P.C. CHACKO AND ANR.versusCHAIRMAN, LIFE INSURANCE CORPORATION OF INDIA AND ORS.
- Citation
- 2007 INSC 1166
- Decided
- 20 November 2007
- Disposal
- Dismissed
- Bench
- S B SINHA
Holding
A deliberate misstatement of a material fact, even absent proof of fraud, vitiates the insurance contract and permits repudiation within two years under Section 45 of the Insurance Act, 1938.
Summary
The insured took a life insurance policy on 21 February 1987 and died on 6 July 1987. He had undergone an operation for adenoma thyroid four years earlier but answered "No" to the proposal question about any operation, constituting a deliberate misstatement. The Life Insurance Corporation repudiated the policy on 10 February 1989, invoking non‑disclosure under Section 45 of the Insurance Act, 1938, and the appellants' claim for the death benefit was initially allowed by the trial court and a single High Court judge. The Division Bench of the High Court reversed, holding that the non‑disclosure was not material to the cause of death. The Supreme Court held that a deliberate wrong answer that has a great bearing on the contract may vitiate the policy and, under Section 45, the insurer was entitled to repudiate within two years even without proof of fraud. Consequently, the appeal was dismissed, upholding the insurer's repudiation.
Issues considered
- The applicability of Section 45 of the Insurance Act, 1938 to the repudiation of a life insurance policy on the ground of non‑disclosure or misstatement.
- Whether the insured's failure to disclose a prior operation constitutes a material fact that justifies repudiation.
- Whether the insurer must prove fraud or the insured's knowledge of falsity for repudiation under Section 45.
Legislation cited
- Insurance Act, 1938s. 45
Subjects
Judgment
.-
A P.C. CHACKO AND ANR.
v.
CHAIRMAN, LIFE INSURANCE CORPORATION OF INDIA
AND ORS.
B NOVEMBER 20, 2007
[S.B. SINHA A~D HARJIT SINGH BEDI, JJ.]
Insurance Act, 1938:
c
s. 45-Life Insurance policy-Non-disclosure and mis-statement
in proposal form-Repudiation ofpolicy within two years-Legality
of-HELD: A deliberate wrong answer which has a great bearing on
contract of insurance, if discovered, may lead to the policy being
...
D vitiated in law-On facts, it has not been shown that repudiation of
contract ofinsurance was not done by insurer with extreme care and
caution or was otherwise invalid in law.
- E
One 'C' took an insurance policy on 21.2.1987. He died on
6. 7.1987. The claim of his nominees, the appellants, was not acceded
to by the respondent-Corporation for non-disclosure and mis-statement
in the proposal form. The insured had undergone an operation for
Adenoma Thyroid. But in the proposal form in answer to the question
as to whether he ever had any operation he replied 'No'. Therefore, ,.
the insurer repudiated the policy on 10.2.1989. However, the suit filed
F
by the appellants for recovery of the insured amount was decreed by
the trialcourt and the single Judge ofthe High Court declined to interfere.
But the Division Bench of the High Court allowed the appeal of the
insurer holding that the non-disclosure related to a material fact which
was required to be answered correctly. Aggrieved, the plaintiffs filed
G
the instant appeal. '.
Dismissing the appeal, the Court
HELD: 1.1. An insurance policy should not be obtained with a
H 352
P.C. CHACKO v. CHAIRMAN, LIFE INSURANCE 353
CORPORATION OF INDIA
fraudulent act by the insured. Proposal can be repudiated ifa fraudulent A
act is discovered. The proposer must show that his intention was bona
fide. It must appear from the face of the record. A deliberate wrong
answer which has a great bearing on the contract of insurance, if
discovered may lead to the policy being vitiated in law. Ifa person makes
a wrong statement with knowledge of consequence thereof, he would B
ordinarily be estopped from pleading that even if such a fact had been
disclosed, it would not have made any material change.
[Para 15and16] (359-A-C; 358-G-H]
1.2. In the instant case, the basic fact of the matter is not in dispute. C
The insured had undergone an operation for Adenoma Thyroid. It was
a major operation. Although the said operation was undergone by him
four years prior to the date of the proposal made by him, he did not
disclose thereabout prior to obtaining the insurance policy. He died within
six months from the date of taking of the policy. In a case of this nature D
it was not necessary for the insurer to establish that the suppression
was fraudulently made by the policy holder or that he must have been
aware at the time of making the statement that the same was false or
that the fact was suppressed which was material to disclose.
