Life
Insurance Corporation of India & Anr Vs. Shri Dharam Vir Anand [1998] INSC
494 (9 October 1998)
M.M.
Punchhi, G.B. Pattanaik, A.P. Misra G.B.Pattanaik, J.
ACT:
HEAD NOTE:
Leave
granted.
This
appeal by special leave is directed against the Order of the National Consumer
Disputers Redressal Commission, New Delhi dated 30th of March, 1998, dismissing the revision filed by the
appellant and confirming the decision of the State Forum, who in turn affirmed
the decision of District Forum. The question that arises for consideration in
this appeal is whether under Clause 4B of the policy the date of the policy is
the date on which the policy was issued or the date on which the risk under the
policy has commenced. The aforesaid question arises under the following
circumstances.
The
respondent took a policy of life Insurance on the life of his minor daughter Kumari
Rajan Anand. The proposal was submitted on 25.3.90 and the policy was issued on
31.3.90. The policy contained a Clause, Clause 4B which reeds as follows :
Claused
4-B "Notwithstanding anything mentioned to the contrary, it is hereby
declared and agreed that in the event of death of Life assured occuring as a
result of intentional selfinjury, suicide or attempted suicide, insanity,
accident other than an accident in a public place or murder at any time on or
after the date on which the risk under the policy has commenced but before the
expiry of three years from the date of this policy, the Corporation's liability
shall be Limited to the sum equal to the total amount of premiums (exclusive
extra of premiums, if any), paid under the policy without Interest. Provided
that in case the Life Assured shall commit suicide before the expiry of one
year reckoned from the date of this policy, the provisions of the Clause under
the heading "Suicide" printed on the back of the policy." The
insurer called upon the insured to indicate whether the policy is to be
backdated and if so, the date from which it should be dated back. The Insured
indicated that the policy should be dated back to 10.5.89 and the premium for
the period 10.5.89 till 25.3.1990 was accordingly paid. The policy was issued
to the Insured on 25.3.90. The minor girl whose life had been insured under the
policy committed suicide on 15.11.1992. The respondent thereafter lodged a
claim for payment of the entire sum for which life of the deceased had been
insured. The Corporation gave a reply to the respondent that his claim for the
full sum assured could not be entertained as the assured had committed suicide within
three years of the date of the issue of policy and Clause 4B of the policy
would be attracted. The respondent then filed a complaint under Section 12 of
the Consumer Disputers Act contending inter alia that the risk under the policy
having commences w.e.f. 10.5.89 and the assured having committed suicide on
15.11.92, Clause 4-B will not apply and therefore, the entire sum for which the
life of the minor girl had been insured should be paid to the respondent
together with the Bonus and interest which accrued due. The appellant took the
stand before the District Forum contending that though risk under the policy
has commenced w.e.f. 10.5.89 but the date of the policy is 31.3.90 and
therefore, death of the assured having occurred before expiry of three years
from the date of the policy, the liability of the Corporation shall be limited
to the sum equal to the total amount of premium paid under the policy as per
Clause 4-B of the terms of policy. The District Forum however rejected the
contention of the appellant and being of the view that the policy in the eye of
law having commenced w.e.f. 10.5.89, the three years period under Clause 4_B of
the policy would run from the said date and not from the date of issuance of
the policy and, therefore, the Corporation cannot have a limited liability as
per Clause 4-B of the policy. The said view of the District Forum was upheld in
appeal by the State Forum as well as in revision by the National Forum and
hence the present appeal.
Mr.
Salve, the learned Senior Counsel appearing for the appellant submitted that
Clause 4-B itself has used the two expressions namely "the date on which
the risk under the policy has commenced" and "the date of the
policy" and, therefore, the said two expressions cannot have the one and
the same meaning. According to Mr. Salve, the date of the policy is the date on
which the policy is issued though for the purpose for given certain tax relief
the Insurer has allowed the proposal to have the policy dated back w.e.f
10.5.89 and on such an interpretation being given and the assured having
committed suicide before the expiry of three years of the date of the policy,
Clause 4-B is squarely attracted and, therefore, the Corporation will have a
limited liability. Mr. Salve, the learned Senior Counsel further contended that
if the expression the date of the policy" and the expression "the
date on which the risk under the policy has commenced" is given one and
the same meaning then in a case where a policy is dated back, the proviso in
Clause 4-B will not operate and such a situation would not have been intended
by the parties to the agreement.
According
to Mr. Salve, while construing a policy of insurance which is nothing but an
agreement between the parties the commercial practice cannot be ignored and,
therefore, the dating back of the policy being merely to confer certain in tax
to the insured, the date of the dating back cannot be held to be the date of
the policy itself.
