Legal ChamberNo Comments
Supreme Court

Supreme Court: Insurance Claim Can’t Be Denied Based on Age of Equipment

The Supreme Court held that an insurer cannot repudiate a claim merely by invoking an exclusion clause for wear and tear. The burden lies on the insurer to prove material non-disclosure, fraud, or that the loss was definitively caused by an excluded peril. A valid statutory fitness certificate creates a strong presumption of the equipment's insurable condition, shifting the evidentiary onus onto the insurer. Facts Of The Case: The appellant, a sugar mill, held an insurance policy from National Insurance Co. Ltd. covering its boiler. During the policy period in May 2005, an incident occurred causing two boiler tubes to detach. The insurer repudiated the claim, citing Exclusion Clause 5, which excludes losses from wear, corrosion, and gradual deterioration. It relied on a surveyor's ...
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Just Compensation Explained: Supreme Court Raises MACT Award from Rs 30 Lakh to Rs 85 Lakh
28Dec By The Legal ChamberNo Comments
Supreme Court

Just Compensation Explained: Supreme Court Raises MACT Award from Rs 30 Lakh to Rs 85 Lakh

The Supreme Court enhanced compensation by applying established principles under the Motor Vehicles Act. It awarded amounts under non-pecuniary heads like marriage prospects and pain & suffering, and granted attendant charges for two attendants, citing precedents to ensure just and equitable restitution for the claimant's 100% disability. Facts Of The Case: The claimant-appellant, Reshma, aged 24, suffered severe injuries in a motor vehicle accident on February 23, 2015, due to the rash and negligent driving of the offending vehicle, which was duly insured. The Motor Accidents Claims Tribunal (MACT) initially awarded compensation of ₹30,24,800, assessing her income at ₹10,000 per month and her disability at 100%. Dissatisfied, she appealed to the High Court, which enhanced the total ...
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Supreme Court Boosts Accident Compensation, Rejects “Minimum Wage” for Student
22Nov By The Legal ChamberNo Comments
Supreme Court

Supreme Court Boosts Accident Compensation, Rejects “Minimum Wage” for Student

The Supreme Court enhanced compensation by revising the income assessment from minimum wages to a prospective income of an accountant, factoring in future prospects as per Pranay Sethi. It also awarded additional future medical expenses, upholding the insurer's liability for verified costs incurred due to the victim's paraplegia. Facts Of The Case: On 24th October 2001, a 20-year-old man, Sharad Singh, was travelling pillion on a motorcycle when it was hit from behind by a rashly and negligently driven car. The impact caused him to fall onto the road, and he was subsequently run over by the same car. The accident resulted in a C4-5 fracture, rendering him a paraplegic with 100% disability, as certified by AIIMS, and confined him to a bed-ridden state until his death in 2021. The offendin...
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Supreme Court Says Failure in Treatment Isn’t Always Negligence :A Landmark Ruling for Doctors
27Oct By The Legal ChamberNo Comments
Supreme Court

Supreme Court Says Failure in Treatment Isn’t Always Negligence :A Landmark Ruling for Doctors

The Supreme Court held that consumer fora cannot travel beyond the pleadings to construct a new case for the complainant. It emphasized that medical negligence cannot be presumed merely because of an adverse treatment outcome. The Court ruled that the NCDRC overstepped its jurisdiction by basing its finding on antenatal care negligence, which was never pleaded by the complainant, and set aside the order. Facts Of The Case: A patient, Charanpreet Kaur, died from atonic Post-Partum Haemorrhage (PPH) hours after delivering a stillborn child at Deep Nursing Home, Chandigarh, under the care of Dr. Kanwarjit Kochhar. Her husband, Manmeet Singh Mattewal, filed a consumer complaint alleging medical negligence specifically in the post-delivery treatment. He contended the nursing home was il...
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Supreme Court Boosts Compensation: Sets Minimum Income for Accident Victims
11Oct By The Legal ChamberNo Comments
Supreme Court

