LawforAll

advocatemmmohan

My photo
since 1985 practicing as advocate in both civil & criminal laws

WELCOME TO LEGAL WORLD

WELCOME TO MY LEGAL WORLD - SHARE THE KNOWLEDGE

Tuesday, February 13, 2024

What would be the date from which the policy becomes effective; whether it would be the date on which the policy is issued or the date of the commencement mentioned in the policy or it would be the date of the issuance of the deposit receipt or cover note. Headnotes Insurance – Insurance Policy – Date from which the policy becomes effective – Assured persons committed suicide – Claims filed by respondent, allowed – Revision filed by the appellant was dismissed, NCDRC affirmed the orders passed by the District Forum and the State Commission holding that the appellant was liable to pay the amount of the sum assured on the death of the assured – Forums below proceeded on the basis that the date of issuance of the initial deposit receipt of premium is the date of commencement of the Policy – Propriety: Held: Date of issuance of the policy would be the relevant date for all the purposes and not the date of proposal or the date of issuance of the receipt – Date of proposal cannot be treated to be the date of policy until and unless on the date of proposal, initial deposit as also the issuance of policy happens on the same date – Merely tendering a cheque may not be enough as till such time the cheque is encashed, the contract would not become effective – Clause 9 of the terms and conditions inter alia stated that the Company will not pay any claim on death if the Life Assured committed suicide within 12 months from the date of issue of the Policy or the date of any reinstatement of the Policy – Once it is mentioned in the Policy that the 12 months period is to commence from the date of the issuance of the policy or the date of any reinstatement of the policy, the reinstatement aspect 66 [2024] 1 S.C.R. DIGITAL SUPREME COURT REPORTS ought to have been considered – In the case of ‘US’, the date of reinstatement of the policy was clearly stated to be 25.02.2014 and that was also the date of commencement of policy, both the dates being the same – Thus, the date of incidence of suicide being 03.06.2014, it was well within 12 months – Further, in the case of ‘JW’, proposal form was submitted on 14.07.2012 with respect to the cheque dated 13.07.2012 – 14.07.2012 cannot be taken to be the date of issuance of policy – The date of issue of policy being 16.07.2012 was actually the date from which the policy commences and becomes effective – Period of 12 months from 16.07.2012 would complete on 15.07.2013 – It would be the last day of 12 months as from the next day, i.e., 16.07.2013 the next month will start – Incidence of suicide was on 15.07.2013, the last day of 12 months – Stand taken by the appellant approved – Impugned orders set aside – Claims of the respondent rejected. [Para 5, 8, 9-11, 15 and 16]

* Author

[2024] 1 S.C.R. 65 : 2024 INSC 10

Case Details

Reliance Life Insurance Company Ltd. & Anr.

v.

Jaya Wadhwani

(Civil Appeal No. 35 of 2024)

03 January 2024

[Vikram Nath* and Rajesh Bindal, JJ.]

Issue for Consideration

What would be the date from which the policy becomes effective;

whether it would be the date on which the policy is issued or the

date of the commencement mentioned in the policy or it would

be the date of the issuance of the deposit receipt or cover note.

Headnotes

Insurance – Insurance Policy – Date from which the policy

becomes effective – Assured persons committed suicide –

Claims filed by respondent, allowed – Revision filed by the

appellant was dismissed, NCDRC affirmed the orders passed

by the District Forum and the State Commission holding that

the appellant was liable to pay the amount of the sum assured

on the death of the assured – Forums below proceeded on the

basis that the date of issuance of the initial deposit receipt

of premium is the date of commencement of the Policy –

Propriety:

Held: Date of issuance of the policy would be the relevant date

for all the purposes and not the date of proposal or the date of

issuance of the receipt – Date of proposal cannot be treated to

be the date of policy until and unless on the date of proposal,

initial deposit as also the issuance of policy happens on the

same date – Merely tendering a cheque may not be enough as

till such time the cheque is encashed, the contract would not

become effective – Clause 9 of the terms and conditions inter alia

stated that the Company will not pay any claim on death if the

Life Assured committed suicide within 12 months from the date of

issue of the Policy or the date of any reinstatement of the Policy

– Once it is mentioned in the Policy that the 12 months period is

to commence from the date of the issuance of the policy or the

date of any reinstatement of the policy, the reinstatement aspect 

66 [2024] 1 S.C.R.

