Strickland v. Gulf Life Insurance
Strickland v. Gulf Life Insurance
Dissenting Opinion
dissenting.
As I read the opinion of the majority, I find only one conclusion reached — that the opinion of the Court of Appeals is reversed so that the matter may be referred back to the trial court to hear evidence, and "fully consider” the public policy issue.
Heretofore in Georgia, where the contract is unambiguous, our courts have been able to decide, without the benefit of evidentiary hearings, whether or not a given contract or clause in a given contract violates the public policy of this state. While I do not contend that it is impermissible for a trial judge to hear evidence to aid him in making such a decision, I conclude that the trial judge in this case made his determination based on his experience, common sense, general knowledge prevailing in his community regarding the habits and customs of his people, and prior decisions of our courts touching the question. He was not required by law to hear evidence.
Now, for the first time, we require the trial judge to receive or hear evidence on whether a given contract clause violates public policy. Having done so, he can again use his experience, common sense and general knowledge, and can again consider prior case law in
The majority opinion does not specifically overrule Travelers Ins. Co. v. Pratt, 130 Ga. App. 331 (203 SE2d 302), which has heretofore decided the exact question contra to this position. But to support their argument the majority quotes approvingly from two decisions in other states representing the minority view in America and which are without precedent. The majority says, "An insurance limitation forcing such a gruesome choice may be unreasonable and thus may be void as against public policy.” It also castigates "powerful commercial units” and suggests that the policy of insurance offered in this case may have been offered to the insured on an "accept this or get nothing basis.”
The fundamental right of our citizens to legally contract; the fact that the right to contract is paramount public policy of our state and should not be interfered with lightly
I would affirm the opinion of the Court of Appeals without further ado.
I am authorized to state that Justice Jordan joins in this dissent.
Greenwood Cemetery v. Travelers Ind. Co., 238 Ga. 313 (23 SE2d 910) (1977); Equitable Loan &c. Co. v. Waring, 117 Ga. 599 (1) (44 SE 320) (1903); Phoenix Ins. Co. v. Clay, 101 Ga. 331, 332 (28 SE 853) (1897); Kaiser v. Pedrick, 30 Ga. App. 642 (118 SE 790) (1923); Mutual Life Ins. Co. v. Durden, 9 Ga. App. 797, 800 (72 SE 295) (1911).
Opinion of the Court
This is a certiorari. Strickland v. Gulf Life Ins. Co., 143 Ga. App. 67 (237 SE2d 530) (1977). It involves a life-accident policy issued in 1946 which, among other things, insures against the loss of a leg. The policy provides coverage if within 90 days of the injury there is "dismemberment by severance.” Strickland injured his right lower leg. Medical efforts to save the leg continued for 118 days. They proved unsuccessful and the leg was amputated. Gulf Life denied coverage because severance of the leg was beyond the 90 day limitation. The trial court granted Gulf Life’s motion for summary judgment. The Court of Appeals affirmed. We reverse in order that the trial court may consider in the light of this opinion Strickland’s pleadings that the condition requiring
The Court of Appeals, in considering Strickland’s appeal from the trial court’s grant of summary judgment in favor of the insurance company, relied on our case of State Farm Mut. Auto. Ins. Co. v. Sewell, 223 Ga. 31 (153 SE2d 432) (1967), which it had reluctantly followed earlier in Travelers Ins. Co. v. Pratt, 130 Ga. App. 331 (203 SE2d 302) (1973) and Boyes v. Continental Ins. Co., 139 Ga. App. 609 (229 SE2d 75) (1976).
In Sewell and Boyes, the issue was whether the loss incurred was the loss covered by the policy. The plaintiff in Sewell had suffered partial loss of his vision; he could make out images and colors and retained some peripheral vision. The Court of Appeals, in State Farm Mut. Ins. Co. v. Sewell, 114 Ga. App. 331 (151 SE2d 231) (1966), and in Ga. Life &c. Ins. Co. v. Sewell, 113 Ga. App. 443 (148 SE2d 447) (1966), construed the policy language,"the irrecoverable loss of the entire sight” as meaning a loss of sight "for all practical purposes” and affirmed such a charge given in the trial court. This court reversed, holding that the word "entire” had to be construed as meaning entire.
