DocketNumber: No. 7,773.
Judges: Charles, Well, Anderson, Morris, Honorable, McHugh, Angstman
Filed Date: 7/20/1938
Status: Precedential
Modified Date: 10/19/2024
The United States Supreme Court has repeatedly held that forfeitures, though generally not regarded with favor by courts, are necessary and should be fairly enforced in life insurance cases where promptness of payment is essential. (Nederland LifeIns. Co. v. Meinert,
Coming now to the particular point involved, we wish first to call the court's attention to the majority rule in the United States, as clearly set forth in 14 Cal. Jur., sec. 44, p. 473: "The time of payment fixed in the policy is of the essence of the contract, if a forfeiture is provided for upon nonpayment at the day appointed. The days for payment stipulated in the policy control, no matter when the policy is delivered or the advance premium paid. Accordingly, the fact that a policy, the premiums upon which were payable quarterly in advance from its date, was not delivered until one month after its date, when the first payment was made, did not extend the operation of such payment for a period of three months after delivery." (See, also,Methvin v. Fidelity Mut. Life Assn.,
For the court's information we are listing numerous decisions from all the various courts in the United States, upholding the rule which we are firmly convinced applies in this case, to-wit, that the correct date from which to compute premium payments is the 11th day of July, the date of issuance of the policy, and that insured's failure to pay his second premium on that day, or within the grace period of thirty-one days thereafter, forfeited and lapsed the policy and foreclosed the plaintiff herein, the beneficiary under the policy, of any right to claim the benefits thereunder: American Ins. Union v. Lowry, (1932, C.C.A.-5)
Interesting and important questions have arisen where the policy bears the date of the application or the date of issue but the risk itself did not attach until delivery. This practice occasions an inconsistency in the terms of the contract. It will be observed that the insured on accepting the policy, pays for insurance for a specified period but by the terms of his policy is required to pay another premium on penalty of forfeiture *Page 138
before the expiration of such period. One term of his policy insured him for a specified period and another for a portion of such period. Prior to the decision of the case of McMaster v.New York Life Ins. Co.,
It is the belief of the writer, after examining a great number of decisions relating to this question, that few of the courts have known or had their attention directed to the fact that theMcConnell and Methvin Cases, supra, were based almost entirely upon the ruling in the McMaster Case when it was decided by the Circuit Court of Appeals. When the United States Supreme Court reversed the Circuit Court of Appeals it would follow *Page 139
that the McConnell and Methvin Cases were based upon a false premise, to-wit, that the original McMaster Case was good law. This is particularly unfortunate in view of the fact that almost without exception, the cases that rule for the company, when this question is involved, head their citations of authority with theMcConnell and the Methvin Cases. The dates when these decisions were handed down are interesting. They are as follows: The McMaster Case, (C.C.A.) 1898, the McConnell Case, 1899, the Methvin Case, 1900, and the McMaster Case (U.S. Supreme Court) 1901. The ruling of the Methvin Case, supra, was based largely upon evidence that the insured knew the recited date in the policy and treated same as the true date which decision was fortified by the then recent ruling in the McMaster Case. It is submitted that the California court has in effect reversed this ruling in the decision of Hill v. Industrial Acc. Com.,
Before further discussing the authorities upon the questions involved, the writer wishes to say that he is mindful of the language employed by Justice Burke in the case of Shinall v.Prudential Ins. Co. of America,
Here follows a discussion of the following authorities:Stinchcombe v. New York Life Ins. Co.,
From the foregoing it will be seen that leading courts throughout the country, as well as the leading text authority, have recognized the fairness, logic and necessity for securing to the insured precisely what he pays for, in holding that an annual premium paid on a life insurance policy will not make a forfeiture available to the company until the expiration of a full year plus the grace period from the time when said policywent into effect. It necessarily follows that in the instant case that no forfeiture was available to the defendant Insurance Company until on or after August 21, 1930. In view of the fact that Richard O. White departed this life on August 16, 1930, the policy was in full force and effect at the time of his death and hence the learned court below committed no error in making its order and entering judgment for the full amount due the respondent herein under said policy.
We add the further list of supplemental authorities: Stout
v. Missouri Fidelity Cas. Co., (Mo.)
