Godwin v. National Council Knights & Ladies of Security , 166 Mo. App. 289 ( 1912 )

BEOADDUS, P. J.

— This suit is to recover on a benefit certificate issued by the defendant, a fraternal beneficiary association, doing business in this state. The defendant, on June 21,1901, issued to Stella God-■win, nee Singleton, its certificate of life insurance, in which, it promised to pay to the beneficiary therein named, upon the death of said Stella, the sum of $1000 that afterwards the said Stella and the plaintiff, Earl Godwin, became husband and wife; that afterwards at the request of the said Stella to change the beneficiary named in the certificate, the defendant issued a new certificate wherein plaintiff was named as beneficiary and the original certificate was surrendered. On April 15, 1909, Stella Godwin died. Proper proof of death was made, but defendant refused to pay the amount of the insurance certificate on the ground that the insured had not complied with the rules and regulations of the order in the payment of dues and assessments.

The defense to the action is, that the insured failed to pay her dues and assessments for the month of March, 1909, prior to the 1st day of April, 1909, as re- . quired by the laws of the order.

The benefit certificate provides that the contract “is and shall be subject to forfeiture for any of the causes of forfeiture which are now prescribed in the laws of the order, or for any other cause or causes of forfeiture which may be hereafter prescribed by this order by the amendment of said laws. ’ ’ Section 83 of the laws in force requires the beneficiary member of the order to be a member in good standing at the time of his or her death in order to be entitled to participate in the beneficiary fund. ■

Section 103, idem, provides; that all assessments and dues be paid without notice and paid before the last day of the month. ■ Section 112 provides, that “the certificate of each member, who has not paid his assessments or dues on or before the last day of the month, shall, by the fact of such non-payment, stand suspended without notice, and no act on the part of the council or any officer thereof, or of the national council, shall he required as essential to such suspension, and all rights under said certificate shall he forfeited, and not restored until duly re-instated by the member complying with the laws of the order, with reference to re-instatement.”

Section 186, idem, .provides that no member shall participate in the beneficiary fund, who shall at the time of death be delinquent on account of non-payment of monthly dues. Section 114, idem, provides that a member suspended for non-payment of dues, may, within sixty days, be re-instated by payment of all arrearages; provided, that he be in good health at such time; and “provided, further, that the receipt and retention of such assessments or dues in case a suspended member is not in good health shall not have the effect of re-instating such member or entitling him or his beneficiaries to any rights under his benefit certificate.”

It is provided in section 169, idem, that a subordinate council of the organization and its officers are made the agents of its members in making application for membership; “the re-instatement of members; the collection and transmission of all assessments to the national council,” etc. But it provides, that the national council “shall not be liable for any negligence in these matters nor be bound by any irregularity, neglect or illegal action by a subordinate council or by any of its officers. ’ ’

The defense is further made that the insured was not a proper subject for re-instatement because she was not in good health on or after said first day of April, 1909.

In reply the plaintiff alleges, that if the dues and assessments due on the certificate for the month of March, 1909, were not paid until the first of April, 1909, that said dues and assessments were received by defendant, its officers and agents, with full and complete knowledge of her health and physical condition on April 1, 1909, and on April 12, 1909, when the delinquent dues and assessments for the month of March were paid to and received by defendant. And it is further set up by way of estoppel, that, while the deceased was a member, defendant at times received from her past dues and assessments without objection, and thereby led her to believe that a strict compliance with the laws of the order in that respect was not required; and that it was a habit of defendant to accept dues and assessments after the time provided for their payment, with full knowledge of the facts. It was shown that on three former occasions the head of the association had received and retained dues and assessments from the member with the knowledge that they had not been paid in time, and without a certificate of her good health.

It was shown that the head of the organization did not receive information that the member was not in good health at the time her past dues and assessments were made, until after her death, and that soon thereafter he tendered these hack to plaintiff.

The verdict and judgment were for the plaintiff and defendant appealed. There is practically no dispute as to the controlling facts and the question is one of law. There is no question hut what the failure of the member to pay her dues within the time provided in the by-laws of the association ipso facto worked a suspension of her membership, unless a wavier was shown.

There was a dispute as to the condition of the member’s health on the 1st day of April. The evidence tended to show that up to and including April 1st,, she was not seriously sick; that she had what was thought a severe cold, and was able to he up and about in her house. Dr. Gray, the attending physician, testified that he saw the member the latter part of March and treated her for a cold, chills and chilly sensations, fever and coughing, at which time he prescribed for her; that he did not see her any more for a week; that he got daily reports of her condition, which were favorable; that the next time he saw her was somewhere about the 4th, 5th or 6th of April. She had a violent chill and he decided that she had lobar pneumonia. It was the opinion of doctors that the disease of pneumonia must necessarily have begun at the time of Dr. Gray’s first visit to his patient, the latter part, of March. It was explained that the pneumonia germ exists in the throats of healthy persons, and that in a person enfeebled by a severe cold these germs are-liable to develop and produce pneumonia.

