Full Judgment Text
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PETITIONER:
MITHOOLAL NAYAK
Vs.
RESPONDENT:
LIFE INSURANCE CORPORATION OF INDIA
DATE OF JUDGMENT:
15/01/1962
BENCH:
DAS, S.K.
BENCH:
DAS, S.K.
SUBBARAO, K.
DAYAL, RAGHUBAR
CITATION:
1962 AIR 814 1962 SCR Supl. (2) 571
CITATOR INFO :
RF 1991 SC 392 (7)
ACT:
Insurance-Life Policy-Obtained, by deliberate
mis-statement and fraudulent suppression-
Repudiation, by Company after two years-Whether
proper-Refund of money paid as premium-Insurance
Act, 1938 (4 of 1938) s. 45-Indian Contract Act,
1872 (9 of 1872) ss. 64 and 65.
HEADNOTE:
In 1942, one M sent a proposal for the
insurance of his life. He was examined by Dr. D
who submitted two reports, one with the proposal
form and one confidential. The confidential report
showed that M was anaemic, had a dilated heart and
his right lung showed indications of an old attack
of pneumonia or pleurisy and that he was a total
physical wreck. Nothing came out of this proposal
and it lapsed. In 1943, M consulted and was
treated by one Dr. L for anaemia oedema of the
feet, diarrhoea and panting on exertion. In 1944,
M made a second proposal for insurance of his
life. Against the question in the proposal form
whether he had consulted any medical man for any
ailment within the last five years, he gave the
answer, "Nor’. He also did not disclose any of his
ailments. After medical examination by one Dr. K
the proposal was accepted and a policy for Rs.
25,000/- was issued on March 13, 1945. The policy
lapsed for non-payment of premium but was revived
in July, 1946. In November, 1946, M died. His
assignee, the appellant, made a demand for Rs.
26,000/-but the Company on October 10, 1947,
repudiated it on the ground that the policy had
been obtained by deliberate mis-statement and
fraudulent suppression of material facts.
Thereupon, the appellant filed a suit to recover
the amount of the policy contending that s. 45
Insurance Act, barred the company from calling in
question the policy after two years on the ground
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that any statement made in the proposal was
inaccurate or false.
^
Held, that the policy-holder was guilty of
fraudulent suppression of material facts relating
to his health and the Company was entitled to
avoid the contract.
Section 45 Insurance Act applied to the case
as two years had lapsed since the policy was
effected; in view of the language of s.45 the two
years could not be counted from the date of the
revival of the policy. The second part of s. 45
entitled the company to repudiate the contract
even after the expiry
572
of two years if three conditions were fulfilled
viz. (a) the statement was on a material matter or
there was suppression of facts which it was
material to disclose; (b) the suppression was
fraudulently made by the policy-holder, and (c)
the policy-holder must have known at the time of
the making of the statement that it was false or
that it suppressed facts which it was material to
disclose. When M was treated in 1943 by Dr. L he
was suffering from serious ailments. He must have
known that it was material to disclose this but
made a false statement that he had not been
treated by any doctor for any serious ailment.
There was deliberate suppression fraudulently made
by M. Even though the Company had got M examined
by four doctors before issuing the policy, it was
not estopped from questioning the policy. It had
no means of knowing that M had been treated by Dr.
L for serious ailments.
Held, further, that the appellant was not
entitled even to a refund of the money paid as
premium as one of the terms of the policy was that
all monies paid belonged to the company if the
policy was vitiated by fraudulent suppression of
material facts. To such a contract neither s. 65
nor s. 64 of the Indian Contract had any
application.
JUDGMENT:
CIVIL APPELLATE JURISDICTION: C.A. No. 224 of
1959.
Appeal from the judgment and decree dated
August 28, 1956, of the Madhya Pradesh High Court
in F.A. No. 90 of 1949.
A. V. Viswanatha Sastri, S. N. Andley,
Rameshwar Nath and P.L. Vohra, for the appellant.
S. T. Desai, R. Ganapathy Iyer and K. L.
Hathi, for the respondent.
