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2005 Supreme(SC) 989

2005(5) Supreme 737
Supreme Court of India
(From National Consumer Disputes Redressal Commission, New Delhi)
R.C. Lahoti, CJI, C.K. Thakker & P.K. Balasubramanyan, JJ.
Life Insurance Corporation of India —Appellant
versus
Mani Ram —Respondent
Civil Appeal No. 4806 of 2005
(Arising out of Special Leave Petition (Civil) No. 2795 of 2003)
Decided on 5-8-2005
Counsel for the Parties :
G.L. Sanghi, Sr. Advocate, A.V. Rangam, A. Ranganadhan and Buddy A. Ranga­nadhan, Advocates.

Important pointWhen condition in Insurance policy expressly provided the period during which premium was to be paid and then if premium was not paid before expiry of grace period, policy would lapse.

Headnote:Consumer Protection Act, 1986—Section 12—Claim under Life Insurance Policy—Son of complainant respondent was got insured and premium amount was paid to appellant Insurance Company on August 21, 1995 but policy holder got policy effected from back date i.e. April 28, 1995—Insured died in an accident on 2nd August 1996—Claim was repudiated on ground that policy lapsed on date of death of insured as yearly premium due on 28-4-1996 had not been paid even in grace period of one month—Distt. Forum allowed the claim of complainant and State Commission and National Commission upheld the order—Appeal—Question whether on August 2, 1996 policy could be said to be valid and subsisting? No.

       Held : So far as the factual position is concerned, there is no dispute between the parties. Deceased Ashok Kumar was insured by the Insurance Company and the first premium was paid on August 21, 1995. At the request of the insured, however, the policy was back-dated with effect from April 28, 1995. In our opinion, therefore, the learned counsel for the Insurance Company is right in submitting that one year came to an end on April 28, 1996 and the insured was liable to pay premium on that date as it became due and payable. Taking into account grace period of one month, premium amount ought to have been paid latest by May 28, 1996. Admittedly, no such payment was made either in April, 1996 or in May, 1996. We are impressed by the argument of the learned counsel for the Insurance Company that in the circumstances, the policy lapsed on May 28, 1996. (Para 12)

       From the above condition, it is abundantly clear that payment of premium due had to be made within a grace period of one month. If such payment was made within the said period, the policy would be treated as valid and the assured would be paid the amount to which he was entitled after deducting the premium amount. But it was also made clear that if the premium was not paid before the expiry of the days of grace, the policy would lapse. As we have already observed hereinabove, the material date was not the date of deposit/payment of premium amount which was August 21, 1995, but the date of policy which was April 28, 1995. Since it was yearly, the payment was due on April 28, 1996, but the assured was entitled to grace period of one month up to May 28, 1996. Neither the premium was paid on April 28, 1996 nor on May 28, 1996. As per condition No.2, policy lapsed on May 28, 1996. In the eye of law, there was no subsisting policy, on August 2, 1996. Insurance Company was, therefore, wholly justified in rejecting the claim of the complainant and no exception can be taken against such a decision. (Para 14)

       In the instant case, Condition 2 expressly provided the period during which the payment was to be made. It also in no uncertain terms stated that if premium was not paid before the expiry of grace period, the policy would lapse. In our view, the ratio in Dharam Vir Anand would support the Insurance Company rather than the complainant. If all the terms and conditions of the policy (contract between the parties) have to be kept in mind and given effect to, acceptance of argument on behalf of the complainant would make the last part of Condition 2 redundant, otiose and inoperative; and a court of law cannot construe a document in the manner suggested by the counsel for the complainant. As the premium was due on April 28, 1996 and was not paid till May 28, 1996, the policy lapsed. The Fora below hence, committed an error of law in allowing the complaint of the respondent herein and the orders are liable to be set aside. (Para 18)

       

Judgment

C.K. Thakker, J.—Leave granted.

2. This appeal is filed by the Life Insurance Corporation of India (“Insurance Company” for short) against the order passed by the District Consumer Disputes Redressal Forum, Bilaspur (Himachal Pradesh), confirmed by the Himachal Pradesh State Consumer Disputes Redressal Commission, Shimla and also confirmed by the National Consumer Disputes Redressal Commission, New Delhi.

3. Few facts giving rise to the present appeal may now be stated.

4. Mani Ram-respondent herein, son of one Budhu Ram, resident of village Khatehar, Pargana and Tehsil Sadar, District Bilaspur (HP) filed a complaint under Section 12 of the Consumer Protection Act, 1986 (hereinafter referred to as “the Act”), before the District Forum, Bilaspur. In the complaint, it was inter alia alleged by the complainant that his son Ashok Kumar had been insured with the appellant-Insurance Company on August 21, 1995 and premium amount of Rs. 5215/- was paid on the same day. According to the complainant, the next instalment of premium was due on August 21, 1996. Ashok Kumar - insured, however, died in an accident on August 2, 1996 at Barmana as the boundary wall of the D.A.V. School fell on him and he was crushed under the debris. The complainant, in view of the subsisting policy, requested the appellant-Insurance Company to pay the insurance claim amount of Rs. 2,50,000/- to the complainant, but under the lame and false excuses, the Insurance Company did not pay the amount. Finally, by a communication dated August 11, 1997, the Insurance Company refused to pay any amount. The deceased was unmarried. It was asserted by the complainant that he was the nominee of deceased Ashok Kumar as the father. Since the amount was not paid, the complainant was constrained to approach the District Forum. Accordingly a claim of Rs. 2,50,000/- was made along with interest and damages on account of mental torture and financial loss suffered by the complainant.

5. The appellant-Insurance Company resisted the claim of the complainant by filing a written reply. A preliminary objection was raised against the maintainability of the complaint on the ground that the policy had lapsed due to non-payment of premium within the prescribed period and hence, the complainant had no right to claim anything. The complaint was, therefore, liable to be dismissed. It was stated that deceased Ashok Kumar was insured with the Insurance Company. It was also admitted that the premium amount was paid to the Insurance Company on August 21, 1995 but the policy holder got the policy effected from a back date, i.e. from April 28, 1995. According to the Insurance Company, therefore, the next premium was due and payable after one year, i.e., on April 28, 1996. Giving benefit of grace period of one month, the premium amount was required to be paid latest by May 28, 1996. No premium, however, was paid on April 28, 1996 nor till May 28, 1996 and the policy lapsed. Since the deceased Ashok Kumar met with an accident on August 2, 1996, there was no subsisting policy in favour of the insured inasmuch as it lapsed on May 28, 1996, the Insurance Company could not be held liable and the complainant was not entitled to any amount.

6. The District Forum considered the rival contentions of the parties and held that the deceased was assured for Rs. 50,000/- on August 21, 1995. It observed that no doubt the policy was backdated to April 28, 1995, but as the premium was paid on August 21, 1995, next premium became due on August 21, 1996. Since Ashok Kumar met with an accident and died on August 2, 1996, the ­Insurance Company was liable. It accordingly awarded an amount of Rs. 50,000/- with interest @ 12% p.a. and costs of Rs. 500/-.

7. Being aggrieved by the order passed by the District Forum, both, the complainant as well as Insurance Company filed appeal before the State Commission. The grievance of the Insurance Company was that since the policy lapsed on April 28, 1996, it could not have been he

















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