Gujarat State Road Transport Corporation v. Jayendra Mansukhlal Nimavat
2024-04-18
SANDEEP N.BHATT
body2024
DigiLaw.ai
ORDER : 1. The present Second Appeal is filed by the appellant – original defendant under the provisions of Section 100 of the Civil Procedure Code, 1908 (hereinafter referred to as “the C.P.C.”) by challenging the judgment and order dated 01.08.2023 passed by the learned Additional District Judge, Porbandar in Regular Civil Appeal No.18 of 2022 (hereinafter referred to as ‘appellate court’) and the judgment and decree dated 31.08.2021 passed in Regular Civil Suit No.164 of 2017 by the learned Addl. Senior Civil Judge, Porbandar (hereinafter referred to learned trial court’). 2. Brief facts of the case are as such that the plaintiff was working as a driver since 21 years in Gujarat State Road Transport Corporation, Ahmedabad as well as Junagadh. Due to heart problem, nowadays, the plaintiff is working as a security guard instead of driver. After primary treatment at Porbandar, the plaintiff takes heart treatment at Ahmedabad namely Krishna Hospital Ahmedabad, which is recommended by Government of Gujarat. So, he is entitled to get reimbursement for the medical treatment. Furthermore, after taking some money from relatives, he spent some expenses i.e. Rs.1,65,447/- behind his treatment in the saied Krishna Hospital. Additionally, Krishna Hospital made some change regarding its name like Krishna Shelby Hospital instead of Krishna Hospital. Due to that changes in the name, defendants declined to reimburse the said amount. Hence, suit is filed, which was allowed and subsequently, the said order dated 31.08.2021 is challenged before the lower appellate court by the original defendant No.1 – corporation, which was dismissed vide order dated 01.08.2023. Being aggrieved by the said order dated 01.08.2023, the present Second Appeal has been preferred. 3. Heard Mr. Rushabh H. Munshaw, the learned counsel for the appellant at length for admission. 4.1 Mr. Rushabh H. Munshaw, the learned counsel for the appellant, has submitted that both the courts below have committed gross error of law by not properly appreciating the fact that the plaintiff has undergone treatment at Shalby Hospital, which is not recognized or approved by the appellant - Gujarat State Road Transport Corporation. Consequently, he has submitted that the incurred treatment expenses cannot be reimbursed. Furthermore, he has submitted that the both the courts below have erred in awarding an amount exceeding the coverage specified in the policy, which is not in accordance with law.
Consequently, he has submitted that the incurred treatment expenses cannot be reimbursed. Furthermore, he has submitted that the both the courts below have erred in awarding an amount exceeding the coverage specified in the policy, which is not in accordance with law. Hence, he has submitted that both the courts below have found concurrently against the present appellant, which is not in accordance with law and the same amounts to miscarriage of justice. Furthermore, he has submitted that the both the courts below have committed substantial error of law by ignoring the settled principle that Government Resolution/ Policy would not automatically apply to the appellant – corporation. Since the appellant – corporation is a separate statutory body, therefore, he has submitted that in view of the above-stated submissions, he is having good ground for admission of the present Second Appeal. 4.2 He has drawn my attention towards the suggested substantial question of law as framed in the memo of this appeal, as under: A.) Whether both the Ld. Trial Court as well as the Ld. Appellate Court have committed substantial error of law by misreading and misinterpreting the oral as well as the documentary evidence on record. B.) Whether both the Ld. Trial Court as well as the Ld. Appellate Court have committed substantial error of law by granting medical reimbursement to the Respondent Original Defendant even though the same is contrary to the Policy dated 20.12.2005 of the Appellant - Corporation with regard to the grant of Medical Reimbursement. C.) Whether both the Ld. Trial Court as well as the Ld. Appellate Court have committed substantial error of law by ignoring the settled legal principle that a Government Resolution/Policy would not automatically apply to the Appellant – Corporation since Appellant – Corporation is a separate statutory body having its own Rules and Policies. D.) Whether both the Ld. Trial Court as well as the Ld. Appellate Court have committed substantial error of law by coming to the conclusion that Krishna Hospital and Krishna Shalby hospital are one and the same entity and hence would be included in the Policy of the Corporation even though the policy dated 20.12.2005 of the Appellant - Corporation only includes Krishna Hospital. E.) Whether both the Ld. Trial Court as well as the Ld. Appellate Court have committed substantial error of law by not adhering to the principle of preponderance of probability.