1962. January 15-The Judgment of the Court
was delivered by
S. K. DAS, J.-This is an appeal on a
certificate granted by the High Court of Madhya
Pradesh under Art. 133 (1) (a) of the
Constitution, The appellant is Mithoolal Nayak,
who took an assignment on october 18, 1945 of a
life insurance policy on the life of one Mahajan
Deolal for a sum of Rs. 25,000/-in circumstances
which we shall presently state. Mahajan Deolal
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died on November 12, 1946
573
Thereafter, the appellant made a demand against
the respondent company for a sum of Rs. 26,000/-
and odd on the basis of the life insurance policy
which had been assigned to him. This claim or
demand of the appellant was repudiated by the
respondent company by a letter dated October 10,
1947, which in substance stated that the insured
Mahajan Deolal had been guilty of deliberate mis-
statements and fraudulent suppression of material
information in answers to questions in the
proposal form and the personal statement, which
formed the basis of the contract between the
insurer and the insured. On the repudiation of his
claim the appellant brought the suit out of which
this appeal has arisen. The suit was originally
instituted against the oriental Government
Security Life Assurance co. Ltd., Bombay, which
issued the policy in favour of Mahajan Deolal on
March 13, 1945. Latter, on the passing of the life
Insurance corporation Act, 1956, there was a
statutory transfer of the assets and liabilities
of the controlled (life) business of all insurance
companies and insurers operating in India to a
Corporation known as the Life Insurance
Corporation of India. By an order of this Court
made on February 16, 1960, the said Corporation
was substituted in place of the original
respondent. For brevity as convenience we shall
ignore the distinction between the original
respondent and the said Corporation and refer to
the respondent in this judgment as the respondent
company. The Suit was decreed by the learned
Additional District Judgment of Jabalpur by his
judgment dated May 7, 1949. The respondent company
then preferred an appeal to the High Court of
Madhya Pradesh. This appeal was heard by a
Division Bench of the said High Court and by a
judgment dated August 28, 1956, the appeal was
allowed and the suit was dismissed with costs. It
is from
574
that appellate judgment and decree that the
present appeal has been brought to this Court.
We now proceed to state some of the relevant
facts relating to the appeal and the contentions
urged on behalf of the appellant. Mahajan Deolal
was a resident of. village Singhpur, Tehsil
Narsinghpur. It appears that he was a small
landholder and possessed several acres of land.
Sometime in December, 1942, Mahajan Deolal
submitted a proposal through one Rahatullah Khan,
an agent of the respondent company at Narsingpur,
for the insurance of his life with the respondent
company for a sum of Rs. 10,000/- only. Mahajan
Deolal’s age at that time was about 45 as stated
by him. In the proposal form which was submitted
to the respondent company, Mahajan Deolal
mentioned the name of one Motilal Nayak, by
profession a doctor, as a personal friend who best
knew the state of the health and habits etc. of
the insured. This Motilal Nayak, be it noted, is a
brother of the appellant, the evidence in the
record showing that the two brothers lived
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together in the same house. When the proposal for
insurance of his life was made by Mahajan Deolal
in December 1942, he was examined by a doctor
named Dr. D. D. Desai. This doctor submitted two
reports about Mahajan Deolal; one report, it
appears, was admitted with the proposal form
through the agent of the respondent company;
another report was sent in a confidential cover
along with a letter from the doctor. In this
letter (Ex. D-22) the doctor explained why he was
submitting two medical reports. In substance he
said that the report submitted with the proposal
form at the instance of the agent, Rahatullah
Khan, was not a correct report and the correct
report was the one which he enclosed in the
confidential cover. In that report Dr. Desai said
that Mahajan Deolal
575
was anaemic, looked about 55 years old, had a
dilated heart and his right lung showed
indications of an old attack of pneumonia or
pleurisy. The doctor further said that the general
health of Mahajan Deolal was very much run down
and he was a total physical wreck. The doctor
opined that Mahajan Deolal’ life was an
uninsurable life. It appears that nothing came out
of the proposal made by Mahajan Deolal for the
insurance of his life in December, 1942. The
evidence of the Inspector of the respondent
company shows that on receipt of Dr. Desai’s
reports, the respondent company directed that
Mahajan Deolal should be further examined by the
Civil Surgeon, Hoshangabad and District Medical
officer, Railways at Jabalpur. Mahajan Deolal
could not, however, be examined by the two doctors
aforesaid and according to the rules of the
respondent company the proposal lapsed on the
expiry of six months for want of completion of the
medical examination as required by the respondent
company. Then, on July 16, 1944, a second proposal
was made through the same agent of the respondent
company for the insurance of the life of Mahajan
Deolal, this time for a sum of Rs. 25,000/-. The
Inspector of the respondent company said in his
evidence that this second proposal was made at the
instance of the same agent, Rahatullah Khan
inasmuch as the proposal of 1942 had not been
rejected but had only lapsed. It appears that at
the time of the first proposal in 1942 Mahajan
Deolal had paid a sum of Rs. 571/- and odd towards
the first premium due in case the proposal was
accepted. In the personal statement, accompanying
the second proposal of July 16, 1944, it was
stated that an earlier proposal for insuring the
life of Mahajan Deolal was pending with the
respondent company. Now, in the proposal form (Ex.
