Supreme Lodge, K. P. v. Hooper , 1926 Tex. App. LEXIS 396 ( 1926 )

LOONEY, J.

This suit was instituted by Mrs. Julia E. Hooper against the Supreme Lodge, Knights of Pythias, on a certificate of membership in the nature of an insurance policy in the sum of $3,000, issued by said order to John R. Hooper, the husband of ap-pellee, in which she was named as beneficiary. On November 1.3, 1921, John R. Hooper was drowned. Appellee made claim for the amount of the policy. Payment was refused by appellant, on the ground that the October, 1921, assessment or premium was never paid, and that the policy became ipso facto forfeited after the 20th of the month.

Appellant answered the suit by alleging, among other things, that the policy had become forfeited by reason of the nonpayment of the October, 1921, dues, and in this connection set up at length the provisions o-f the policy and by-laws, requiring payment of dues and providing for forfeiture in case of nonpayment. By supplemented petition, ap-pellee pleaded waiver of forfeiture, if any really occurred. At the conclusion of the evidence, over the objections and exceptions of appellant, a verdict was instructed for appel-lee, and accordingly judgment was rendered in her favor, from which appellant prosecutes this appeal.

By appropriate assignments and propositions, appellant complains of the action of the court in peremptorily instructing the jury to return a verdict for appellee; its contention, among other things, being that, the evidence was sufficient to raise an issue as to the nonpayment by assured of the October, 1921, assessment, and that in this status the question presented was for the jury to decide, and not for the court.

This contention of appellant is in our opinion well taken, and, if the decision of the case turned on that question, it should be reversed and remanded; but this issue •becomes immaterial, in view of the larger question of waiver presented for our consideration. Appellee insists that, even though the assessment of October, 1921, was not paid according to the terms of the contract, appellant is estopped to claim a forfeiture of the policy, in that by a course of conduct or custom of doing business it had waived the right to invoke this forfeiture provision of the contract.

Assured had been a member of the endowment rank of the Knights of Pythias for over 40 years, and as such was the holder of the certificate sued on. The monthly payments on the policy were $20.85, bit by reason of a loan against the policy of $270, made by appellant to the assured, the payments were reduced, beginning. September 1, 1919, by $9 per month; thereafter the amount to be paid monthly was $11.85. The policy provided that the charter, laws, and regulations of the society governing the insurance department should constitute a part of the contract between the member and the society. It further provided that the monthly payments should be due and payable, without notice in advance, on the 1st of every month, and that failure to make payment of such dues on or before the 20th of the month would ipso facto forfeit the policy.

Under sections 419 and 520 of the by-laws of appellant, a certificate lapsed in case of nonpayment of dues on or before the 20th of the month, and only appellant’s board of control could consider such forfeiture, readmit the former member, renew and restore the contract upon payment of all arrearages during the month of delinquency, or during the succeeding month. It had been the habit of John R. Hooper, prior to December, 1920, to make payments of his monthly dues to the secretary of the local lodge at Dallas. Subsequent to that time all payments were made for him by his son, J. J. Hooper, of Lexington, Ky., who made remittances direct to the insurance department of the Supreme Lodge at Indianapolis, Ind.

The issue of fact in regard to the nonpayment of the dues for October, 1921, relates back' to October, 1920. During the month of November, 1920, two premiums were paid by assured, one on the 19th and the other on the 23d of the month, which, as contended by ap-pellee, paid dues for the months of November and December, 1920, but, as contended by appellant, the dues for the month of October were at the time delinquent, so the payment of November 19th was applied to October, and the one of November 23d was applied to November, leaving December delinquent, when J. J. Hooper, son of assured, took-over the business of paying dues on the policy direct to the Grand Lodge.

The view of the evidence most favorable to apjjellant is that, when j. J. Hooper took charge of the matter, assured was delinquent for the month of December, 1920, and that payments thereafter were made and applied as follows: January 12, 1921, credited to December, 1920; January 24, 1921, credited to January, 1921; March 8, 1921, credited to February, 1921; April 27,1921, two payments credited to the months of March and April; June 24, 1921, credited to May; July 6, 1921, credited to June; August 5, 1921, credited to July; the payment for September was waived, and the last payment, October 25th, was credited to the month of August.

Appellant uniformly acknowledged receipt of payments, evidently on blank forms used for that purpose, four of which were in evidence, and in each the following language appeared:

“If, upon auditing your account, this amount is found to be incorrect, you will be notified.”

The undisputed evidence, according to our view, established the fact that appellant maintained a general custom or habit of dealing with its members, whereby, notwithstanding the “ipso facto forfeiture” provision of the contract, it accepted payment of dues from members during the current month of maturity, and at any time during the succeeding month, without claiming or entering on its records any evidence of forfeiture, and without invoking the action of its board of control; in other words, an assessment overdue after the 20th of the month could be paid at any time during that month or the succeeding month, without anything else ado, and the policy under these circumstances was uniformly treated by appellant in all respects as valid and subsisting.

The presumption will be indulged, nothing to the contrary appearing, that this general custom or course of dealing was known to its members, and especially to members of long standing. In addition, it was shown that J. J. Hooper, son of assured, who undertook the responsibility o-f paying these monthly dues, received from appellant during the year 1921 two letters, one of date June 21, and the other August 18, in which this course of dealing was made evident. Hooper made request for a statement of the account, and was informed in these letters that payments made by him during these months, to wit, June and August, were applied to the past-due assessments for the preceding month, respectively. The June letter concluded with this language: “Your June assessment now being due in this office.” Again on August 23, 1921, appellant wrote assured,- addressing him as “Dear Sir and Brother,” to the effect that the September payment on the policy had been waived.

