Professional Documents
Culture Documents
Y
IN
YIN
@ Insurance is understood as a risk transfer mechanism
where persons facing similar insurable risks are brought
together to protect themselves by pooling the risks and
sharing the losses. Insurance companies make this
possible through insurance contracts. hey are governed
by laws enacted by overnment and regulations issued
by the uthority which is empowered exclusively to do
so by legislation.
efinitionofInsurance
@ he aim of all insurance,' says orter 'is to make
provisions against dangers which beset human life and
dealings. hose who seek it endeavour to avert disaster
by shifting possible losses on to the shoulders of others,
who are willing for pecuniary consideration, to take risk
thereof, and in case of life insurance, they endeavour to
assure to those dependent on them a certain provision
in case of their death or to provide a fund out of which
their creditors can be satisfied.¶
@ insurance means a person called Insurer undertaking to
return for the agreed consideration, called the remium,
to pay to another person, the ssured a
um of money
or its equivalent, on the happening of a specified event.'
@ hese observations in their compass introduce
the concept of risk transfer and qualify insurance
as a kind of indemnity. hey bring out the
following basic features of insurance, in general.
It is a provision against the dangers caused by certain
events.
he event involves an element of uncertainty.
he event is of a character that is adverse to the
interests of the person effecting the insurance.
n amount is assured, on the happening of the event,
to mitigate the losses in return for an amount called
premium, as consideration adequate to meet the risk.
@ definition by Bunyon
' contract of life assurance is that in which one party
agrees to pay a given sum on the happening of a
particular event contingent upon the duration of life in
consideration of the immediate payment of a smaller
sum or certain equivalent periodical payments by
another.'
IN
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@
ection 45 is a provision quoted often in insurance cases. he section
states that 'no policy of life insurance, 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, unless the insurer shows that such a
statement was on a material matter or suppressed facts which it was
material disclose 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.'
@ his section applies to life policies only. olicies of general insurance
which are generally renewable every year do not come under the
purview of this section. Known as 'indisputability clause' this section
has to be read and understood in two parts. he first part implies
that 'a policy can be called in question within two years from the date
on which it was effected on the ground that any statement leading to
the issue of the policy was inaccurate or false.' s per the second
part, when the policy is questioned after a period of two years, three
conditions are applicable.
heyare:
.thestatementmustbeonamaterialmatterormust
suppressfactswhichitwasmaterialtodisclose;
2.thesuppressionmustbefraudulentlymadebythe
policyholder;and
.thepolicyholdermusthaveknownatthetimeof
makingthestatementthatitwasfalseorthat
'itsuppressedfactswhichitwasmaterialtodisclose.
(IYofIndiavs anakiammal IÕ
Mad24)
heonusofprovingthattheassuredhasfailedto
performthedutyofdisclosurereferredtoaboveBes
ontheinsurers.
@ T -Eff ë
Dë '
he phrase used in this section relates to a date from which the
contract becomes effective by way of acceptance and commencement
of risk.
ometimes the risk may be backdated to suit the convenience if
tiie life assured, generally to get the benefit of lower age. he 'effected'
date will not refer to that e.
imilarly, it will not also refer to the date of
issue of the policy when the document is formally and delivered.
@ ( P
L
R
he Yourts have also made it clear whether the revival of lapsed policy
constitutes a new contract or not. s per the operative part of
ection
45, 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'.
(Mithoolal Nayak vs IY of India I Õ2
Y 4)
@
D ë ëT Y
- D
fë T Y
It has also been held that this section would apply to every case where
the repudiation of claim is made more than two years after the policy
was effected, irrespective of whether the insured died before the
expiry of two years or not. he date of death or date of intimation of
death are irrelevant. (/Y vs anakiammal I Õ M 24 following
Mithoolal Nayak vs IY Õ2 (
Y)).
@ INSURANCE - IS IT A (AGER
' wagering contract is one involving two parties, each
of whom stands to win or lose something of value
according to the result of some future event; neither
party can have any interest in the contract except his
stake. In general, gaming and wagering contracts are by
statute null and void, and no action can be brought to
recover any money paid or won under them.' In other
words, wager is a gamble on an event which is
uncertain.
@ s per
ec 0 of the Indian Yontract ct, 'greements
by way of wager are void.'
@ I
G - F ë
C
'
ncertainty' is the only thing which is common to a
wagering contract and Insurance. But unlike in gambling,
nobody wins or makes a profit in insurance; only the
economic loss is compensated to a certain extent. he loss is
shared by a group -by pooling the risk. he risk is not created
as in the case of gambling; in insurance, it already exists and
has to be taken care of. In fact, as rof. uebner pointed out
only when a person is not insuring is he gambling with his
life.
@ he most important difference is the interest in the subject
matter of Insurance without which all contracts of insurance
are unenforceable. We call it Insurable Interest. he existence
of Insurable interest distinguishes insurance from wagers and
other ordinary contracts.
@ Insurable Interest is of great importance in Insurance, especially in
its three leading branches namely, Marine, Fire and ife Insurance.
he evolution of law in this subject has its historical significance. In
the early years, especially in the th century, wagering policies
become very common, and it was the practice of unscrupulous
businessmen to insure other people's ships and merchandise and
to secure insurance money in the event of loss or destruction at
sea. In the absence of insurable interest, life insurance was in the
nature of gambling. he lives of eminent persons were insured by
unconnected parties for heavy amounts. his practice went to
ridiculous levels and there were a series of court decisions on
these wagering contracts. egislation had to intervene, first in
45 by the Marine Insurance ct, and later in 4'by the ife
Insurance ct, to establish insurable interest as the basis of
insurance contract without which it is not valid.
@
ince then, nglish courts strictly enforce the provisions on
Insurable Interest. In India, we are more guided by these legal
provisions as well as the court decisions.
@ (HAT IS INSURALE INTEREST
@ O
, P
C ëë R ë
@ Pë
@ partner has insurable interest in the life of his co-
partner to the extent of the capital brought in by the
latter.
@ surety has valid insurable interest in the life of the
rincipal, as well as co-surety. his arises out of the
obligation founded on the contractual obligations.
@ R -
he policy at a young age will get the benefit of lower premium. It
will give an opportunity as well to build up a sizable fund for future
education or start-in-career purposes. But the child is not legally
competent to enter into a contract and the parent has no insurable
interest on the child. o circumvent this difficulty, insurers enable
the parents to sign the proposals on behalf of their minor children
with the condition that the policy will automatically vest on the
children on attaining major status, and become their property. If
risk is covered and unfortunately death occurs in the meanwhile,
the amount is paid to the beneficiaries, i.e. parents who receive it as
the legal heirs of the estate of the minor.
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