DIGITAL SUPREME COURT REPORTS

ought to have been considered – In the case of ‘US’, the date of

reinstatement of the policy was clearly stated to be 25.02.2014

and that was also the date of commencement of policy, both the

dates being the same – Thus, the date of incidence of suicide

being 03.06.2014, it was well within 12 months – Further, in the

case of ‘JW’, proposal form was submitted on 14.07.2012 with

respect to the cheque dated 13.07.2012 – 14.07.2012 cannot be

taken to be the date of issuance of policy – The date of issue of

policy being 16.07.2012 was actually the date from which the policy

commences and becomes effective – Period of 12 months from

16.07.2012 would complete on 15.07.2013 – It would be the last

day of 12 months as from the next day, i.e., 16.07.2013 the next

month will start – Incidence of suicide was on 15.07.2013, the

last day of 12 months – Stand taken by the appellant approved –

Impugned orders set aside – Claims of the respondent rejected.

[Para 5, 8, 9-11, 15 and 16]

List of Citations and Other References

Life Insurance Corporation of India and Another vs.

Dharam Vir Anand [1998] 2 Suppl. SCR 295:(1998)

7 SCC 348; Life Insurance Corpn. of India vs. Mani

Ram [2005] 2 Suppl. SCR 342:(2005) 6 SCC 274 –

referred to.

List of Keywords

Consumer Protection; Insurance; Insurance Policy; Effective date

of policy; Suicide.

Other Case Details Including Impugned Order and

Appearances

CIVIL APPELLATE JURISDICTION : Civil Appeal No.35 of 2024.

From the Judgment and Order dated 06.02.2019 of the National

Consumers Disputes Redressal Commission, New Delhi in RP

No.2909 of 2018.

With

Civil Appeal No.36 of 2024.

Appearances:

Sachin Subhash Daga, Rajesh Kandari, Vikas Upadhyay, Arjun Singh

Tomar, Ms. Ankita Kashyap, Advs. for the Appellants.

[2024] 1 S.C.R. 67

RELIANCE LIFE INSURANCE COMPANY LTD. & ANR. v.

JAYA WADHWANI

Nitin S. Tambwekar, Seshatalpa Sai Bandaru, Advs. for the

Respondent.

Judgment / Order of The Supreme Court

Judgment

Vikram Nath, J.

Leave granted.

2. These two appeals raise a common question of law. As such they are

being analogously dealt with by this common order. The challenge in

both these appeals is to the orders passed by the National Consumer

Disputes Redressal Commission1

, New Delhi, whereby the revision

filed by the appellant has since been dismissed and the orders

passed by the District Forum as also the State Commission have

been affirmed holding that the appellant is liable to pay the amount

of the sum assured on the death of the assured.

3. The sole question involved in these appeals is as to what would

be the date from which the policy becomes effective; whether it

would be the date on which the policy is issued or the date of the

commencement mentioned in the policy or it would be the date of the

issuance of the deposit receipt or cover note. The District Consumer

Disputes Redressal Forum2

, the State Consumer Disputes Redressal

Commission3

 and the National Commission have proceeded on the

basis that the date of issuance of the initial deposit receipt of premium

is the date of commencement of the Policy and have accordingly

allowed the complaint filed by the respondent.

4. The relevant dates in both the cases are summarised hereunder:

4.1 In the appeal of Jaya Wadhwani, the quotation of Policy was

issued on 14.07.2012. The proposal form was submitted by

the life assured on 14.07.2012. Receipt of the Cheque dated

13.07.2012 was also issued on 14.07.2012. On 16.07.2012, the

Policy was issued and at all relevant places, it was mentioned in

the policy that the date of commencement of the policy would be

16.07.2012. On 15.07.2013, the life assured committed suicide.

1 NCDRC

2 District Forum

3 State Commission

68 [2024] 1 S.C.R.

DIGITAL SUPREME COURT REPORTS

4.2 In the appeal of Usha Soni, the date of submission of proposal

form by the life assured is 26.09.2012. The date of issue of policy

as also the date of commencement of policy was 28.09.2012.