E.) Whether both the Ld. Trial Court as well as the Ld. Appellate Court have committed substantial error of law by not adhering to the principle of preponderance of probability. F.) Whether the appellate court has committed substantial error of law in in not framing points for determination as required under the provisions of Order 41 Rule 31 of the Code of Civil Procedure, 1908. 5.1 I have considered the submissions made at the bar by the learned counsel for the appellant and perused the materials available on record. Additionally, I have perused the judgments passed by both the courts below and materials produced by way of paper-book. It transpires that the trial court has considered every aspect of the matter in detail. The trial court has also considered the following documentary evidence: “3. Now, to prove this issues and in support of the pleadings, the plaintiff had adduced oral and documentary evidence on the record. Sr.No. Exh. Description 1. 13 Oral evidence of plaintiff. 2. 16 A copy of circular dated 20/12/15 3. 17 A copy of circular dated 20/11/15. 4. 18 A copy of Shelby hospital letter dated 1/4/17 5. 19 A copy of Template of Krishna Shelby Hospital 6. 20 A copy of book of Maa Amrutam Yojana 7. 21 A copy of letter dated 29/9/16 8. 22 A copy of rejection medical bill 9. 23 A copy of legal notice 10. 24 A copy of taking report of Postal Department 11. 25 Circular of Government 12. 26 Circular dated 20/12/2005 by defendants 13. 27 Copies of medical bills 14. 32 Closing pursis by plaintiff 4. Against this, to prove this issues and in support of the pleadings, the defendants had adduced oral evidence on the record. Sr.No. Exh. Description 1. 42. A copy of letter of administrative. 2. 43. A copy of labor settlement booklet 3. 44. A copy of order 4. 45. A copy of circular of treatment 5. 46. Closing pursis by defendants 5.2 Subsequently, the trial court has framed various issues below Exh.12, more particularly, specific issues, whereby issue Nos.4 and 7 are regarding the entitlement of the plaintiff, who has taken treatment at Shelby Hospital, which is not in the approved list of the S.T. Corporation, instead, Krishan Hospital is approved by the S.T. Corporation, which is connected to Shelby Hospital.
5.3 The trial court has considered the documentary as well as the oral evidence and referred to the provisions of Sections 101 & 102 of the Evidence Act, as under: “Section 101 in The Indian Evidence Act, 1872:- 101. Burden of proof. Whoever desires any Court to give judgment as to any legal right or liability dependent on the existence of facts which he asserts, must prove that those facts exist. When a person is bound to prove the existence of any fact, it is said that the burden of proof lies on that person. Illustrations (a) A desires a Court to give judgment that B shall be punished for a crime which A says B has committed. A must prove that B has committed the crime. (b) A desires a Court to give judgement that he is entitled to certain land in the possession of B, by reason of facts which he asserts and which B denies, to be true. A must prove the existence of those facts. Section 102 in The Indian Evidence Act, 1872:- 102. On whom burden of proof lies:- The burden of proof in a suit or proceeding lies on that person who would fail if no evidence at all were given on either side. Illustrations (a) A sues B for land of which B is in possession, and which, as A asserts, was left to A by the will of C, B's father. If no evidence were given on either side, B would be entitled to retain his possession. Therefore the burden of proof is on A. (b) A sues B for money due on a bond. The execution of the bond is admitted, but B says that it was obtained by fraud, which A denies. If no evidence were given on either side. A would succeed, as the bond is not disputed and the fraud is not proved. Therefore the burden of proof is on B.” 5.4 After considering the deposition of the plaintiff at Exh.13 and also taking into account the documentary evidence at Exh.18, the trial court has come to the definite conclusion by believing the case of the original plaintiff. The trial court has also considered the circular of the Government of Gujarat, whereby it is found that Krishan Shalby Hospital is a valid hospital as per the circular of the Government of Gujarat.