D-11) there was a question (question no. 13) to
the following effect:
576
"Have you within the past five years
consulted any medical man for any ailment,
not necessarily confining you to your house?
If so, give details and state names and
addresses of medical man consulted."
The answer given to the question was-"No". This
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answer, according to the case of the respondent,
was false and deliberately false. because,
according to the evidence of one Dr. P.N
Lakshmanan, Consulting Physician at Jabalpur,
Mahajan Deolal was examined and treated by the
said doctor between the dates September 7, 1943,
and October 6, 1943, when the doctor found that
Mahajan Deolal was suffering from anaemia, oedema
of the feet, diarrhoea and panting on exertion. We
shall advert in greater detail to the evidence of
Dr. Lakshmanan at a later stage. In his personal
statement accompanying the second proposal Mahajan
Deolal answered in the negative question 12(b),
the question being as to when he was last under
medical treatment and for what ailment and how
long. In the same personal statement with regard
to questions, for example, question nos. 5(a);
5(b) etc., as to whether he suffered from
shortness of breath, anaemia, asthma etc, Mahajan
Deolal gave negative answers. The contention on
behalf of the respondent company was that these
answers in the personal statement were also
deliberately false and constituted a fraudulent
suppression of material particulars relating to
the health of the insured. With regard to the
second proposal and the personal statement
accompanying it, Dr. Motilal Nayak, brother of the
appellant, gave a friend’s report, in which he
said that Mahajan Deolal health was good and that
he had never heard that Mohajan Deolal suffered
from any illness. It is worthy of note here that
Dr. Motilal Nayak himself took Mahajan Deolal to
Dr. Lakshmanan for treatment at Jabalpur in
September-October., 1943. On receipt
577
of the second proposal in July, 1944, Mahajan
Deolal was examined by Dr. Kapadia, who was the
District Medical officer of the Railways at
Jabalpur. Dr. Kapadia reported that Mahajan Deolal
was a healthy man and looked about 52 to 54 years
old. He recommended that Mahajan Deolal might be
given a policy of fourteen years. In his report
Dr. Kapadia noted that Mahajan Deolal had stated
that he had suffered from pneurnonia four or five
years ago, and that he had also cholera some years
ago. No mention, however, was made of anaemia,
asthma, shortness of breath etc. On December 29,
1944, Mahajan Deolal made a further declaration of
his good health and so also on February 12, 1945.
On March 13, 1945, the policy was issued by the
respondent company. It contained the usual terms
of such life insurance policies, one of which was
that in case it would appear that any untrue or
incorrect averment had been made in the proposal
form or personal statement, the policy would be
void. The first premium due on the policy was
taken from the amount which was already in deposit
with the respondent company in connection with the
proposal made in 1942. Then, on May 22, 1945,
Mahajan Deolal wrote a letter to the respondent
company in which he said that his financial
condition had become suddenly worse and that he
would not be able to pay the premium for the
policy. He requested that the policy be cancelled.
In the meantime the premium for 1945 not having
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been paid, the policy lapsed. Then, on October 28,
1945, Mahajan Deolal made a request for revival of
the policy, but a few days before that, namely on
October 18, 1945, the policy was assigned in
favour of the appellant, by an endorsement made on
the policy itself. This assignment was duly
registered by the respondent company by means of
its letter dated November 1, 1945 in which the
respondent company said that it accepted the
assignment without expressing any opinion as to
its validity or
578
effect. The respondent company also made an
enquiry from the appellant as to whether the
latter had any insurable interest in the life of
the insured and what consideration had passed from
him to the insured. To this the appellant replied
that he had no insurable interest in the life of
Mahajan Deolal except that the latter was a friend
and he (the appellant) had purchased the policy
for a sum of Rs. 427.12 nP. being the premium paid
by him so far, because Mahajan Deolal did not with
to continue the policy. On his request for a
revival of the policy Mahajan Deolal was again
medically examined, this time by one Dr.
