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Supreme Court of India

LIFE INSURANCE CORPORATION OF INDIAversusJAYA CHANDEL

Citation
2008 INSC 152
Decided
7 February 2008
Disposal
Case Allowed

Holding

A discontinued LIC policy can be revived only after corporate approval and communication before the assured’s death, and Section 64‑VB does not apply; therefore the claim could be repudiated.

Summary

Karan Singh Chandel purchased a LIC life insurance policy on 28‑03‑1994. The annual premium due on 28‑03‑1995 was not paid and the policy lapsed after a one‑month grace period. The insured died on 01‑07‑1995. A cheque for the premium and late fee was issued on 27‑06‑1995 but was only received by LIC on 12‑07‑1995, after the death. LIC repudiated the claim; the consumer forums held the claim could not be repudiated, relying on Section 64‑VB of the Insurance Act. The Supreme Court held that the grace period was one month, the cheque was received after death, revival of a discontinued policy requires corporate approval and specific communication before the assured’s death, and Section 64‑VB does not apply to LIC under Section 43 of the LIC Act. Consequently, the lower orders were set aside and the appeal was allowed.

Issues considered

  • Whether a lapsed life insurance policy can be revived when the premium cheque is received after the death of the assured.
  • Whether Section 64‑VB of the Insurance Act, 1938 applies to the Life Insurance Corporation of India.
  • Whether the premium was paid within the statutory grace period.
  • Whether the consumer forums erred in holding that the claim could not be repudiated.

Legislation cited

Subjects

life insurancepolicy lapserevival of discontinued policygrace periodSection 64-VBConsumer Disputes Redressalinsurance lawclaim repudiation

Judgment

         ~
                                      [2008] 2 S.C.R. 559


     ---'-               LIFE INSURANCE CORPORATION OF INDIA                  A
                                              v.
                                       JAYA CHANDEL
                               (Civil Appeal No. 1089 of 2008)
                                     FEBRUARY 7, 2008
                                                                              B
                      [DR. ARIJIT PASAYAT AND P. SATHASIVAM, JJ.]

             ;.        Insurance Act, 1938 - Revival of discontinued Policies
                  - Claim of - Cheque for annual premium of lapsed LIC Policy
                  along with late fee issued before the death of insured but d
                  received by L/C Corporation after death of insured -Held:
                  Discontinued policy could be revived only after Policy was
                  approved by Corporation and it was communicated to the
                  insured - On 'tacts, cheque was received after the death of
                  insured - Payment was made much beyond the grace period
                                                                               D
                  -A/sos. 64 VB was not applicable - Thus, Order by the forums
                  below that claim could not have been repudiated set aside.
                         K obtained a LIC policy on 28.3.1994 and failed to
                    pay annual premium on or before 28.3.1995. In terms of
                    the policy, the same became inoperative after one month. E
                  . One P issued cheque for annual premium with late fee on
                    27.6.1995. The insured died on 1.7.1995 and the cheque
                    was received on 12.7.1995. The appellant-Life Insurance
.                   Corporation of India repudiated the claim. The widow of
                    the deceased filed a claim petition. The District Forum, F
'·
        "'          the State Consumer Disputes Redressal Commission and
                    the National Consumer Disputes Redressal Commission
                    held that the claim could not have been repudiated. Hence
                    the present appeal.
                       Allowing the appeal, the Court                         G

         )'           HELD: 1.1 In terms of the conditions of the Life
                  Insurance policy the grace period is one month and
                  therefore the State Commission was not justified in
                                             559                              H
                                                                     A
                                                                     I




    560       SUPREME COURT REPORTS                 [2008] 2 S.C.R


A
                                                                         ,,.._
  holding that the payment was made within the grace
  period. Condition 3 relates to revival of discontinued
  policy. A bare reading of the condition shows that it can
  be revived during the life time of the assured. In the instant
  case, the cheque was admittedly received after the de~th
B of the assured. Further the revival takes· effect only after
  the same is approved by the Corporation and is
  specifically communicated to the life inSL!red. In the instant
  case, this was not the situation. [Para 6] [563-E, F]              A

          1.2 Section 43 of the Life Insurance Corporation Act,
c 1956 enumerates the various Sections of Insurance Act
  which have application to the Act and section 54.:.ve of
  the Insurance Act, 1938 is not one of them. That being so
  also the National Commission was not justified in its
  conclusion about the applicability of that provision.
D [Para 7] [564-G; 565-A]
        1.3 The orders passed by the District Forum, the State
    Consumer Disputes Redressal Commission and the
    National Consumer Disputes Redressal Commission
    cannot be maintained and are set aside. [Para 8] [565-A, ·B]
E                                                              -
         CRIMINALAPPELLATE JURISDICTION: Criminal Appeal
    No. 1089 of 2008.
         From the final Order dated 17.1.2005 of the National
    Consumer Disputes Redressal Commission, New Delhi in R.P.
F   No. 2068 of 2001.                                                            ,/
                                                                         ~


