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1999 Supreme(Del) 959

High Court Of Delhi
KRISHNA WANTI - Appellant
Versus
LIFE INSURANCE CORPORATION OF INDIA. - Respondent
REGULAR FIRST APPEAL 10 of 1974
Decided On : 11/04/1999

Advocates Appeared:
N.K.ANAND, P.K.Seth, S.K.TANEJA

Headnote:Insurance Act, 1938 Section 45 — Life Insurance — Death of Policy holder on account of cardiac failure — Plea of non disclosure raised for the first time in appeal, cannot beaccepted.

       Held:

       To the general proposition that if a false statement on a material particular has been made, the policy can be repudiated, there can be no dispute. However, it is to be seen that in this case the Respondents have not been able to establish that the deceased was in fact suffering from any heart disease prior to August, 1964. As stated above, the evidence of the three doctors who started by stating dial there was a history of heart disease gets completely destroyed. There is no evidence to show that Shri Dharam Pal Puri had any history of heart disease. Thus Respondents have not been able to establish that the deceased had made any false statement. On the contrary, the report of their own panel doctors who have examined Shri Dharam Pal Pun have said that the condition of the heart was good. This would show that the deceased had not made any false statement.

       Repudiation is only on the ground that the deceased had been suffering from heart ailment which had not been disclosed. This was the stand which had been taken even in the written statement. Neither in the initial repudiation nor in the pleadings there is any case that there was misstatement in respect of column 7B of the personal statement. This is case being taken up by the counsel, for the first time during the arguments today Undoubtedly this is being argued as counsel finds that the case with which the Respondent had come to the Court was not sustainable. Such a fresh case cannot be allowed to be taken up at this stage in Appeal. Even otherwise it is to be seen that non-disclosure must be of a material particular. It must be in respect of something which has connection with the ultimate demise. Even if the deceased had been suffering from cough, his death was not G result of that cough or any complication arising from cough. His death was on account of heart attack.

S. N. Variava, C. J. (Oral)

( 1 ) THIS Appeal is against a Judgement dated 3rd December, 1973. By this Judgment, the Suit of the Appellant herein had been dismissed. The Appellant is the widow of one Shri Dharam Pal Puri, who expired on 5th August 1964. During his lifetime, Shri Dharam Pal Puri had taken out four LIC policies, particulars whereof are as under:- Date policy Amount policy No. 12-10-1959 rs. 10,000. 00 6081583 12-6-1961 rs. 25,000. 00 6151357 10-3-1964 rs. 45,000. 00 6297731 15. 6. 1964 rs. 5,000. 00 8315544

( 2 ) IN the Suit, the Appellant claimed the amount of four policies from the Respondent Corporation on the ground that she was the assignee under those policies. The defence taken up by Respondent was that the said Shri Dharam Pal Puri was suffering from heart disease and that he knew about his ailment and that he had consulted doctors about these disease but that he had fraudulently suppressed these facts.

( 3 ) ON the pleadings of the parties, the learned Single Judge raised the following Issues :-

1. Is the Plaintiff entitled to recover the amount, if any, due to her on the policies mentioned in the plaint, on the allegations made in the plaint?

2. Who is the assignee of these policies?

3. ARE the defendants entitled to deny payment to the Plaintiff on the grounds stated in the written statement?

4. Relief?

( 4 ) IT is not disputed that the Appellant was the nominee under the policies. The main question, therefore, before the Court was whether or not the Appellant was entitled to recover the amount under the policies and/or whether the Respondent were entitled to deny payment on the grounds as stated above.

( 5 ) THE learned Single Judge has relied upon the evidence of three witnesses of the Respondents, all of whom were doctors. On the basis of that evidence the learned Single Judge has held that the deceased Shri Dharam Pal Puri was suffering from a heart disease, and knowing about this ailment he had fraudulently suppressed these facts. On these basis the learned Single Judge has held that the Respondent were entitled to deny payment and dismissed the Suit.

( 6 ) IT, therefore, becomes necessary to see whether the evidence of these three witnesses, which has been relied upon by the learned Single Judge supports the case of the Respondents.

( 7 ) ONE of the doctors, whose evidence has been relied upon by the learned Single Judge, is Dr. (Miss) Padmawati. In her evidence-in-chief she has given her qualification and has confirmed that two certificates were issued by her. She goes on to state that the contents of those certificates had been verified from the record of Lady Harding Hospital which had been supplied to her. The two certificates have been marked as Exhibits D-5 and D- 6 Certificate Ex. D-5 is dated 2nd December 1964. It is thus to be seen that this Certificate is issued much after the date of death of Shri Dharam Pal Puri. In this Certificate, she states that Shri Dharam Pal Puri had been seen by her in Lady Harding Hospital on 29th May 1959 and 25th September 1959. She states that she has not seen him after that date. She further states that she was unable to complete the form which the Respondent had sent to her as she did not know anything about the cause of death date or place of death. The other Certificate, Ex. D-6, is dated 11th December 1964. This is form which has bee sent to her by the Respondent and which has been filled up by her. Column 5a,b,c, F and G and answers thereto read as follows:- 5. (A) What was the exact cause of death? (Besides Defining the disease or other cause of death in such terms as you consider appropriate,, kindly add the distinctive technical name), (a) Primary cause Mihal Strain Aminilar Filuttation (b) Was it ascertained by examination after death or inferred from symptoms and appearance during life ?, (b) From symptoms during life (c) How long had he been suffering From this disease before his Death, (c) Since 1946 (f) What was the date on which You were first con






















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