Belapurkar. Later on February 25, 1946, he was
examined by Dr. Clarke. The policy was then
revived on payment of all arrears of premium,
these arrears having been paid by the present
appellant. On receipt of the revival fee, the
policy appears to have been revived some time in
July, 1946. We have already stated that Mahajan
Deolal died in November, 1946. The certificate of
Dr. Clarke, who was the medical attendant at the
time when Mahajan Deolal died, showed that the
primary, cause of death of Mahajan Deolal was
malaria followed by severe type of diarrhoea; the
secondary cause was anaemia, chronic bronchitis
and enlargement of liver. In the certificate which
Dr. Clarke gave there was mention of certain other
medical practitioners who had attended Mahajan
Deolal at the time of his death. One of such
medical practitioners mentioned in the certificate
was Dr. Lakshmanan. On receipt of this certificate
the respondent company got into touch with Dr.
Lakshmanan and discovered from him that Mahajan
Deolal had been treated in September October,
1943, by Dr. Lakshmanan for ailments which,
according to the doctor, were of a serious nature.
Several issues were tried between the parties
in the trial court. But the four questions which
579
were argued in the High Court and on which the
fate of the appeal depends were these:-
(1) Whether the policy was vitiated
by fraudulent suppression of material
facts by Mahajan Deolal ?
(2) Whether the present appellant
had no insurable interest in the life of
the insured, and if so, can he sue on
the policy ?
(3) Whether the respondent company
had issued the policy with full
knowledge of the facts relating to the
health of the insured and if so, is it
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estopped from contesting the validity of
the policy ? and
(4) Whether in any event the
appellant is entitled to refund of the
money he had paid to the respondent
company ? These are the four questions
which have been agitated before us and
we shall deal with such of them as are
necessary for deciding this appeal.
So far as the first question is concerned,
the learned trial Judge found that though
Mahajan. Deolal had given a negative answer to
question no, 13 in the proposal form and to
questions nos. 5(a), 5(b), 5 (f) and 12(b) in the
personal statement, these answers though not
strictly accurate, furnished no grounds for
repudiating the claim of the appellant by the
respondent company, in as much as s.45 of the
Insurance Act, 1938 (4 of 1938) applied and the
answers did not amount to a fraudulent suppression
of material facts by the policy-holder within the
meaning of that section. The learned trial Judge
found that the ailments for which Dr. Lakshmanan
treated Mahajan Deolal in September-October, 1943,
were of a causal or trivial nature and the failure
of the policy-holder to disclose those ailments
did not attract the second part of
580
s. 45 of the Insurance Act. The High Court came to
a contrary conclusion and held that even applying
s. 45 of the Insurance Act, the policy-holder was
guilty of a fraudulent suppression of material
facts relating to his health within the meaning of
that section and the respondent company was
entitled to avoid the contract on that ground.
On behalf of the appellant it has been argued
before us that the finding of the learned trial
Judge on this question was the correct finding and
that the High Court was wrong in arriving at a
contrary finding on this question in view of the
evidence given in the case. The judgment of the
High Court is a judgment in reversal and the
appellant has a right of appeal under Art.
133(1)(a) of the Constitution in as much as the
value of the subject matter of the dispute in the
court of first instance and still in dispute is
more than Rs. 20,000/-. We have, therefore,
allowed learned counsel for the parties to take us
through the evidence in the case. On a
consideration of that evidence we have come to the
conclusion that the finding of the High Court is
the correct finding.
We shall presently consider the evidence, but
it may be advantageous to read first s. 45 of the
Insurance Act, 1938, as it stood at the relevant
time. The section, so far as it is relevant for
our purpose, is in these terms:
"No policy of life insurance effected
before the commencement of this Act shall
after the expiry of two years from the date
of commencement of this Act and no policy of
life insurance effected after the coming into
force of this Act shall, after the expiry of
two years from the date on which it was
effected, be called in question by an insurer
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on the ground that a statement made in the
proposal for insurance or in any report of a
medical officer, or referee, or friend of the
insured, or in any other document leading to
581
the issue of the policy, was inaccurate or
false, unless the insurer shows that such
statement was on a material matter or
suppressed facts which it was material to
disclose and that it was fraudulently made by
the policy-holder and that the policy-holder
knew at the time of making it that the
statement was false or that it suppressed
facts which it was material to disclose.
x x x x x x"
It would be noticed that the operating part of s.
