Legal Document View

Unlock Advanced Research with PRISMAI

- Know your Kanoon - Doc Gen Hub - Counter Argument - Case Predict AI - Talk with IK Doc - ...
Upgrade to Premium
[Cites 1, Cited by 0]

Bombay High Court

Indubai Raju Chavan vs Branch Manager Sbi General Insurance ... on 25 February, 2026

2026:BHC-AUG:9045
              Dilwale                                          1                   68-WP-393-21.odt




                         IN THE HIGH COURT OF JUDICATURE AT BOMBAY
                                    BENCH AT AURANGABAD

                                   68 WRIT PETITION NO. 393 OF 2021

                                        Indubai Raju Chavan
                                               VERSUS
                         Branch Manager Sbi General Insurance Company
                                                  ...
             Advocate for the Petitioner : Mr. Shinde Manoj D.
             Advocate for Respondent : Mr. Dahat R. H.
                                                  ...

                                      CORAM         : SIDDHESHWAR S. THOMBRE, J.
                                      DATE          : 25.02.2026

             PER COURT :
             1.      Heard the learned counsel for the respective parties.

             2.      The petitioner is aggrieved by the order dated 04.07.2019 passed

             below Exhibit-21 by the Permanent Lok Adalat in Pre-Litigation

             Application Dispute No.94/2018, whereby the application filed by the

             petitioner came to be dismissed.

             3.      Brief facts of the case are as under :

                     The applicant had filed an application under Section 22-C(1) of the

             Legal      Services   Authorities   Act,   1987       seeking   compensation       of

             Rs.2,00,000/- along with interest @ 18% per annum on account of the

             death of her husband.

             4.      It was contended before the Permanent Lok Adalat that the

             applicant's husband was working as a driver on vehicle bearing No. MH-

             15/GA-1277 belonging to Rubika Sathe, Nashik. On 08.06.2018,
  Dilwale                                    2                   68-WP-393-21.odt


deceased Raju Chavan had gone to Beed. The said vehicle was parked in

front of Mahavir Petrol Pump. Thereafter, Raju Chavan was found dead in

the said vehicle. Pursuant thereto, A.D. No.20/2018 was registered at

Shivajinagar Police Station. Post-mortem was conducted and as per the

post-mortem report, the cause of death was recorded as "Acute

Myocardial Infarction due to Coronary Artery Disease."

5.     The vehicle was insured with the respondent and as per the

insurance policy, personal accident coverage to the owner-driver to the

extent of Rs.2,00,000/- was provided. According to the applicant, since

the death occurred during the course of employment and while driving

the insured vehicle, the same ought to be treated as an accident covered

under the policy.

6.     It is the case of the petitioner that despite issuance of notice, the

respondent failed to pay the compensation amount. Initially, a complaint

was filed before the District Consumer Forum; however, the same was

withdrawn as not maintainable. Thereafter, the applicant approached the

Permanent Lok Adalat seeking compensation.

7.     The respondent appeared and resisted the application contending

that the death of the husband of the petitioner was not accidental but

occurred due to a heart attack and, therefore, was not covered under the

insurance policy.

8.     After considering the submissions advanced by both sides, the
  Dilwale                                   3                  68-WP-393-21.odt


Permanent Lok Adalat dismissed the application by order dated

04.07.2019. Hence, the present petition.

9.     Mr. Manoj Shinde, learned counsel for the petitioner, submits that

there is no dispute that the death was on account of heart attack.

However, he submits that the deceased had driven the vehicle from

Nashik to Beed and while on duty, due to stress and strain of driving, he

suffered a heart attack. According to him, the said incident occurred

during the course of employment and therefore must be treated as an

accidental death within the meaning of the policy.

10.    He further submits that the Permanent Lok Adalat dismissed the

application on two grounds -- firstly, that its jurisdiction is limited and

the proceedings are summary in nature; and secondly, that death due to

heart attack is a natural death and not an accident. According to him,

both findings are erroneous.

11.    In support of his contention, he relies upon the judgment of the

Hon'ble Apex Court in the case of "Smt. Dariyao Kanwar v. United India

Insurance Co. Ltd.." reported in 2023 INSC 756.

12.    Per contra, Mr. R. H. Dahat, learned counsel for the respondent,

supports the impugned order and submits that the policy does not cover

death due to heart attack. According to him, heart attack is a natural

cause of death and cannot be termed as an accident under the policy.

13.    In support of his submissions, he relies upon the judgment of the
  Dilwale                                           4                      68-WP-393-21.odt


Hon'ble Apex Court in "Smt. Alka Shukla v. Life Insurance Corporation of

India" in Civil Appeal No. 3413 of 2019, particularly paragraph no. 12

thereof which is reproduced as under:-

      "In the present case, there is no evidence to show that any bodily
      injuries were suffered due to the fall from the motorcycle or that
      they led to the assured suffering a heart attack. There is no evidence
      to show that the accident took place as a result of any outward,
      violent and visible means. The assured died as a result of a heart
      attack which was not attributable to the accident".
      [



14.       Having heard the learned counsel for the parties and upon perusal

of the record, there is no dispute that as per the post-mortem report, the

husband of the petitioner died due to heart attack. However, the material

on record indicates that he had driven the vehicle from Nashik to Beed

and was on duty at the relevant time.

15.       The question that arises for consideration is whether a heart attack

suffered during the course of employment, allegedly due to stress and

strain of duty, can be treated as an "accident" within the meaning of the

insurance policy.

