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  • Section 21(2) of the Insurance Act, 1938, (Act IV of 1938).
  • rule 17(f) of the rules
  • rule 17(f)
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  • Section 21(2) of the Insurance Act, 1938, (Act IV of 1938).
  • rule 17(f) of the rules
  • rule 17(f)
Smart Summary

Structured Summary of the Opinion

Factual and Procedural Background

This opinion, delivered by Anantanarayanan, J., concerns O.P. 95 of 1960 which was instituted before Srinivasan, J. by Vanguard Insurance Co. Ltd., through its General Manager, against the Controller of Insurance, Simla. The petition was brought under Section 21(2) of the Insurance Act, 1938, after the Controller declined to accept a return furnished by the insurer under Section 21(1) of the Act. The insurer sought a direction from the court to compel the Controller to accept the return.

A question of jurisdiction arose — whether the Madras court (where the insurer sued) had power to entertain the application, or whether territorial jurisdiction lay with the court for Simla (the Controller's address). As a precaution the insurer also filed a similar application in the District Court of Ambala. The Controller took inconsistent positions about jurisdiction in the two courts, and after Srinivasan, J. found jurisdiction in Madras, the Ambala court dismissed the proceeding before it.

On the merits, the Controller objected to four specific items in the return submitted by the insurer. The court addressed jurisdictional contentions and then considered the four items seriatim, allowing most of the insurer's positions and disallowing one sub-item initially but ultimately restoring it on cross-appeal.

Legal Issues Presented

  1. Whether the Madras court had jurisdiction to entertain an application under Section 21(2) of the Insurance Act, 1938, read with Section 21(1)(b), the definition of "court" in Section 2(6), and Section 110 (appeals) of the Act.
  2. Whether four challenged items in the insurer's return complied with the Insurance Act, 1938, and rules framed thereunder, in particular:
    1. Whether an income-tax refund shown as an asset in the balance sheet (Rs. 6,122-29) could properly be so shown despite lack of formal sanction by income-tax authorities;
    2. Whether Rs. 10,772 shown as expenses of management could properly be debited to the profit and loss account under Section 40-C and related Controller circulars;
    3. Whether the apportionment of management expenses relating to a Ceylon branch (item 3) was permissible in the absence of a specific rule setting limits (and in light of rule 17(f)); and
    4. Whether amounts claimed as expenses incurred in settling claims (total Rs. 1,31,809, including Rs. 78,877 for salaries of a dedicated claims staff) properly fell within the footnote to Form F.

Arguments of the Parties

Controller of Insurance (Appellant) — Arguments Presented

  • The Controller contended that the Madras court lacked jurisdiction to entertain the application and that jurisdiction lay only in the court territorially competent with reference to the Controller's address at Simla.
  • With respect to the items in the return, the Controller objected that certain entries did not comply with the Act and rules. Concerning item 3 (apportionment for the Ceylon branch), the Controller argued either (i) that the total expenses of management in India should be debitable with none taken to the profit and loss account for the branch, or (ii) only five per cent should be debitable to the profit and loss account, relying by analogy on rule 17(f) as applied to S. 40-C(2) Explanation (b).
  • As to the salaries claimed under the claims section (Rs. 78,877), the Controller urged that the amounts should not be treated as strictly incurred in settling claims because claims might not arise in a particular period and it could be speculative to allow such salaries as claim-settlement expenses.

Vanguard Insurance Co. Ltd. (Respondent/Petitioner below) — Arguments Presented

  • The company maintained that the Madras court had jurisdiction and, as a matter of caution, also filed an application in Ambala. It argued that the Controller's inconsistent positions across courts estopped him from raising jurisdiction later.
  • Regarding item 1, the insurer asserted that the income-tax refund amounts (two sums totalling the stated figure) were due to the company under the income-tax law and could legitimately be shown as an asset in the balance sheet, subject to an appropriate note if formal sanction had not yet been received.
  • For item 2 (Rs. 10,772), the company relied on Controller circulars (dated 11-1-1952 and 23-5-1952) that permitted debiting the profit and loss account with expenses relating to management of capital dealings with shareholders and an appropriate share of managerial expenses.
  • For item 3, the insurer apportioned expenses between head office and the Ceylon branch on a mercantile principle based on the business carried or obtained by each and argued this apportionment was reasonable.
  • For item 4 (total Rs.1,31,809), the company claimed the amounts fell within footnote (a) to Form F — i.e., expenses strictly incurred in settling claims — and specifically that Rs. 78,877 represented salaries of a separate, segregated claims section exclusively employed in dealing with claims.

