Narbada Devi and Ors. v. H.P. State Forest Corporation & Anr.

Civil Appeal · 2021 INSC 196Decided 22 Mar 2021
Civil Appeal No. 6379 of 2010
Justice Mohan M. Shantanagoudar · Justice Vineet Saran

Background

The appellants were the legal heirs of a daily-wage Chowkidar employed by the Himachal Pradesh State Forest Corporation (HPSFC), who was found in a hapless, alcohol-smelling state one morning after reportedly being caught in a storm the previous night, and died a few hours later. The family filed a consumer complaint claiming compensation under a group personal accident insurance policy arranged through HPSFC, but the postmortem report found no injuries on the body and attributed death to asphyxiation caused by alcohol consumption and regurgitation of food. The State Consumer Commission and the National Consumer Disputes Redressal Commission both rejected the claim, holding the death was not "accidental" as required by the policy, prompting this appeal.

Decision Breakdown

The Supreme Court held that the insurance policy only covered bodily injury or death resulting solely and directly from an accident caused by outward, violent and visible means, and the postmortem evidence clearly showed the cause of death was alcohol-related asphyxiation, not an accident. The Court also noted a specific policy proviso excluding compensation where death or injury occurred while the insured was under the influence of intoxicating liquor, which squarely applied on the facts. It distinguished a precedent (Jamuna Devi) cited by the appellants, since there the insured had specifically been led to believe the policy also covered natural death, a fact not present here, and found HPSFC itself had no independent liability beyond acting as a conduit for the insurance premium. The appeal was accordingly dismissed, upholding the concurrent findings of the consumer fora and the insurer's repudiation of the claim.

Lesson Learnt

A personal accident insurance policy only pays out for death or injury caused by an accident, as strictly defined in the policy's own terms and exclusion clauses: intoxication-related deaths, or deaths without visible/violent external cause, will not qualify even if the circumstances seem tragic or work-related.

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