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Max Bupa Health Insurance Company ... vs State Of Kerala
2025 Latest Caselaw 5309 Ker

Citation : 2025 Latest Caselaw 5309 Ker
Judgement Date : 20 March, 2025

Kerala High Court

Max Bupa Health Insurance Company ... vs State Of Kerala on 20 March, 2025

Author: N.Nagaresh
Bench: N.Nagaresh
                                                       2025:KER:23436



              IN THE HIGH COURT OF KERALA AT ERNAKULAM

                              PRESENT

                THE HONOURABLE MR.JUSTICE N.NAGARESH

    THURSDAY, THE 20TH DAY OF MARCH 2025 / 29TH PHALGUNA, 1946

                       WP(C) NO. 6617 OF 2021

PETITIONER:



          STAR HEALTH AND ALLIED INSURANCE COMPANY LIMITED,
          NO.1, NEW TANK STREET, VALLUVARKOTTAM HIGH ROAD,
          NUNGABAKKAM, CHENNAI 600 034,
          REP.BY SHYJU E.J.,
          ASSISTANT ZONAL MANAGER, KOCHI


          BY ADVS.
          P.RAMAKRISHNAN
          PREETHI RAMAKRISHNAN (P-212)
          T.C.KRISHNA
          C.ANIL KUMAR
          ASHA K.SHENOY
          PRATAP ABRAHAM VARGHESE




RESPONDENT:

          STATE OF KERALA,
          REP.BY THE ADDITIONAL CHIEF SECRETARY
          LABOUR AND SKILL DEPARTMENT,
          GOVERNMENT SECRETARIAT, STATUE,
          THIRUVANANTHAPURAM 695 001.


          BY ADVS.
          SHRI.N.MANOJ KUMAR, STATE ATTORNEY
          SMT.SABEENA P. ISMAIL, GOVERNMENT PLEADER
                                              2025:KER:23436
W.P.(C) Nos.6617 & 9915 of 2021
                                  :2:


           SHRI.ASOK M.CHERIAN, ADDL. ADVOCATE GENERAL


     THIS WRIT PETITION (CIVIL) HAVING COME UP FOR
ADMISSION ON 18.11.2024, ALONG WITH WP(C).9915/2021, THE
COURT ON 20.03.2025 DELIVERED THE FOLLOWING:
                                                2025:KER:23436
W.P.(C) Nos.6617 & 9915 of 2021
                                        :3:




           IN THE HIGH COURT OF KERALA AT ERNAKULAM

                                  PRESENT

              THE HONOURABLE MR.JUSTICE N.NAGARESH

THURSDAY, THE 20TH DAY OF MARCH 2025 / 29TH PHALGUNA, 1946

                      WP(C) NO. 9915 OF 2021

PETITIONER:



           MAX BUPA HEALTH INSURANCE COMPANY LIMITED,
           C-98 LAJPAT NAGAR, PART 1, NEW DELHI-110024
           AND CORPORATE OFFICE AT 14TH FLOOR,
           CAPITAL CYBERSCAPE, SECTOR 59, GURUGRAM,
           HARYANA 122102, REPRESENTED BY ITS SENIOR
           EXECUTIVE HUMAN RESOURCE, ACHU SURESH


           BY ADVS.
           P.RAMAKRISHNAN
           PREETHI RAMAKRISHNAN (P-212)
           T.C.KRISHNA
           C.ANIL KUMAR
           ASHA K.SHENOY
           PRATAP ABRAHAM VARGHESE




RESPONDENT:



           STATE OF KERALA,
           REPRESENTED BY THE ADDITIONAL CHIEF SECRETARY,
           LABOUR AND SKILL DEPARTMENT,
           GOVERNMENT SECRETARIAT, STATUE,
           THIRUVANATHAPURAM-695001.
                                              2025:KER:23436
W.P.(C) Nos.6617 & 9915 of 2021
                                  :4:




           BY ADVS.
           SHRI.ASOK M.CHERIAN, ADDL. ADVOCATE GENERAL
           SMT.SABEENA P. ISMAIL, GOVERNMENT PLEADER


     THIS WRIT PETITION (CIVIL) HAVING BEEN FINALLY HEARD
ON 18.11.2024, ALONG WITH WP(C).6617/2021, THE COURT ON
20.03.2025 DELIVERED THE FOLLOWING:
                                                                   2025:KER:23436
W.P.(C) Nos.6617 & 9915 of 2021
                                              :5:




                                                                      CR



                             N. NAGARESH, J.

            `````````````````````````````````````````````````````````````
                 W.P.(C) No.6617 and 9915 of 2021

            `````````````````````````````````````````````````````````````
                 Dated this the 20th day of March, 2025


