SUPREME COURT OF INDIA
KULDIP SINGH AND B.L. HANSARIA, JJ.
Smt. Shashi Gupta, Appellant
Versus
Life Insurance Corporation of India and another, Respondents.
Civil Appeal No. 3033 of 1995 (arising out of S.L.P. (c) No. 16545 of 1994)
Decided on 24-2-1995.
Constitution Of India,1950 - Amount is payable - Claim for sum assured - Appellant is widow who had obtained a Policy for an assured sum from respondent Life Insurance Corporation of India hereinafter Corporation- Policy was obtained two yearly premiums had been paid by third annual premium could not be paid within grace period of a month thereafter Policy lapsed - It however happened that Policy holder was assassinated Chandigarh- A claim for sum assured along with an additional sum equal to sum assured was lodged as Policy covered "DAB" Double Accident Benefit also- Corporation paid which according to was by way of ex gratia payment and taking a compassionate view basic sum assured together with bonus which had accrued was paid- grievance of appellant is that under terms of Policy an additional sum equal to sum assured was payable because of death of Policy holder was an accident respondents stand however is that under Policy no further amount is payable -Held, Corporation contends that expression "full Sum Assured" would really mean sum assured which present case- According to counsel word "full" has been used because despite two premiums having been paid by force of aforesaid circular full amount assured was required to be paid which otherwise would not have Mohan however draws our attention to further provision in aforesaid circular according which for Policies issued under Multipurpose Plan and n Plan concession in circular will be given with regard to basic sum assured only- This indicates according to learned counsel that for other Policies concession is not confined to basic sum assured aforesaid interpretations are reasonably possible court would accept one which Policy holder as same advances purpose for which a Policy is taken and would be in consonance with object to be achieved for getting lives assured- Had this been only material before us court would have ordered respondent to pay a further sum brings to our notice a subsequent circular of Corporation which clarifies what was held out in circular second circular states that no DAB is payable under any plan for claims admitted under provision of circular even those cases where claim is considered to extent of full sum assured- This part further states that payments under lapsed Policies are purely on ex gratia basis appears that subsequent circular was not brought to notice of either State Consumer Disputes Commission National Commission submits it was on record which is denied - Be that as it may in facts and circumstances of case which includes death of Vijay Kumar at height of his youth at hands of terrorists and his having been survived of his widow and three children court are view that interest of justice demands some further payment to be made to appellant which court quantify Court therefore order that a further sum paid to appellant by respondent on ex gratia basis - Appeal allowed
JUDGMENT
HANSARIA, J.:—The appellant is the widow of one Vijay Kumar Gupta, who had obtained a Policy for an assured sum of Rs. 1 lakh from the respondent, Life Insurance Corporation of India (hereinafter the Corporation). The Policy was obtained on 1-4-1989 and two yearly premiums had been paid by 1-4-1991. As the third annual premium could not be paid within the grace period of a month thereafter, the Policy lapsed on 1-5-1991. It however so happened that the Policy holder was assassinated on 30-5-1991 at Chandigarh. A claim for the sum assured, along with an additional sum equal to the sum assured was lodged, as the Policy covered "DAB" ( Double Accident Benefit) also. The Corporation paid a sum of Rs. 1,13,925/- on 19-7-1991 which according to it was by way of ex gratia payment, and taking a compassionate view the basic sum assured (Rs. 1 Lakh), together with bonus which had accrued ( the total of which came to Rs. 1,13,925-) was paid. The grievance of the appellant is that under the terms of the Policy, an additional sum equal to the sum assured was payable because of the death of the Policy holder was in an accident. The respondents stand, however, is that under the Policy no further amount is payable to the appellant.
2. Under normal circumstances, a Policy lapses unless three instalments are paid. The Corporation, however, relaxed this condition vide its circular dated 16-10-1987, according to which if the death of the assured were to occur after two premiums have been paid within three months of the due date of the next unpaid premium, " the full sum assured together with the declared bonuses" would be paid. Shri Rao, appearing for the respondent Corporation, contends that the expression "full Sum Assured" would really mean the sum assured, which is Rs. 1 lakh in the present case. According to the learned counsel, the word "full" has been used because despite two premiums having been paid, by force of the aforesaid circular, the full amount assured was required to be paid, which otherwise would not have been so. Shri Mohan, however, draws our attention to the further provision in the aforesaid circular according to which for Policies issued under Multipurpose Plan and Jeevan Mitra Plan, the concession visualised in the circular will be given with regard to the basic sum assured only. This indicates, according to the learned counsel, that for other Policies concession is not confined to the basic sum assured.
3. As both the aforesaid interpretations are reasonably possible, we would accept the one which favours the Policy holder, as the same advances the purpose for which a Policy is taken and would be in consonance with the object to be achieved for getting lives assured. Had this been the only material before us, we would have ordered the respondent to pay a further sum of Rs. 1 lakh, but then Shri Rao brings to our notice a subsequent circular of the Corporation dated 4-1-1991 which clarifies what was held out in circular of 16-10-1987. Para 5 of the second circular states that no DAB is payable under any plan for the claims admitted under the provision of the circular even in those cases where the claim is considered to the extent of the full sum assured. This part further states that the payments under lapsed Policies are purely on ex gratia basis.
4. From the impugned orders before us it, however, appears that the subsequent circular was not brought to the notice of either the State Consumer Disputes Redressal Commission or the National Commission. Shri Rao submits it was on record, which is denied by Shri Mohan. Be that as it may, in the facts and circumstances of the case which includes the death of Vijay Kumar at the height of his youth at the hands of terrorists and his having been survived of his widow and three children, we are of the view that the interest of justice demands some further payment to be made to the appellant, which we quantify as Rs. 50,000/-. We therefore, order that a further sum of Rs. 50,00
Login now and unlock free premium legal research
Login to SupremeToday AI and access free legal analysis, AI highlights, and smart tools.
Login
now!
India’s Legal research and Law Firm App, Download now!
Copyright © 2023 Vikas Info Solution Pvt Ltd. All Rights Reserved.