Supreme Court Boosts Compensation: Sets Minimum Income for Accident Victims

In a significant ruling on motor accident claims, the Supreme Court reinforced the principles from Pranay Sethi and Somwati. The Court established that the income of a deceased, even if not fully substantiated, cannot be assessed lower than the notional income of an unskilled labourer, with due consideration for annual increments. It upheld the application of standard multipliers, future prospects, and clarified that loss of consortium is payable to spouses, children, and dependent parents. Facts Of The Case: In a tragic accident on July 25, 2010, four friends from Bijapur on a pilgrimage to Shirdi lost their lives when their car was involved in a head-on collision with a rashly and negligently driven goods lorry on NH-13. The case concerns one of the deceased, a qualified pharmacist, wh...
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Supreme Court: Insurance Can’t Deny Claim Based on Policy Clause When Vehicle Was Properly Registered & Permitted
11Oct By The Legal ChamberNo Comments
Supreme Court

Supreme Court: Insurance Can’t Deny Claim Based on Policy Clause When Vehicle Was Properly Registered & Permitted

Supreme Court Judgment Based on the policy's "Limitation as to Use" clause, the Supreme Court ruled that an insurance company cannot deny liability for a utility vehicle registered and permitted as a "contract carriage" to carry passengers. The clause applies only to goods carriages, and the insurer, having issued the policy with full knowledge of the vehicle's registration and permit, is bound to indemnify the owner for third-party claims. The "pay and recover" order was set aside. Facts Of The Case: The case originated from a tragic accident involving a utility vehicle, which led to the filing of five separate claim petitions before the Motor Accidents Claims Tribunal (MACT) by the legal representatives of the deceased. The owner of the vehicle, Shyam Lal, was the appellant b...
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Supreme Court Judgment: Key Takeaway from Vanita vs. Shriram Insurance Co. Ltd.
9Oct By The Legal ChamberNo Comments
Supreme Court

Supreme Court Judgment: Key Takeaway from Vanita vs. Shriram Insurance Co. Ltd.

The Supreme Court dismissed the civil appeal, thereby upholding the decision of the lower courts. The ruling signifies that the appellants' legal challenge against the insurance company's position was not tenable in law. The court found no merit to interfere, allowing the impugned judgment and the terms of the insurance policy to stand. Facts Of The Case: The case originated from a claim filed by Vanita and others, likely the legal heirs of a deceased, seeking compensation under a motor accident claim. The accident presumably involved a vehicle insured with M/s Shriram Insurance Company Ltd. The Motor Accidents Claims Tribunal (MACT) initially ruled in the case, and its decision was subsequently challenged in a High Court. It appears that the claimants' appeal was unsuccessful in the Hig...
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Supreme Court Says No :Can You Change Your Mind After Cashing the Cheque?
9Oct By The Legal ChamberNo Comments
Supreme Court

Supreme Court Says No :Can You Change Your Mind After Cashing the Cheque?

The Supreme Court dismissed the appeal, upholding the rejection of a time-barred review petition. It affirmed the legal principle that a party cannot "approbate and reprobate"—they cannot accept a benefit under an order and later challenge it. A party who voluntarily accepts compensation with full knowledge is bound by their conduct and cannot subsequently resile from it. Facts Of The Case: In a motor accident claim case concerning the death of Priyank Chand, the Motor Accident Claims Tribunal awarded a total compensation of approximately Rs. 11.82 lakh to his legal heirs: his mother (Urmila Chand, the appellant), his wife (Sonu Chand), and his two minor children. Upon a joint application filed by all claimants, including Urmila, the Tribunal passed a disbursement order on 21.04.2015. As...
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Not Just Salaried: Supreme Court Rules Self-Employed Accident Victims Get Future Income Rise
8Sep By The Legal ChamberNo Comments
Supreme Court

Not Just Salaried: Supreme Court Rules Self-Employed Accident Victims Get Future Income Rise

The Supreme Court held that self-employed claimants are entitled to future prospects, affirming the principles in Santosh Devi and Pranay Sethi. It further ruled that uncontroverted medical evidence on disability must be accepted in its entirety, and the percentage of disability assessed by the treating doctor cannot be arbitrarily reduced by the Tribunal or High Court without reasoning. Facts Of The Case: On November 19, 2016, at approximately 6:00 a.m., the appellant, Lokesh B, a 38-year-old tailor, was driving his Omni car on the Peenya flyover in Bengaluru. His vehicle collided with a stationary lorry that was allegedly parked in the middle of the flyover without any indicators or reflective warnings. As a result of the collision, Lokesh sustained grievous injuries, including skull f...
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