The trial court has also considered the circular of the Government of Gujarat, whereby it is found that Krishan Shalby Hospital is a valid hospital as per the circular of the Government of Gujarat. It is undisputed that the plaintiff, an employee of the appellant - S.T. Corporation, underwent heart treatment at Krishna Shelby Hospital, incurring expenses amounting to Rs.1,65,447/-. Ample documentary and oral evidence supports his claim. However, the appellant-corporation rejected the claim, citing Shelby Hospital's absence from its approved list. 5.5 I found that this aspect is properly considered by the trial court in detail. 5.6 Similarly, the lower appellate court has also discussed every aspect in detail. The lower appellate court has also considered that there is no evidence against the deposition given by the plaintiff at Exh.18. So whatever the plaintiff has asserted in the plaint is proved by Exh.18. The lower appellate court has also found from Exh.16 to 17 that Krishna Hospital is a valid hospital for the purpose of heart treatment as per the list of S.T. Corporation. It is also found by the lower appellate court that from the documentary evidence vide Exh. 22, the demand of plaintiff is rejected by the Corporation. It also appears that the lower appellate court has also found that Krishna Hospital is also a Krishna Shelby Hospital and is a valid hospital as per the circular of the Government of Gujarat. It is also found from the record of the suit that Exh. 18, 19 are supported by Exh. 20 as well as this document itself speaks that the plaintiff's suit is fulfilling all the conditions established by the circular of the Government of Gujarat. The court has also considered that the defendants have failed to establish their defence by producing cogent and convincing reasons, whereby the plaintiff has proved his case on the test of preponderance of probability. 5.7 Both the courts have upheld the reimbursement amount of Rs.1,65,447/-, along with 8% p.a. towards medical treatment for the heart ailment of the plaintiff from the date of the suit till its realization. 5.8 I found that the concurrent findings of both the courts below are not required to be disturbed as no perversity or illegality is committed by both the courts below.
5.8 I found that the concurrent findings of both the courts below are not required to be disturbed as no perversity or illegality is committed by both the courts below. On the contrary, it is not proper that the appellant – corporation is not taking care of its employees and rejecting their claim in their difficult times such as heart ailment, whereby the employee has admittedly and undisputably taken the treatment from the hospital. Merely on the hyper-technical ground that such hospital is actually not considered as a valid hospital by the S.T. Hospital, the appellant – corporation has denied reimbursement. This reason is not found proper and a just ground for rejection of such a claim. The appellant – corporation, which is promoted by the State Government, and in the present case, it is done by the Government of Gujarat, then the appellant - corporation is also bound by the policy and circular of the State Government on the principle. Moreover, considering the fact that it is otherwise also the duty of the appellant – corporation to provide necessary medical facility to its employees and more particularly, when the employee is facing some medical problems, the corporation should not create any hindrance on the hyper-technical ground in reimbursement of the amount of the expenses incurred towards such medical treatment. Considering all these aspects, and taking into account the fact that both the courts below have dealt with the subject matter by keeping in mind the pleadings of the parties in proper context and also by appreciating the documentary as well as oral evidence in an appropriate manner, I found no perversity or illegality in the findings of both the courts below as no case is made out. No substantial question of law emerges from the concurrent findings of fact of both the courts below. 5.9 It is required to refer the scope of Section 100 of the Civil Procedure Code, which is as under: “[100. Second appeal.— (1) Save as otherwise expressly provided in the body of this Code or by any other law for the time being in force, an appeal shall lie to the High Court from every decree passed in appeal by any Court subordinate to the High Court, if the High Court is satisfied that the case involves a substantial question of law.