Only a few of the many cases cited by appellant support its contention herein. The great majority of its authorities cited as such are distinguishable from the case at Bar when the facts are closely examined. This is an appeal from a judgment in favor of the plaintiff, Margaret Johnson, and against the defendant, Metropolitan Life Insurance Company. The suit was on a contract contained in a policy of life insurance issued to plaintiff's son, in which the plaintiff was named as beneficiary.
From a stipulation of facts entered into by the parties it is disclosed that on July 2, 1929, Richard O. White, the deceased, made application to the defendant company for a policy of life insurance. A policy was issued on July 11, 1929, and was delivered on July 20, 1929, on which date the insured paid the balance of the first premium, $12.88, the sum of $3 having been paid with the application. The insured died on August 16, 1930, no further premium having been paid.
The defendant specifies as error, that:
"1. The court erred in making its order dated August 9th, 1937, wherein the court found the issues involved in this case in favor of the plaintiff and ordered that the plaintiff have *Page 142 judgment against the defendant in the sum of One thousand four hundred and nine and 39/100 Dollars ($1,409.39).
"2. The court erred in entering its judgment, dated August 9th, 1937, wherein the court rendered judgment against the defendant in the sum of One thousand four hundred and nine and 39/100 Dollars ($1,409.39)."
The crux of the controversy is in determining the date on which the period of grace for the payment of premiums was to start. If, as contended by defendant, the grace period began one year from the date of issue as specified on the face of the policy, the thirty-one days of grace had elapsed before the death of the insured, and the policy had become forfeited because of nonpayment of premiums. If, however, as contended by the plaintiff, the grace period began a year from the date of delivery, July 20, the grace period for payment of premiums had not fully elapsed at the time of the death of the insured, and the policy was then in force.
The rights and liabilities of the parties are governed by the[1] provisions of the policy and the application which was expressly made a part thereof. The application, in addition to certain informative matter, contains the following language:
"It is understood and agreed: * * * 4. That the Company shall incur no liability under this application until it has been received, approved, and a policy issued and delivered, and the full first premium stipulated in this policy has actually been paid to and accepted by the Company during the lifetime of the applicant, in which case such policy shall be deemed to have taken effect as of the date of issue as recited on the firstpage thereof."
The face of the policy, in large type, contains the following[2] provisions:
"Metropolitan Life Insurance Company * * * hereby insures the life of Richard O. White herein called the Insured, in accordance with the terms of this policy, No. 1296484A and promises to pay at its Home Office in the City of New York One thousand dollars upon the surrender of this policy, to the Insured if living on the 11th day of July, 1995 or to Margaret *Page 143 Johnson, Mother Beneficiary, upon receipt of due proof of the prior death of the Insured. The right on the part of the Insured to change the Beneficiary, in the manner hereinafter provided, is reserved.
"This policy is issued in consideration of the application therefor, copy of which application is attached hereto and madepart hereof, and of the payment for said insurance on the life of the above named Insured of Fifteen Dollars and Eighty-eight Cents, (Which maintains this policy in force for a period of 12 months from its date of issue, as set forth below) and of the payment hereafter of a like annual premium on each 11th day of July (hereinafter called the due date), until 66 full years premiums shall have been paid or until the prior death of the Insured."
On the face of the policy, on the first page, we also find the following words:
"In Witness Whereof the Metropolitan Life Insurance Company has caused this policy to be executed this 11th day of July, 1929, which is the date of issue of this policy."
Under the heading "Provisions and Benefits" in the policy the following provisions are found:
"All premiums are payable, on or before their due dates, at the home office of the Company, * * *.
"The payment of a premium shall not maintain this policy in force beyond the due date when the next premium is payable, except as hereinafter provided * * *.
"A grace period of thirty-one days, without interest charge, will be granted for the payment of every premium after the first, during which grace period the insurance shall continue in force. * * *.
