The case of Debhashis Bhattacharjee
National Insurance Limited argued that a mosquito
bite cannot be classified as a ‘personal accident’ covered under the policy.
The death of a man, Debhashis Bhattacharjee, who
died of multiple organ failure after being diagnosed with encephalitis malaria
contracted from a mosquito bite he sustained while working in Mozambique in
2012.
The case became interesting when ‘the death caused
by mosquito bit’ was represented as a ‘personal accidents’. Personal accidents
are covered by the insurance Policy.
The company had argued that a mosquito bite cannot
be classified as a ‘personal accident’ covered under the policy.
The insurance company, represented by advocate
Madhavi Divan, said death due to malaria was a common occurrence in Mozambique.
Ms Divan adverted to the World Health Organization’s World Malaria Report 2018,
which showed that an estimated ten million cases of malaria in Mozambique and
an estimated 14.7 thousand deaths in the year 2017.
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, the State Commission had held that it would be
“rather silly” to call a sudden death due to mosquito bite in a foreign land a
natural death and not an accident.
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The National Commission supported that the ‘death’
is a personal accident
The National
Commission too had agreed that if the insurance company could cover events like
snake bite, frost bite and dog bite then why not mosquito bites.
The Decision of Supreme Court led By Justice D.Y.
Chandrachud
A Bench led by Justice D.Y. Chandrachud disagreed
with the conclusions of both the Consumer Disputes Commissions.
In his 16-page judgment, Justice Chandrachud
acknowledged that being “bitten by a mosquito is an unforeseen eventuality”.
However, the mosquito bit Mr. Bhatacharjee in
Mozambique, which according to World Health Organization has a population of
29.6 million people and accounts for five per cent of the cases of malaria
globally.
Malaria is too common in Mozambique. It is on
record that one out of three people in Mozambique is afflicted with malaria. In
light of these statistics, the illness of encephalitis malaria through a
mosquito bite cannot be considered as an accident. It was neither unexpected
nor unforeseen. It was not a peril insured against in the policy of accident
insurance.
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Therefore, the Supreme Court on 26th March 2019 held that
the death of a man caused by malaria after mosquito bite cannot be termed as an
accident for the purpose of insurance.
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