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2025 MarsdenLR 2114

HIGH COURT MALAYA KUALA LUMPUR
THERUMOORTHI APPALANAIDU & ANOR – Appellant
Versus
PUBLIC BANK BERHAD & ANOR – Respondent
[Writ Summons No: WA-22NCC-528-07/2023]



Petitioner Advocates:Kavimani Muthayam,Emanuell Premdas ,Respondent Advocate: Wong Hok Mun,Leong Cing Ee

Insured individuals must fully disclose all material facts to avoid policy repudiation; failure to do so constitutes deliberate or reckless misrepresentation under the Financial Services Act.

Headnote:(A) Financial Services Act 2013 (Act 758) - Insurance - Duty of disclosure - The deceased failed to disclose material medical conditions, constituting misrepresentation, thus justifying AIA Berhad's repudiation of the policy - The court interpreted the insurer's right to rely on the answers provided in the application as permissible and did not find the 2nd health question confined to six months prior - Dismissed the plaintiffs' suit for non-disclosure of prior medical history leading to repudiation of the insurance policy. (Paras 6, 8, 30, 62, 78)

(B) Misrepresentation - Established that the misrepresentation was deliberate or reckless, as defined under Schedule 9 of the Act, thus supporting AIA's actions. (Paras 76, 78)

Facts of the case:
The plaintiffs sued AIA Berhad following the death of the deceased, a doctor, who failed to disclose pre-existing medical conditions in his insurance application. Despite the 1st defendant's (Public Bank) suit being dismissed, the plaintiffs sought RM500,000 under the repudiated policy. (Paras 10, 22, 24)

Findings of Court:
AIA Berhad validly repudiated the policy due to the deceased's misrepresentation regarding his medical history, satisfying the requirements for avoidance under the Act. (Paras 78, 80)

Issues: Whether the deceased's application accurately reflected his medical history, and whether AIA had a duty to conduct a medical examination based on the amount insured. (Paras 30, 42)

Ratio Decidendi: Court held that the insurer was entitled to rely solely on the information provided in the application and that the deceased's misrepresentations were material to the underwriting decision, justifying repudiation. (Paras 52, 70)

Result: Suit dismissed with costs of RM10,000.00. (Para 80)

Table of Content
1. trial details and parties involved. (Para 1 , 2 , 10 , 11 , 12 , 13)
2. dismissal of suit with costs. (Para 3)
3. misrepresentation regarding medical history. (Para 4 , 5 , 6 , 7 , 8 , 24 , 25)
4. application form and disclosure duty. (Para 16 , 17 , 18 , 19 , 20)
5. plaintiffs' arguments on health questions. (Para 29 , 30)
6. court's analysis of issues raised. (Para 31 , 51)
7. duty of disclosure under fsa. (Para 52 , 53 , 56)
8. true facts relevant to underwriting. (Para 60 , 62 , 69 , 70 , 74 , 75)
9. concluding remarks on misrepresentation. (Para 78 , 79)
Leong Wai Hong J:

Introduction

[1] This is a trial heard over 3 days on 7 February 2025, 16 April 2025 and 18 April 2025. The plaintiffs are Therumoorthi A/L Appalanaidu [Suing In Person And As Administrator For The Estate Of Vishnu Murthy A/L Therumoorthi (Si Mati)] and Anjelai Devi A/P Maniam.

[2] They sued Public Bank Berhad ["Public Bank"] and AIA Berhad. The suit against Public Bank the 1st defendant had been struck out. The trial proceeded against AIA Berhad the 2nd defendant ["AIA Berhad"].

[3] Oral submissions by counsel were held before me on 23 July 2025. On conclusion of oral submissions, I had dismissed the suit with costs of RM10,000.00 subject to allocatur. My Broad Grounds for dismissing the suit [Encl 144 Amended SOC] were:

Broad Grounds

[4] In my view, the 2nd Health Question in the Application Form is not confined to the period of 6 months before the date of the Application Form.

[5] The evidence presented in court shows that the deceased had several material medical histories, which were acute hepatitis, major depression and young hypertension, prior to the application for the insurance policy.

[6] In breach of the principle of utmost good faith (uberrima fides) and the Financial Services Act 2013 (Act 758) [" FSA "], the deceased failed to disclose these material medical histories in his proposal for the insurance policy. In fact, he had given a wrong answer of 'Negative'.

[7] The deceased is a medical doctor. I therefore do not accept the submission of the plaintiffs that the case of Pacific & Orient Insurance Co Sdn Bhd v. R Kathirvelu 1992 MarsdenLR 590 ; 1992 MarsdenLR 766 ; 1992 MarsdenLR 770 ; [1992] 1 CLJ (Rep) 251; [1992] 1 MTC 54 ; [1992] 1 BLJ 54 , SC, supports the plaintiffs' case. That case is premised on the finding by the Supreme court that the illness in question did not fall within the notification clause based on the ejusdem generis rule of interpretation.

[8] AIA Berhad is entitled to repudiate the policy.

[9] An appeal was filed by the plaintiffs on 20 August 2025 to the court of Appeal. These are my Grounds of Judgment.

Relevant Facts

Parties

[10] The 1st plaintiff is the father of the late Dr Vishnu Murthy A/L Therumoorthi ("Deceased"). He is also the Administrator of the Estate of the deceased pursuant to the Letter of Administration issued by the High court of Kuala Lumpur on 27 October 2016 through Civil Suit No: (WA-31NCVC-1354-08/2016).

[11] The 2nd plaintiff is the mother of the deceased.

[12] AIA Berhad is a life insurance company.

[13] The deceased served as a doctor at Kuala Lumpur General Hospital until 18 May 2016. He tragically passed away on 18 May 2016.

Deceased Obtained A Mortgage Decreasing Term Assurance ("MDTA")

[14] Prior to his passing, the deceased had purchased a property. To do so, he applied for a loan from Public Bank to finance the said purchase. [Ref: Facilities Agreement dated 30 March 2016 at pp 15-90 of Bundle B4 [Encl 83]].

[15] A condition precedent for the release of the loan was the requirement for the deceased to obtain a MDTA for the sum insured of RM500,000.00 solely under the deceased's name, with the benefit coverage for 23 years. [Ref: Letter of Offer dated 5 February 2016, specifically at p 13 of Bundle B3 [Encl 127]].

The Application Form

[16] Vide an 'Application Form for Credit Life Term Assurance' dated 29 February 2016 ("Application Form"), the deceased applied and/or proposed to AIA Berhad fo

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