"This policy and the application therefor constitute the entire contract between the parties, and all statements made by the Insured, shall, in the absence of fraud, be deemed representations and not warranties, and no statement shall avoid this policy or be used in defense of a claim hereunder unless it be contained in the application therefor and a copy of such application is attached to this policy when issued." *Page 144
It is evident that in order to sustain the judgment and permit[3] recovery under this policy, we must first find that there is an ambiguity in this contract of insurance, in which event we would be justified under the ordinary principles of equity, and in line with sound decisions of this and other courts, in resolving that ambiguity in favor of the insured or his beneficiary, and against the defendant and insurer because it drew the contract and caused the ambiguity. On the other hand, if there is no ambiguity, and the provisions of the contract of insurance are plain and clear and lend themselves to but one construction, it is the duty of the court to give to the contract that one plain and clear construction, and not to attempt to rewrite for the parties a contract differing from the one to which the parties agreed. In this latter respect a contract of insurance does not differ in its construction from any other contract. It is incumbent on this court to examine the four corners of this contract to determine whether such ambiguity exists (Union Mut. Life Ins. Co. v. McMillen,
We believe that the language of the policy is so plain that it can admit of but one meaning. The application authorized the company to issue the policy and to specify upon the face thereof the date it shall be deemed to be effective for the payment of premiums. The face of the policy not only specifies the 11th day of July to be the date of issue of the policy, but also the due date for the payment of premiums. It further specifies that the policy shall be in force no longer than the due date when the premium is payable, except for a grace period of thirty-one days. It is apparent from these provisions that the policy was forfeited for nonpayment of premium thirty-one days after July 11, or before the death of the insured. *Page 145
The basis of plaintiff's contention is that there was the[4] payment of one year's premium and that he was entitled to one year's coverage, and, as there was no coverage until he paid the balance of the first premium on July 20, he, if the defendant's contention is correct, is being short-changed to the extent of nine days' insurance. In support of this contention the plaintiff cites authorities to the effect that in deciding whether or not a policy was in force at the time of the death of the insured, the computation would begin with the time the insurance became effective, or, as in most cases, on the delivery of the policy to the insured. An examination of these cases fails to disclose one in which the language employed in this application and policy was used. In such cases the courts found the language of the contract — that is, the application and policy — ambiguous, and quite equitably resolved this ambiguity in favor of the insured.
The clear statement contained in the contract before us is that the insured shall receive insurance for twelve months, plus the grace period, from the date of issuance stated in the policy. It is true that the contract operates so as to shorten the first year's coverage by nine days; but this is the express provision of the contract. The insured authorized the company to place the date in the policy from which date the premium should become payable. The insured not only authorized that provision, but accepted the policy containing the language he had authorized, and we know of no provisions of law preventing him from so contracting and agreeing.
We have searched the record to find any language that would reasonably justify the contention that the assured would actually get a full year's coverage for the first premium. It is clear under the express terms of his own agreement that he would be short the period between the date of the policy and the date of delivery and payment. The cases cited by plaintiff are distinguishable in this respect. In each case which sets out the terms of the policy we find language which would infer that the insured was to get a full year's coverage for the first yearly premium. *Page 146
Landrigan v. Missouri State Life Ins. Co., (Mo.App.)
Lyke v. First Nat. Life Acc. Ins. Co.,
Stinchcombe v. New York Life Ins. Co.,
Jefferson Standard Life Ins. Co. v. Baker, (Tex.Civ.App.)
In the case of Shinall v. Prudential Ins. Co. of America,
The plaintiff seems to rely strongly on the case of McMaster
v. New York Life Ins. Co.,
The plaintiff also relies on the case of Hampe v.Metropolitan Life Ins. Co., (Mo.App.)
Somewhere in the course of the argument the case of Parke v.New York Life Ins. Co.,
In Bergholm v. Peoria Life Ins. Co.,
In Rosenthal v. New York Life Ins. Co.,
In the case now before us the facts of the case must control[5, 6] the decision in the light of the general applicable rules. We cannot be influenced by the argument of plaintiff's counsel that the average man, in purchasing a life insurance policy, does not even see the contract itself before delivery to him, and few of them take the time to read it or would understand it if they did read it. We cannot make contracts for competent parties. With the exception of the Hampe Case, supra, to the conclusion in which we cannot subscribe, there has no case come to our attention which contains the particular provisions here presented. The contract must stand upon its own provisions, and in them we can find no ambiguity.
Plaintiff makes the further contention that when a life insurance contract actually comes into existence it is presumed to continue, and that there is a presumption against forfeiture. The presumption, however, is that the contract is valid and subsisting and the company must show facts to avoid liability. In this case the fact was the nonpayment of premiums. There is no question as to defendant having pleaded the forfeiture. It is amply pleaded in paragraphs IV and V of the affirmative matter set out in the answer. The plaintiff contends that there is not "one scintilla of evidence" as proof of the alleged forfeiture. The only evidence outside of the contract itself is the stipulation entered into between the parties. This stipulation of facts sets out the facts surrounding the contract and especially states that "after the payment of the first premium on July 20th, 1929, no further premium was ever paid to the company under the said policy." The defense is forfeiture for the nonpayment of any premiums after the first. When this nonpayment was admitted in a stipulation of facts, there was no need for proof.
