The petitioner is widow, her husband,
who worked as Mazdoor in Kothagudem Thermal Power Station, Paloncha in Khammam
District (KTPS). During his
service, he met with accident on 21.1.2000 and later succumbed to injuries. Alleging that Deceased was covered under Group Janata Personal
Accident Policy, the petitioner, as his widow, has made a claim before the
first respondent. In
response thereto, the first respondent has issued the impugned letter stating
that was expired due to the injuries received in a road accident and the
premium towards coverage of the life of the Deceased employee was remitted only after the death of
the employee. While referring
to provisions under Section 64 VB of the Insurance Act, 1939, it is stated that
the risk commences only after receipt of the premium from the insured, the
first respondent refused to admit the liability under the policy. In this writ petition, it is the case
of the petitioner that the second respondent-employer has taken the Policy from
the first respondent covering the period from 26.11.1996 to 30.11.1999 and
again it was renewed for a further period from 01.12.1999 to 30.11.2002. It is stated that as much as the accident
and the resultant death of employee was occurred during the period of the
Policy is in force, the petitioner is entitled for the insured amount of
Rs.1,00,000/- as per the terms of the Policy. It is categorically stated that a
premium amount of Rs.129.60 was deducted by the fourth respondent from the
salary of the Deceased employee in the
month of January, 2000 and the same is evident from the pay statement. Separate counter affidavits are filed
by the respondents. In the
counter affidavit filed on behalf of respondents 2 to 4, it is stated that the
employee was worked as contract labourer
and though he was absorbed as Mazdoor, he was posted at KTPS, Paloncha and he
worked there till on which date he died. The Policy is being implemented for
the employees of erstwhile APSEB and the same was renewed from time to
time. During the
subsistence of the Policy period from 01.12.1999 to 30.12.2002, the
subscription was fixed at Rs.129.60 per employee. It is further stated that the Deceased
employee joined the service while the
Policy was in force and the premium was deducted from his salary from the month
of January, 2000 and the risk amount covered was Rs.1,00,000/-. The salary bills for the month of
January, 2000 were prepared and passed in the last week of January, 2000. The
premium amounts deducted from the respective salaries of mazdoors wee remitted
to the first respondent and there are no laches on their part. A
separate counter affidavit is filed by the first respondent stating as
follows. The petitioner
herein has made claim as the widow of Deceased . Originally the Policy was issued
covering the period from 26.11.1996 to 30.11.1999, wherein the name of Deceased
was not included. They have also issued policy covering
for a period of 13.3.1997 to 12.3.2000 and therein also the name of Deceased was not
included. The premium
amount was remitted on 21.1.2000 to respondents. In the said renewal policy, for the
first time, the name of Deceased was
included in the list of employees. Even according to the claim of the
petitioner, the petitioner joined KTPS only in the year 1998 pursuant to his
absorption as Mazdoor. In
the first policy which was obtained under Group Janata Personal Accident Policy
in 1996 does not contain the name of Deceased covering the risk. A copy of further policy is produced
before this Court, in which the name of Deceased is included. It is valid from 13.3.2000 to
12.3.2003. From the counter
affidavit filed on behalf of the respondents 2 to 4, it is evident that though
the name of Deceased was not figured in the first policy, premium amount was
deducted from his salary for the month of January, 2000. The deducted premium was also remitted
to the first respondent-Insurance company only on 17.2.2000 whereas Deceased
died on 04.2.2000 due to the injuries received in the accident that occurred on
21.1.2000. Although it is
the case of the respondents 2 to 4, the Policy covers the risk of Deceased,
Mazdoor, the policy on record shows that it covers from 13.3.2000 to 12.3.2003
and it also includes the name of Deceased. When the premium was deducted from his
salary for the month of January, 2000 itself, it is not known why the policy
was obtained belatedly covering the risk of the life of Deceased from 13.3.2000
to 12.3.2003. At the same
time, the first respondent-Insurance company has received premium for Deceased
and other employees on 17.2.2000. As
it is the case of the first respondent that as on the date of death of Deceased,
neither the policy was issued nor amount of premium was received by them to
cover the life of Deceased, they are not liable to admit claim made by the
petitioner. Further,
the counter affidavit filed by the respondents 2 to 4, it is alleged that the
policy is covered and there is correspondence to show that further policy,
which commenced from 13.3.2000, was in continuation of original policy that
expired on 30.11.1999. The
learned counsel appearing for the first respondent has produced a copy of the
policy itself by including the name of late Deceased covering the period from
13.3.2000 to 12.3.2003 and the premium amount was received by the first
respondent only on 17.2.2000 i.e., after the death of the Deceased employee. This Court finds that there is no
valid reason or justification on the part of the respondents 2 to 4 in
deducting the premium from the salary of January, 2000 and not obtaining the
policy in continuation of earlier policy including the name of Deceased. It appears there is lapse on the part
of the respondents 2 to 4 in not obtaining the policy immediately in
continuation of expiry of the earlier policy by including the name of the
petitioner. At the same
time, there is no reason for deducting premium amount from the salary of Deceased
from the month of January, 2000. In
that view of the matter, for the lapse on the part of respondents 2 to 4, the
petitioner should not be deprived of the claim of Rs.1,00,000/- in spite of the
fact that the premium amount towards the Policy was deducted by the respondents
2 to 4 from the salary of the Deceased employee from January, 2000 itself. For the aforesaid reasons, I deem it
appropriate to dispose of the writ petition directing the respondents 2 to 4 to
pay the amount of Rs.1,00,000/- to the petitioner towards the claim made by her
under Group Janata Personal Accident Policy. The amount shall be paid to the
petitioner within a period of three months from today by account payee cheque
by opening an account in her name in a Nationalised Bank. At the same time, liberty is given to
the respondents 2 to 4 to recover such amount if they are entitled to recover
from the first respondent by instituting independent proceedings. The writ
petition is allowed, with directions as indicated above. No order as to costs. The above case
is argued by me and obtained orders in favor of the petitioner
Wednesday, September 26, 2012
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