McNaughton v. Des Moines Life Insurance
McNaughton v. Des Moines Life Insurance
Opinion of the Court
Respondent’s counsel make the point that the contract which accompanied the policy was an evasion of the anti-rebate law, rendering the credit which assured applied on his quarterly payment ineffectual, thus leaving him in default and causing a lapse of the policy. The trial court does not appear to have passed on that question, but if counsel be right, the fact, in one aspect of the case, must render the judgment right even if the court below was wrong as to the particular matters complained of by appellant.
It was held in Urwan v. N. W. Nat. L. Ins. Co. 125 Wis. 349, 103 N. W. 1102, that a transaction, somewhat similar to that which occurred in this case, pursuant to an agreement on the part of the insurance company indicating that the ostensible purpose was not the real one, but was to rebate the regular cost of the insurance as an inducement to taking out the same, was unenforceable. It must be noted that there was proof in that instance, indicating the intention of the parties, other than the mere production of an agency contract, as in this case referring to an application not offered in evidence that might explain the transaction. There is no connection here, on the face of the papers, between the agency contract and the policy, except the mere fact that the two writings were made at the same time. In the Urwan Case the payments agreed to be made to the so-called agent were fixed in amount and the policy premiums were to be like-wisé, as the company represented. That was quite significant as showing that the real purpose was to rebate the latter
There is a further reason why respondent cannot invoke the anti-rebate law to defeat the policy claim in this case. In Laun v. Pac. Hub. L. Ins. Co. 131 Wis. 555, 111 N. W. 660, it was held that an executed agreement for rebate of a policy premium, while constituting ground for punishing the rebater as the statute provides, does not render the policy void; — that the latter purpose was not within the fair meaning of the statute; and that the rule of Urwan v. N. W. Nat. L. Ins. Co., supra, goes no further, as to -the rights of a policy-holder, than to render executory agreements for the rebating of premiums not specified in the policy unenforceable. As we view this case, if the purpose of the agency agreement.
As indicated in the statement, before the first premium 'became páyable after the assured received his first credit upon the agency contract, he was duly notified thereof, and ■of such credit. As between the parties, bn the face of the record, when that premium fell due June 15, 1904, respondent owed the assured $13.23 as a credit on such contract, payable July 15th thereafter, or within the time such premium was payable by addition of the trifling sum of fifty cents as a penalty for not making payment at the precise due date. Previous to such date, as appears, respondent notified the assured of how it proposed to treat the agency credit by sending him a notice of the premium, applying thereon such credit. Erom that circumstance the assured had a right to assume that such credits in the future would be likewise treated. The respondent was precluded by the plainest principles of estoppel from claiming to the contrary to the prejudice of the assured, as to any subsequent payment, made before it gave the assured notice of a change of its position.
When the next annual payment came due, subject to the Tight of making quarterly payments, respondent gave the assured the usual premium notice, applying the agency credit as before. Then for the first time, and after the quarterly payment was made with the credit and cash, and after the time for payment without incurring the aforesaid penalty of fifty cents, the assured was notified that:
“In cases where the premiums are paid quarterly, one fourth of the apportionment is credited upon each quarterly payment. Therefore, it will be necessary for you to send us $10.95 additional in order to receive full credit for the current quarterly under the policy referred to.”
That was an entire change of front, as the assured had a right to view the matter.
The contention of appellant’s counsel on the point last discussed we regard as sound and abundantly supported in principle by authorities cited to our attention and many others. Hull v. N. W. Mut. L. Ins. Co. 39 Wis. 897; Matlack v. Bank, 180 Pa. St. 360, 386, 36 Atl. 1082; Van Norman v. N. W. Mut. L. Ins. Co. 51 Minn. 57, 52 N. W. 988; Girard L. Ins., A. & T. Co. v. Mut. L. Ins. Co. 97 Pa. St. 15; Chicago L. Ins. Co. v. Warner, 80 Ill. 410; Ins. Co. v. Butcher, 95 U. S. 269, 272; Northwestern Mut. L. Ins. Co. v. Ross, 63 Ga. 199; Northwestern Mut. L. Ins. Co. v. Fort’s Adm’r,
It would be useless to argue that application of the agency credit was not in fact made, therefore the agreement to pay the'same was executory, and within the condemnation of the Laun Case because, primarily, as we have seen, it was not established that the agency agreement was a rebating contract; secondarily, because the application was in fact made, as the assured had a right to assume when the premium notice' was sent; and, thirdly, since in any event it was the duty of the respondent to make the application, on or before July 15, 1905, the assured had a right to assume that such application would be made if necessary to save his policy, and the court in such a case must treat that which ought to have been done as having been done.
