JUDGEMENT
M.Katju, R.S.Tripathi, J. -
(1.) This writ petition has been filed for a writ of
mandamus directing the opposite parties to pay
Rs. 1,00,000/- of amount of insurance policy
with upto date interest.
(2.) The petitioner claims to be a nominee
of Policy No. 310175506 taken by one
Matapher Tiwari from the Life Insurance Corporation of India, Indira Bhawan, Civil Lines,
Allahabad. According to the petitioner, Shri
Matapher Tiwari was his grand father and had
nominated the petitioner for payment of the
above policy. Shri Matapher Tiwari died on
15.11.1995 and the petitioner informed about
his death to the authorities on 10.1.1996 but
when he did not receive any information from
the opposite parties till 20.3.1996, he sent a
reminder to the opposite parties. The petitioner
claims that on 1.6.1996 he received an acknowledgement
of his letter sent to the respondents and asking him to furnish certificate of death of the deceased. In compliance
of this letter, he sent the required death certificate.
Thereafter on 26.6.1999 the respondents demanded a copy of the Kutumb Register
which was also furnished by the petitioner.
Thereafter, the respondents demanded B.H.T.
from the Hospital and the petitioner also sent
reply to that effect, but till this date no payment has been made by the respondents.
Therefore, the petitioner had no alternative
but to file this petition for issuing a direction
for payment of the amount of the above policy
to the tune of Rs. 1 lac alongwith interest to
the petitioner.
(3.) The respondents have filed counter
affidavit wherein the insurance of Matapher
Tiwari by the respondents has not been denied. According to the respondents, insurance
is a contract and is founded upon good faith,
and if a party fails to observe this faith, the
contract may be avoided. It is also pleaded by
the respondents that the material facts for insurance are to be disclosed honestly, and if
there is mis-statement or suppression of material facts,
the policy can be repudiated. According to the respondents, on the basis of the
declaration made by the insurer, the insurance
contract is undertaken by the insurer and in
the event of non-disclosure of material facts,
the payment can be refused. The respondents
have relied on the provisions of Section 43 of
the Life Insurance Corporation of India, Act
1956 which states that certain provisions of
the Insurance Act, 1938 (including section 45)
apply to the L.I.C. Section 45 of the Insurance Act, 1938 states:
"45 Policy not to be called in question on ground of mis-statement after
two years-No policy of life insurance
effected before the commencement of
this Act, shall after the expiry of two
years from the date of commencement
of this Act and no policy of life insurance effected after the coming into force
of this Act shall, after the expiry of two
years from the date on which it was effected, be called in question by an insurer on the ground that a statement
made in the proposal for insurance or
in any report of a medical officer, or
referee, or friend of the insured, or in
any other document leading to the issue of the policy, was inaccurate or false,
unless the insurer shows that such statement [was on a material matter or suppressed facts which it was material to
disclose and that it was fraudulent made]
by the policy-holder and that the policy-holder knew at the time of making it
that the statement was false for that it
Suppressed facts which it was material
to disclose]".;
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