(2) An appeal may lie under this section from an appellate decree passed ex parte. (3) In an appeal under this section, the memorandum of appeal shall precisely state the substantial question of law involved in the appeal. (4) Where the High Court is satisfied that a substantial question of law is involved in any case, it shall formulate that question. (5) The appeal shall be heard on the question so formulated and the respondent shall, at the hearing of the appeal, be allowed to argue that the case does not involve such question: Provided that nothing in this sub-section shall be deemed to take away or abridge the power of the Court to hear, for reasons to be recorded, the appeal on any other substantial question of law, not formulated by it, if it is satisfied that the case involves such question.” 5.10 It is fruitful to refer the judgment in the case of Gurbachan Singh (Dead) Through Lrs Gurcharan Singh (Dead) Through Lrs and Others. reported in 2023 SCC Online SC 875 paragraphs 7, 14 and 15 which are reproduced as under: “7. The parameters of an appeal under Section 100, CPC passing muster are well established. The section itself dictates that such an appeal shall only be maintainable when the case involves a substantial question of law or that the appellate decree has been passed ex parte. the latter, obviously is not the case. This court has, in a multitude of decisions, expounded on what may be termed as a substantial question of law to satisfy the requirements of section 100. In Nazir Mohamed v. J. Kamala (2- Judge Bench), it was observed:— “27. In Hero Vinoth v. Seshammal [Hero Vinoth v. Seshammal, (2006) 5 SCC 545 ], this Court referred to and relied upon Chunilal V. Mehta and Sons Ltd. [Chunilal V. Mehta & Sons Ltd. v. Century Spg. & Mfg. Co. Ltd., AIR 1962 SC 1314 ] and other judgments and summarised the tests to find out whether a given set of questions of law were mere questions of law or substantial questions of law. The relevant paragraphs of the judgment of this Court in Hero Vinoth [Hero Vinoth v. Seshammal, (2006) 5 SCC 545 ] are set out hereinbelow : (SCC p. 554, para 21) “21.
The relevant paragraphs of the judgment of this Court in Hero Vinoth [Hero Vinoth v. Seshammal, (2006) 5 SCC 545 ] are set out hereinbelow : (SCC p. 554, para 21) “21. The phrase “substantial question of law”, as occurring in the amended Section 100 CPC is not defined in the Code. The word substantial, as qualifying “question of law”, means— of having substance, essential, real, of sound worth, important or considerable. It is to be understood as something in contradistinction with—technical, of no substance or consequence, or academic merely. However, it is clear that the legislature has chosen not to qualify the scope of “substantial question of law” by suffixing the words “of general importance” as has been done in many other provisions such as Section 109 of the Code or Article 133(1) (a) of the Constitution. The substantial question of law on which a second appeal shall be heard need not necessarily be a substantial question of law of general importance. In Guran Ditta v. Ram Ditta [Guran Ditta v. Ram Ditta, 1928 SCC OnLine PC 31 : (1927-28) 55 IA 235 : AIR 1928 PC 172 ] the phrase “substantial question of law” as it was employed in the last clause of the then existing Section 100 CPC (since omitted by the Amendment Act, 1973) came up for consideration and their Lordships held that it did not mean a substantial question of general importance but a substantial question of law which was involved in the case. In Chunilal case [Chunilal V. Mehta & Sons Ltd. v. Century Spg. & Mfg. Co. Ltd., AIR 1962 SC 1314 ] the Constitution Bench expressed agreement with the following view taken by a Full Bench of the Madras High Court in Rimmalapudi Subba Rao v. Noony Veeraju [Rimmalapudi Subba Rao v. Noony Veeraju, 1951 SCC OnLine Mad 100 : AIR 1951 Mad 969 ] : (Chunilal case [Chunilal V. Mehta & Sons Ltd. v. Century Spg. & Mfg. Co. Ltd., AIR 1962 SC 1314 ], AIR p. 1318, para 5) ‘5. … when a question of law is fairly arguable, where there is room for difference of opinion on it or where the Court thought it necessary to deal with that question at some length and discuss alternative views, then the question would be a substantial question of law.