Table of Precedents Cited

No precedents were cited in the provided opinion.

Court's Reasoning and Analysis

The court's analysis proceeds in two main stages: (A) jurisdictional issues, and (B) merits of the four disputed items in the return.

A. Jurisdictional Analysis

The court observed that jurisdictional questions arose from differing readings of Section 21(1)(b), Section 21(2), the definition of "court" in Section 2(6), and Section 110 of the Insurance Act. However, the practical developments in the litigation rendered detailed academic examination unnecessary.

Key factual predicates informed the court's reasoning: the insurer filed a similar application in the District Court of Ambala; in that court the Controller contended that only the Madras High Court was competent; and after the learned Judge (Srinivasan, J.) in Madras found he had jurisdiction, the Ambala court dismissed its proceeding. The court held that the Controller could not take inconsistent positions in different courts — "cannot both approbate and reprobate" — and was therefore estopped from contesting jurisdiction either before the learned Judge or before the Madras court on appeal.

The court also noted two additional points barring the Controller's contentions: (i) territorial jurisdiction under the Civil Procedure Code can be acquiesced in by a party; and (ii) the learned Judge's interpretation of the phrase "the principal place of business of the insurer" supported the conclusion that the Madras court had jurisdiction.

B. Analysis of the Merits — Items in the Return

Item 1 (Income-tax refund: Rs. 6,122-29)

The learned Judge found, and the point was not disputed on appeal, that the total refund (two amounts: Rs. 5,455-44/2 and Rs. 676-87) was due under the income-tax law, although formal sanction by income-tax authorities had not yet been given. The court held that showing such amount as an asset in the balance sheet did not infringe any rule or accounting principle, provided a note is added indicating that formal orders sanctioning the refund are expected but not yet passed (if such orders are indeed not received before action on the judgment).

Item 2 (Expenses of management: Rs. 10,772)

Section 40-C restricts charging expenses of management to the profit and loss account in certain contingencies. The Controller had issued circulars (11-1-1952 and 23-5-1952) permitting insurers to debit profit and loss with expenses relating to management of capital dealings with shareholders and an appropriate share of managerial expenses referable to that purpose. The insurer claimed the Rs. 10,772 was covered by this concession. The Controller did not identify any provision of the Act or rules that the inclusion contravened, and the court was unable to see any infringement on the record.

Item 3 (Apportionment relating to Ceylon branch)

The court examined Section 40-C and observed it was directed to limiting expenses of management in general insurance business transacted in India (excluding life insurance). The court explained that S.40-C(2) Explanation (b) and rule 17(f)—which provide a minimum of five per cent—apply to concerns whose principal place of business is outside India and concern apportionments relating to foreign headquarters. In the present case the insurer's principal place of business was in India and the branch was in Ceylon (the converse situation).

The court identified the situation as a casus omissus: no rule had been framed under the Act prescribing a limit for apportionments in this converse instance. The proviso to S.40-C(1) permits the Controller, after consultation with the General Insurance Council's executive committee, to regularise amounts in excess of permissible expenses, but the court noted there was no information on whether any such limit had been prescribed as regards the present debits.

The Controller's argument that either none of the Indian expenses should be debited to profit and loss (for the branch) or that only five per cent should be debitable was rejected. The court found the insurer's apportionment, made on a mercantile principle (allocating by business carried or obtained by each office), to be reasonable in the absence of any statutory provision to the contrary. The court emphasized that the present case did not involve concealment, fraud or suppression.

Item 4 (Expenses incurred in settling claims: total Rs. 1,31,809; contested sub-item Rs. 78,877)

Footnote (a) to Form F permits showing all expenses strictly incurred in settling claims in that category. The insurer had debited Rs. 1,31,809 composed of five sub-heads: (1) survey & other fees, (2) fees for obtaining police reports, (3) legal fees and court expenses, (4) travelling and conveyance expenses, and (5) salary of staff.