16.       In this context, I am guided by the observations of the Hon'ble

Apex Court in Smt. Dariyao Kanwar (supra), wherein in paragraphs 10 to

13 it has been observed thus :

      10. Aggrieved against the aforesaid order of the Commissioner, the
      Insurance Company preferred an appeal before the High Court. The
      arguments raised by the Insurance Company were that there is no
      material on record to suggest that the death of Sumer Singh occurred
      due to strain and stress during employment. In case, the deceased
      employee was already suffering from any existing disease and died on
      account of that, it cannot be said to be a case of death during the course
      of employment. The view of the High Court was that there is no
 Dilwale                                          5                      68-WP-393-21.odt

    relationship between the death and the work being done by the
    deceased. Hence, the order of the Commissioner was found to be
    unsustainable.
    11. The judgment of this Court in Param Pal Singh case relied upon by
    the counsel for the appellants, comes to their rescue. In that case, the
    deceased was a truck driver. While on duty, he suddenly suffered health
    setback and parked his vehicle on roadside hotel. After parking the
    vehicle, he fainted and was taken to the hospital. He was declared
    brought dead. An application was filed by the dependants of the
    deceased for claiming compensation under the 1923 Act. The
    Commissioner accepted the claim whereas the order passed by the
    Commissioner was set aside by the High Court. The dependants filed an
    appeal before this Court. It is noticed in the aforesaid judgment that
    additional premium was paid for coverage of compensation payable
    under the 1923 Act.
    12. This Court accepted the appeal filed by the dependants of the
    deceased and found that even if the death had not occurred on account
    of any accident but the driver was consistently driving the vehicle, there
    is every reason to assume that long spells of driving was a material
    contributory factor, if not the sole cause that accelerated his unexpected
    death at a young age. Such an untoward mishap can reasonably be
    described as an accident, only attributable to the nature of employment.
    In the aforesaid judgment , the employee was 45 years of age. It squarely
    covers the case of the appellants.
    13. The relevant paragraphs of the decision are extracted below: (Param
    Pal Singh case, SCC p. 424, paras 29-30)
    "29. Applying the various principles laid down in the above decisions to
    the facts of this case, we can validly conclude that there was causal
    connection to the death of the deceased with that of his employment as a
    truck driver. We cannot lose sight of the fact that a 45-year-old driver
    meets with his unexpected death, may be due to heart failure while
    driving the vehicle from Delhi to a distant place called Nimiaghat near
    Jharkhand which is about 1152 km away from Delhi, would have
    definitely undergone grave strain and stress due to such long distance
    driving. The deceased being a professional heavy vehicle driver when
    undertakes the job of such driving as his regular avocation it can be
    safely held that such constant driving of heavy vehicle, being dependent
    solely upon his physical and mental resources and endurance, there was
    every reason to assume that the vocation of driving was a material
    contributory factor if not the sole cause that accelerated his unexpected
    death to occur which in all fairness should be held to be an untoward
    mishap in his lifespan. Such an "untoward mishap" can therefore be
    reasonably described as an "accident" as having been caused solely
    attributable to the nature of employment indulged in with his employer
    which was in the course of such employer's trade or business.
    30.... In such circumstances, we are convinced that the conclusion of the
    Commissioner of Workmen's Compensation that the death of the
    deceased was in an accident arising out of and in the course of his
    employment with the second respondent was perfectly justified and the
    conclusion to the contrary reached by the learned Judge of the High
    Court in the order® impugned in this appeal deserves to be set aside."
    (emphasis in original and supplied)"
  Dilwale                                   6                   68-WP-393-21.odt


17.    Therefore, considering the law laid down by the Hon'ble Apex

Court in Smt. Dariyao Kanwar (supra), it is evident that in similar facts,

the Hon'ble Apex Court has held that where the deceased was engaged in

the vocation of driving a heavy vehicle, such work inherently involves

continuous mental alertness, physical endurance and strain. If a driver,

while performing his regular avocation, suffers a fatal cardiac event

attributable to the stress and strain of employment, the same cannot be

termed as a purely natural death divorced from employment.

18.    The Hon'ble Apex Court observed that when death occurs in the

course of employment and there exists a reasonable nexus between the

nature of duties and the cause of death, such an event can be described

as an "accident" within the meaning of the policy. The unexpected

mishap, though medically described as a heart attack, if precipitated by

work-related stress or exertion, would fall within the ambit of accidental

death arising out of and in the course of employment.

19.    In view of the aforesaid observations, the principle laid down by

the Hon'ble Apex Court squarely applies to the facts of the present case,

where the deceased was on duty and had driven the vehicle from Nashik

to Beed prior to the incident.

20.    Considering the fact that under the policy, personal accident

coverage of the driver was provided, and in view of the law laid down by

the Hon'ble Apex Court in Smt. Dariyao Kanwar (supra), I am inclined to
   Dilwale                                     7                  68-WP-393-21.odt


allow the writ petition.

21.     The impugned order passed by the Permanent Lok Adalat,

therefore, deserves to be quashed and set aside.

                                   ORDER
(i)     The Writ Petition is allowed.

(ii)        The order dated 04.07.2019 passed by the Permanent Lok Adalat

is hereby quashed and set aside.

(iii)       The application filed by the petitioner before the Permanent Lok

Adn

alat stands allowed.

(iv)        The respondent is directed to pay an amount of Rs.2,00,000/- to

the petitioner along with interest @ 6% per annum from the date of filing of the application till its realization.

(v) Pending Civil Applications, if any, stand disposed of.

[ SIDDHESHWAR S. THOMBRE ] JUDGE