American Casualty Company v. Whitehead

206 So. 2d 838, 1968 Miss. LEXIS 1589
CourtMississippi Supreme Court
DecidedFebruary 5, 1968
Docket44679
StatusPublished
Cited by10 cases

This text of 206 So. 2d 838 (American Casualty Company v. Whitehead) is published on Counsel Stack Legal Research, covering Mississippi Supreme Court primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
American Casualty Company v. Whitehead, 206 So. 2d 838, 1968 Miss. LEXIS 1589 (Mich. 1968).

Opinion

206 So.2d 838 (1968)

AMERICAN CASUALTY COMPANY, Appellant,
v.
John J. WHITEHEAD, Jr., Appellee.

No. 44679.

Supreme Court of Mississippi.

February 5, 1968.

P.D. Greaves, Herbert J. Stelly, Sr., Gulfport, for appellant.

Cumbest, Cumbest, O'Barr & Shaddock, Pascagoula, for appellee.

BRADY, Justice:

The appellee obtained a verdict in the sum of $4,680.72 which represented claims alleged to be due under an insurance policy issued by appellant to the appellee. From that judgment appellant prosecutes this appeal. The basic facts revealed in the record are as follows.

On April 17, 1961, an application was made by John J. Whitehead, Jr. to the American Casualty Company of Reading, Pennsylvania, through its resident agent, Mr. D.R. Peele. The application was for a Protector Major Medical Expense Policy, the effective date of which was May 1, 1961. The appellee presented his check in the sum of $53.32 to appellant's agent, D.R. Peele, on April 18, 1961, in payment of the semi-annual, premium. This check was made payable to Peele Insurance Agency and was endorsed by D.R. Peele Insurance and Real Estate, and cashed.

The record discloses that the appellee was engaged in the construction business and in gasoline and oil business, and that appellee had numerous policies of insurance protecting his interests, which he secured from various agents residing in Pascagoula, Mississippi. The record further discloses that both Mr. D.R. Peele and his wife, Laverne Peele, notified the appellee when the premiums were due on the various policies which he carried with appellant, and that appellee paid the premiums on the policies either by check or cash by delivering the same to Mr. or Mrs. Peele. The *839 record further discloses that the appellee was never notified by the American Casualty Company that the policy in question had lapsed prior to the time demand was made on it for the payment of benefits thereunder.

While operating a tractor on May 27, 1962, the appellee was injured when the tractor turned over on him. As a result thereof he was in the Singing River Hospital in Pascagoula for a period of approximately thirty-four days. Mr. Lester L. Tuck, the administrator of the Singing River Hospital, telegraphed the appellant apparently a short time prior to June 25, 1962, inquiring whether or not there was a policy covering the appellee for injuries he received. On June 25, 1962, the appellant wrote the following letter to the hospital:

Singing River Hospital Pascagoula, Mississippi Re. John J. Whitehead MME 27281
Gentlemen:
We have your telegram about this insured's admission there. We understand it due to an accident.
Mr. Whitehead's policy with us is a Major Medical contract providing up to $10,000 for any one accident. The policy deducts the first $500 of expenses involved and then pays the insured 80% of the next expense involved up to the policy maximum. There is no limit as far as room and board and hospital extras are concerned, but naturally they are subject to the other provisions of the policy.
Cordially, I.F. Casey, Jr. A. & H. Claims Supervisor
(Emphasis added)

The Singing River Hospital permitted the appellant to remain there and receive treatment, the hospital expenses amounting to $2,339. Dr. Herbert H. Robinson's bill for professional services amounted to $2,500. Dr. W.J. Weatherford's bill amounted to $500, and the bill for the services of three nurses daily amounted to $1,020, making a total of hospital, doctors' and nurses' bills of $6,359. There was a $500 deductible clause and the maximum amount recoverable by appellee was 80%, so that $4,687.20 was the maximum amount which appellee could recover.

The record discloses that the appellee was never notified by appellant that his policy had lapsed prior to the time demand was made on it. Moreover, the record fails to disclose that appellant ever notified appellee that it had terminated Peele's agency. The record reveals the pertinent information that on March 22, 1962, the following letter was written by C.W. Blackstock, resident manager of the appellant company:

Hon. Walter Dell Davis Commissioner of Insurance State of Mississippi Jackson, Mississippi Re: Peele Insurance Agency Pascagoula, Mississippi
Dear Mr. Davis:
In checking our files, we notice that we failed to notify you regarding our position in the above captioned agency.
We picked up our Agency Agreement and/or contract, plus all supplies from this Agency and terminated the agency on June 8, 1961. This automatically terminated this agent's ability to bind or write any business with the American Casualty Company. Since that time, we merely have been trying to work off the business that we had on the books and collect unpaid balances.
Certainly appreciate your marking your records accordingly.
Kindest personal regards Yours very truly, C.W. Blackstock Resident Manager

*840 The Singing River Hospital made demands upon appellant for payment of its charges for hospitalization of appellee. The record indicates that on December 19, 1962, Mr. Casey, Claims Supervisor, called Mr. Percy T. Miller, Business Manager of the Singing River Hospital, and stated that the payment of the claim was not being made "because Mr. Whitehead's insurance premiums were not mailed into the company."

The record discloses that a short time subsequent to the discharge of appellee from the hospital he made repeated demands by telephone and through personal contact with company agents seeking to obtain the benefits to which he was entitled under the policy. It is clear that subsequent to the demand made by both the Singing River Hospital and the appellee, the appellant declared the policy to have been terminated on November 1, 1961. As reflected in the brief of appellant and in the record, there is a conflict as to why the policy was terminated. Appellant in its brief takes the position that the policy was terminated because of a failure on the part of appellee to pay the premiums, while the record indicates it was because the representation of them by Peele's agency was terminated. Appellant notified Mr. Miller, business manager of the hospital, that the appellant would not pay any benefits because they had not received the premiums; but, on direct examination, Mr. Richard B. Moyer, employee of the Claims Mutual National American Group, of which the appellant is a member, was introduced by the appellant and testified as follows:

Q. Did that policy stay in force and effect or not.
A. No sir.
Q. Why?
A. The policy was terminated on November 1st, 1961.
Q. For what reason?
A. Due to the fact that the agent no longer represented us.
Q. The Peele Agency?
A. Peele Insurance Agency no longer represented us.

Free access — add to your briefcase to read the full text and ask questions with AI

Related

US FIDELITY & GUAR. COMPANY v. Estate of Francis
825 So. 2d 38 (Mississippi Supreme Court, 2002)
Booker Ex Rel. Lloyd's of London v. Pettey
770 So. 2d 39 (Mississippi Supreme Court, 2000)
Steven Bruce Booker v. Holmes Pettey
Mississippi Supreme Court, 1998
McCann v. Gulf Nat. Life Ins. Co.
574 So. 2d 654 (Mississippi Supreme Court, 1990)
Parnell v. FIRST S. & L. ASS'N OF LEAKESVILLE
336 So. 2d 764 (Mississippi Supreme Court, 1976)
Skates v. Preferred Fire Insurance Co.
481 S.W.2d 628 (Missouri Court of Appeals, 1972)

Cite This Page — Counsel Stack

Bluebook (online)
206 So. 2d 838, 1968 Miss. LEXIS 1589, Counsel Stack Legal Research, https://law.counselstack.com/opinion/american-casualty-company-v-whitehead-miss-1968.