                              JUDGMENT

~~~~~~~~~

The petitioners in both these writ petitions are

Companies engaged in the business of providing health

insurance services to the general public. The petitioners seek

to set aside Notification GO(P) No.8/2020/LBR dated

16.01.2020 of the Government of Kerala, Labour and Skills (E)

Department to the extent it provides fixation of minimum

wages for insurance agents.

2. The petitioners state that minimum wages

were prescribed for insurance agents as per the Notification 2025:KER:23436 W.P.(C) Nos.6617 & 9915 of 2021

dated 16.01.2020. The petitioners submit that as per Section

3 of the Minimum Wages Act, the appropriate Government can

fix minimum wages payable to the employees employed only

in scheduled employment. Insurance business has not been

included either in Part I or Part II of the scheduled

employment. By a Notification GO(MS) No.177/2012/LBR

dated 31.12.2012, the Government of Kerala has notified only

"Financial Institutions". Insurance business is different from

the business carried out by financial institution.

3. The petitioners would further submit that the

term "insurance agent" is defined under Section 2(10) of the

Insurance Act and Section 42 of the Act provides for

appointment of insurance agents. The appointment of an

insurance agent is regulated by Insurance Regulatory and

Development Authority of India (Appointment of Insurance

Agents) Regulations, 2016 made in exercise of power under

Section 114A of the Insurance Act. The payment of

remuneration to insurance agents is governed by Insurance 2025:KER:23436 W.P.(C) Nos.6617 & 9915 of 2021

Regulatory and Development Authority of India (Payment of

Commission or Remuneration or Reward to Insurance Agents

and Insurance Intermediaries) Regulations, 2016. The

Regulations, 2016 provide for payment of commission to

insurance agents.

4. The Notification dated 31.12.2012 had

included "Employment in Private Financial Institution" in Part I

of the Schedule to the Minimum Wages Act, 1948. The

petitioners are aggrieved by the Minimum Wages Notification

dated 16.01.2020 which is ultravires the powers of the

Government.

5. The petitioners state that as per Section 3 of

the Minimum Wages Act, the appropriate Government can fix

minimum rates of wages payable to employees employed only

in scheduled employment. Insurance business has not been

included either in Part I or Part II of the scheduled

employment. Institutions running insurance business cannot

be considered as financial institutions. Insurance business is 2025:KER:23436 W.P.(C) Nos.6617 & 9915 of 2021

regulated by distinct and different enactments.

6. The petitioners further argued that the

Insurance Act defines the term "insurance agent" and permits

an insurance agent to act as an agent for more than one

insurer. There are statutory provisions prescribing wages for

insurance agents. Therefore, a Notification issued under the

Minimum Wages Act applicable to financial institutions cannot

be made applicable to insurance agents.

7. The petitioners further submit that Ext.P6

Notification totally ignores the distinct nature of work of

insurance agents. Insurance agents are independent

individuals. There is no employer-employee relationship

between an insurer and insurance agents. The insurance

agents receive commission, and not wages. As there is

separate Act governing insurance sector and separate

statutory regulations governing insurance agents, the well

settled doctrine of generalia specialibus non derogant would

apply and the Insurance Act, 1938 will prevail over the 2025:KER:23436 W.P.(C) Nos.6617 & 9915 of 2021

provisions of the Minimum Wages Act. Ext.P6 is therefore

liable to be set aside to the extent it provides for fixation of

minimum wages for insurance agents.

8. The State of Kerala resisted the writ petitions

filing counter affidavit. Ext.P6 Notification is issued to ensure

minimum wages to employees employed in private financial

institutions. The petitioners in the writ petitions are doing

health insurance business. The petitioners are effecting

contracts as part of their business, which provides for sickness

benefits or medical or surgical or hospital expense benefits,

travel cover of patients and personal accident cover. Thus, the

petitioners are doing some financial business for making

monetary benefits.

9. The products of the petitioners are financial

products. The petitioners are therefore financial institutions.

The Minimum Wages Act is a benevolent legislation to ensure

payment of minimum wages to a particular class of

employees. Minimum wages are fixed after extensive 2025:KER:23436 W.P.(C) Nos.6617 & 9915 of 2021

deliberations, with strict adherence to all set legal practices.

10. The respondents urged that the doctrine of

generalia specialibus non derogant if at all applies, then it is

the Minimum Wages Act which should prevail over the

