Supreme Court: “Functional Disability Must Be Considered for Just Compensation” – Court Enhances Compensation for Motor Accident Victim, Restores Attendant and Prosthetic Expenses, Awards Future Medical Costs

Supreme Court: “Functional Disability Must Be Considered for Just Compensation” – Court Enhances Compensation for Motor Accident Victim, Restores Attendant and Prosthetic Expenses, Awards Future Medical Costs

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Court’s Decision

The Supreme Court partly allowed the appeals filed by the injured claimant seeking enhancement of compensation in a motor accident case. The Court affirmed the High Court’s assessment of 50% functional disability but enhanced the compensation by restoring amounts for attendant expenses and prosthetic costs, awarding full medical expenses, and granting an additional ₹10 lakhs for future medical treatment and prosthetic servicing. The Court held:

“The disability to be assessed for compensation is the functional disability reducing earning capacity, not merely the medical disability.”

The total compensation was enhanced to ₹48,44,790 with 6% interest, payable by the insurance company within three months, after deducting amounts already paid.


Facts

The claimant suffered grievous injuries in a road accident on 9 April 2007 when his motorbike was hit by a rashly driven truck. He sustained amputation of one leg with part of the pelvic bone (hemipelvectomy). The Tribunal found the accident proven, attributing negligence to the truck driver. Both drivers held valid licences, and the truck was duly insured.

On quantum, the Tribunal reduced the medical board’s certified 90% disability to 45%, treating the claimant’s case as partial amputation. It also rejected the claimant’s income tax returns, fixing income at ₹4,500 per month, and awarded ₹13,23,831 in total, including prosthetic costs and limited medical expenses.

On appeal, the High Court enhanced income to ₹8,000 per month, added 40% for future prospects, applied multiplier 18, raised medical expenses to ₹8 lakhs, and added heads for pain and amenities, thereby awarding ₹23,09,600. Dissatisfied, the claimant appealed further to the Supreme Court.


Issues

  1. Whether the disability certificate of 90% should be accepted or functional disability of 50% should govern the compensation.
  2. Whether the claimant’s income should be computed based on tax returns or notional figures.
  3. Whether medical expenses, prosthetic costs, and future medical needs were properly accounted for.
  4. Whether the High Court erred in excluding amounts earlier awarded under attendant and prosthetic heads.

Petitioner’s Arguments

The claimant argued that the medical board certified his disability at 90% and this should have been accepted, rather than reduced arbitrarily. He contended that income tax returns filed prior to the accident were wrongly rejected as fabricated, despite showing consistent income. The High Court’s adoption of ₹8,000 per month without basis was flawed.

He further submitted that the High Court and Tribunal ignored vital heads—future medical expenses for prosthetic limb replacement and servicing, which are inevitable. The reduction of medical bills from ₹12.54 lakhs to ₹8 lakhs lacked reasoning, and restoration of prosthetic and attendant expenses was necessary. Invoices and receipts for prosthetic replacement were produced to substantiate future needs.


Respondent’s Arguments

The insurance company defended the High Court’s award, arguing that the income tax returns were inflated since the claimant was an undergraduate at the time of accident and the business in his name was managed by his family. It maintained that functional disability of 50% was fair, considering the claimant’s ability to continue running his business with prosthetic support.

It argued that future prospects should not apply in disability cases, as compensation already accounts for reduced earning capacity. Medical bills, it claimed, were exaggerated, and the Tribunal had rightly pruned them after verification.


Analysis of the Law

The Court examined principles of compensation under the Motor Vehicles Act, focusing on “just compensation.” It emphasized that functional disability, not mere medical percentage, is relevant for computing loss of earning capacity.

On income, it held that tax returns filed before the accident must be accepted as genuine, noting that registration of the claimant’s firm in 2006 and returns from 2005-06 onwards could not have been fabricated anticipating an accident. Sales tax returns also corroborated income. Thus, the Court fixed annual income at ₹1,91,000 (after tax deduction), applying multiplier 18 and 50% disability.

On medical expenses, it held that unsupported pruning by the Tribunal and High Court was unsustainable. Since invoices totaling ₹12.54 lakhs were produced, the full amount was awarded.

On prosthetic and attendant expenses, the Court restored amounts earlier granted but ignored by the High Court. Further, it awarded ₹10 lakhs for future prosthetic maintenance and medical care, acknowledging lifelong recurring costs.


Precedent Analysis

  1. Employees’ Compensation Act, 1923 – Relied upon by the Tribunal to assess disability percentages. SC clarified that for motor accident claims, functional disability is determinative.
  2. Principles from MV Act jurisprudence – Reinforced that “just compensation” must balance fairness to victim and insurer, not rigidly apply medical disability percentages.
  3. Judicial approach to income tax returns – SC emphasized that duly filed tax returns prior to accidents are credible and cannot be dismissed on conjectures, aligning with earlier pronouncements on evidentiary value of such documents.

Court’s Reasoning

The Court reasoned that while medical disability was certified at 90%, the claimant’s ability to continue his business with prosthetic aid justified adopting 50% functional disability. It found the High Court correct on this aspect.

However, on income, it disagreed with both lower courts. The Tribunal wrongly rejected tax returns as a tax-avoidance ruse, and the High Court arbitrarily fixed ₹8,000 monthly. Accepting returns as genuine, the Court assessed annual income at ₹1,91,000.

It held that future prospects could not be added in disability claims, as the disability percentage itself reflects reduced earning capacity.

On medical expenses, the Court faulted the arbitrary reduction, directing full reimbursement of ₹12.54 lakhs. It restored prosthetic costs of ₹4.70 lakhs and attendant expenses of ₹1 lakh and added ₹10 lakhs for future medical costs.

Thus, it recalculated compensation at ₹48,44,790, with 6% interest from the date of application.


Conclusion

The Supreme Court enhanced compensation significantly, recognizing the importance of functional disability, genuine income records, and recurring prosthetic expenses. It balanced fairness by rejecting future prospects but granting substantial sums for present and future medical needs. The ruling underscores that “just compensation” must account not only for immediate loss but also lifelong rehabilitation needs of disabled victims.


Implications

This judgment clarifies that in motor accident cases, courts must distinguish between medical disability and functional disability affecting earning capacity. It upholds the evidentiary value of pre-accident income tax returns. It also establishes that prosthetic and medical expenses must be fully accounted for, including future needs, thereby strengthening victim-centric compensation jurisprudence under the Motor Vehicles Act.


FAQs

1. What is the difference between medical disability and functional disability?
Medical disability is the percentage assessed medically, while functional disability considers its impact on earning capacity. Courts award compensation based on functional disability.

2. Can income tax returns be rejected in motor accident cases?
No. The Supreme Court held that tax returns filed before the accident must be treated as reliable indicators of income unless proven fabricated.

3. Are future prosthetic and medical expenses compensable?
Yes. The Court recognized lifelong recurring costs for prosthetic maintenance and awarded ₹10 lakhs for future medical needs.

Also Read: Bombay High Court Quashes CIDCO’s Cancellation of Hospital Plot Auction — “Administrative Lapses Cannot Deny Citizens Access to Healthcare”

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