Although there existed at the time of this correspondence a controversy between Hooper and the appellant as to the proper application of these payments, Hooper insisted that he was not in default, and that payments should he credited to the dues of the month when paid, whereas appellant contended that, when the remittances were received, they were applied to the payments of the dues for the preceding month, because at that time they stood delinquent. However, as to that controversy it is immaterial, as we view the matter, who was correct. The custom pursued by appellant in dealing with its members was calculated to lead assured and J. J. Hooper to believe that appellant would not insist upon a strict compliance with the terms of the contract, and that payment of dues could be made at any time during the month of maturity or during the succeeding month, without incurring any danger of having the forfeiture provision of the contract invoked.

At the date of each of these letters the policy stood in a forfeited condition; that is, if the literal terms of the contract had been invoked. But no forfeiture was ever declared or entered on any record of appellant, nor was forfeiture mentioned anywhere in the correspondence; neither was any notice ever given, so far as the record shows, that appellant insisted upon, or would insist upon, a literal compliance with the contract. If the death of assured had occurred on any day after December 20, 1920, appellant could with equal reason and consistency have claimed, as it is now claiming, that the policy had been forfeited prior to his death, yet during all that time the contract was treated as valid for the purpose of collecting premiums, and it seems the defense now being urged was held in reserv^, to mock the beneficiary when misfortune should overtake her.

This provision was inserted in the contract by appellant for its own benefit, and, of course, it was at liberty to waive it, and, in our opinion, did waive it, by this general custom or method of business. The law applieated to these facts is announced in 19 R. C. L. § 74, pp. 1274, 1275, as follows:

“Where a mutual benefit association has, in repeated instances, received from a member the payment of overdue assessments, so as to establish a custom of dealing between the parties, and lead the member to believe that a strict observance of a requirement as to the time of payment is not required, it is held that the certificate of insurance is not forfeited by failure to pay an assessment at the time when the by-laws of the society or a stipulation in the certificate requires it to be paid, provided it is paid within the customary period of extension of the time of payment, for the association is estopped by its course of conduct from claiming a forfeiture according to the strict letter of its contract. * * * and it must be shown that the delinquent member had notice of the practice and relied thereon.”

This statement of the law is well supported by decisions from the courts of different states. First Texas State Insurance Co. v. Capers (Tex. Civ. App.) 183 S. W. 794; Trotter v. Grand Lodge, Iowa Legion of Honor, 109 N. W. 1099, 132 Iowa, 513, 7 L. R. A. (N. S.) 569, 11 Ann. Cas. 533; Knights of Maccabees v. Pelton, 121 P. 949, 21 Colo. 185; Andrus v. Fidelity Mutual Life Insurance Association, 67 S. W. 582, 586, 168 Mo. 151; Griffith v. Supreme Council Royal Arcanum, 166 S. W. 324, 182 Mo. App. 644; Bruns v. Milk Wagon Drivers Union (Mo. App.) 242 S. W. 419; Ætna Life Insurance Co. v. Fallow, 77 S. W. 937, 110 Tenn. 720; Ind. Order of Foresters v. Cunningham, 156 S. W. 193, 127 Tenn. 521, 5 A. L. R. 1569; Head Camp, etc., Woodmen of the World, v. Bohanna, 151 P. 429, 59 Colo. 545. We conclude therefore, that the court did not err in directing a verdict for appellee.

Appellant assigns as error the action of the court in overruling its special exception to that part of the supplemental petition of appellee setting up a waiver by appellant of the prompt payment of the dues that accrued under the policy, in that no facts were alleged constituting waiver. The allegations of the supplemental petition, at which these exceptions were directed, are in substance that appellant accepted all payments of dues made during the year 1921 from January to October, inclusive, without protest or complaint, and without notice being given of an intention to claim a forfeiture of the policy; that it had promulgated rules,' regulations, and customs generally observed in dealing with its members, according to which payments had been accepted during the current month or thereafter, which rules and customs were observed in dealing with the assured; that on October 25, 1921, appellant accepted payment of dues by check, though made after the 20th of the month, and gave no notice of an attempt to forfeit the certificate, and thus recognized its validity; that it accepted payments for June, July, August, and October, 1921, and by written notice expressly waived payment for the month of September, thus recognizing the validity of the certificate, and waived forfeiture, that by this general custom, course .of conduct, and in accepting payments made by the assured continuously until the time of his death, it recognized the validity of the contract, waived the provisions of its constitution and by-laws, and was estopped to deny the validity of the certificate or the right of appellees to recover. These allegations, in our opinion, constituted a sufficient plea of waiver, and were not subject to the exceptions urged.

Appellant further insists that the court erred in overruling its special exception to the supplemental petition -of appellee, alleging that no notice was given to the assured or beneficiary that the certificate would be forfeited by appellant, and further that the court erred in admitting, over its objection, the evidence of J. J. Hooper to'the effect that appellant gave him no notice in regard to the forfeiture of the policy. The contention under these assignments is that as the policy, according to the terms of the contract, became ipso facto forfeited for failure to pay dues on the 20th of the month, no notice of forfeiture or of an intended forfeiture was necessary.

The rulings of the court in the respects under consideration were not, in our opinion, erroneous. Appellant, by reason of this general custom or course of dealing, waived the provision of the contract that gave it the right to claim a forfeiture for failure of the assured to pay monthly dues on or before the 20th day of the month. Assured and J. J. Hooper, his agent, were justified in relying on this custom or course of business; consequently appellant could not without prior notice insist on a forfeiture, or an intended forfeiture, of the policy for the nonobservance of this waived provision of the contract. ‘ The authorities hereinbefore cited fully sustain this view.

Having carefully examined and considered all assignments and propositions, and finding no error, the judgment below is affirmed.

Affirmed.