Insurance Act since the Minimum Wages Act is not a general

law. Since the insurance companies paid remuneration to the

respective insurance agents for the work done by them, there

is definitely an employee-employer relationship between the

insurance companies and the insurance agents.

11. I have heard the learned counsel for the

petitioners and the learned Government Pleader representing

the respondents.

12. The questing arising in the writ petitions is

relating to the legality of Ext.P6 Notification dated 16.01.2020

published by the Government of Kerala, Labour and Skills (E)

Department prescribing minimum wages to insurance agents

working in the insurance sector. The title to the Schedule to

Ext.P6 Notification reads as follows:-

2025:KER:23436 W.P.(C) Nos.6617 & 9915 of 2021

Private Financial Institutions (including Banking, Non Banking, Insurance, Micro finance, Foreign exchange, Hire purchase, Chitty, Kuri, Mortgage institutions)

Minimum wages in the scale of pay of ₹14750-750-18500-

850-22750 has been prescribed as minimum wages payable

to Insurance Agents and Insurance Advisor in the Notification.

13. The Minimum Wages Act, 1948 (Act 11 of

1948) has been framed to provide for minimum rates of wages

in certain employments. Section 3 of the Minimum Wages

Act, 1948 provides that the appropriate Government shall fix

the minimum rates of wages payable to employees employed

in an employment specified in Part I or Part II of the Schedule

and in any employment added to either Part by notification

under Section 27. Employment in insurance institutions is not

specifically included in Part I or Part II of the Schedule.

However, the Government of Kerala as per Ext.P4 Notification

has added employment in Private Financial Institutions to Part

I of the Schedule to the Minimum Wages Act in its application 2025:KER:23436 W.P.(C) Nos.6617 & 9915 of 2021

to the State of Kerala.

14. The explanatory note to Ext.P4 Notification

SRO No.34/2013 reads as follows:

"The Government have decided to include the employment in footwear manufacturing, employment in paper industry and paper products industries, employment in Private Financial Institutions and employment in photography and videography and incidental works in Part I of the Schedule to the Minimum Wages Act, 1948, for the purpose of fixing the minimum rate of wages payable to the employees employed in the abovesaid industries."

The Notification is intended to achieve the above object.

15. In exercise of powers under Section 5(1), the

respondent published Ext.P5 Notification dated 28.07.2016

proposing the rates of minimum wages payable to employees

employed in Private Financial Institutions. In Ext.P5, the

Government has fixed pay scales for different category of

employment in the financial institutions. The proposal

contained minimum wages for the banking institutions as also

the institutions engaged in insurance service.

2025:KER:23436 W.P.(C) Nos.6617 & 9915 of 2021

16. The Kerala Non Banking Financial

Companies Welfare Association had challenged Ext.P5

Notification. This Court, as per judgment in Kerala Non

Banking Financial Companies Welfare Association v.

State of Kerala [2019 (4) KLT 977] struck down the

prescription for service weightage, special allowance for extra

duty and risk allowance prescribed in Ext.P5.

17. Subsequently, the respondent issued Ext.P6

Notification GO(P) No.8/2020/LBR dated 16.01.2020 fixing the

minimum wages payable to the employees employed in

Private Financial Institutions. By Ext.P6, the pay scale

prescribed in Ext.P5 Notification was decided as the minimum

wages payable.

18. The argument of the petitioners is that the

insurance industry is governed by the Insurance Act and

Regulations made thereunder. Ext.P2 is the Insurance

Regulatory and Development Authority of India (Appointment

of Insurance Agents) Regulations, 2016. The said 2025:KER:23436 W.P.(C) Nos.6617 & 9915 of 2021

Regulations, 2016 define insurance agents to mean an

individual appointed by an insurer for the purpose of soliciting

or procuring insurance business including business relating to

the continuance, renewal or revival of policies of insurance.

The Regulations also provide for payment of commission or

remuneration or reward to insurance agents. The petitioners

argued that insurance agents being governed by the Insurance

Act and the Regulations made thereunder cannot be brought

under the category of private financial institutions.

19. The further argument is that insurance

service is not a financial service. Insurance products are not

financial products.

20. Though the insurance business is unlike

other financial businesses like banking, non-banking, chitties,

etc. and insurance business is primarily intended to insure life

and property of its consumers, the end product given by the

insurance companies have the nature of financial products.