But it is insisted, on respondent’s part, that, by the assured applying for reinstatement of the policy, treating the same as having lapsed, and being reinstated accordingly, there was conclusive acquiescence in the claim of respondent in that regard. On that Teeter v. United L. Ins. Asso. 159 N. M. 411, 416, 54 N. E. 72, is relied on. It is the opinion of the court that the rule there adopted is somewhat harsh and carries the doctrine of loss of rights by mere waiver rather to the limit, if not beyond, its boundaries as laid down by this court in Pabst B. Co. v. Milwaukee, 126 Wis. 110, 105 N. W. 563.
There can be no waiver without at least implied intent to^ waive based on knowledge, actual or constructive, of the facts. Where the reasonable inference from the whole situation between parties in contractual relations, is that one of them with knowledge, actual or constructive, has waived or abandoned a claim of right, and the other, relying thereon, has acted accordingly, generally speaking, an effectual intent to waive is implied “regardless of whether there was an actual or expressed intent to waive, or even if there was an actual but undisclosed intention to the contrary,” whether there is
It may be that Teeter v. United L. Ins. Asso., supra, is within the principle of waiver above indicated. Certain it is that the learned court in pronouncing judgment thought so. The opinion of the court here is that the case goes a little too far and yet has some distinguishing characteristics from the one in hand, tending to locate the latter outside the principle under discussion if the former is within it. In the one there was good ground on the company’s part for claiming a forfeiture, as the assured must have known, while here the assured had no good reason to think respondent’s position was tenable. In the Hew York case the assured may well have supposed, the mere shadowy chance he had for maintaining that his policy was in force notwithstanding the claimed default, was of too little consequence to warrant insisting upon it, while here the facts are so plainly conclusive in favor of the position that no lapse had in fact occurred, that it seems the assured could not have intended to waive the certainty for the uncertain outcome of an application for reinstatement, but rather thought he might well avoid a troublesome controversy with respondent by going through the form of complying with its demand without prejudice to his rights, even if the application for reinstatement should be denied, since no pecuniary penalty was involved, as seems to have been the case. Moreover the letter of the assured accompanying the application for reinstatement, shows upon its face that he recited in such application that the policy
“I am very sorry to cause you all this trouble but I must have misunderstood my contract. I understood from my policy that I can pay my premiums quarterly if I wish the rate to be $41.35. My contract states that my commissions are payable within thirty days of the anniversary of the date of the policy.” (Meaning evidently contract.) “I deducted the total amount ($14.60) after reading this.”
Thus the application for reinstatement was made, supposing, as respondent well knew from its attitude, that he had misunderstood the contract. Its letter inferentially stated that the agency apportionment for any year, by the contract, was so payable as to render the whole or only a quarter applicable upon a single premium payment, according as the assured should decide to pay annually or quarterly, which was not the case. This rather rebuts the idea of acquiescence and intention to waive with knowledge, actual or constructive, of the facts.
Without further discussion of the question of waiver, it is the opinion of the court that the law on that subject is in favor of appellant. Such being the case, all questions as to reinstatement of the policy, which were resolved in respondent’s favor by court and jury, resulting in the judgment complained of, are immaterial. That leads to the result that, on the undisputed evidence, judgment should have been given for plaintiff as demanded in the complaint upon the motion which was in effect made therefor notwithstanding the verdict, and the case must now take the course which it ought to have taken.
By the Court. — The judgment'is reversed, and the cause remanded with directions to render judgment in accordance with this opinion.