[Para 10 and16] (357-B-C; 359-B-C] E
Mithoolal Nayak v. Life Insurance Corporation of India, (1962]
Suppl. 2 SCR 571 and Life Insurance Corpn. ofIndia & Ors. v.Asha Goel
__ ,,, (Smt) & Anr., [2001] SCC 160, relied on.
All India General Insurance Co. Ltd. and Anr. v. S.P. Maheshwari, F
AIR (1960) Madras 484, held inapplicable.
Allianz Und Stuttgarter Life Insurance Bank Ltd. v. Hemanta Kumar
Das AIR (1938) CAL 641, cited.
Ratan Lal & Anr. v. Metropolitan Insurance Co. Ltd AIR (1959) G
-l
PAT 413, referred to.
1.3. Section 45 of the Insurance Act, 1938 postulates repudiation
of the policy within a period of two years. The Statute, therefore, itself
provides for the limitation for valid repudiation ofan insurance policy. H
354 SUPREME COURT REPORTS (2007] 12 S.C.R.
.-
A It takes into account the social security aspect of the matter. It has not
been shown in the instant case that repudiation of the contract of
insurance was not done by the respondent with extreme care and caution
or was otherwise invalid in law. [Para 12 and21) [358-A-C; 361-G)
1.4. Life Insurance Corporation being a State within the meaning
B
of Article 12 of the Constitution oflndia, its action must be fair, just and
equitable. This is nota case where the contract ofinsurance or a clause
thereof is unreasonable, unfair or irrational. It is also not the case of
the appellants that in framing the questionnaire in the application/
C proposal form, the respondents had acted unjustifiably or the conditions
imposed are unconstitutional. No case has been made out for
interference with the impugned judgment
[Para 20 and26] [360-H; 361-A-B; 363-D)
CIVIL APPELLATE JURISDICTION: Civil Appeal No. 5322 of
D 2007.
From the final Judgment and Order dated 17.12.2004 of the High
Court ofKerala at Emakulam in AF.A. No. 18 of2000.
R. Sathish for the Appellants.
E
Paramjit Singh Patwalia, S. Rajappa for the Respondents.
The Judgment of the Court was delivered by
S.B. SINHA, J. 1. Leave granted. ' -
F 2. Application of Section 45 of the Insurance Act, 1938 is in question
in this appeal which arises out of a judgment and order dated 17th
December, 2004 passed by a Division Bench of the High Court ofKerala
at Emakulam in AF.A. No. 18 of2000 setting aside the judgment and
order of a learned Single Judge dated 23rd September, 2000 passed in
G Appeal Suit No.633 of 1993 confirming the judgment and decree passed
t--
by the Subordinate Judge ofKozhikode in OS No. 240of1990 dated
27thFebruary, 1993.
3. Plaintiffs in the suit are the appellants herein. They filed the said
H suit inter alia for recovery of the amount of insurance on the death of
P.C. CHACKO v. CHAIRMAN, LIFE INSURANCE 355
CORPORATION OF INDIA [SINHA, J.]
one Chackochan (hereinafter referred to as 'the insured'). The insured A
took an insurance policy on 21st February, 1987. He died on 6th July,
1987. On his death, the appellants herein claimed the insured amount.
On the premise that the insured suppressed material facts, the policy had
been repudiated by the respondent on 10th February, 1989. Non-
disclosure and mis-statement in the proposal form to the various questions B
to which answers were given by the insured is said to be the reason for
the aforementioned repudiation of the contract of insurance.
4. It now stands admitted that the insured had undergone an
operation for Adenoma Thyroid. The particulars furnished by him while C
filling up the application form for obtaining the said policy were as under:-
"(a) Did you ever have any operation, accident or injury? The
answer was "No". (b) Have your remained absent from place of
your work on ground of health during the last 5 years? To which
answer was "No". (c) What has been your state of health? The D
answer was "good".
The fact that the said answers were incorrect is not in dispute. The
suit filed by the appellants, however, was decreed.
5. On an appeal preferred by the respondents, on the premise that E
despite such wrong answers, as the injured died on account of
"polyneuritis", a learned Single Judge of the High Court opined that there
,. _ _,1,,'
was nothing to indicate that if the injured had disclosed the factum of
previous operation, the appellant-Corporation might not have inclined to
insure and insisted on a higher premium and thus there was no material F
to show that the non-disclosure was of a material fact justifying repudiation
of the policy by the Corporation.