          P.S. Patwalia, Indra Sawhney for the Appellant.
       Pragati Neekhra, Suryanarayana Singh and Dharmendra
    Kumar Sinha for the Respondent.
G
          The Judgment of the Court was delivered by
          Dr: ARIJIT PASAYAT, J. 1~ Leave granted.                   <
         2. Challenge in this appeal is to the order passed by the               /


    National Consumer Disputes Redressal Commission (in short
H
             ~

                   LIFE INSURANCE CORPORATION OF INDIA v. JAYA               561
                               CHANDEL [PASAYAT, J.]

      ~"·         the "National Commission") dismissing the Revision Petition A
                  filed by the appellant. Challenge before the Commission was
                  to the order passed in appeal by the Himachal Pradesh State
                  Consumer Disputes Redressal Commission, Shimla (in short
                  the 'State Commission') which in turn had upheld the order
                  passed by the District Forum, Shimla (in short the 'District B
                  Forum').
                       Background facts in a nutshell are as follows:
             J
                         One Karan Singh Chandel (hereinafter referred to as the
                   'deceased') had taken a Life Insurance Policy and was insured   c
                   for a sum of Rs.1,50,000/-. The annual premium payable was
                   Rs.12,821/-. The policy was taken on 28.3.1994. The annual
                 . premium which was to be paid on or before 28.3.1995 was not
                   paid. In terms of the policy, the same became inoperative after
 :
                   one month. The insured died on 1. 7 .1995. A cheque drawn on
                                                                                    D
                   Jogindra Cooperative Bank Ltd. for an amount of Rs.12,821 /-
                   purportedly on account of premium along with late fee of Rs.189/
       ...         - was issued by one Prakash Chand Thakur on 27 .6.1995. The
                   same was received on 12.7.1995. According to the claimant
                   i.e. widow of the deceased, the cheque was issued before the
                   death of the insured and therefore, the appellant could not have E
                   repudiated the claim.

                       3. The stand of the present appellantwas that the policy
                 had lapsed due to non-payment of premium in time. This plea
"""              was not accepted by the District Forum on the ground that the
                                                                                  F
        ""       cheque was claimed to have been issued on 12.7.1995, but is
                 presumed to have been received earlier than that date. The State
                 Commission held that in any event the amount was received
                 within the grace period and therefore, the claim could not have
                 been repudiated. Accordingly the appeal filed by the appellant
                                                                                  G
                 was dismissed. The National Forum dismissed the Revision
        y        holding that Section 64-VB of the Insurance Act, 1938 (in short
                 the 'Insurance Act') was applicable where the premium is
-.,              tendered by postal money order or cheque sent by post and the
                 risk may be assumed on the date on which the money order is
                                                                                   H
                                                                         I~

    562       SUPREME COURT REPORTS                   [2008) 2 S.C.R.

                                                                              ,>_ '
A   booked or the cheque is posted, as the case may be. Therefore,
    it was held that there was revival. It did not accept the stand of             ....
    the appellant that the revival was not a matter of right.
                                                              I

        4. In support of the appeal, learned counsel for the appellant
  submitted that the District Forum, the State Commission and
B the National Commission failed to notice certain relevant factors.
  It was not explained as to why the cheque was issued by Prakash
  Chand Thakur and not by the insured. This is sufficient to show        ,(
  that subsequently a cheque was issued to regularize the policy.
  Further the cheque was received on 12.7.1995 much after the
c death and this itself is sufficient to show that the cheque was
  not issued prior to the death of the insured. The extract of the
  receipt register has been filed which shows that the cheque was
  received on 12. 7 .1995. The State Commission came to the
  conclusion that the cheque was issued during the grace period.                   ('
D This is also factually incorrect because the grace period is 30
  days, the premium was due on 28.3.1995 and the cheque was
  issued much beyond the grace period. Additionally, Section 64-
  VB does not apply to the appellant. In this context Section 43 of
  the Life Insurance Corporation Act, 1956 (in short the 'Act') has
E relevance. Reference is also made to Condition 2 of the policy.
          5. In reply learned counsel for the claimant submitted that
    it is not Condition 2 of the policy which is applicable, but
    Condition no.3 which is applicable. It is stated that no adverse
    inference can be drawn because the insured had not signed
                                                                                     ..
F   the cheque and merely because the cheque was received after               ?"
    the death of the deceased that does not entitle the appellant to
    refuse a genuine claim.
          Conditions 2 & 3 of the policy read as follows:
G         "2. Payment of premium: A grace period of one month but
          not less than 30 days will be allowed for payment of yearly,        -r
          half -yearly or quarterly premiums and 15 days for monthly
          premiums. If death occurs within this period and before                  /,.,._
          the payment of the premium then due, the Policy will still
H         be valid and the sum assured paid after deduction of the
              LIFE INSURANCE CORPORATION OF INDIA v. JAYA                    563
                          CHANDEL [PASAYAT, J.]

