JUDGEMENT
Hemant Gupta, J. -
(1.) The challenge in
the present writ petition is to the award
dated 24.2.2007, Annexure P22, passed by
the Permanent Lok Adalat, Hisar, directing
payment of sum assured, i.e., Rs. 1,00,000
along with interest at the rate of 10 per
cent per annum from the date of death of
assured till payment.
(2.) Dalip Singh, husband of respondent
No. 2 (hereinafter referred to as 'the assured') submitted a proposal for insurance
for Rs. 1,00,000 on his life on 14.9.2002.
The assured made declaration regarding
his state of health which was signed by him
after admitting all answers to the questions
in the proposal to have been recorded correctly. A declaration was also made that all
the answers have been given by him after
fully understanding and all the answers are
true and complete in all particulars and he
has not withheld any information. It was
also agreed by him that the statements
made in the proposal form and declaration
shall be basis of the contract of assurance
and if any untrue averments are contained
therein, the contract of assurance shall be
absolutely null and void. One of the declarations which was given by the assured
was that he has not consulted any medical
practitioner during last five years for any
ailment requiring treatment for more than
a week and that he has never been admitted to any hospital or nursing home for
general check-up, observation, treatment,
operation and that he has not absented
from place of work on the ground of health
during the last five years. The assured has
also given answers in negative to the questions that the assured was not suffering
from or have ever suffered from ailments
pertaining to liver, stomach, heart, lungs,
kidney, brain or nervous system. A duly
filled in proposal form has been appended
as Annexure P1 with the writ petition. The
said declaration was accepted and insurance
policy was issued on 19.9.2002. Clause 5
of the conditions and privileges of the
insurance policy provides for forfeiture of
policy in certain events. The said clause
reads as under:
"(5) Forfeiture in certain events: In case
the premiums shall not be duly paid or
in case any condition herein contained
or endorsed herein shall be contravened
or in case it is found that any untrue or
incorrect statement is contained in the
proposal, personal statement, declaration and connected documents or any
material information is withheld, then
and in every such case but subject to the
provisions of section 45 of the Insurance
Act, 1938, wherever applicable, this policy shall be void and all claims to any
benefit in virtue hereof shall cease and
determine and all moneys that have been
paid in consequence hereof shall belong
to the Corporation excepting always in
so far as relief is provided in terms of
the privileges herein contained or may
be lawfully granted by the Corporation."
(3.) The assured died on 16.11.2004, i.e.,
after two years of the issuance of insurance policy. A claim for insurance amount
was lodged with the petitioner disclosing
the cause of death as heart attack. Since, it
was an early claim, the matter was enquired
into by the petitioner and it was found that
answers to the questions given by the life
assured in the proposal form were false and
were given with a view to influence the
decision of the Corporation in accepting
the proposal for insurance and that these
answers were very material for the purpose
of assessment of the risk. It was found that
the life assured had suffered from dilated
cardiomyopathy for which he had taken
treatment from the hospital and was on
medical leave at the time of submitting the
proposal for insurance on 14.9.2002. In
fact, the assured had availed medical leave
from 19.8.2002 to 18.9.2002 and remained
hospitalised from 1.9.2002 to 3.9.2002.
Such facts were not disclosed in the proposal form. The claim arising out of the
policy raised by the assured was repudiated
on the ground of deliberate misstatement
and withholding of material statement
regarding health of the life assured at the
time of submitting proposal for insurance.;
Click here to view full judgement.
Copyright © Regent Computronics Pvt.Ltd.