Mithoolal Nayak V Lic
Mithoolal Nayak V Lic
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1962 Supp (2) SCR 571 : AIR 1962 SC 814 : (1962) 32 Comp Cas 177
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    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 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 submitted 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 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's 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 16-7-1944, 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 16-7-1944, 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 13) to the
    following effect:
           “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 men consulted.”
    The answer given to the question was — “No”. This 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 7-9-1943, and 6-10-1943,
    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 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
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    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 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?
        4. 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.
        5. So far as the first question is concerned, the learned trial Judge found that
    though Mahajan Deolal had given a negative answer to Question 13 in the proposal
    form and to Questions 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, inasmuch as Section 45 of the Insurance
    Act, 1938 (Act 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 casual or trivial nature and the
    failure of the policy-holder to disclose those ailments did not attract the second part of
    Section 45 of the Insurance Act. The High Court came to a contrary conclusion and
    held that even applying Section 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.
        6. 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 Article 133(1)(a) of the Constitution inasmuch 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.
        7. We shall presently consider the evidence, but it may be advantageous to read
    first Section 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 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 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….”
    It would be noticed that the operating part of Section 45 states in effect (so far as it is
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    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 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, 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 13-3-1945 and it was to come into effect from 15-1-1945. The amount
    insured was payable after 15-1-1968 or at the death of the insured, if earlier. The
    respondent Company repudiated the claim by its letter dated 10-10-1947. Obviously,
    therefore, two years had expired from the date on which the policy was effected. We
    are clearly of the opinion that Section 45 of the Insurance Act applies in the present
    case in 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 Section 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 a period of two years had clearly expired when the respondent
    Company repudiated the claim. As we think that Section 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 Section 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.
       8. The three conditions for the application of the second part of Section 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 case. We think that they were. We are unable to agree with the learned trial
    Judge that the ailments for which Mahajan Deolal 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 17-7-1944, 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
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    physician. Dr Lakshmanan said that when he first examined Mahajan Deolal on 7-9-
    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 9-9-1943, and then again on 16-9-1943. On 6-10-1943, Mahajan Deolal
    himself went to Dr Lakshmanan. On that date Dr Lakshmanan found that 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 constituted 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 form 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 clearly enough that in September-October 1943
    Mahajan 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
    answers 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 Section 17 of the Indian Contract Act, 1872 (9 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 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 Section 17, Mahajan Deolal was clearly guilty of
    fraudulent suppression of material facts when he made his statements on 16-7-1944,
    statements which he must have known were deliberately false. Therefore, we are in
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    agreement with the High Court in answering the first question against the appellant.
       9. 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
    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 Section 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 Section 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 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 parties, and the circumstance that Mahajan
    Deolal had taken pains to falsify or conceal that he had been treated for a serious
    ailment by Dr 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 afterwards 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 Section 19 of the Indian Contract Act.
       10. 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 18-10-1945. The contention of the
    respondent Company was that the appellant had no insurable interest in the life of
    Mahajan Deolal and when he took the assignment of the policy on 18-10-1945 he was
    merely indulging in a gamble on Mahajan Deolal's life; the contract was, therefore,
    void by reason of Section 30 of the Indian Contract Act. On behalf of the appellant,
    however, the contention was that Section 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 Section 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 on payment of
    the premium already paid by Mahajan Deolal and such arrears of premium as were
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    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 if 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 (4th Edn.). 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 Court and cannot claim the benefit of a
    contract which had been entered into as a result of a fraudulent suppression of
    material facts by Mahajan Deolal.
       11. 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 faudulent
    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 cannot ask for a refund of the money paid. It is a well-
    established principle 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 a 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
    Section 65 nor Section 64 of the Indian Contract Act has any application.
       12. For the reasons given above we have come to the conclusion that there is no
    merit in the appeal. The appeal is accordingly dismissed with costs.
                                             ———
    *Appeal from the Judgment and Decree dated the 28-8-1956, of the Madhya Pradesh High Court in FA No. 90 of
    1949.
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