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Death Claim - Gbic.co.in

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on the date of his murder. The LA was to report <strong>in</strong> a particular police station every dayas a part of <strong>co</strong>nditional bail and on the fateful day his enemies <strong>in</strong>tercepted the bus <strong>in</strong>which he was travell<strong>in</strong>g and murdered him. As the LA’s murder was provoked by his<strong>in</strong>volvement <strong>in</strong> another crime, LIC <strong>in</strong>terpreted that murder <strong>in</strong> this case does not fallwith<strong>in</strong> the s<strong>co</strong>pe of accident def<strong>in</strong>ed <strong>in</strong> the policy <strong>co</strong>nditions. They also cited thejudgment given by NCDRC, New Delhi <strong>in</strong> appeal no.204 of 1999 <strong>in</strong> which the Hon’bleforum clarified when a murder amounts to accident. As per the Hon’ble Forum, if thedom<strong>in</strong>ant <strong>in</strong>tent of the perpetrator of a crime is to kill a particular person, the actmurder cannot be called as an accident.The <strong>co</strong>mpla<strong>in</strong>ant <strong>co</strong>ntended that her husband had no crim<strong>in</strong>al re<strong>co</strong>rd. Ac<strong>co</strong>rd<strong>in</strong>g to her,her husband was murdered due to mistaken identity. She further pleaded that as all theaccused <strong>in</strong> her husband’s murder were let off by the Sessions Court deal<strong>in</strong>g with thecase, the murder should be treated as an accident. She further stated that shereceived similar accident benefit from New India Assurance Co. Ltd. under a policyno.61020/47/00438 for Rs.1 lakh on the basis of an award passed by the OFFICE OFINSURANCE OMBUDSMAN-HYDERABAD dur<strong>in</strong>g 2005-06 under Award No.G-94.Decision: As the <strong>co</strong>mpla<strong>in</strong>ant made a reference to an old award of this office, the factsof the matter were carefully exam<strong>in</strong>ed. The LA was murdered on 23.6.2000 and thef<strong>in</strong>al verdict of the Trial Court was given vide judgment dated 29.3.2005.All theaccused <strong>in</strong> the murder of the LA were let off by the <strong>co</strong>urt giv<strong>in</strong>g benefit of doubt <strong>in</strong>favour of the accused, for want of <strong>co</strong>ncrete evidence. The Trial Court observed severalloose ends <strong>in</strong> the presentation of case by the Prosecution. The manner <strong>in</strong> which the actof murder was <strong>co</strong>mmitted clearly shows that the murder was a pre-planned act. The<strong>in</strong>surer referred to the Hon’ble Supreme Court’s judgment <strong>in</strong> Rita Devi & others Vs. M/sNew India Assurance Co. Ltd. Where<strong>in</strong> the <strong>co</strong>urt held that the proximate cause ofmurder is to be looked <strong>in</strong>to to decide whether a particular murder is to be treated as an‘Accident’ or not.This view of the Hon’ble Supreme Court of India was discussed at length by theHon’ble NCDRC while <strong>co</strong>nsider<strong>in</strong>g Appeal No.204 of 1999 <strong>in</strong> the case between PrithviRaj Bhandari Vs. LIC & Others. While deliver<strong>in</strong>g the judgment, the Hon’ble NationalCommission reiterated the view expressed by the Hon’ble Supreme Court and held that<strong>in</strong>tent of murder is the primary factor to decide whether a murder is to be treated as anaccident or not. It was also held by the Hon’ble Commission that though the accusedwas not found <strong>in</strong> the case, the decision to treat the case as murder simplicitor wasarrived at on the basis of the nature of <strong>in</strong>juries <strong>in</strong>flicted on the victim.As the case of the LA <strong>in</strong> the present case is not a case of <strong>in</strong>discrim<strong>in</strong>ate kill<strong>in</strong>g, themurder amounts to ‘murder simplicitor’ and not an accidental murder. The decisiongiven by this office under Award No.G-94-2005-06 cannot be taken as an establishedcase law, as the <strong>co</strong>re issue of <strong>co</strong>mpla<strong>in</strong>t at that time was <strong>co</strong>ndonation of delay. Further,the latest judgment of NCDRC was pronounced subsequent to the award No.G-94-2005-06. Hence it was decided to dismiss the <strong>co</strong>mpla<strong>in</strong>t.Kochi Ombudsman CentreCase No. : IO/KCH/LI/21-001-115/2006-07Shri.A.V.ShijuVsLife Insurance Corporation of IndiaAward Dated : 17.10.2006

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