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Government of India Volume I: Analysis and Recommendations

Government of India Volume I: Analysis and Recommendations

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FOUNDATIONS OF CONTRACTS AND PROPERTY<br />

As they do not fit within the st<strong>and</strong>ard system <strong>of</strong> consumer protection <strong>and</strong> prudential<br />

regulation, the Commission has decided to consolidate its recommendations with<br />

respect to these issues in this chapter.<br />

13.2. Principles relating to certain contracts<br />

The financial sector requires modification <strong>of</strong> general principles <strong>of</strong> laws. These pertain<br />

mainly to:<br />

13.2.1. Insurance<br />

1. Insurance laws where certain legal principles presently used are required to be legislated to provide<br />

greater clarity.<br />

2. Securities laws where legal enforceability <strong>and</strong> contractual obligations are required to be protected.<br />

Insurance principles are governed by various principles <strong>of</strong> case law along with statute.<br />

The Commission examined these positions as a part <strong>of</strong> its comprehensive review <strong>of</strong> <strong>India</strong>’s<br />

financial law. The Commission recommends legislative clarifications in the following<br />

areas to ensure the smooth functioning <strong>of</strong> insurance contracts.<br />

1. The term ‘contract <strong>of</strong> insurance’ has been used in the Insurance Act, 1938 in the definitions <strong>of</strong><br />

life insurance, general insurance, fire insurance, marine insurance <strong>and</strong> miscellaneous insurance<br />

businesses but the term ‘contract <strong>of</strong> insurance’ is not defined in any legislation.<br />

2. Insurance contracts are governed by the principle <strong>of</strong> uberrimae fidei, where all parties to an insurance<br />

contract must deal in good faith, making a full declaration <strong>of</strong> all material facts in a given<br />

insurance proposal. In addition to the insurer’s obligation to the insured consumer under the<br />

consumer protection laws, the Commission recommends that the law must require the insured<br />

to disclose all material facts to the insurer.<br />

3. There is no specific statutory requirement to have an insurable interest to enforce insurance contracts<br />

(other than marine insurance contracts) though courts have always treated the presence<br />

<strong>of</strong> such an interest as a prerequisite for enforcing the same. The Commission recommends that<br />

primary law should not require an insurable interest at the time <strong>of</strong> entering into an insurance contract<br />

though the regulator should have the authority to require an insurable interest for certain<br />

types <strong>of</strong> insurance contracts through regulations.<br />

4. Currently, Section 38 <strong>of</strong> the Insurance Act <strong>of</strong> 1938 does not allow insurers the option to refuse an<br />

assignment <strong>of</strong> life insurance policies. The Insurance (Amendment) Bill, 2000 proposes that an<br />

insurer may refuse an assignment if it finds that such an assignment is not bona fide <strong>and</strong> not in<br />

the interest <strong>of</strong> the policy holder or the public interest. The Commission recommends that the<br />

regulator should have the power to specify the types <strong>of</strong> permitted assignments <strong>and</strong> restricted<br />

assignments <strong>of</strong> insurance policies, though insurers should not have the discretion to refuse any<br />

assignment.<br />

5. Currently, if an insurance policy mentions the options available to a policyholder upon the lapse<br />

<strong>of</strong> a policy, no further notice needs to be given to the policyholder. The Commission recommends<br />

that insurers should serve notice to the policyholders in the event a policy lapses for nonpayment<br />

<strong>of</strong> premium. Policyholders should be informed <strong>of</strong> the consequences <strong>of</strong> a lapse in the<br />

policy <strong>and</strong> the options available to them in the event <strong>of</strong> such lapse.<br />

6. In indemnity insurance contracts, the law <strong>of</strong> subrogation, where an insurance company tries to<br />

recoup payments for claims made which another party should have been responsible for paying,<br />

is governed by case law. The Commission recommends that the law <strong>of</strong> subrogation be clearly<br />

defined in statute, drawing from directions provided by the Supreme Court in relevant case law.<br />

Table 13.1 <strong>of</strong>fers a brief summary <strong>of</strong> the specific recommendations <strong>of</strong> the Commission<br />

pertaining to the principles <strong>of</strong> insurance contracts.<br />

120 FINANCIAL SECTOR LEGISLATIVE REFORMS COMMISSION

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