Craig v. United States Health & Accident Ins.
Craig v. United States Health & Accident Ins.
Opinion of the Court
The opinion of the Court was delivered by
The plaintiff obtained from the defendant company a policy of insurance against accident and sickness, dated 21st February, 1906, which contained these provisions: “Or, at the rate of fifty dollars per month for the number of consecutive days-, after the first week, that the assured is necessarily and continuously confined within the house and therein regularly visited by a legally qualiñed physician by reason of illness * * * ; or if during convalescence immediately following said confinement, or by reason of any non-confining illness, the assured shall be wholly and continuously disabled from performing every duty pertaining to any business or occupation, and require the regular attendance of such physician, the company will pay him indemnity at one-fifth the above for a period- not exceeding two consecutive months. * * * Written notice of any injury, fatal or not fatal, or of any illness for which claim can be made, must be given to« the company at Saginaw, Michigan, within ten days from date of accident or beginning of illness. Failure on the part of the assured or the beneficiary to comply strictly with such notice requirement shall limit the liability of the company to one-fifth the amount which would -otherwise be payable under this policy.
*153 “An agent 'has no authority to change this policy nor to waive any of its conditions. Notice to or from any agent or knowledge acquired by him shall not be held to affect a change or waiver of this policy or any condition thereof. No assignment or change in this policy or waiver of any of its conditions shall be valid unless agreed to in writing by the president, vice-president or secretary of the company and indorsed hereon.” We have italicized the words most important to the decision of the case.
In an action in a magistrate’s court judgment in favor of the plaintiff was recovered for an illness. The plaintiff testified he became sick 16th August, 1906, and after being, in bed thirty-one days, resumed work 10th October, 1906. The attendance of a physician did not begin until the 21st August. The plaintiff made no personal report of his illness to the insurance company until 28th September, 1906, but on 27th August he notified: defendant’s local collector, who, on the same day, mailed a letter to the company giving notice of the sickness.
We think this conclusion of the circuit judge was clearly erroneous. It concerns not only the constitutional rights, but in the highest degree the business prosperity of the people that freedom of contract should be preserved inviolate. It is true, freedom to contract is not unlimited, for the law-making branch of the government may impose such limitations as can be reasonably considered to be for the public health, safety or morals. Rose v. Harlee, 69 S. C., 527, 48 S. E., 541; Johnson v. Spartan Mills, 68 S. C., 339, *154 47 S. E., 7, 695; Lawton v. Steele, 152 U. S., 135. So, also, the judicial department oí the government may refuse to enforce contracts recognized by the people 'at large as vicious in themselves and, therefore, opposed to public policy. But the General Assembly has not undertaken to forbid such a contract as the parties here made, and it is certainly not possible to point out any feature which could warrant the Court in declaring it vicious, and tending to the public detriment.
If the provision of the contract under consideration were improvident or foolish, that would -be no ground for the courts to refuse to enforce it. Attempts by courts to’ relieve parties from onerous contracts merely because they have entered into them heedlessly and improvidently are not only without warrant of law, but against the public interest; for such attempts tend to impair that general confidence in the certainty of contractual relations upon which material prosperity depends. In addition to that, nothing so¡ encourages and increases heedlessness and improvidence as the expectation of being relieved from their consequences.
But even- if the Court could relieve against a contract merely because it contained clauses which, in the view of the Court, should be considered unequal or unreasonable, such judicial power could not be invoked in this case. The provision on which the defendant relies is not unreasonable, but, on the contrary, it is evident some such stipulation is necessary to the protection of the defendant, as an insurer against sickness, to enable it to investigate alleged illness, and thus protect itself against imposition. Of course the insured would be excused from giving the notice if, from sudden and extreme illness or other cause, it became impossible for him to' comply with the contract. Stickley v. Ins. Co.. 37 S. C., 69, 15 S. E., 344; Johnson v. Maryland Cas. Co. (N. H.), 60 Atl., 1009; Whalen v. Equitable Acc. Co., (Me.), 58 Atl., 1057; Trav. Ins. Co. v. Thornton (Ga.), 46 S. E., 678.
*155 The respondent relies on the case Woodmen Assoc. v. Pratt, 89 Am. Rep., 777, as" authority for the proposition that where the contract provides for notice within a specified time, notice within a reasonable time is sufficient. That decision is rested almost 'entirely on the authority of cases like Edgefield Mfg. Co. v. Maryland Cas. Co., 78 S. C., 73, holding a requirement for immediate notice does not mean literally without the lapse of any time, but with all reasonable promptness under the circumstances. But none of these cases support the proposition that where the parties choose to fix the limit within which notice must be given the Court can annul their agreement, and substitute its own notion of what would have been a proper provision on the subject.
*156
The judgment of this Court is that the judgment of the Circuit Court be affirmed.
Reference
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- Craig v. United States Health and Accident Ins. Co.
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- Syllabus
- 1. Insurance — Notice. — Provision in an insurance contract that written notice of any illness for which claim can he made must be given at Saginaw, Mich., within ten days from beginning of illness, is not unreasonable. 2. Sebvice op Notice. — Mailing notice within time limited for service of notice required by insurance policy is sufficient service. 3. Ibid. — When the time within which an act is to be done is more than one week, Sunday is included. 4. Insurance — Notice.- — Under provisions in insurance contract requiring notice within ten days from beginning of illness, and providing ilness for which claim can he made to be: (1) where illness lasts for more than a week, (2) where insured is continuously confined to bed, (3) where insured is regularly attended by a physician, notice within ten days from day physician begins to visit insured is within the terms of the policy.