It seems that said section of defendant’s by-laws in regard to re-instatement of suspended members was not enacted at the time the certificate was issued, but what was known as section 161 was in force. It. reads as follows: “Any beneficiary member suspended by reason of non-payment of an asssessment or assessments may be re-instated upon the following-conditions, and none other, viz.: If living, and in good health as when suspended, and if not engaged in any occupation prohibited by the laws of the order, at any time within sixty days from such suspension, by payment to the financial secretary of the council of all arrearages on account of the assessments and dues, including the pending assessments and dues. Upon such payment being made, the financial secretary shall enter the re-instatement of the member upon the books; of his office, and report the same to the council at its next meeting.”

The certificate provides that the member shall be ‘ ‘ entitled to all rights, benefits and privileges of membership therein (of the order) and at her death, she having complied with all of the provisions of the constitution and laws of the order, now in force, or that may be hereafter enacted,” etc. It further provides that: “This certificate and contract is and shall be subject to forfeiture for any cause of forfeiture which is now prescribed in tbe laws of the order, or for any other cause or causes of forfeiture which may he hereafter prescribed by this order by the amendment of said laws. ’ ’

If the question depended alone upon such issue the plaintiff would have no standing. It will be seen that section 114, in force at the time of the suspension, contains no cause of forfeiture other than that provided in section 161, viz.: non-payment of dues and assessments. But there is a material difference in the two sections in other respects. Section 114 provides, that a receipt and retention of unpaid delinquent dues and assessments in ease a suspended member is not in good health “shall not have the effect of re-instating such member or entitling him or his beneficiaries to any right under his certificate,” whereas, there is no such provision in section 161. But we hold that such a provision in said by-law is invalid. The defendant has no legal right to receipt and retain delinquent dues and assessments until the member dies and then assert that there was no waiver of forfeiture. It amounts to an assertion of the right, that, if the member was sick and recovered, the forfeiture was waived, but, if he died, the forfeiture was not waived. It was shown that from twenty-five to thirty-five per cent of the members were delinquent in the payment of their dues. It is held “that such a line of conduct on the part of the order and the members, shows that each understands there is a continuous insurance. Otherwise the situation would be that such member would be an insured member at all times, except the time his beneficiary would need it, viz., at his death.” [Cline v. Woodmen of the World, 111 Mo. App. 601.] Prompt payment of dues and assesments may be waived by a course of dealing with the insured, notwithstanding the policy provides that no waiver of forfeiture shall be valid unless in writing signed by an officer of the association. [Andre v. Modern Woodmen of America, 102 Mo. App. 377; James v. Insurance Co., 148 Mo. l. c. 10; Cline v. Woodmen of the World, supra.] And it is there held, in the Andre case, that it would be doing violence to common knowledge and common sense alike to suppose that a benefit society, doing business in every state in the Union, did not know that a large per cent of its members were not prompt in the payment of their dues. And it is held, that with such knowledge, the society waived the delinquencies and received payments within a reasonable time. That defendant did know that the local lodge or its financial agent was receiving the delinquent payments by its members cannot be questioned, and, notwithstanding the by-laws of the order nominated the financier the agent of the members in the receipt of dues and assessments of delinquent members, he became the agent of defendant by his course of dealing with the defendant. [McMahon v. Maccabees, 151 Mo. 522; Andre v. Woodmen, supra.] If, however, we look to the duties which the financier was to perform in the receipt of delinquent assessments, he was acting in that capacity as the agent of defendant. It is said: “A subordinate society and its officers are not made the agents of the insured by the fact that the by-laws of the order declare them to be such. The law determines whose agent one is, from the source of his appointments and the nature of the duties he is appointed to perform.” [McMahon v. Maccabees, supra.] It is the contention of defendant that this rule does not apply to fraternal beneficiary organizations, but we can see no good reason why it should not apply, and it was so applied in Andre v. Woodmen, supra, and other cases.

A careful consideration of the evidence has not convincéd us that the member was sick within the meaning of the by-laws in question. It is true the cold the member had up to and including the 1st day of April afterwards terminated in pneumonia. Healthy people have colds and they have the germs of pneumonia in their throats, which may or may not finally result in pneumonia. And it was not contemplated by the by-laws that a “bad cold” would be such a sickness as would prevent one of its delinquent members from being a proper subject for re-instatement. Such a contention would, be absurd. But, however that may be, it is clear that the act of defendant in receiving and retaining the member’s payment, made only one day too late after the appointed time for such payment, and retaining such payment without protest until she died, was a waiver of the cause of forfeiture. • The plaintiff was entitled to recover also on the other ground mentioned, that the financier, when he received the delinquent payment and re-instated the member, was acting within the scope of his authority as agent of defendant under the provisions of its by-laws.

And, furthermore, the defendant is estopped from declaring a forfeiture by its manner of its doing business in receiving the delinquent assessments of its members and treating them as re-instated members of its order. Such being our views of the case it is not necessary to notice other assigned errors. The plaintiff was entitled to a judgment on the undisputed facts. Affirmed.

All concur.