6. On an intra court appeal, the Division Bench of the High Court,
however, by reason of the impugned judgment opined that the parties are G
bound by the warranty clause contained in the agreement which is also
. clear from the declaration signed by the insured and the non-disclosure
related to a material fact which was required to be answered correctly
under question No.22(a).
H
356 SUPREME COURT REPORTS [2007] 12 S.C.R.
A 7. Mr. R. Sathish, learned counsel appearing on behalf cf the
appellants would submit that a clear finding of fact having been arrived at
by the trial court that despite undergoing Adenoma Thyroid operation four
years prior to the date of proposal of policy, the cause of insured's death
being "polyneuritis" which had no connection with the operation and the
B judgment of the trial court having been affirmed by the learned Single
Judge, should not have been interfered with by the Division Bench. Our
attention was further drawn to the fact that the medical officer had noted
a black mole on lowei aspect of left side of neck and from Ext. Al
wherefrom it appeared that there had been no past history suggestive of
C allergies, injuries, operations, diseases like rheumatic fever, syphilis etc.
and the deceased having no other complaint due to operation, the
impugned judgment cannot be sustained.
8. Life Insurance policy, it was submitted is a requirement of social
D security. In that view of the matter, a suppression could not have been
led to repudiation of policy, particularly when the doctor who examined
the insured was appointed by the respondent-Corporation itself. Our
attention in this behalfhas been dra'-'11 to the decision of the Madras High
Court in All India General Insurance Co. Ltd. and Anr. v. S.P.
E Maheshwari : AIR (1960) Madras 484 for the proposition that there
exists a distinction between a 'representation' and a 'warranty'.
9. Mr. Patwalia, learned Senior Counsel, appearing on behalf of the
respondents, on the other hand, submitted that having regard to the
provisions contained in Section 45 of the Insurance Act and the policy •·
F having been repudiated within a period of2 years, the impugned judgment
should not be interfered with. It was submitted that undergoing of an
operation having a direct nexus with the health of the insured, suppression
thereof has rightly been considered with all seriousness by the Corporation.
It was argued that the operation underwent by the insured being a major
G one, was a material fact which ought to have been disclosed. Not only
the insured had given wrong answers to the questions, his brother himself a.·
being a Life Insurance Corporation's agent and furthermore in view of
the fact that a declaration was given by the insured that no untrue averment
was made therein, the contract of insurance was null and void and all
H
1 '
P.C. CHACKO v. CHAIRMAN, LIFE INSURANCE 357
CORPORATION OF INDIA [SINHA, J.]
monies which had been paid in respect thereof would stand forfeited to A
the Corporation. Learned counsel for the Corporation has placed strong
reliance on Mithoolal Nayak v. Life Insurance Corporation ofIndia :
[1962] Suppl 2 SCR 571.
10. The basic fact of the matter is not in dispute. The insured had
-, B
undergone an operation for Adenoma Thyroid. It was a major operation.
Although the said operation was undergone by him four years prior to
the date of the proposal made by him, he did not disclose thereabout prior
to obtaining the insurance policy. We may notice that he died within six
months from the date of taking of the policy i.e. on 6th July, 1987, policy
having taken on 21st February, 1987.
c
11. Section 45 of the Insurance Act reads as under:-
"45. - Policy not to be called in question on ground of mis-
statement after two years, -
D
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 oflife 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 E
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 F
it was material to disclose and that it was fraudulently made by
the policy-holder and that the policy-holder knew at the time of
making it that the statement was false or that it suppressed facts
which it was material to disclose :
G
-) Provided that nothing in this section shall prevent the insurer from
calling for proof of age at any time if he is entitled to do so, and
no policy shall be deemed to be called in question merely because
the terms of the policy are adjusted on subsequent proof that the
age of the life insured was incorrectly stated in the proposal." H
358 SUPREME COURT REPORTS [2007] 12 S.C.R.
A 12. Section 45 postulates repudiation of such policy within a period
of two years. By reason of the aforementioned provision, a period of
limitation of two years had, thus, been specified and on the expiry thereof
the policy was not capable of being called in question, inter alia on the
ground that certain facts have been suppressed which were material to
B disclose or that it was fraudulently been made by the policy holder or ,.
that the policy holder knew at the time of making it that the statement
was false. Statute, therefore, itself provides for the limitation for valid
repudiation of an insurance policy. It takes into account the social security
aspect of the matter
c 13. There are three conditions for application of second part of
Section 45 of the Insurance Act which are:-
"(a) the statement must be on a material matter or must suppress
facts which it was material to disclose; ,,
D
(b) the suppression must be fraudulently made by the policy-holder:
and
(c) the policy-holder must have known at the time of making the
statement that it was false or that it suppressed facts which it was
E material to disclose."
