Prudential Insurance v. Brock
Prudential Insurance v. Brock
Opinion of the Court
delivered the opinion of the Court:
Briefly, the charge of fraud is based upon the fact that after the insured came to Washington she wrote defendant company at Pittsburg, requesting that plaintiff be designated as the beneficiary in the policies. After some correspondence and investigation by the company this request was refused. The ground of refusal stated in a letter to the attorney of the insured, under date of April 27, 1914, was that the company did not name beneficiaries in the class of policies to which the ones in question belonged, and that it could not guarantee in advance to whom payment should ultimately be made. Fraud is also assumed from the alleged failure of the company to investigate whether the funeral expenses, doctor bills, and other expenses incurred in Washington had been j)aid; and also from the fact that the proceeds of the policies had been bequeathed to plaintiff under the will of the insured. It is not contended, however, that plaintiff, before payment, had notice of such bequest; the only notice being of the existence of a will in which plaintiff-was named as executrix.
The designation of a beneficiary could in no way change the terms of the contracts. The rights of a beneficiary would be subject to the conditions of the policies as to payment, and the -right conferred upon the company to make selection of the person equitably entitled to receive the proceeds of the policies could not be limited by the designation of a beneficiary. Metropolitan L. Ins. Co. v. O’Farrell, 64 Kan. 278, 67 Pac. 835.
Nor was the company estopped from making* distribuí ion and payment, under the. 2d article of the conditions of the policies, by notice of the existence of a will and the designation therein of plaintiff as executrix. In American Secur. & T. Co. v. Prudential Ins. Co. 16 App. D. C. 319, where this exact question was presented, Chief Justice Alvey, speaking for the court, said: “Doubtless, the executor or administrator of the deceased would he primarily entitled to receive the fund, as provided in the 1st article or clause of the policy; but it was competent to the parties to the contract of insurance to stipulate that such primary obligation to pay to the executors or administrators should be conditional or defeasible; and that payment to any of the class or classes of persons designated in the 2d article of the policy, showing themselves to be equitably entitled
Of course, if fraud or bad faith has been practised by the company, where a party not equitably entitled to the fund has been paid, it would constitute a good defense to defendant’s special plea. But the fraud must consist in the company either doing some act not left to its discretion, — such as the payment of only a portion of the amount due or payment to a stranger not included in one of the classes mentioned in the policy, — or fraudulently settling with one who manifestly had no equitable right to be selected. When the company in good faith finds a person within one of the classes to be equitably entitled to the fund, and makes payment accordingly, the decision is final, and not subject to review; since to reverse it would be equivalent to making a new contract for the parties.
There is no evidence of fraud in this case to justify the submission of the question to the jury. The mere fact that the company selected one person over the protest of another, when it had the power to select either, is not even a badge of fraud. It merely amounts to the exercise of the discretion conferred upon it by the contract. Nor do we think there was anything unreasonable in the selection here made as between the husband, who had paid the premiums on the policies, cared for his wife, and supported her, at least up to the time she came to Washington, and the aunt, under whose influence the insured was placed after coming to Washington.' It cannot be assumed that the company knew, nor does it appear that it was advised before making settlement, of the existence of family differences, which, if known, might or might not have affected its decision. If á mere protest by one competent to be selected would operate to estop the company from exercising the discretion conferred by the contract, there would be few cases where it could act with safety, and the beneficent purpose of the provision of the policy would be completely nullified:
The judgment is reversed, with costs, and the cause 'is remanded for a new trial. Reversed and remanded.
Reference
- Full Case Name
- PRUDENTIAL INSURANCE COMPANY v. BROCK
- Cited By
- 1 case
- Status
- Published
- Syllabus
- Life Insurance; Discretion as to Payment; Beneficiary; Fraud; Notice of Will. 1. Rights conferred upon a life insurance company by the terms of the policy to make selection of the person equitably entitled to receive the proceeds of the policy cannot be limited by the designation of a beneficiary. 2. A life insurance company is not estopped from making distributions and payment, under the terms of the policy, to the person equitably entitled to the proceeds thereof, by having notice of the existence of a will and the designation therein of an executrix. (Citing American Secur. é T. Go. v. Prudential Ins. Go. 16 App. D. C. 319.) 3. Fraud of a life insurance company which can defeat a settlement of a policy with a person .whom the company finds equitably entitled to the fund, under authority given therefor, by the terms of the policy» must consist of some act not left to the company's discretion, such as the payment of only a portion of the amount due, or payment to a stranger not included in one of the classes of persons who may be equitably entitled to the proceeds under the terms of the policy. 4. Where an insurance company in good faith finds a person equitably entitled to the fund, who belongs to one of the classes specifically mentioned for that purpose in the policy, and makes payment accordingly, the decision is final, and not subject to review by the court; since to reverse it would be equivalent to making a new contract for the parties.