45 states in effect (so far as is relevant for our
purpose) that no policy of life insurance effected
after the coming into force of the Act shall,
after the expiry of two years from the date on
which it was effected, be called in question by an
insurer on the ground that a statement made in the
proposal for insurance or in any report of a
medical officer, or referee, or friend of the
insured, or in any other document leading to the
issue of the policy, was inaccurate or false; the
second part of the section is in the nature of a
proviso which creates an exception. It says in
effect that if the insurer shows that such
statement was on a material matter or suppressed
facts which it was material to disclose and that
it was fraudulently made by the policyholder and
that the policy-holder knew at the time of making
it that the statement was false or that it
suppressed facts which it was material to
disclose, then the insurer can call in question
the policy effected as a result of such inaccurate
or false statement. In the case before us the
policy was issued on March 13, 1945, and it was to
come into effect from January 15, 1945. The amount
insured was payable after January 15, 1968, or at
the death of the insured, if earlier. The
respondent company repudiated the claim by its
letter dated October 10, 1947. Obviously,
therefore, two years had expired from the date on
which the policy was effected. We are clearly of
the opinion that s. 45 of the Insurance Act
applies in the present case in
582
view of the clear terms in which the section is
worded, though learned counsel for the respondent
company sought, at one stage, to argue that the
revival of the policy some time in July, 1946,
constituted in law a new contract between the
parties and if two years were to be counted from
July, 1946, then the period of two years had not
expired from the date of the revival. Whether the
revival of a lapsed policy constitutes a new
contract or not for other purposes, it is clear
from the wording of the operative part of s. 45
that the period of two years for the purpose of
the section has to be calculated from the date on
which the policy was originally effected; in the
present case this can only mean the date on which
the policy (Ex. P-2) was effected. From that date
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a period of two years had clearly expired when the
respondent company repudiated the claim. As we
think that s. 45 of the Insurance Act applies in
the present case, we are relieved of the task of
examining the legal position that would follow as
a result of inaccurate statements made by the
insured in the proposal form or the personal
statement etc. in a case where s. 45 does not
apply and where the averments made in the proposal
form and in the personal statement are made the
basis of the contract.
The three conditions for the application of
the second part of s. 45 are-
(a) the statement must be on a material
matter or must suppress facts which it was
material to disclose;
(b) the suppression must be fraudulently made
by the policy-holder; and
(c) the policy-holder must have known at the
time of making the statement that it was false or
that it suppressed facts which it was material to
disclose.
The crucial question before us is whether
these three conditions were fulfilled in the
present
583
case. We think that they were. We are unable to
agree with the learned trial Judge that the
ailments for which Mahajan Deohal was treated by
Dr. Lakshmanan in September-October, 1943, were
trivial or casual ailments. Nor do we think that
Mahajan Deolal was likely to forget in July, 1944,
that he had been treated by Dr. Lakshmanan for
certain serious ailments only a few months before
that date. This brings us to a consideration of
the evidence of Dr. Lakshmanan. That evidence is
clear and unequivocal. Dr. Lakshmanan says that
Dr. Motilal Nayak brought the patient to him at
Jabalpur. We have already referred to the fact
that Dr. Motilal Nayak had himself made a false
statement in his friend’s report dated July 17,
1944, when he said that he had never heard that
the insured had suffered from any illness. It is
impossible to believe that Dr. Motilal Nayak would
not remember that he had himself taken the insured
to Jabalpur for treatment by Dr. Lakshmanan who
was an experienced consulting physician. Dr.
Lakshmanan said that when he first examined
Mahajan Deolal on September 7, 1943, he found that
his condition was serious as a result of the
impoverished condition of his blood, and that
Mahajan Deolal was suffering from anaemia, oedema
of the feet, diarrhoea and panting on exertion.
The doctor asked for an examination of the blood.
The pathological report supported the diagnosis
that Mahajan Deolal was suffering from secondary
anaemia meaning thereby that anaemia was due to
lack of iron and malnutrition. Dr. Lakshmanan
further found that from the symptoms disclosed the
disease was a major one. Mahajan Deolal had also
cardiac asthma which was a symptom of anaemia and
due to dilatation of heart. Dr. Lakshmanan saw the
patient again on September 9, 1943, and then again
on September 16, 1943. On October 6, 1943 Mahajan
Deolal himself went to Dr. Lakshmana. On that date
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Dr. Lakshmanan found that
584
anaemia had very greatly disappeared. In cross-
examination Dr. Lakshmanan admitted that the
anaemia, dilatation of heart and cardiac asthma
from which Mahajan Deolal was suffering continued
a passing phase which might disappear by
treatment. He further admitted that he did not
mention cardiac asthma in his letter addressed to
the respondent company. We have given our very
earnest consideration to the evidence of Dr.