[See Mithoolal Nayak (supra]
14. The insured's brother was an agent of the Life Corporation of
India. It was he, who had asked the insured to take the insurance policy.
F He, being an authorized agent of the Life Insurance Corporation,
presumably knew the effect of misstatement of facts. Misstatement by
itself, however, was not material for repudiation of the policy unless the
same is material in nature.
G 15. The insured furthermore was aware of the consequence of
making a misstatement of fact. If a person makes a wrong statement with 1-·
knowledge of consequence therefor, he would ordinarily be estopped from
pleading that even if such a fact had been disclosed, it would not have
made any material change.
H
P.C. CHACKO v. CHAIRMAN, LIFE INSURANCE 359
CORPORATION OF INDIA [SINHA, J.]
16. The purpose for taking a policy of insurance is not, in our opinion, A
very material. It may serve the purpose of social security but then the same
should not be obtained with a fraudulent act by the insured. Proposal can
be repudiated if a fraudulent act is discovered. The proposer must show
that his intention was bona fide. It must appear from the face of the record.
In a case of this nature it was not necessary for the insurer to establish B
_, that the suppression was fraudulently made by the policy holder or that
he must have been aware at the time of making the statement that the
same was false or that the fact was suppressed which was material to
disclose. A deliberate wrong answer which has a great bearing on the
contract of insurance, if discovered may lead to the police being vitiated c
in law.
17. It is no doubt true that there exists a distinction between a
'representation' and a 'warranty'. A Division Bench of the Madras High
,, Court in S.P. Maheshwari (supra) upon taking into consideration the
D
history of insurance laws in United States of America, in England and in
India stated :-
"(! 0) One great principle of insurance law is that a contract of
insurance is based upon utmost good faith Uberrima tides; in fact
it is the fundamental basis upon which all contracts of insurance E
are made. In this respect there is no difference between one
contract of insurance and another. Whether it be life or fire or
marine the understanding is that the contract is uberrima tides and
> ~
though there may be certain circumstances from the peculiar nature
of marine insurance which require to be disclosed, and which do F
not apply to other contracts of insurance, that is rather an illustration
of the application of the principle than a distinction in principle.
From the very fact that the contract involves a risk and that it
purports to shift the risk from one party to the other, each one is
required to be absolutely innocent of every circumstance which G
-j
goes to influence the judgment of the other while entering into the
transaction."
18. While the parties entered into a contract of insurance the same
shall, subject to statutory interdict, be governed by the ordinary law of H
360 SUPREME COURT REPORTS [2007] 12 S.C.R.
A contract. The insurer may not rely upon the disclosures made by the
insured. It may gather information from other sources. The Madras High
Court, although in our opinion, has rightly issued a note of caution to
construe a 'representation' and 'warranty' as a general proposition which
may operate harshly against the policy holders, itself noticed :-
B
"(12) The principles underlying the doctrine of disclosure and the
rule of good faith oblige the proposer to answer every question
put to him with complete honesty. Honesty implies truthfulness. But
it happens that no man can do more than say what he believes to
be the truth."
c
19. Whether in a given case the court should take judicial notice of
practice followed in such cases or not would depend upon the facts and
circumstances of each case. If it is found that the agent himself was
interested in getting the policy executed by the Life Insurance Corporation,
D such common knowledge takes a back seat. .
In S.P. Maheshwari (supra), it was stated :
"(27) This brings us on finally to the topics of nondisclosure or
misrepresentation which are practically the positive and negative
E aspects of the same thing. The effect of misrepresentation on the
contract is precisely the same as that of non-disclosure; it affords
the aggrieved party a ground for avoiding the contract. There are
a number of dicta and one decision to the effect that life insurance
is an exception to the general rule that innocent misrepresentation > •
F may afford grounds for avoiding a policy an_d that the
misrepresentation must be fraudulent to have this effect upon a
policy of life insurance. But in order to give the insurer grounds
for avoidance both under non-disclosure as well as
misrepresentations, both must relate only to material information."
G
The said decision, therefore, is of no assistance to the appellants
herein.