It might also be contended that because there is no proof as to notice of forfeiture and a cancellation of the policy, the insurance company has waived its right to now assert the defense *Page 151 here asserted. This brings up the proposition of whether or not the contract was ipso facto void on the nonpayment of premium thirty-one days after the due date.
Section 7549, Revised Codes, provides that "Time is never[7] considered as of the essence of a contract, unless by its terms expressly so provided." In this case the terms of the contract specifically state: "The payment of a premium shall not maintain this policy in force beyond the due date when the next premium is payable." It is true that the words, "Time is the essence" are not used, but there is no magic in the use of these words. It is sufficient if the intent is clearly expressed, and it has been so held in the case of Curtis v. Parkham,
It has been urged that to construe the premium payment date as[8] being the date of the policy violates the provisions of paragraph 5 of Part A of the application, which reads as follows:
"In case of apparent errors or omissions discovered by the Company in Part A of this application, the Company is hereby authorized to amend this application by noting the change in the space entitled ``Corrections and Amendments' and I hereby agree that my acceptance of such policy, accompanied by a copy of the application so amended shall operate as a ratification of such changes or amendments, provided, however, that no change shall be made as to the amount, classification, plan of insurance, or benefits unless agreed to in writing by me."
This appears over the signature of the applicant, and it is argued that his benefits have been changed because of the nine days during which he had no protection. But in the preceding paragraph of Part A of the same application, that is paragraph 4, set out in full heretofore, and likewise over the signature of the applicant, is the specific agreement that the company should incur no liability until the premium had been paid and *Page 152 the policy delivered, but that when so paid for and received, the policy should be deemed to have taken effect as of the date of issue as recited on the first page of the policy. We cannot see but what everything done was done in exact accordance with the insured's own agreement, over his own signature, and cannot support any contention that any changes or amendments have been made either with or without the agreement of the insured.
The judgment is reversed with direction to enter judgment for defendant.
ASSOCIATE JUSTICES R.J. ANDERSON and MORRIS, and HONORABLE R.E. McHUGH, District Judge, sitting in place of MR. JUSTICE ANGSTMAN, disqualified, concur.
Rehearing denied November 16, 1938.
Kansas City Life Ins. Co. v. Harper ( 1923 )
McMaster v. New York Life Insurance ( 1901 )
Trapp v. Metropolitan Life Ins. Co. ( 1934 )
Sellars v. Continental Life Ins. Co. ( 1929 )
Story Gold Dredging Co. v. Wilson ( 1935 )
McKenney v. Phoenix Mutual Life Insurance ( 1926 )
Travelers Ins. Co. v. Wolfe ( 1935 )
New York Life Ins. Co. v. Silverstein ( 1931 )
Juster v. John Hancock Mutual Life Insurance ( 1935 )
Rolerson v. Standard Life Ins. ( 1922 )
August Prange & Bankers Trust Co. v. International Life ... ( 1932 )
Dougherty v. Mutual Life Insurance ( 1931 )
Landrigan v. Missouri State Life Insurance ( 1922 )
Scotten v. Metropolitan Life Insurance ( 1935 )
New York Life Ins. Co. v. Tolbert ( 1932 )
Anderson v. Mut. Life Ins. Co. of N.Y. ( 1913 )
Weller v. Manufacturer's Life Ins. Co. ( 1932 )
Jefferson Standard Life Ins. Co. v. Baker ( 1924 )
Harlow v. North American Accident Insurance ( 1931 )
Holmstrom v. Mutual Benefit Health & Accident Ass'n ( 1961 )
Niewoehner v. WESTERN LIFE INSURANCE COMPANY ( 1967 )
Alpha Real Estate Development, Inc. v. Aetna Life & ... ( 1977 )
McDonald v. Northern Benefit Ass'n ( 1942 )
Holbrook v. Southland Life Ins. Co. ( 1939 )
State Farm Mutual Automobile Insurance Company, an Illinois ... ( 1977 )