Reference
- Full Case Name
- McNaughton v. Des Moines Life Insurance Company
- Cited By
- 19 cases
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- Syllabus
- Life insurance: Agency contract with insured: Credits thereunderr how applied on premiums: Estoppel: Forfeiture: Waiver: Un-' lawful rebate of premiums through agency contract: Evidence: Effect on policy: Lapse: Reinstatementj. 1. A life insurance company having given a person with his policy an agency agreement, stipulating to pay him annually a pro-rata part of a specified percentage of all premiums paid for the ensuing ten yea.rs on business written in specified territory, such payment to be made within thirty days after the anni- versary date of the agreement, coinciding with the last day for paying annually a policy premium with a specified penalty to prevent lapsing, and the premiums having been made payable annually with an option to pay quarterly, and the assured having been duly specifically notified of the due date and amount of the second policy premium, the first apportionment under the contract being applied thereon, and he having paid accordingly, and due notice according to custom having been given as to the third premium and second agency apportionment and payment made of the quarterly amount, less such apportionment, and the company, while retaining the money, having, claimed that only one quarter of the agency apportionment was applicable on a quarterly premium payment, and demanded payment of an additional amount equal to three fourths of the agency apportionment within the thirty days for payment with the added penalty, which demand was not complied with, and thereupon the company having invited the assured to apply for reinstatement under the agreement in the policy in that regard, representing that, by the contract, he was entitled to credit of only one quarter of such apportionment on a quarterly premium, and application having been made accordingly and allowed, the additional payment being the same as the unpaid agency amount due and payable as aforesaid: (a) The giving of the premium notice in the second instance, as in the first, estopped the company from claiming that the entire agency apportionment was not applicable upon the amount payable on the policy within the time stipulated for payment of such apportionment. (b) The premium notice showing application of the agency apportionment in the second as in the first instance, constituted an actual payment of the agency apportionment fully executing the rebating contract, if such there were, for the quarter the policy premium was payable. (c) The notice to the assured after payment of the amount, unsatisfactory to the company, demanding only an additional amount equal to three fourths of the agency apportionment, waived the penalty for not making payment on the exact due date of the premium if a penalty were thereby incurred. (d) There having been due and payable to the assured on the contract by the day limited for paying the policy premium, an amount equal to the balance claimed by the company on the policy, it was bound to apply the credit if necessary to prevent a lapsing, and the application should be treated as having been 'in effect made by operation of law. (e) The assured having acted on the false representations oí the company in submitting to its claim that the policy had lapsed was not affected by the law of surrender of rights by acquiescence. 2. If an insurance company makes, ostensibly, an agency contract with a policy-holder at the date of his policy, all as one transaction, for the purpose, in fact, of rebating the cost of the in-1 surance, stipulated in the policy, such contract is unenforceable. 3. The circumstance of a life insurance company contemporaneously making an insurance agency contract with, and issuing to a person a life policy, the contract stipulating for payment to the assured for services, not definitely mentioned except by reference to an application for such contract, not produced, of a percentage each year of the premiums received in such year for insurance written in specified territory, is not of itself sufficient to show with reasonable certainty that the purpose of the contract is to circumvent the statutory prohibition against rebating policy premiums. 4. Where mere circumstances are reasonably consistent with a theory of violation of a penal statute and also inconsistent therewith, the latter should prevail in the absence of corroborating evidence. 5. An executed agreement for rebating a policy premium contrary to the statute on tbe subject renders the rebater liable to the statutory penalty but does not render the policy void or voidable. 6. If money is absolutely due and payable from an insurance company to a policy-holder before the due date of his, premium the company should apply the credit if necessary to save the policy, and in judicial proceedings involving the matter such application should be conclusively presumed to have been made, especially if such had been the custom of the company as to the particular policy. 7. If a person, erroneously supposing his policy to have lapsed, his view in that regard being induced in whole or in part by a false position on the part of the insurer, applies successfully for reinstatement under the clause of the policy permitting it, he is not precluded thereby from thereafter insisting that the policy did not in fact lapse. 8. If a person with knowledge, actual or constructive, so acts in regard to contractual relations that the reasonable inference under all the circumstances is that he has abandoned a claim of right, and the adverse party in such relations acts on the faith of such, inference, as a general rule an effectual intent to waive is implied though there is no such intent in fact, and even if there he an undisclosed intent to the contrary, and regardless of any element of estoppel strictly speaking. 9. In case of an insurance company seeking to reap advantage from its own turpitude as to violating the law against rehating, for the purpose of avoiding a policy agreement, the burden is upon it to establish the facts in that regard to a reasonable certainty. [Syllabus by Maeshail, J.]