Does Hiding Current Insurance policies Result in Rejection? Sure, allow us to perceive the significance of twenty fifth February 2025 Supreme Courtroom Judgement. That is an eye-opener for all of us.
Many people whereas shopping for life insurance coverage deliberately or unintentionally could cover the present insurance policies. In some instances, we depend on middlemen to fill within the information and we hardly take into look of what she or he is filling. We simply want the coverage to be issued (greater than you the middlemen). This poses an enormous threat on your declare settlement.
Supreme Courtroom’s Eye-Opening Verdict: Does Hiding Current Insurance policies Result in Insurance coverage Declare Rejection?
Mahaveer Sharma vs Exide Life Insurance coverage Firm Restricted on 25 February 2025
In a big judgment on February 25, 2025, the Supreme Courtroom of India addressed the implications of non-disclosure of current insurance coverage insurance policies by policyholders within the case of Mahaveer Sharma vs. Exide Life Insurance coverage Firm Restricted. This judgment supplies readability on the obligations of policyholders and the grounds on which insurers can repudiate claims primarily based on such non-disclosures.?
Case Background
The appellant, Mahaveer Sharma, is the son of the deceased policyholder, Ramkaran Sharma. Ramkaran had obtained a life insurance coverage coverage from Exide Life Insurance coverage Firm Restricted on June 9, 2014, with a sum assured of Rs.25 lakhs. Following Ramkaran’s unintentional demise on August 19, 2015, Mahaveer filed a declare below this coverage. Nevertheless, Exide Life Insurance coverage repudiated the declare on March 3, 2016, citing the non-disclosure of current insurance coverage insurance policies by Ramkaran on the time of making use of for the coverage.?
Particularly, whereas Ramkaran had disclosed a Rs.40 lakh coverage from Aviva Life Insurance coverage, he failed to say three different insurance policies from the Life Insurance coverage Company of India (LIC) totaling Rs.2.3 lakhs. The insurer argued that this omission constituted materials suppression of information, justifying the repudiation of the declare. Each the State Client Disputes Redressal Fee and the Nationwide Client Disputes Redressal Fee upheld the insurer’s choice, main Mahaveer to attraction to the Supreme Courtroom.
Authorized Points
The first authorized query earlier than the Supreme Courtroom was whether or not the non-disclosure of current insurance coverage insurance policies, notably these with comparatively small sums assured, constituted materials suppression of information ample to justify the repudiation of the insurance coverage declare.?
Supreme Courtroom’s Evaluation
The Supreme Courtroom emphasised that insurance coverage contracts are based on the precept of uberrima fides (utmost good religion), obligating the insured to reveal all materials information that would affect a prudent insurer’s choice to simply accept the chance. Nevertheless, the Courtroom additionally famous that not each omission warrants declare rejection; the materiality of the non-disclosed reality have to be assessed on a case-by-case foundation.?
On this case, the Courtroom noticed that Ramkaran had disclosed a big coverage from Aviva Life Insurance coverage with a sum assured of Rs.40 lakhs, which was considerably greater than the mixed worth of the undisclosed LIC insurance policies totaling Rs.2.3 lakhs. The Courtroom reasoned that the disclosure of the bigger Aviva coverage indicated an intention to offer related info and that the omission of the smaller LIC insurance policies was not a deliberate try to mislead the insurer.?
Moreover, the Courtroom distinguished this case from earlier rulings the place non-disclosure of current insurance policies led to assert repudiation. As an illustration, in Reliance Life Insurance coverage Co. Ltd. & Anr. v. Rekhaben Nareshbhai Rathod, the insured had did not disclose a lately obtained substantial coverage, which was deemed materials. In distinction, the non-disclosed insurance policies within the current case have been of comparatively insignificant worth and didn’t materially have an effect on the insurer’s threat evaluation.
The Courtroom harassed that insurers should show intentional fraud, not simply errors. Exide failed to indicate that Ramkaran intentionally hid the LIC insurance policies to deceive them.
What Does This Imply for Policyholders?
- Disclose All Insurance policies, However Minor Omissions Might Not Sink Your Declare
- All the time point out current insurance policies, however the Courtroom acknowledges that small errors or omissions (like forgetting minor insurance policies) could not justify declare denial. However I strongly counsel you regardless of how a lot small the coverage could also be. It’s higher to reveal it to keep away from the longer term battle.
- Unintended Deaths Are Handled In another way
- If demise is because of an accident (not hidden well being points), insurers have much less grounds to argue “materials suppression.”
- Brokers’ Errors Matter
- If an insurance coverage agent fills your type incorrectly, the corporate can’t blame you for unintentional errors. Nevertheless, I insist you fill out the shape by yourself quite than counting on an insurance coverage agent. They might fill out the shape to make it possible for the coverage have to be issued at any price. Therefore, I strongly advocate that by no means permit an agent to fill out your proposal type.
- Combat Unfair Denials
- Insurers should show deliberate fraud, not simply technical errors. Don’t hesitate to attraction to greater courts.
The Supreme Courtroom’s choice is a win for extraordinary policyholders. It reminds insurers that declare rejections have to be primarily based on actual fraud, not minor errors. However on the identical time, it doesn’t imply that whereas shopping for life insurance coverage we ignore the small coverage particulars or materials information.
Share all of the information correctly, particularly relating to your well being, revenue, and current coverage particulars. Keep away from future problems or the scenario of your loved ones members combating for the declare quantity sooner or later.