' .......\        said premium as also the unpaid premiums falling due A
                  before the next anniversary of the Policy. If premium is not
                  paid before the expiry of the days of grace the Policy
                  lapses. If the Policy has not lapsed and the claim· is
                  admitted incase of death under a Policy where the mode
                  of payment of premium is other than yearly, unpaid B
                  premiums if any failing due before the next Policy
                  anniversary shall be deducted from the claim amount."
                  "3. Revival of discontinued Policies: If the Policy has lapsed
                  it may be revived during the life time of the Life Assured,
                  but within a period of 5 years from the date of the first C
                  unpaid premium and before the date of maturity, on
                  submission of proof of continued insurability to the
                  satisfaction of the Corporation and the payment of all the
                  arrears of premium together with interest at such rate as
                  may be fixed by the Corporation from time to time D
                  compounding half yearly. The Corporation reserves the
                  right to accept or decline the revival of discontinued policy.
                  The revival of a discontinued policy shall take effect only
                  after the same is approved by the Corporation and is
                  specifically communicated to the life assured."                E
                   6. The grace period is one month and therefore the State
             Commission was not justified in holding that the payment was
             made within the grace period. Condition 3 relates to revival of
             discontinued policy. A bare reading of the condition shows that
--" .,       it can be revived during the life time of the assured. In the instant   F·
             case the cheque was admittedly received after the death of the
             assured. Further the revival takes effect only after the same is
             approved by the Corporation and is specifically communicated
             to the life insured. In the present case this is not the situation.
                                                                                     G
                  Further Section 43 of the Act reads as follows:
                  43. Application of the Insurance Act.
                  (1) The following section of the Insurance Act shall, so far
                  as may be, apply to the Corporation as they apply to any           H
    564       SUPREME COURT REPORTS                     [2008] 2 S.C.R.


A         other insurer, namely:-Sections 2, 28, 3, 18, 26, 33, 38,            J .• ,
                                                                                       l--
          39, 31, 45, 46, 47A, 50, 51, 52, 110A, 1108, 110C, 119,
          121, 122 and 123.
          (2) The Central Government shall as soon as may be after
          tne commencement of this Act, by notification in the Official
8         Gazette, direct that the following sections of the Insurance
          Act shall apply to the Corporation subject to such conditions
          and modifications as may be specified in the notification,       l
          namely:-Sections 20, 10, 11, 13, 14, 15, 20, 21, 22, 23,
          25, 27A, 28A, 35, 36, 37, 40, 40A, 43, 44,102 to 106, 107
c         to 110, 111, 113, 114 and 116A.
          1[(2A)]Section 42 of the Insurance Act shaH have effect in
          relation to the issue to any individual of a licence to act as
          an agent for the purpose of soliciting or procuring life
          insurance business for the Corporation as if the reference
D
          to an officer authorised by the Controller in this behalf in
          sub-section (1) thereof included a reference to an officer
          of the Corporation authorised by the Controller in this
          behalf.]

E         (3) The Central Government may, be n_otification in the
          Official Gazette, direct that all or any of the Insurance Act
          other than those specified in sub-section ( 1) or sub-section
          (2) shall apply to the Corporation subject to such conditions
          and modifications as may be specified in the notification.
F         (4) Every notification issued under sub-section (2) or sub-
          section (3) shall be laid for not less than thirty days before
          both Houses of Parliament as soon as possible after it is
          issued, and shall be subject to such modifications as
          Parliament may make during the session iri which it is so
G         laid or the session immediately following.
          (5) Save as provided in th.is section, nothing contained in      ~      .c
          the Insurance Act shall apply to the G?rporation."
        7. Section 43 of the Act enumerates the various Sections
H of Insurance Act which have application to the A_ct and S~ction
         ~\

               LIFE INSURANCE CORPORATION OF INDIA v. JAYA                  565
                           CHANDEL [PASAYAT, J.]

-"' .\        64-VB is not one of them. That being so also the National A
              Commission was not justified in its conclusion about the
              applicability of that provision.
                    8. Looked at from any angle the orders passed by the
              District Forum, the State Forum and National Commission
              cannot be maintained and are set aside.                              B
                      9. Appeal is allowed. There shall be no order as to costs.
              N-.J.                                            Appeal allowed .




  .   ~


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