Sudhakar Gupta has taken a life insurance policy on his life on 7-2-2018 for ₹1 lakh. But to get the benefit of lesser age premium the date of commencement of the policy is given as 7-4-2017. His yearly premium is ₹10,30
CS Professional · Insurance - Law and Practice · PYQS · December 2020
Sudhakar Gupta has taken a life insurance policy on his life on 7-2-2018 for ₹1 lakh. But to get the benefit of lesser age premium the date of commencement of the policy is given as 7-4-2017. His yearly premium is ₹10,305 and the second yearly premium was due on 7-4-2018. Sudhakar Gupta and Sachin Agarwal were partners in a business. Sachin Agarwal has also insured his life for a premium of ₹2,486 per annum. They issued a joint cheque towards combined premium on 7-5-2018. The insurer issued a stamped receipt on 25-5-2018 and sent the cheque for collection. The cheque for the premium amount was dishonoured and the cheque was sent back by the bank on 8-6-2018. The intimation of the dishonoured cheque was sent by the company on 21-7-2018 which was posted by it on 30-7-2018. It was posted to Sudhakar Gupta's residence and was received at his residence on 1-8-2018. The intimation required that Sudhakar Gupta is to pay the premium with interest by 16-8-2018. But the insurers were not aware that in an uneventful incident of an accident on 28-7-2018, Sudhakar Gupta had already expired. Anita Gupta, the wife of Sudhakar Gupta claimed the insurance and also the accident cover. She said that the insurer was deficient in the services and did not intimate about the dishonour of the cheque in time. To support her statement, she quoted the insurer's circular that stated that the intimation of the dishonoured cheques should be intimated immediately by the concerned staff by contacting the policyholder, which is not done in this particular case. Required: State whether Anita Gupta will get the insured money from the company, i.e. is her claim maintainable? Discuss with reference to: Deficiency of service
Answer & Explanation:
It may be true that the insurance company did not intimate the cheque dishonour in time, say within 2 or 3 days of cheque return. In fact that the cheque was not honoured is not informed in time by the bank also. Date of the cheque was 7.5.2018, it was returned by the bank on 8.6.2018 almost after one month. The delay was further added by the insurance company as it posted the intimation of cheque dishonour on 30.7.2018 only after 50+ days. This inspires the internal circular. But this deficiency is just an administrative lapse and not sufficient to warrant to pay the claim.
Topics: Life Insurance Claims
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