Page 15 - Suri’s - NCDRC ON LIFE INSURANCE 2017 V1.3
P. 15

Suri’s - NCDRC ON LIFE INSURANCE 2017                    15



                          8.      It is seen from the repudiation letter dated 08.02.2014 issued by the Respon-
                       dent to the Petitioner, vide which the Respondent repudiated the insurance claim of
                       the Petitioner that it was repudiated on the following grounds;
                            ―The reference to your claim  under the above policy on the life of  your de-
                          ceased son, we have to inform you that we have decided to repudiate all liabilities
                          under the policy on account of the deceased having withheld correct information
                          regarding her health at the time of effecting the assurance with us.
                            As per 3816 from Ganga Ram Hospital, Deceased Life Assured was suffering
                          from Thalassemia since childhood and this information was concealed at the time
                          of proposal. He did not, however, disclose this fact in her Proposal Form/Personal
                          Statement.
                            It is, therefore, evident that he had made deliberate incorrect statements and
                          withheld correct information from us regarding his health at the time of effecting
                          assurance and hence in terms of the policy contact and the declaration contained
                          in  in the forms, of proposal for assurance, we hereby repudiate the above claim
                          and accordingly we are not liable for any payment under the above policy and all
                          moneys that have been paid in consequence thereof belong to us.
                            For your information we are enclosing herewith the copy of proposal-form re-
                          ferred to above. We also enclose herewith our leaflet styled ―Why a life insurance
                          claim is repudiated‖ which is self-explanatory.”
                          9.     The Complainant in his Complaint has not denied the finding of the Respon-
                       dent that late Sh. Sachin Chhabra was suffering from Thalassemia since childhood.
                       He has merely contended that death of the deceased was not due to Thalassemia. It
                       has  been  correctly  observed by  the  State  Commission  in  their  impugned  order  that
                       non-disclosure  of  material  facts  by  the  deceased-insured,  late  Sh.  Sachin  Chhabra
                       regarding his health at the time filling up the proposal form   renders the „Insurance
                       Contract void‟     .
                          10.       On this point, the Supreme Court in Satwant Kaur Sandhu Vs. New India
                       Assurance Co. Ltd, IV (2009) CPJ 8(SC), in Paras 12,13,17 and 18 has observed;
                            ―12.. ……… Nonetheless, it is a contract of insurance falling in the category
                          of  contract  ‗uberrimae  fidei‘,  meaning,  ‗a  contract  of  utmost  good  faith,  on  the
                          part of the assured‘. Thus, it needs little emphasis that when an information on a
                          specific aspect is asked for in the proposal form, an assured is under a solemn ob-
                          ligation to make a true and full disclosure of the information on the subject which
                          is within his knowledge.It is not for the proposer to determine whether the infor-
                          mation sought for is material for the purpose of the policy or not. Of course, obli-
                          gation to disclose extends only to facts which are known to the applicant and not
                          to what he ought to have known. The obligation to disclose necessarily depends
                          upon the knowledge one possesses. His opinion of the materiality of that knowl-
                          edge is of no moment (See: Joel Vs. Law Union & Crown Ins.Co.[1908] 2 K.B.
                          863).

                            13. In United India Insurance Co. Ltd. Vs. M.K.J. Corporation, III (1996) CPJ
                          8 (SC) =(1996)6 SCC 428, this Court has observed that it is a fundamental princi-
                          ple of insurance law that utmost faith must be observed by the contracting parties.
                          Good faith forbids either party from non-disclosure of the facts which the party



                                                       INDEX
   10   11   12   13   14   15   16   17   18   19   20