Lakshmanan and we are unable to hold that the
ailments from which Mahajan Deolal was then
suffering were either trivial or casual in nature.
The ailments were serious though amenable to
treatment. Mahajan Deolal’s son gave evidence in
the case and he said in his evidence that though
Dr. Lakshmanan prescribed some medicine, his
father did not take it. He further said that his
father was a strict vegetarian. This evidence was
given by the son with regard to what the doctor
had said that he prescribed fresh liver juice made
at home according to his directions three times a
day. He also prescribed iron sulphate in tablet
from with plenty of water. The son further said
that during his stay at Jabalpur his father felt
weakness, though he used to move about freely and
was never confined to bed. The son tried to make
it appear in his evidence that his father was
suffering from nothing serious. Dr. Lakshmanan
said in his evidence that his fees for visiting a
patient at Jabalpur were Rs. 16/- per visit. We
agree with the High Court that if Mahajan Deolal
was not suffering from any serious ailment, he
would not have been taken by his physician, Dr.
Motilal Nayak from his village to Jabalpur nor
would he have consulted Dr. Lakshmanan, a
consulting physician of repute, for so many days
on payment of Rs. 16/- per visit. No doubt,
Mahajan Deolal’s son now tries to make light of
the illness of his father but Dr. Lakshmanan’s
evidence shows elearly enough that in September-
October, 1943. Mahajan
585
Deolal was suffering from a serious type of
anaemia for which he was treated by Dr.
Lakshmanan. Mahajan Deolal could not have
forgotten in July, 1944, that he was so treated
only a few months earlier and furthermore, Mahajan
Deolal must have known that it was material to
disclose this fact to the respondent company. In
his answer to the questions put to him he not only
failed to disclose what it was material for him to
disclose, but he made a false statement to the
effect that he had not been treated by any doctor
for any such serious ailment as anaemia or
shortness of breath or asthma. In other words,
there was a deliberate suppression fraudulently
made by Mahajan Deolal. Fraud, according to s. 17
of the Indian Contract Act, 1872 (IX of 1872),
means and includes Inter alia any of the following
acts committed by a party to a contract with
intent to deceive another party or to induce him
to enter into a contract-
(1) the suggestion, as to a fact, of that
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which is not true by one who does not believe it
to be true; and
(2) the active concealment of a fact by one
having knowledge or belief of the fact.
Judged by the standard laid down in s. 17,
Mahajan Deolal was clearly guilty of a fraudulent
suppression of material facts when he made his
statements on July 16, 1944, statements which he
must have known were deliberately false.
Therefore, we are in agreement with the High Court
in answering the first question against the
appellant.
We may here dispose of the third question.
Learned counsel for the appellant has argued
before us that Mahajan Deolal was examined under
the direction of the respondent company by as many
as four doctors, namely, Dr. Desai, Dr. Kapadia,
Dr. Belapurkar and Dr. Clarke. It is further
pointed out that Mahajan Deolal had correctly
586
disclosed that he had suffered previously from
malaria, pneumonia and cholera. Dr. Kapadia, it is
pointed out, was specifically asked to examine
Mahajan Deolal in view of the conflicting reports
which Dr. Desai had earlier submitted. On these
facts, the argument has been that the respondent
company had full knowledge of all facts relevant
to the state of health of Mahajan Deolal and
having knowledge of the full facts, it was not
open to the respondent company to call the policy
in question on the basis of the answers given by
Mahajan Deolal in the proposal form and the
personal statement, even though those answers were
inaccurate. Learned counsel for the appellant has
referred us to the Explanation to s. 19 of the
Indian Contract Act in support of his argument. We
are unable to accept this argument as correct. It
is indeed true that Mahajan Deolal was examined by
as many as four doctors. It is also true that the
respondent company had before it the conflicting
reports of Dr. Desai and it specially asked Dr.