20. We are not unmindful of the fact that Life Insurance Corporation
being a State within the meaning of Article 12 of the Constitution oflndia,
H
P.C. CHACKO v. CHAIRMAN, LIFE INSURANCE 361
CORPORATION OF INDIA [SINHA, J.]
its action must be fair, just and equitable but the same would not mean A
that it shall be asked to make a charity of public money, although the
contract of insurance is found to be vitiated by reason of an act of the
insured. This is not a case where the contract of insurance or a clause
thereof is unreasonable, unfair or irrational which could make the court
carried the bargaining powers of the contracting parties. It is also not the B
case of the appellants that in framing the aforesaid questionnaire in the
application/proposal form, the respondents had acted unjustifiably or the
conditions imposed are unconstitutional.
21. In Life Insurance Corpn. ofIndia & Ors. v. Asha Goel (Smt) C
& Anr., [2001] SCC 160, whereupon reliance has been placed by Mr.
Sathish, it was held :
"The contracts of insurance including the contract of life assurance
are contracts uberrima tides and every fact of material (sic material
fact) must be disclosed, otherwise, there is good ground for D
rescission of the contract. The duty to disclose material facts
continues right up to the conclusion of the contract and also implies
any material alteration in the character of the risk which may take
place between the proposal and its acceptance. If there are any
misstatements or suppression of material facts, the policy can be E
called into question. For determination of the question whether there
has been suppression of any material facts it may be necessary to
also examine whether the suppression relates to a fact which is in
.' the exclusive knowledge of the person intending to take the policy
and it could not be ascertained by reasonable enquiry by a prudent F
person."
It has not been shown in this case that repudiation of the contract
of insurance was not done by the respondent with extreme care and
caution or was otherwise invalid in law. G
The Division Bench of the High Court has taken all the aspects of
-)
the matter in consideration and, in our opinion arrived at a just decision.
22. Strong reliance has been placed by the learned counsel for the
appellants on Allianz Und Stuttgarter Life Insurance Bank Ltd v. H
~
362 SUPREME COURT REPORTS [2007] 12 S.C.R.
,-
A Hemanta Kumar Das, AIR (1938) CAL 641 wherein in regard to some
purported statements made by the proposor in regard to his age was not
found to be material as would appear from the following :
"It is to be borne in mind that this was an insurance by a man who
admittedly was, at any rate, at the age of over forty-five years.
B
He himself stated that he was fifty four. Therefore, the transaction
came within the category of those proposals which require at the ,.
outset the furnishing by the "proponents" of proof of their age. Noot
Behari Das was required to furnish proof of his age. He produced
a horoscope. The horoscope was accepted by the company as
c being sufficient. Therefore, we may take that the company issued
the policy upon the footing that they were insuring the life of a man
whose age was fifty four. This is not a case where the proposer
says that his age was fifty four and the Company merely accepted
that statement at its face value and proceeded to issue a policy on
D
that footing and subsequently, either shortly afterwards or a long
time afterwards, admitted the age as stated in the policy in
accordance with the provisions of Cl.9(2) thereof This was a case
r
where the whole transaction from the very beginning proceeded
upon the basis that the company had satisfied themselves that the
E
proposer was of the age of fifty four and then issued the policy
accordingly. In my view therefore the admission contained in the
endorsement at page 3 of the policy is of such a character that the
defendants when tl1e policy matured could not be heard to say that
the age of the insured was anything different from what he himself
F
had stated it to be in February 1934. It is not necessary that one
should apply in terms of tile principle of estoppel, because tllat is
merely a rule of evidence. In my view, this matter goes far deeper
than that. The question of tile age of the deceased was a definite
and determining factor in the transaction from tile very outset."
G
23. It is not a case where the company had further enquired into
f-·-
the matter in regard to the question as to whether the proposor was
operated upon or not.
H
24. In Ratan Lal & Anr. v. Metropolitan Insurance Co. Ltd., AIR
P.C. CHACKO v. CHAIRMAN, LIFE INSURANCE 363
CORPORATION OF INDIA [SINHA, J.]
-._, (1959) PAT 413, a distinction was made between as to what is material A
and what is not material. In regard to the disclosure of facts in that case
itself, it was opined:
"The well-settled law in the fieid of insurance is that contracts of
insurance including the contracts of life assurance are contracts B
uberrima tides and every fact of materiality must be disclosed
otherwise there is good ground for rescission. And this duty to
disclose continues up to the conclusion of the contract and covers
.
any material alteration in the character of the risk which may take
place between proposal and acceptance."
c
25. Ratio of the said decision, therefore, instead of assisting the case
of appellants, runs counter to his contention.
26. Keeping in view the facts and circumstances of the case, we
are of the opinion that no case has been made out for our interference D
with the impugned judgment. The appeal fails and is accordingly dismissed.
No costs.
RP. Appeal dismissed.
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