The date of next premium due was 28.09.2013. As the next

premium was not paid, the policy lapsed. The assured paid

the next premium on 25.02.2014 and the lapsed policy was

reinstated from that date. On 03.06.2014, the life assured

committed suicide.

5. The Clause relevant for consideration is clause 9 of the Policy

conditions and privileges and the terms and conditions mentioned

therein. Clause 9 reads as follows:

“9. Suicide: The Company will not pay any claim on death

if the Life Assured, whether sane or insane, commits suicide

within 12 months from the date of issue of this Policy or

the date of any reinstatement of this Policy.”

6. From the documents on record in the case of Usha Soni, we find

that the first cheque was issued on 26.09.2012. The policy issuance

and commencement date in the Policy is mentioned as 28.09.2012.

Further, the next premium due was on 28.09.2013. Grace period

is 30 days under Clause 1(iv) of the terms and conditions. Clause

5 mentions that the policy would lapse. Clause 6 provides for

reinstatement. However, since the renewal amount was not paid within

the time allowed, the policy stood lapsed and subsequently, upon

payment of the premium against the lapsed policy on 25.02.2014, the

policy was reinstated from the said date. The life assured committed

suicide on 03.06.2014, which was well within the period of 12 months.

7. On a perusal of the orders passed by the District Forum, the State

Commission, and the National Commission, we find that although

clause 9 of the terms and conditions has been referred to but the

aspect of reinstatement of a lapsed Policy has not been considered.

They have wrongly taken the date of issue of policy only as the

relevant date to count 12 months, i.e., from 28.09.2012.

8. Once it is mentioned in the Policy that the 12 months period is to

commence from the date of the issuance of the policy or the date of

any reinstatement of the policy, the reinstatement aspect ought to have 

[2024] 1 S.C.R. 69

RELIANCE LIFE INSURANCE COMPANY LTD. & ANR. v.

JAYA WADHWANI

been considered. The date of reinstatement of the policy is clearly

stated to be 25.02.2014 and that is also the date of commencement

of policy, both the dates being the same. Thus, the date of incidence

of suicide being 03.06.2014, it was well within 12 months.

9. Now, coming to the case of Jaya Wadhwani, the proposal form, no

doubt, was submitted on 14.07.2012 with respect to the cheque dated

13.07.2012 of the premium amount wherein also it was mentioned that

the receipt is issued subject to the clearance of the cheque and further

that the insurance protection shall only be provided effective from

the date of acceptance of the risk, which happened on 16.07.2012,

when the policy was issued and the date of commencement was

notified to be the same date.

10. 14th July 2012, therefore, cannot be taken to be the date of issuance

of policy. It is only the date of issue of receipt of the initial premium.

The date of issue of policy being 16.07.2012 is actually the date

from which the policy commences and becomes effective.

11. In the present case, period of 12 months from 16.07.2012 will complete

on 15.07.2013. It would be the last day of 12 months as from the

next day, i.e., 16.07.2013 the next month will start. Unfortunately, the

incidence of suicide is on 15.07.2013, the last day of 12 months. The

date of proposal cannot be treated to be the date of policy until and

unless on the date of proposal, initial deposit as also the issuance of

policy happens on the same date where, for example, the premium

is paid in cash then, immediately, the policy could be issued. Merely,

tendering a cheque may not be enough as till such time the cheque

is encashed, the contract would not become effective. The drawer

of the cheque may, at any time, after issuing, stop its payment or

there may not be enough funds in the account of which the cheque is

issued and there could be many other reasons for which the cheque

could be returned without being encashed.

12. We may also refer to the two judgments relied upon by the counsel

for the appellants, in support of his submission that the terms and

conditions of the contract as contained in the policy should be strictly

adhered to. Otherwise mentioning of the terms and conditions would

be a futile exercise, if any other interpretation is given or terms and

conditions are relaxed. 

70 [2024] 1 S.C.R.