The learned Judge allowed all sub-items except the salary item aggregating Rs. 78,877. On appeal (cross-appeal by the company) the court examined the insurer's untraversed averment that a separate claims section was maintained and that the salary figure related to staff exclusively segregated for dealing with claims. The court found speculative the Controller's suggestion that staff might be idle in some periods; the record established that during the relevant period there were 800–1,000 claims and nearly four lakhs of rupees had to be spent meeting them. Given those facts, the court concluded the debit of Rs. 78,877 was justified under the footnote to Form F.

Holding and Implications

Holding: The court dismissed the appeal by the Controller of Insurance and allowed the insurer's cross-appeal in respect of the contested salary sub-item (Rs. 78,877). The order awarded costs to the insurance company (one set). The judgment concludes with the formal entries: "Appeal dismissed" and "Cross-appeal partly allowed."

Implications: The direct consequence is that the Controller's objections to the specific items in the insurer's return were largely rejected and the contested salary item relating to the claims section was held to be properly debited. The court declined to penalise the insurer for the apportionment method used in respect of the Ceylon branch in the absence of a statutory rule setting limits. The opinion does not promulgate or rely upon any novel binding precedent; its rulings turn on statutory interpretation, the presence or absence of rules addressing particular apportionment scenarios, factual findings about the claims operations, and estoppel arising from the Controller's inconsistent positions on jurisdiction.

Judge delivering the Judgment: Anantanarayanan, J. (text indicates the opinion of the Court).

This summary is based exclusively on the text of the provided opinion and does not add information external to that text.

    Controller Of Insurance, Simla v. Vanguard Insurance Co. Ltd. .

    The Judgment of the Court was delivered by

    Anantanarayanan, J.:— Though this appeal has been argued very elaborately before us, we have ultimately come to the conclusion that it can be disposed of within a comparatively restricted compass. Adverting first to the nature of the proceedings, O.P 95 of 1960 was instituted before Srinivasan, J. by the Vanguard Insurance Co. Ltd. by its General Manager, the respondent being the Controller of Insurance, Simla, under Section 21(2) of the Insurance Act, 1938, (Act IV of 1938). That sub-section enacts that if the Controller has declined to accept a return furnished to him by the insurer, under the provisions of the Act,

    “the court may on the application of an insurer and after hearing the Controller direct the acceptance of any return which the controller has declined to accept, if the insurer satisfies the court that the action of the Controller was in the circumstances unreasonable”.

    2. It was with reference to the scope of this provision that certain items of the return were objected to by the Controller with the consequence that he declined to accept the return under Section 21(1) of the Act. Thereupon, the insurer brought forward this application under Section 21(2) of the Act, with the prayer that the court might direct the Controller to accept the return. A question of jurisdiction was mooted before the learned Judge and this depends really upon an interpretation of Section 21(1)(b) of the Act read with S. 21(2), as well as the definition of “court” in Section 2(6) of the Act, and also Section 110 of the Act which provides for appeals. It is now not necessary for us to dilate on tin's issue at any length, in view of certain significant developments. When the Controller contended that this court had no jurisdiction to entertain the application, and that such an application could only be instituted in the court of competent territorial jurisdiction with regard to the address of the Controller of Insurance, namely, Simla, it is conceded that the Vanguard Insurance Co. Ltd. (petitioner before the learned Judge) filed a similar application before the District Court of Ambala, as a matter of abundant caution. Learned counsel for the Controller of Insurance is compelled to admit that, as a question of fact, the Controller of Insurance took the attitude in that court that the Madras High Court would alone be the court of competent jurisdiction. It is also further not in dispute that, following the decision of the learned Judge (Srinivasan, J.) that he possessed the requisite jurisdiction, the court at Ambala ultimately dismissed the proceeding before it.

    3. In this situation, it is a matter for surprise that we have been invited to proceed into the question of jurisdiction at all, as a question of law. Even apart from the academic merits of that issue, it is manifest that the Controller of Insurance cannot both approbate and reprobate. One of the two courts would have the necessary jurisdiction, as a matter of logic, and the Controller cannot be heard to contend in one court that the other court alone had the requisite jurisdiction, and to contend precisely to the opposite effect in the other court. In other words, there is a clear estoppel against this kind of pleading, and we must hold that the Controller is barred from raising the issue of jurisdiction either before the learned judge or before us. We may add here that, upon two other grounds also, the Controller must fail. Territorial jurisdiction does not proceed to the root of jurisdiction, and the Civil Procedure Code recognises that a party could acquiesce in it. More importantly, the learned Judge (Srinivasan, J.) clearly seems to be right in holding that this court had jurisdiction, on the interpretation of the words “the principal place of business of the insurer”.

