Aetna Life & Casualty Co. v. Anfinsen Plastic Molding Co.

361 N.E.2d 848, 47 Ill. App. 3d 146, 5 Ill. Dec. 525, 1977 Ill. App. LEXIS 2395
CourtAppellate Court of Illinois
DecidedMarch 29, 1977
DocketNo. 76-18
StatusPublished
Cited by3 cases

This text of 361 N.E.2d 848 (Aetna Life & Casualty Co. v. Anfinsen Plastic Molding Co.) is published on Counsel Stack Legal Research, covering Appellate Court of Illinois primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Aetna Life & Casualty Co. v. Anfinsen Plastic Molding Co., 361 N.E.2d 848, 47 Ill. App. 3d 146, 5 Ill. Dec. 525, 1977 Ill. App. LEXIS 2395 (Ill. Ct. App. 1977).

Opinion

Mr. PRESIDING JUSTICE RECHENMACHER

delivered the opinion of the court:

This is an appeal from a judgment entered by the circuit court of Kane County in favor of Aetna Life & Casualty Company (hereinafter referred to as Aetna) in an action to recover certain additional premiums which Aetna billed to the insured, Anfinsen Plastic Molding Co. (hereinafter referred to as Anfinsen), and which Anfinsen refused to pay

Anfinsen had previously been insured by Aetna for workmen’s compensation liability under a conventional annual policy, at excess annual rates, which Anfinsen obtained through a general insurance broker by the name of Konen.

Mr. Wykstra, underwriting manager for Aetna, testified that Anfinsen was paying a premium for workmen’s compensation insurance based on 1.62 of the average rate, that is, 62% above the average annual rate and that the 62% additional factor was the result of poor experience for the past three years. It appears that in April 1970, after a review by Aetna of Anfinsen’s problem with workmen’s compensation insurance, Aetna recommended to Konen that a retrospective premium rating plan be adopted for the Anfinsen account. Accordingly, Mr. Konen and a direct Aetna representative, Mr. Van Hart, called on Mr. LaHam, president of Anfinsen, and discussed the writing of a policy on the basis of a three-year retrospective rating plan. A three-year retrospective rating plan, as indicated by the retrospective premium endorsement attached to the policy, provides that the premium for the first policy year shall be based on the standard annual premium plus the incurred losses (if any) for the first year, the premium for the second year shall be based on the standard premium plus the incurred losses for the two-year period and the third-year premium shall be based on the total standard premium plus the losses incurred during the three-year period. The total premium paid by the insured is thus tied to the losses for the three-year period. The policy provided that it might be cancelled at any time by the insured by mailing the. policy back to the company with a request for cancellation or by the company by giving 10 days’ written notice to the insured. The Retrospective Premium endorsement provided that in the event of cancellation or nonrenewal by the company the retrospective premiums should be computed for the period that the policy was in force in accordance with the provisions of the endorsement.

Aetna filed a motion for summary judgment. In its affirmative defense to the motion for summary judgment, Anfinsen contended that the broker, Konen, represented that the policy of insurance was a “three year Retro Plan” which would cover the defendant for a three-year period at a fixed premium; that he further represented that at the end of the three-year period the loss ration would be averaged and the additional premium, if any, would be charged to the defendant; that he further represented that the said policy would not be cancelled nor would premiums be charged on the basis of losses for one year.

After a hearing on the motion for summary judgment the motion was denied and the case proceeded to a bench trial on the merits. At trial Anfinsen’s defense depended almost entirely on the following testimony which Anfinson relied on in establishing that the policy was represented as a three-year contract:

“Q [Defendant’s attorney] And, was it explained to Mr. LaHam that this policy would be in force for three years?
A [Mr. Konen] Yes, sir, our—the letter to me from the company was to sell a three year retro plan. Therefore, Mr. Van Hart and I went out to sell a three year retro plan and this is the way it was explained to Mr. LaHam.
Q [Defendant’s attorney] That it would be in force for three years?
A [Mr. Konen] Yes, sir. Just to explain that further, I don’t think there was any particular emphasis on, you know, it’s going to start May 3rd of ’70 and go to May 3rd of ’73, because all we continued to talk about is a three year plan.
* * *
Q [Defendant’s attorney] Was it ever represented to Mr. LaHam that this was a one-year policy that you were selling him?
A [Mr. Konen] No, sir.
Q [Defendant’s attorney] And, was it, in fact, represented to him that it was a three-year plan?
A [Mr. Konen] Yes.
Q [Defendant’s attorney] And, was that your understanding of what it was?
A [Mr. Konen] That was my understanding.
Q [Defendant’s attorney] And, is that what was said by Mr. Van Hart, also?
A [Mr. Konen] Yes, sir.”

On the basis of the foregoing testimony Anfinsen contends that Aetna’s policy was misrepresented as a noncancelable three-year policy, therefore the cancellation at the end of the first year (actually, a nonrenewal rather than a cancellation) was wrongful and that Aetna should be barred from recovering its additional premium or, in the alternative, that the policy “be reformed to conform to the agreement of the parties.”

Aetna, however, makes a distinction between a “three-year plan” and a three-year policy. Aetna contends the policy was never represented to be noncancelable—indeed, both parties had the right to cancel, the insured by returning the policy with a request for cancellation, the company by 10 days’ written notice. It is to be noted that in the above cited passage from the testimony of Mr. Konen, while the question asked was whether the policy would be in force three years, Konen in his answer stated that they went out to sell a three-year retro plan “and this is the way it was explained to Mr. LaHam.”

Whether intentional or not Anfinsen’s attorney clearly treated the policy and the plan as interchangeable but it is obvious from the policy itself, as well as from the testimony, that the policy was a standard contract with the usual provisions, including the cancellation privilege by both the insured and the company, whereas the plan was the rating scheme which set out the formula for determining the premium. It was to be determined by reference to three years’ experience in the expected course of events but there is no evidence that Aetna’s agents or employees ever represented that the policy was not cancelable. The premium endorsement itself specifically spells out the basis of the premium calculation in the event of cancellation prior to the end of the three-year period.

While the testimony of Mr. Konen indicated clearly that Aetna offered a three-year plan, there is no testimony that they offered a three-year noncancelable policy. We think the distinction is important because while the testimony of Mr. Konen indicates that Mr. LaHam was told the policy was to be written on a three-year retroactive rating plan, it does not indicate the policy was to be written for three years or that it was not to be cancelable.

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Related

Pre-Fab Transit Co. v. Northbrook Property & Casualty Insurance
600 N.E.2d 866 (Appellate Court of Illinois, 1992)
Anfinsen Plastic Molding Co. v. Konen
386 N.E.2d 108 (Appellate Court of Illinois, 1979)

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Bluebook (online)
361 N.E.2d 848, 47 Ill. App. 3d 146, 5 Ill. Dec. 525, 1977 Ill. App. LEXIS 2395, Counsel Stack Legal Research, https://law.counselstack.com/opinion/aetna-life-casualty-co-v-anfinsen-plastic-molding-co-illappct-1977.