DIGITAL SUPREME COURT REPORTS

13. In this connection, it would be useful to reproduce the extract which

form part of paragraph 6 in the case of Life Insurance Corporation

of India and Another vs. Dharam Vir Anand4

. It reads as follows:

“6. Having examined the rival submissions and having

examined the policy of insurance which is nothing but

a contract between the parties and having considered

the expressions used in Clause 4-B of the terms of the

policy, we are persuaded to accept the submissions made

by Mr. Salve, the learned Senior Counsel appearing for

the appellant. In construing a particular Clause of the

Contract, it is only reasonable to construe that the words

and the terms used therein must be given effect to. In other

words, one part of the Contract cannot be made otiose by

giving a meaning to the policy of the contract. Then again,

when the same Clause of a contract uses two different

expressions, ordinarily those different expressions convey

different meanings and both the expressions cannot be

held to be conveying one and the same meaning. Bearing

in mind the aforesaid principle of construction, if Clause

4-B of the terms of policy is scrutinized, it become crystal

clear that the date on which the risk under the policy has

commenced is different from the date of the policy. In the

case in hand, undoubtedly the date on which the risk under

the policy has commenced is 10.5.89 but the date of the

policy is 31.03.1990 on which date the policy had been

issued. Even though the Insurer had given the option to

the Insured to indicate as to whether the policy is to be

dated back and the insured indicated that the policy should

be dated back to 10.05.1989 and did pay the premium

for that period, thereby the risk under the policy can be

said to have commenced with effect from 10.5.1989 but

the date of the policy still remains the date on which the

policy was issued i.e. 31.03.1990. The death of the life

assured having occurred as a result of suicide committed

by the assured before the expiry of three years from the

4 (1998) 7 SCC 348

[2024] 1 S.C.R. 71

RELIANCE LIFE INSURANCE COMPANY LTD. & ANR. v.

JAYA WADHWANI

date of the policy, the terms contained in Clause 4-B of the

policy would be attracted and, therefore, the liability of the

Corporation would be limited to the sum equal to the total

amount of premium paid under the policy without interest

and not the entire sum for which the life had been insured.

The Forums under the Consumer Protection Act committed

gross error in construing Clause 4-B of the policy and giving

the same meaning to the two expressions in the aforesaid

Clause 4-B namely “the date on which the risk under the

policy has commenced” and “the date of the policy”. The

construction given by us to the provisions contained in

Clause 4-B get support, if the proviso to Clause 4-B is

looked into. Under the proviso, if the life assured commits

suicide before expiry of one year reckoned from the date

of the policy, then the provisions of the Clause under the

heading “suicide” printed on the back of the policy would

apply. In a case therefore where a policy is dated back for

one year prior to the date of the issue of the policy, the

proviso contained in Clause 4-B cannot be operated at all.

When parties had agreed to the terms of the contract, it

is impermissible to hold that a particular term was never

intended to be acted upon. The proviso to Clause 4-B will

have its full play if the expression “the date of the policy”

is interpreted to mean the date on which the policy was

issued and not the date on which the risk under the policy

has commenced. In the aforesaid premises, we are of the

considered opinion that under Clause 4-B of the policy the

date of the policy is the date on which the policy had been

issued and not the date on which the risk under the policy

had commenced by way of allowing it to be dated back.

In view of our aforesaid construction to Clause 4-B, in the

case in hand, the respondent in law would be entitled to

only the sum equal to the total amount of premium paid

under the policy without any interest inasmuch as the

death of the life assured has occurred before the expiry

of three years from the date of the policy, i.e., 31.3.1990…

………”

72 [2024] 1 S.C.R.

DIGITAL SUPREME COURT REPORTS

14. Relying upon the above judgment in the case of Dharam Vir Anand

(supra), this Court again in the case of Life Insurance Corpn. of

India vs. Mani Ram5

, reiterated the same view and held that the

date of issue of policy would be the relevant date even if there was

backdating as has been done in the case of Dharam Vir Anand

(supra).

15. In the present appeals, we do not find any such issue of back

dating but the date of issuance of the policy would be the relevant

date for all the purposes and not the date of proposal or the date

of issuance of the receipt. In view of the above, the stand taken

by the appellant is approved. The impugned orders are thus liable

to be set aside.

16. Accordingly, the orders passed by the District Forum, the State

Commission, and the National Commission are set aside and the

claims of the respondent are rejected. The appeals are accordingly,

allowed as above.

17. There shall be no order as to costs.

Headnotes prepared by: Divya Pandey Result of the case: Appeals allowed.

5 (2005) 6 SCC 274