Similarly in Boyes, supra, the Court of Appeals, following Sewell, 223 Ga., supra, held that the total loss of use of the plaintiffs left arm was not covered by an insurance policy covering only a loss of a member by severance. This court denied certiorari.
A time limitation, as is involved in the case now before us, was presented to the Court of Appeals in Pratt, supra. The plaintiffs left foot had been injured in a hunting accident, but was not amputated for eighteen months. During this time he was under constant treatment to avoid the amputation. Although the leg as originally injured was completely useless, there remained the possibility that regeneration might occur. It did not, and amputation was eventually necessary. The policy covered a loss by severance within 90 days of the injury. At that point, the plaintiffs leg was still in a cast. The Court of Appeals, relying on Sewell, 223 Ga., supra, held that, since the policy required severance within 90 days, rather than merely loss of use during that time, the insurance company was not liable for the loss. Certiorari
The plaintiff raised the public policy argument regarding the time limitation now before us in Pratt, but the Court of Appeals denied the challenge on -the authority oí Randall v. State Mut. Ins. Co., 112 Ga. App. 268 (145 SE2d 41) (1965) (death not within 90 days), Metropolitan Life Ins. Co. v. Jackson, 79 Ga. App. 263 (53 SE2d 378) (1949) (loss of sight not within 90 days) and Bennett v. Life & Cas. Ins. Co., 60 Ga. App. 228 (3 SE2d 794) (1939) (death not within 30 days). In all of these cases, the Court of Appeals had held that time limitations in an insurance policy were "valid.” This court has not directly ruled on this issue. However, "[standardized contracts such as insurance policies, drafted by powerful commercial units and put before individuals on the 'accept this or get nothing’ basis, are carefully scrutinized by the courts for the purpose of avoiding enforcement of 'unconscionable’ clauses.” 6A Corbin, Contracts § 1376, p. 21.
Where loss of a limb is involved at an arbitrary point in time, here 90 days, the insured under these cases is confronted with the ugly choice whether to continue treatment and retain hope of regaining the use of his leg or to amputate his leg in order to be eligible for insurance benefits which he would forgo if amputation became necessary at a later time. We find an insurance limitation forcing such a gruesome choice may be unreasonable and thus may be void as against public policy.
Finding such a limitation unreasonable is not without precedent. In Burne v. Franklin Life Ins. Co., 451 Pa. 218 (301 A2d 799, 801) (1973), a pedestrian had been struck by an automobile and had lain in a vegetative state for 4 1/2 years. The insurance company paid the life policy, but refused to pay the double indemnity accidental death benefits which were "payable only if'... such death occurred . . . within ninety days from the date of the accident.’ ”
As stated in Burne, 301 A2d 799, supra, at pp. 801-802 (footnote omitted), "[t]here are strong public policy reasons which militate against the enforceability of the ninety day limitation. The provision has its origins at a much earlier stage of medicine. Accordingly, the leading
"The result reached by the trial court presents a gruesome paradox indeed — it would permit double indemnity recovery for the death of an accident victim who dies instantly or within ninety days of an accident, but would deny such recovery for the death of an accident victim who endures the agony of prolonged illness, suffers longer, and necessitates greater expense by his family in hopes of sustaining life even momentarily beyond the ninety day period. To predicate liability under a life insurance policy upon death occurring only on or prior to a specific date, while denying policy recovery if death occurs after that fixed date, offends the basic concepts and fundamental objectives of life insurance and [is] contrary to public policy. Hence, the ninety day limitation is unenforceable.
"All must recognize the mental anguish that quite naturally accompanies these tragic occurrences. Surely that anguish ought not to be aggravated in cases of this kind with concerns of whether the moment of death permits or defeats the double indemnity claim. So too, the decisions as to what medical treatment should be accorded an accident victim should be unhampered by considerations which might have a tendency to encourage something less than the maximum medical care on penalty of financial loss if such care succeeds in extending life beyond the 90th day. All such factors should, wherever possible, be removed from the antiseptic halls of the hospital. Rejection of the arbitrary ninety day provision does exactly that.”