    4. The other matters, proceeding now to the merits, concern four items with regard to which the Controller took the objection that the return filed by the Insurance company did not comply with the provisions of the statute and the rules framed thereunder. We shall dispose of these items seriatim, and we might immediately state that only one of them (item 3) appears to require discussion at any length.

    5. As far as item 1 is concerned, this was an amount of Rs. 6122-29 as on 31-12-1957, for which the company took credit in its balance sheet as constituting an income-tax refund due to the company under law. The learned Judge has found, and this is not really disputed before us, that the total refund comprising two separate amounts of Rs. 5455-5442 and Rs. 676-87 is due to the company under the relevant provisions of the Income-tax law, while it may be strictly true that the ultimate sanction has not yet been given by the income tax authorities. So long as this is made clear, we are quite unable to see how any rule is infringed, or how any principle of accounting is violated, if the amount is shown in the balance sheet as an asset, with reference to which the company can legitimately take credit, at least to the extent that it can be properly regarded as a potential asset. All that is necessary is that a note should be added against this item, to the effect that the formal orders sanctioning refund are expected, but have not yet been passed. This may be done, if the orders have yet not been received; obviously this will not be necessary, if the orders sanctioning refund are received by the time any action has to be taken upon our judgment.

    6. The next item relates to a sum of Rs. 10772 shown as expenses of management in ilia profit and loss account. Under Section 40-C of the Act, the expenses of management can be debited to the profit and loss account only in certain contingencies. There was a circular issued by the Controller dated 11-1-1952, and a further circular issued, in view of certain representations by the insurers, dated 23-5-19152, permitting the company to debit the profit and loss account with expenses relating to the management of capital dealings with shareholders and, added thereto a proper share of the managerial expenses which would be referable to this purpose. The company claims that the amount of Rs. 10772 is covered by the concession, in the sense that such a debit in the profit and loss account is within the ambit of the Act. Learned counsel for the Controller does not say how the inclusion of this debit in the profit and loss account is an encroachment upon any provision either under the Act, or under any rules framed under the Act.

    7. Item 3 can be conveniently dealt with now, since the scope is related. The point here is that when Section 40-C of the Act is carefully perused, it will at once be obvious that section applies to limitation of expenses of management in general insurance business transacted in. India, namely, excluding life insurance. Under Section 40-C(1) of the Act, a limit has been prescribed for the incurring of expenses of management, apparently in the interests of shareholders and policy holders. It seems to be the intendment of the Act, that if there is no such limit, expenses of management might be swollen, far beyond a legitimate degree, to the detriment of the interests of the shareholders and policy holders. In the present return, as far as the figures furnished by the company are concerned, that limit has not been exceeded.

    8. Nevertheless, it is contended for the Controller with regard to item 3 that a certain debit to the profit and loss account viz., of expenses apportioned by the company with regard to its branch in Ceylon, is unjustifiable. It is pointed out by learned counsel for the Controller that under rule 17(f) of the rules framed under the Act, a minimum of five per cent has been permitted, with regard to the operation of S. 40-C(2), Explanation (b). Now S. 40-C(2), explanation (b) has no application to the present instance, for that relates to “expenses of management”, of a concern which has its “principal place of business outside India”. It is only with regard to an apportionment of expenses arising in that context, that rule 17(f) provides a minimum of five per cent towards the debit to be made in respect of the foreign headquarters. In the present case, we have the converse instance of an insurance concern whose main office is in this country, and which has a branch office in Ceylon. The question is: how are we to assign expenses of management in India, to be apportioned as between expenses which are referable to the head office, and the expenses debitable to the maintenance or conduct of the Ceylon branch office?

    9. This, as far as we can ascertain, appears to be a casus omissus. No rule has yet been framed under the Act, for a limit of apportionment in such case. Further, under the proviso to Sec. 40-C(1), where an insurer has spent any amount in excess of what is permissible under S. 40-C(1) as expenses of management the excess could also be regularised, within the limits to be determined by the Controller after consultation with he executive committee of the General Insurance Council. We simply do not know whether my such limit has been determined, with reference to the present debits.