Ltd., AIR 1962 SC 1314 ], AIR p. 1318, para 5) ‘5. … when a question of law is fairly arguable, where there is room for difference of opinion on it or where the Court thought it necessary to deal with that question at some length and discuss alternative views, then the question would be a substantial question of law. On the other hand if the question was practically covered by the decision of the highest court or if the general principles to be applied in determining the question are well settled and the only question was of applying those principles to the particular facts of the case it would not be a substantial question of law.’ 28. To be “substantial”, a question of law must be debatable, not previously settled by the law of the land or any binding precedent, and must have a material bearing on the decision of the case and/or the rights of the parties before it, if answered either way.” (Emphasis supplied) 14. As already noted above, another ground of objection taken by the Appellant is the fact of the impugned judgment entering into a reappreciation of evidence. While it is true that ordinarily, in second appeal, the court must not disturb facts established by the lower court or the first appellate court. However, it is also equally well recognised that this rule is not an absolute one or in other words, it is not a rule set in stone. In Nazir Mohamed (supra) this Court has recognised three conditions in which a court in such jurisdiction, may disturb findings of fact. They are:— “(i) the courts below have ignored material evidence or acted on no evidence; (ii) the courts have drawn wrong inferences from proved facts by applying the law erroneously; or (iii) the courts have wrongly cast the burden of proof. A decision based on no evidence, does not refer only to cases where there is a total dearth of evidence, but also refers to case, where the evidence, taken as a whole, is not reasonably capable of supporting the finding.” 15. A Bench of three learned Judges, recently in Balasubramanian v. M. Arockiasamy (Dead) Through LRs.
A decision based on no evidence, does not refer only to cases where there is a total dearth of evidence, but also refers to case, where the evidence, taken as a whole, is not reasonably capable of supporting the finding.” 15. A Bench of three learned Judges, recently in Balasubramanian v. M. Arockiasamy (Dead) Through LRs. , had referred to, with approval judgment rendered in Ramathal v. Maruthathal (two-Judge Bench) wherein it was observed that the restraint in interfering with questions of fact under the jurisdiction of second appeal, is not an absolute rule. Where the court is of the view that the conclusions drawn by the court below do not have a basis in the evidence led or it is of the view that the appreciation of evidence “suffers from material irregularity” the court will be justified in interfering with such findings.” 5.11 It is also fruitful to refer to the judgment of the Hon’ble Apex Court in the case of Nazir Mohamed vs J. Kamala reported in AIR 2020 SC 4321 , wherein, it is observed in paragraphs 56, 57 and 59 as under: “56. As held by the Privy Council in Peri v. Chrishold reported in (1907) AC 73, it cannot be disputed that a person in possession of land in the assumed character of owner and exercising peaceably the ordinary rights of ownership has a perfectly good title against all the world but the rightful owner...and if the rightful owner does not come forward and assert his right of possession by law, within the period prescribed by the provisions of the statute of limitation applicable to the case, his right is forever distinguished, and the possessory owner acquires an absolute title. 57. The condition precedent for entertaining and deciding a second appeal being the existence of a substantial question of law, whenever a question is framed by the High Court, the High Court will have to show that the question is one of law and not just a question of facts, it also has to show that the question is a substantial question of law. 59. When no substantial question of law is formulated, but a Second Appeal is decided by the High Court, the judgment of the High Court is vitiated in law, as held by this Court in Biswanath Ghosh v. Gobinda Ghose.
59. When no substantial question of law is formulated, but a Second Appeal is decided by the High Court, the judgment of the High Court is vitiated in law, as held by this Court in Biswanath Ghosh v. Gobinda Ghose. Formulation of substantial question of law is mandatory and the mere reference to the ground mentioned in Memorandum of Second Appeal can not satisfy the mandate of Section 100 of the CPC.” 5.12 In view of the above discussions and in totality, I am of the opinion that no case is made out as no substantial question of law is involved in the present matter. This Court has very limited jurisdiction under Section 100 of the C.P.C. and considering the above- mentioned judgments, I am of the opinion that no error is committed by the trial court as well as the lower appellate court as no perversity or illegality is found from the findings of both the courts below and, therefore, the present appeal is required to be dismissed at the admission stage. 6. As a result, the present Second Appeal is dismissed. Civil Application stands disposed of accordingly.