The New Jersey court has also found this reasoning persuasive. "The rule in almost every jurisdiction which
We note further that in Karl, supra, the court considered the question whether with the minimal cost
In INA Insurance Co. v. Commonwealth Ins. Dept., 376 A2d 670 (Pa. Cmwlth. 1977), the insurance company also argued that the causation problem was the main
"[I]t may be pointed out that 'liberty of contract’ as that term is used by its admirers includes two very different elements. These are the privilege of doing the acts constituting the transaction and the power to make it legally operative. One does not have 'liberty of contract’ unless organized society both forbears and enforces, forbears to penalize him for making his bargain and enforces it for him after it is made.
"This is the 'liberty of contract’ that has so often been extolled as one of the great boons of modern democratic civilization, as one of the principal causes of prosperity and comfort. And yet the very fact that a chapter on 'legality’ of contract must be written shows that we have never had and never shall have unlimited liberty of contract, either in its phase of societal forbearance or in its phase of societal enforcement. There are many contract transactions that are definitely forbidden by the law, forbidden under pains and penalties assessed for crime and tort; and there are many more such transactions that
Corbin, in his treatise on contracts, also observes that the declaration of public policy is the proper function of the courts, as well as of the legislature. "Constitutions and statutes are declarations of public policy by bodies of men authorized to legislate. It is the function of the courts to interpret and apply these, so far as they go and so far as they are understandable. Some judges have thought that they must look solely to constitutions and statutes and to earlier decisions interpreting and applying them as the sources from which they may determine what public policy requires. This is far from true, even though these are the sources that are first to be considered and that often may be conclusive.[
"In determining what public policy requires, there is no limit whatever to the 'sources’ to which the court is permitted to go; and there is no limit to the 'evidence’ that the court may cause to be produced, . . .” 6A Corbin, Contracts, § 1375, pp. 15-19. Then, the validity of the contract in question is one of law for the court.
We reverse the Court of Appeals in order that the trial court may fully consider the public policy issue.
Judgment reversed.
In the case before us, Strickland has already paid more in premiums than the face amount of the policy.
In the opinion, the court quotes that only 6.17% of all deaths in the United States in 1967 resulted from accidents. Karl v. New York Life Insurance Co., supra, p. 569.
The court established a clear and convincing standard for proving causation where the death occurs after the time limitation in the policy.
We note that in the Georgia Insurance Code (Code Ann. Ch. 56), the legislature mandates that "[t]he Commissioner shall disapprove any such form [contract] ... (5) if it contains provisions which are unfair or inequitable or contrary to the public policy of this State, or would, because such provisions are unclear or deceptively worded, encourage misrepresentation.” Code Ann. § 56-2411. (Emphasis supplied.)
" 'Public policy is the cornerstone — the foundation of all Constitutions, statutes, and judicial decisions, and its latitude and longitude, its height and its depth, greater than any or all of them. If this be not true, whence came the first judicial decision on matter of public policy? There was no precedent for it, else it would not have been the first.’ Pittsburgh, C. C. & St. L. R. Co. v. Kinney, 115 NE 505, 507, 95 Ohio St. 64, 67, quoted and applied in Snyder v. Ridge Hill Memorial Park, 22 NE2d 559, 61 Ohio App. 271 (1938).” 6A Corbin, Contracts, § 1375, p. 15, n. 12. (Footnote in original).
"When the validity of a contract is in issue before a court, the judge is obliged to make decision whatever the degree of his ignorance or wisdom. Before decision there should be some debate and much evidence; afterwards the decision is subject to criticism, by litigant and lawyer, by
"The court can not postpone decision until all possible evidence is in. Sometimes the judge may properly take 'judicial notice’ of what is common knowledge and generally held opinion. But it is never wise to jump to a conclusion or to disregard experience; and it is never necessary to decide an issue as to public policy without expert briefing of former decisions and without listening to the testimony of those whose interests are at stake and of disinterested and experienced observers.” 6A Corbin, Contracts § 1375, pp. 10-11. (Footnotes omitted).
Reference
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