    10. The argument of learned counsel for the Controller is that either the total “expenses of management” in India should be debitable as such to the expense account, with not even a naya paise thereof being taken over to the profit and loss account, is one interpretation of S. 40-C, or that only five per cent of the expenses should be debitable to the profit and loss account, having reference to the expenses for the maintenance and conduct of the Ceylon branch.

    11. This argument obviously has no substance, and fails even on a superficial scrutiny. We can take it that the expenses in India for the Ceylon branch would probably be somewhat less than the expenses incurred for the main concern itself in India. Actually, the insurance company has apportioned the total expenses, upon a mercantile principle which is not at all unreasonable, namely, apportionment as between the headquarters and the branch, in the ratios of the business carried on or obtained by each. This might have no sanction under the section of the rules. But, equally, the suggestion of the Controller that this should be only at five per cent, has no sanction whatever. It is based merely on an imperfect analogy, which does not apply. Under these circumstances, unless the casus omissus is rectified by a proper statutory role, providing for this case, we are unable to see how the Insurance company can be taken to task or be penalised for apportioning the expenses in the manner that it has done. It is important that we should stress that this is not a case of concealment, fraud, or suppression of any item of revenue or expenditure.

    12. All the items of expenditure held under objection relate strictly to book-keeping principles; nor has the controller been able to show that the book-keeping principles actually adopted by the Insurance company are either opposed to the Act, and the rules, or opposed to mercantile practice. Further, it has not been shown that the manner of debit entries adopted by the company was mala fide in any sense, or likely to prejudice the interests of the shareholders and policy holders, in any particular mode.

    13. Finally, there are expenses (item 4) which the company claimed to debit in respect of “amounts incurred as expenditure in settling claims”. This is covered by foot-note (a) to form F, which states that all expenses strictly incurred in settling claims, may be shown in this category. The company has, debited a total sum of Rupees 1,31,809 consisting of the sub-heads: (1) survey & other fees, (2) fees for obtaining police reports; (3) legal fees and court expenses, (4) travelling and conveyance expenses, and (5) salary of staff. There is a cross-appeal by the company with regard to the last item aggregating to Rs. 78877 which was disallowed by the learned Judge. The other items were allowed by the learned Judge, and learned counsel for the Controller has not been able to show how that allowance is, in any way, erroneous.

    14. As regards the last sub-item namely Rs. 78877 we have carefully perused the counter affidavit, and we find that the averment of the Insurance company was not traversed, namely, that there was a separate claims section maintained by the company, and that this amount relates to the total salaries paid for the members of this establishment, exclusively segregated for dealing with claims as and when they arise.

    15. The argument rather was that claims might not arise during a parties period, when the employer was hardly likely to dismiss all these persons. If he maintained them and paid their salaries, it could not be pretended, so the argument ran, that these amounts were spent strictly in the settlement of claims. There is an obvious fallacy underlying an argument of this kind, though the argument, in a modified form, seems to have found favour with the learned judge. It is not claimed before us that the contentions of the Insurance Company are incorrect that there is a claims section, that there is a special staff employed therefor, and that this amount is the total amount of salaries paid for the staff, who would be normally segregated entirely for the performance of these duties. It appears to us to be quite speculative to surmise whether, in a particular period, there might be no claims, and what the staff would do, if there were no claims. Actually, on the record it has been incontrovertibly established that during this relevant period, there were 800 to 1000 claims, and that nearly four lakhs of rupees had to be spent for meeting those claims. Hence, as far as the present return is concerned, in any event, the facts would appear to strictly justify this debit of Rs. 78877 claimed as expenses incurred with reference to the note (a) to form F.

    16. In the result, therefore, the appeal by the Controller of Insurance is dismissed, and the cross-appeal is allowed in respect of the last sub-item of item 4, with costs to the insurance company (one set).

    DJ/VRB/D.V.C

    17. Appeal dismissed.

    18. Cross-appeal partly allowed.

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    Controller Of Insurance, Simla v. Vanguard Insurance Co. Ltd. .
    (Oct 13, 1965)