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2024 Supreme(All) 2179

IN THE HIGH COURT OF ALLAHABAD
Saurabh Lavania, J.
The New India Assurance Co. Ltd. Lko. Thru. Assistant Manager Mr. Ravi Kant Yadav – Petitioner
Versus
Permanent Lok Adalat, Lucknow And Others – Respondents
Matters Under Article 227 No. - 5766 of 2023
Decided On : 09-02-2024

Advocates:
Advocate Appeared:
For the Petitioner: Taranjeet Singh Makker
For the Respondent: C.S.C.,Rinku Verma

The term 'bread earner' in insurance policies includes all contributing family members, not just the head of the family, ensuring broader eligibility for compensation.

Headnote:(A) Legal Services Authorities Act, 1987 - Section 22-C(8) - Mukhyamantri Kisan Evam Sarvahit Bima Yojana - Claim for compensation - The Permanent Lok Adalat awarded Rs. 5,00,000/- as compensation for accidental death of a son, ruling that he qualified as a 'bread earner' despite not being the head of the family - The court emphasized that the term 'bread earner' includes any contributing family member, not just the head of the family. (Paras 5, 10, 14, 16)

(B) Insurance Policy Interpretation - The court held that the terms 'head of the family' and 'bread earner' are not mutually exclusive, allowing for multiple eligible beneficiaries under the policy - The principle of contra preferentum applies, favoring the insured in cases of ambiguity. (Paras 46, 52)

Facts of the case:
The petitioner challenged the Permanent Lok Adalat's order allowing a claim for compensation under a government insurance scheme after the accidental death of a young man, asserting he was not the head of the family. The court found he was a contributing member of the family.

Findings of Court:
The deceased was deemed a 'bread earner' under the scheme, and the claim was valid despite the insurer's objections regarding his status as head of the family.

Issues: The main issues were the interpretation of 'bread earner' and eligibility for compensation under the insurance scheme.

Ratio Decidendi: The court ruled that the term 'bread earner' encompasses all contributing family members, not just the head, and emphasized the need for a broad interpretation to fulfill the scheme's welfare objectives.

Result: Petition dismissed.

JUDGMENT :

Saurabh Lavania,J.

1. Heard.

2. By means of the present petition, petitioner-The New India Assurance Co. Ltd. Lko. has challenged the order dated 22.08.2023 passed by the opposite party No.1-Permanent Lok Adalat, Lucknow in P.L.A. Case No. 80 of 2020 (Smt. Rachna & Another vs. The New India Assurance Co. Ltd. & Others).

3. Factual matrix of the case is to the effect that a scheme known as "Mukhyamantri Kisan Evam Sarvahit Bima Yojana" (hereinafter referred to as ''Scheme') was promulgated by the State Government in association with the petitioner-The New India Assurance Co. Ltd., (in short "Company"). The agreement has been entered into by the State Government with the Company for the purposes of payment of certain sum of money in the event of head of the family/bread earner (breadwinner) dying or becoming physically handicapped. The Scheme was available to all those eligible under the terms of the Scheme.

4. It is submitted that one Shivam Verma, unmarried son of respondent Nos.2 and 3 died accidentally on 26.07.2019, thereafter, respondent Nos.2 and 3 filed a PLA Case No.80 of 2020 before the opposite party No.1 under Section 22-C(8) of Legal Services and Authorities Act, 1987. The opposite party No.1 had framed following three issues:-

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5. The opposite party No.1, after framing above quoted issues, vide order dated 22.08.2023 allowed the claim petition and awarded Rs. 5,00,000/- as compensation alongwith penalty of Rs. 1,000/- per week since 12.02.2020 and entire amount be paid with interest @ 9% per annum from the date of filing of claim petition i.e. 16.03.2020 along with cots of Rs. 5000/-.

6. Learned counsel for the petitioner has submitted that the provisions of the said Scheme would indicate that the Scheme would only be available to the head of the family, who is also the "bread earner (breadwinner)", and once the head of the family was not the deceased rather it is his father, one of the claimants, who was the head of the family, as such, the opposite party No.1-Permanent Lok Adalat, Lucknow has patently erred in law in allowing the case filed by the claimants without considering this aspect of the matter.

7. It is also contended that even if for the sake of arguments the deceased is said to be the ''bread earner (breadwinner)", even then, once no proof was led to the income of the bread earner, as such, he cannot be considered to be the ''bread earner (breadwinner)" to fall within the ambit of the clause of the persons eligible under the Scheme and as such, the opposite party No.1 has patently erred in law in allowing the case. No other ground has been raised.

8. On the other hand, learned counsel for the respondent Nos. 2 and 3 submitted that a bare perusal of the provisions of the Scheme would indicate that the Scheme is not confined only to the head of the family/''bread earner (breadwinner)". In the Scheme expression/word ''bread earner (breadwinner)" has also been used alongwith the words/expressions "head of the family/''bread earner (breadwinner)" as such, it is apparent that it is not only the father of the deceased, who would have been entitled for the benefit of the Scheme in case of any untoward incident, but the deceased too, in the capacity of being ''bread earner (breadwinner)" would also be entitled for benefit of the Scheme. In this regard, he placed reliance on the judgment dated 06.04.2022 passed in Writ - C No. 5317 of 2022 (Oriental Insurance Co. Ltd. vs. Smt. Kuntesh and Others) as also on the judgment dated 24.11.2022 passed in MATTERS UNDER ARTICLE 227 No. - 33280 of 2019 (Oriental Insurance Co.Ltd.Thru Sr.Div.Manager Lko vs. Smt. Geeta Devi And Ors.), wherein, this Court follo

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