Section 45:
Policy not to be called in question on ground of mis-statement after two years.
(1) No policy
of life insurance shall be called in question on any ground whatsoever after the expiry of three years from
the date of the policy, i.e., from the date of issuance of the policy or the date of commencement of risk or
the date of revival of the policy or the date of the rider to the policy, whichever is later.
(2) A policy of life insurance may be called in question at any time within three years from the date of
issuance of the policy or the date of commencement of risk or the date of revival of the policy or the date
of the rider to the policy, whichever is later, on the ground of fraud:
Provided that the insurer shall have to communicate in writing to the insured or the legal
representatives or nominees or assignees of the insured the grounds and materials on which such decision
is based.
Explanation I. --For the purposes of this sub-section, the expression "fraud" means any of the
following acts committed by the insured or by his agent, with intent to deceive the insurer or to induce the
insurer to issue a life insurance policy: --
(a) the suggestion, as a fact of that which is not true and which the insured does not believe to be
true;
(b) the active concealment of a fact by the insured having knowledge or belief of the fact;
(c) any other act fitted to deceive; and
(d) any such act or omission as the law specially declares to be fraudulent.
Explanation II. --Mere silence as to facts likely to affect the assessment of the risk by the insurer is
not fraud, unless the circumstances of the case are such that regard being had to them, it is the duty of the
insured or his agent keeping silence, to speak, or unless his silence is, in itself, equivalent to speak.
(3) Notwithstanding anything contained in sub-section (2), no insurer shall repudiate a life insurance
policy on the ground of fraud if the insured can prove that the misstatement of or suppression of a
material fact was true to the best of his knowledge and belief or that there was no deliberate intention to
suppress the fact or that such misstatement of or suppression of a material fact are within the knowledge
of the insurer:
Provided that in case of fraud, the onus of disproving lies upon the beneficiaries, in case the
policyholder is not alive.
Explanation. --A person who solicits and negotiates a contract of insurance shall be deemed for the
purpose of the formation of the contract, to be the agent of the insurer.
(4) A policy of life insurance may be called in question at any time within three years from the date of
issuance of the policy or the date of commencement of risk or the date of revival of the policy or the date
of the rider to the policy, whichever is later, on the ground that any statement of or suppression of a fact
material to the expectancy of the life of the insured was incorrectly made in the proposal or other
document on the basis of which the policy was issued or revived or rider issued:
Provided that the insurer shall have to communicate in writing to the insured or the legal
representatives or nominees or assignees of the insured the grounds and materials on which such decision
to repudiate the policy of life insurance is based:
Provided further that in case of repudiation of the policy on the ground of misstatement or
suppression of a material fact, and not on the ground of fraud, the premiums collected on the policy till
the date of repudiation shall be paid to the insured or the legal representatives or nominees or assignees of
the insured within a period of ninety days from the date of such repudiation.
Explanation. --For the purposes of this sub-section, the misstatement of or suppression of fact shall
not be considered material unless it has a direct bearing on the risk undertaken by the insurer, the onus is
on the insurer to show that had the insurer been aware of the said fact no life insurance policy would have
been issued to the insured.
(5) Nothing in this section shall prevent the insurer from calling for proof of age at any time if he is
entitled to do so, and no policy shall be deemed to be called in question merely because the terms of the
policy are adjusted on subsequent proof that the age of the life insured was incorrectly stated in the
proposal.]
Notes:
1. Subs. by s. 55, ibid., for sections 44A and 45 (w.e.f. 26-12-2014).