IN THE HIGH COURT OF PUNJAB AND HARYANA AT CHANDIGARH
VINOD S. BHARDWAJ, J.
Davinder Singh – Petitioner
Versus
Chairman Permanent Lok Adalat SAS Nagar, Mohali & Anr. – Respondents
CWP-6770 of 2018 (O&M)
Decided On : 24-02-2023
| Table of Content |
|---|
| 1. the factual basis for the insurance claim. (Para 1 , 2 , 3) |
| 2. arguments regarding the circumstances of death and insurance policy terms. (Para 6 , 7 , 9 , 10) |
| 3. court's analysis of evidence and legal standards for insurance claims. (Para 12 , 13 , 14) |
| 4. determining the burden of proof in establishing suicide. (Para 15 , 17) |
| 5. final ruling on the insurance claim. (Para 19 , 20) |
JUDGMENT
Mr. Vinod S. Bhardwaj, J. (Oral)
The present petition raises a challenge to the Award dated 09.11.2017 (Annexure P-7) passed by Permanent Lok Adalat (Public Utility Services), SAS Nagar, Mohali, whereby the application under Section 22 -C of the Legal Services Authority Act, 1987 filed by the petitioner had been dismissed.
2. Briefly summarized, the facts of the present case are that Harkamal Singh son of the petitioner had taken two policies in September 2012 bearing Nos.165440461 and 165440462 for Rs.1,00,000/- each from the respondent-LIC. However, on account of an accidental consumption of insecticide for medicine, he died on 20.10.2012. The petitioner being nominee in the aforesaid policies filed claim with the respondent-LIC. However, vide letter dated 31.10.2014, the above-said claim was repudiated on the ground that Harkamal Singh had committed suicide. The relevant extract of letter of repudiation reads thus:
3. Aggrieved of the aforesaid repudiation, the petitioner moved an application under Section 22 (C) of the Legal Services Authority, Act, 1987 before the Permanent Lok Adalat (Public Utility Services), SAS Nagar, Mohali.
4. Upon notice, the respondents entered appearance and filed their response taking various preliminary objections including that the claim is based on incorrect facts and false disclosures. It was also submitted that the deceased had committed suicide and as per the terms and conditions of the insurance policy, no claim is admissible to the nominee of the deceased in the event of commission of suicide by the policy holder within a period of one year of the issuance of the policy.
5. The conciliation efforts were initiated by the Permanent Lok Adalat (Public Utility Services), SAS Nagar, Mohali, however, the same failed to fructify in any amicable mutual settlement. Consequently, adjudication of the dispute in terms of Section 22 (C) (8) of the Legal Services Authority, Act, 1987 was initiated. Parties led their respective evidences in support of their respective contentions. Upon consideration thereof, the Permanent Lok Adalat (Public Utility Services), SAS Nagar, Mohali came to a conclusion that the circumstances surrounding the issue reflect that deceased Harkamal Singh had committed suicide. The application of the petitioner was accordingly dismissed. Hence, the present petition.
6. Learned counsel for the petitioner has argued that the application of the petitioner under Section 22 (C) of the Legal Services Authority, Act, 1987 has been wrongly rejected by the Permanent Lok Adalat (Public Utility Services), SAS Nagar, Mohali inasmuch the aspect of the son of the petitioner (insured) having committed suicide was not established. The incident in question had been duly reported to the police and inquest proceedings under Section 174 of Cr.P.C. had been conducted. Upon culmination of the proceedings, the Investigating Agency came to the conclusion that deceased Harkamal Singh, son of petitioner, had con
In insurance contracts, the insured must disclose all material facts; failure to do so can lead to repudiation of claims under Section 45 of the Insurance Act, 1938.
The insured's obligation to disclose health status is limited to knowledge of such conditions, and unsubstantiated claims of suppression cannot invalidate a life insurance policy.
The court established that conciliation proceedings under the Legal Services Authorities Act are mandatory, and failure to adhere to this process invalidates any resultant award.
Point of Law : Plea of limitation taken up in the present case on the strength of clause 20 of the agreement read with Article 44 of the Schedule appended to the Limitation Act, would not defeat the ....
Burden of proof lies on the insurer to establish suicide for claim repudiation, which must be backed by compelling evidence.
Insurers must comply with statutory obligations of disclosure; failure to do so prevents repudiation of claims based on misrepresentations in policy applications.
(1) Failed to discharge the services – The insurer failed to discharge its service obligations by rejecting a genuine claim based on a Chemical Analysis report showing alcohol presence, while ignorin....
There is nothing wrong in deciding the matter based on evidence adduced in the earlier round of litigation
Insured is not entitled to compensation when on facts it is proved that he was intoxicated and that his death was due to intoxication.
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