Therefore, the Government of Kerala has treated private 2025:KER:23436 W.P.(C) Nos.6617 & 9915 of 2021

institutions doing insurance business as private financial

institutions for the purpose of prescription of minimum wages

to insurance agents.

21. Though the term 'financial institutions' may

have different and distinct meaning under other enactments,

that cannot by itself dis-empower the respondent to include

institutions doing insurance business under the head of

"private financial institutions" for the purpose of prescription of

minimum wages. Inclusion of insurance institutions under the

head "private financial institutions" in Ext.P6 Notification is only

for the purpose of prescribing statutory minimum wages to the

employees working under the insurance sector. There cannot

be any illegality in such inclusion. Therefore, the argument of

the petitioners that insurance institutions not being strictly

financial institutions, cannot be included in Ext.P6 Notification

is only to be rejected.

22. The fact that the insurance industry is

governed by the Insurance Act, 1938 and by the Insurance 2025:KER:23436 W.P.(C) Nos.6617 & 9915 of 2021

Regulatory and Development Authority Act, 1999 will not take

away the right of the respondent to prescribe minimum wages

for the employees in the insurance sector in exercise of the

powers conferred under the Minimum Wages Act, 1948.

Similarly, the fact that Regulations are made for prescribing

wages to the employees under the insurance sector, will not

take away the power and authority of the appropriate

Governments for prescribing minimum wages. The arguments

of the respondents in that regard are also liable to be rejected.

23. The further argument of the petitioners is that

insurance agents are not workmen of the insurance companies

and no wages are paid to them. There is no employer-

employee relationship between insurance companies and

insurance agents. What is paid to the insurance agents is

commission. Therefore, insurance agents cannot be treated

as employees or workmen of the insurance companies.

24. How and on what terms an employee or

agent is appointed, their nature of duties, the power of 2025:KER:23436 W.P.(C) Nos.6617 & 9915 of 2021

supervision of the employer, disciplinary control by the

employer over such employees/agents, etc. may vary from

employer to employer. Therefore, whether persons appointed

as insurance agents would fall within the ambit of

employee/workmen is a matter to be decided on a case to

case basis. That by itself cannot be a reason not to prescribe

minimum wages to the insurance agents who are lower rung

employees working in insurance sector.

25. For all the afore reasons, I do not find any

illegality in Ext.P6 Notification and in the action of the

respondents in treating the employees/agents working in

insurance sector as employees/agents working in "private

financial institutions" for the purpose of prescription of

minimum wages.

The writ petitions fail and hence they are dismissed.

Sd/-

N. NAGARESH, JUDGE aks/07.03.2025 2025:KER:23436 W.P.(C) Nos.6617 & 9915 of 2021

APPENDIX OF WP(C) 6617/2021

PETITIONER'S EXHIBITS

EXHIBIT P1 TRUE COPY OF CERTIFICATE OF REGISTRATION OF THE PETITIONER COMPANY DATED 16.3.2006

EXHIBIT P2 TRUE COPY OF INSURANCE REGULATORY AND DEVELOPMENT AUTHORITY OF INDIA (APPOINTMENT OF INSURANCE AGENTS) REGULATION 2016.

EXHIBIT P3 TRUE COPY OF INSURANCE REGULATORY AND DEVELOPMENT AUTHORITY OF INDIA (PAYMENT OF COMMISSION OR REMUNERATION OF REWARD TO INSURANCE AGENTS AND INSURANCE INTERMEDIARIES) REGULATIONS 2016

EXHIBIT P4 TRUE COPY OF NOTIFICATION DATED 31/12/2012 ISSUED BY THE RESPONDENT.

EXHIBIT P5 TRUE COPY OF NOTIFICATION DATED 28.7.2016 ISSUED BY THE RESPONDENT.

EXHIBIT P6 TRUE COPY OF NOTIFICATION G.O.(P) NO.8/2020/LBR DATED 16/1/2020 ISSUED BY THE RESPONDENT.

2025:KER:23436 W.P.(C) Nos.6617 & 9915 of 2021

APPENDIX OF WP(C) 9915/2021

PETITIONER'S EXHIBITS

EXHIBIT P1 TRUE COPY OF CERTIFICATE OF REGISTRATION NO.145 ISSUED BY THE INSURANCE REGULATORY AND DEVELOPMENT AUTHORITY TO THE PETITIONER COMPANY.


EXHIBIT P2             TRUE COPY OF INSURANCE REGULATORY AND
                       DEVELOPMENT    AUTHORITY    OF    INDIA
                       (APPOINTMENT   OF   INSURANCE   AGENTS)
                       REGULATION 2016 DATED 15/04/2016.

EXHIBIT P3             TRUE COPY OF INSURANCE REGULATORY AND

DEVELOPMENT AUTHORITY OF INDIA(PAYMENT OF COMMISSION OR REMUNERATION OR REWARD TO INSURANCE AGENTS AND INSURANCE INTERMEDIARIES) REGULATIONS 2016)

EXHIBIT P4 TRUE COPY OF NOTIFICATION DATED 31/12/2012 ISSUED BY THE RESPONDENT.

EXHIBIT P5 TRUE COPY OF NOTIFICATION DATED 28/07/2016 ISSUED BY THE RESPONDENT.

EXHIBIT P6 TRUE COPY OF NOTIFICATION GO(P) NO.8/2020/LBR DATED 16/01/2020 ISSUED BY THE RESPONDENT.

EXHIBIT P7 TRUE COPY OF INTERIM ORDER DATED 15/03/2021 IN WPC NO.6617/2021.

2025:KER:23436 W.P.(C) Nos.6617 & 9915 of 2021

 
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