Appling v. Home Federal Savings & Loan Ass'n
Appling v. Home Federal Savings & Loan Ass'n
Dissenting Opinion
dissenting.
“Where an agent intentionally misrepresents the existence of coverage or the extent of coverage an action in tort will lie and the insured’s claim may not be defeated by his failure to examine and reject the policy.” King v. Brasington, 252 Ga. 109, 110 (1) (312 SE2d 111) (1984).
The evidence in the present case reveals that the appellee savings and loan association contacted the appellant and her husband repeatedly about the availability of the mortgage life insurance coverage after the loan was already in existence and subsequently collected as a commission 15 percent of all the premium payments sent to the insurer. Such evidence provides ample support for a determination that the appellee was acting as an agent of the appellant and her husband for the purpose of procuring the insurance coverage. See generally National Property Owners Ins. Co. v. Wells, 166 Ga. App. 281 (2) (304 SE2d 458) (1983). As the appellee’s subsequent conduct in knowingly continuing to accept premium payments from the appellant and her husband for a period of several years after the insurance coverage had terminated could certainly be viewed as a fraudulent misrepresentation on its part that some amount of coverage continued to be in force during that period, it follows that the failure of the appellant and her husband to read the policies does not constitute an absolute defense to the present action. See King v. Brasington, supra.
Moreover, even if the appellee’s conduct in accepting and retaining the premium payments after the termination of the coverage was
I would hold that the trial court erred in granting the appellee’s motion for directed verdict.
I am authorized to state that Presiding Judge McMurray, Judge Sognier and Judge Benham join in this dissent.
Opinion of the Court
In 1962, appellant-plaintiff (hereinafter referred to as Mrs. Appling) and her husband obtained a twenty-year home loan from appellee-defendant (hereinafter referred to as the S & L). In 1964, the S & L sent a general mailing to its customers, including Mrs. Appling and her husband, concerning the availability of mortgage life insurance. Mrs. Appling’s husband applied for the insurance and, pursuant to his application, Security Life and Trust Company issued a decreasing term policy which insured his life. The policy that was issued named the S & L as the beneficiary and contained provisions to the effect that the “initial amount of loan insured” was $10,000 and that the benefits were “to be applied by [the S & L] first toward payment of the loan. . . .” Although the policy was issued for an eighteen-year term, the payment of premiums was required for only fifteen years. Thus, no premiums would be necessary to keep the policy in force and effect for such declining coverage as would be available during the final three years of its eighteen-year term. On September 25, 1964, the S & L wrote to Mrs. Appling’s husband to notify him that the policy had been issued and would be placed in his loan file “unless [the S & L was] otherwise notified ...” When the S & L was not otherwise notified, it accordingly retained possession of the policy. Thereafter, the premiums for the policy were sent by Mrs. Appling and her husband directly to the S & L each month and the S & L forwarded the payments to the insurance company.
The loan from the S & L was paid off by Mrs. Appling and her
Mr. and Mrs. Appling elected to keep the policy in effect and they continued to send a monthly premium payment to the S & L. The S & L, in turn, continued to forward the premium payments to the insurance company until 1979, the year which marked the end of the fifteen-year period during which the payment of premiums was required. However, the S & L did not undertake to inform Mrs. Appling and her husband that, under the terms of the policy, premium payments would no longer be required to keep the coverage in effect for the next three years and Mr. and Mrs. Appling continued to send the amount of the premium to the S & L each month thereafter. These unearned and unnecessary premium payments were not returned to them by the S & L. They were placed in an “excess cash” account established for Mrs. Appling and her husband by the S & L. The S & L did not, however, inform Mrs. Appling or her husband of the creation and existence of their “excess cash” account.
The eighteen-year term policy expired in 1982. Again, the S & L did not inform Mrs. Appling or her husband of the expiration of the policy and the S & L continued to receive purported premium payments from them each month. The S & L merely continued to place these monthly payments in the “excess cash” account that it had set up. Mrs. Appling’s husband died in 1984. When she demanded that the S & L pay her $10,000 as the beneficiary of her husband’s insurance policy, the S & L informed her that there was no such policy in existence and that the funds in the “excess cash” account represented the full amount to which she was entitled. Mrs. Appling, in her individual capacity and in her capacity as administratrix of her husband’s estate, brought this suit, alleging that the S & L had fraudulently or negligently led her and her husband to believe that an insurance policy existed whereby the life of the latter was insured for $10,000. She sought $10,000 as general damages, as well as punitive damages and attorney’s fees. The S & L answered, denying the material allegations of Mrs. Appling’s complaint. The case came on for jury trial. At the close of Mrs. Appling’s evidence, the S & L moved for a directed verdict. The trial court granted the S & L’s motion and directed a verdict in its favor. Mrs. Appling appeals from the judgment entered on the directed verdict.
1. “ ‘(W)here one undertakes to procure insurance for another,
Moreover, even if we were to assume that the S & L had agreed to secure life insurance covering the life of Mrs. Appling’s husband, this would still not be a case wherein the S & L negligently or fraudulently failed ever to do so. Compare Carrollton Fed. &c. Assn. v. Young, 165 Ga. App. 262 (299 SE2d 395) (1983). Mrs. Appling’s husband was continuously insured from 1964 throughout the applicable eighteen-year term, and he died after the policy had expired. It appears that Mr. and Mrs. Appling were under the impression that, since a policy of insurance affording $10,000 in coverage had originally been issued, the life of Mr. Appling would at all times thereafter be insured for $10,000 in return for the payment of a monthly premium. However, a simple reading of the policy itself would have shown that it was merely a decreasing term life policy, whereby a steadily decreasing amount of coverage would be provided over an eighteen-year term which expired in 1982. It is true that the policy was never read by either Mr. or Mrs. Appling, because, at the election of Mr. Appling, possession of the policy had been retained by the S & L. It is, however, undisputed that the policy was at all times available for either Mrs. Appling or her husband to have retrieved or to have reviewed. They “knew that the policy was [in appellee’s possession] and that [they] could have examined it. . . .” King v. Brasington, 252 Ga. 109, 111 (2) (312 SE2d 111) (1984). Accordingly, even if we were to assume that the S & L had been Mr. and Mrs. Appling’s agent for the procurement of insurance, in order for Mrs. Appling to recover, she must show why neither she nor her husband read the policy so as to discover that the latter’s life was not insured thereunder for $10,000 at the time of his death. “ ‘A party who can read must read, or show a legal excuse for not doing so.’ [Cit.]” Hart v. Trust Co. of Columbus, 154 Ga. App. 329, 330 (268 SE2d 384) (1980).
The law recognizes that an intentional misrepresentation as to coverage may excuse a failure to read a policy. “Where an agent in
Mrs. Appling urges that, if the S & L did not intentionally create the mistaken assumptions as to the existence and extent of coverage on her husband’s life, then the S & L negligently reinforced those mistaken assumptions as to that coverage. Under the evidence, the S & L gave the appearance of continuing to accept the purported premium payments, which it in fact credited to an “excess cash” ac
2. The evidence of record conclusively shows that Mrs. Appling has no viable claim based upon the S & L’s alleged capacity as the agent of her or her husband with regard to the insurance coverage on the life of the latter. If the S & L has any liability to Mrs. Appling, it is only in its capacity as a financial institution. If the S & L’s failure
Judgment affirmed.
Reference
- Full Case Name
- Appling v. Home Federal Savings & Loan Association of Rome
- Cited By
- 5 cases
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- Published