Kapadia to examine Mahajan Deolal in view of the
reports submitted by Dr. Desai. Yet, it must be
pointed out that the respondent company had no
means of knowing that Mahajan Deolal had been
treated for the serious ailment of secondary
anaemia followed by dilatation of heart etc. in
September-October, 1943 by Dr. Lakshmanan. Nor can
it be said that if the respondent company had
knowledge of those facts, they would not have made
any difference. The principle underlying the
Explanation to s. 19 of the Contract Act is that a
false representation, whether fraudulent or
innocent is irrelevant if it has not induced the
party to whom it is made to act upon it by
entering into a contract. We do not think that
principle applies in the present case. The terms
of the policy make it clear that the averments
made as to the state of health of the insured in
the proposal form and the personal statement were
the basis of the contract between the
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parties, and the circumstance that Mahajan Deolal
had taken paint to falsify or conceal that he had
been treated for a serious ailment by Dr.
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Lakshmanan only a few months before the policy was
taken shows that the falsification or concealment
had an important bearing in obtaining the other
party’s consent. A man who has so acted cannot
after wards turn round and say; "It could have
made no difference if you had known the truth." In
our opinion, no question of waiver arises in the
circumstances of this case, nor can the appellant
take advantage of the Explanation to s. 19 of the
Indian Contract Act.
Our finding on the first question makes it
unnecessary for us to decide the second question,
namely, whether the present appellant merely
gambled on the life of Mahajan Deolal when he took
the assignment on October 18, 1945. The contention
of the respondent company was that appellant had
no insurable interest in the life of Mahajan
Deolal and when he took the assignment of the
policy on October 18, 1945 he was merely indulging
in a gamble on Mahajan Deolal’s life; the contract
was therefore, void by reason of s. 30 of the
Indian Contract Act. On behalf of the appellant,
however, the contention was that s. 38 of the
insurance Act provided a complete code for
assignment and transfer of insurance policies and
the assignment made in favour of the appellant by
Mahajan Deolal was a valid assignment in
accordance with the provisions of s. 38 aforesaid.
The High Court, it appears, proceeded on the
footing that from the very inception the policy
was taken for the benefit of the appellant on the
basis of a gamble on the life of Mahajan Deolal;
it said that the appellant and his brother, Dr.
Motilal Nayak, knew very well that Mahajan Deolal
was not likely to live very long and when the
policy was taken out in 1944, it was really for
the benefit of the present appellant, who soon
after took an assignment
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on payment of the premium already paid by Mahajan
Deolal and such arrears of premium as were then
outstanding. It is unnecessary for us to give our
decision on these contentions; because if Mahajan
Deolal was himself guilty of a fraudulent
suppression of material facts on which the
respondent company was discharged from performing
its part of the contract, the appellant who holds
an assignment of the policy cannot stand on a
better footing than Mahajan Deolal himself. It was
argued before us that is the policy was valid in
its inception, that is to say, if it was in fact
effected for the use and benefit of Mahajan
Deolal, who undoubtedly had an insurable interest
in his own life, it could not afterwards be
invalidated by assignment to a person who had no
interest but who merely took it as a speculation.
Our attention was drawn to several decisions on
this question, American and English, noticed in
para 502 of MacGillivray on Insurance law (fourth
Edition). We consider it unnecessary to examine
those decisions or to go into the question posed
therein. That question must be left to be
determined in a case where it properly arises. As
we have stated earlier, on our conclusion on the
first question, the appellant is clearly out of
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Court and can not claim the benefit of a contract
which had been entered into as a result of a
fraudulent suppression of material facts by
Mahajan Deolal.
This brings us to the last question, namely,
whether the appellant is entitled to a refund of
the money he had paid to the respondent company.
Here again one of the terms of the policy was that
all moneys that had been paid in consequence of
the policy would belong to the company if the
policy was vitiated by reason of a fraudulent
suppression of material facts by the insured. We
agree with the High Court that where the contract
is bad on the ground of fraud, the party who has
been guilty of fraud or a person who claims under
him can not
589
ask for a refund of the money paid. It is a well
established principal that courts will not
entertain an action for money had and received,
where, in order to succeed, the plaintiff has to
prove his own fraud. We are further in agreement
with the High Court that in cases in which there
is stipulation that by reason of a breach of
warranty by one of the parties to the contract,
the other party shall be discharged from the
performance of his part of the contract, neither
s. 65 nor s. 64 of the Indian Contract Act has any
application.
For the reasons given above we have come to
the conclusion that there in no merit in the
appeal. The appeal is accordingly dismissed with
costs.
Appeal dismissed.