Mr. Chadha,
the learned counsel appearing for the respondent on the other hand submitted
that the insured having being called upon to indicate as to whether the policy
should be dated back and if so, to indicate the date with effect form which
such dating back is ti operate and the Insured having indicated the same and
thereafter the entire premium from the date form which the policy commenced
having been paid by the Insured and accepted by the Insurer, there is no reason
to construe the date of the policy to be the date on which the policy was
issued.
According
to Mr. Chadha, the date of the policy must be held to be the date on which the
policy has commenced and on being construed in this manner the death of the
assured having taken place after three years from the date of the policy,
Clause 4-B will not be attracted and, therefore, the appellant Company will be
liable to pay the entire sum for which the life has been insured together with
interest thereon and the Forums under the Act did not commit any error in
allowing the claim of the respondent.
Having
examined the rival submissions and having examined the policy of insurance
which is nothing but a contract between parties and having considered the
expressions used in Clause 4-B of the terms of policy we are persuaded to
accept the submissions made by Mr. Salve, the learned Senior Counsel appearing
for the appellant. In construing a particular Clause of the Contract it is only
reasonable to construe that the word and the terms used therein must be given
effect to. In other words one part of the Contract cannot be made otiose by giving
a meaning to the policy of the contract. Then again when the same Clause of a
contract uses two different expressions, ordinarily those different expressions
conveying one and the same meaning.
Bearing
in mind the aforesaid principle of construction, if Clause 4-B of the terms of
policy is scrutinized, it become crystal clear that the date on which the risk
under the policy has commenced is different from the date of the policy. In the
case in hand undoubtedly the date on which the risk under the policy has
commenced is 10.5.89 but the date of the policy is 31st of March, 19990 on
which date the policy had been issued. Even though the Insurer had given the
option to the Insured indicated that the policy should be dated back to 10.5.89
and did pay the premium for that period, thereby the risk under the policy can
be said to have commenced with effect from 10.5.89 but the date of the policy
still remains the date on which the policy was issued i.e. 31st of March, 1990.
The death of the life assured having occurred as a result of suicide committed
by the assured before the expiry of three years from the date of the policy,
the terms contained in Clause 4-B of the policy would be attracted and,
therefore, the liability of the Corporation would be limited to the sum equal
to the total amount of premium paid under the policy without interest and not
the entire sum for which the life had been insured. The Forums under the
Consumer Protection Act committed gross error in construing Clause 4-B of the
policy and given the same meaning to the two expressions in the aforesaid
Clause 4-B namely "the date on which the risk under the policy has
commenced" and the date of the policy". The construction given by us
to the provisions contained in Clause 4-B get support, if the proviso to Clause
4-B is looked into. Under the proviso if the life assured commits suicide
before expiry of one year reckoned from the date of the policy then the
provisions of the Clause under the heading "suicide" printed on the
back of the policy would apply. In a case therefore a policy is dated back for
one year prior to the date of the issue of the policy the proviso contained in
Clause 4-B cannot be operated at all. When parties had agreed to the terms of
the contract it is impermissible to hold that a particular term was never
intended to be acted upon. The proviso to Clause 4-B will have its full play if
the expression "the date of the policy" is interpreted to mean the
date on which the policy was issued and not the date on which the risk under
the policy has commenced. In the aforesaid premises we are of the considered
opinion that under Clause 4-B of the policy the date of the policy is the date
on which the policy had been issued and not the date on which the risk under
the policy had commenced by way of allowing dated back. In view of our
aforesaid construction to Clause 4-B, in the case in hand the respondent in law
would be entitled to only the sum equal to the total amount of premium paid
under the policy without any interest inasmuch as the death of the life assured
has occurred before the expiry of three years from the date of the policy i.e. 31.3.1990.
Even though we have construed the provisions of Clause 4-B as aforesaid but so
far the amount of compensation payable to the respondent is concerned we find
from the letter of the Corporation dated 2.2.1995 that the Claims Review
Committee has examined the facts of the case and had decided to pay a sum of
Rupees two lacs on ex-gratia basis and we see no reason why the respondent
should not be entitled to receive the said amount together with the interest
thereon. The said offer of the Corporation having been made on 2nd of February,
1995 and more than three and half year having been elapsed since then, we think
that the Corporation-appellant should pay a total sum of three lacs to the
respondent-claimant in full satisfaction of the claim of the respondent and
this amount should be paid within eight weeks from today. This appeal is
disposed of accordingly.
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