American Mut. Liability Ins. v. Plywoods-Plastics Corp.

81 F. Supp. 157, 1948 U.S. Dist. LEXIS 1848
CourtDistrict Court, E.D. South Carolina
DecidedDecember 3, 1948
DocketCiv. A. No. 1719
StatusPublished
Cited by2 cases

This text of 81 F. Supp. 157 (American Mut. Liability Ins. v. Plywoods-Plastics Corp.) is published on Counsel Stack Legal Research, covering District Court, E.D. South Carolina primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
American Mut. Liability Ins. v. Plywoods-Plastics Corp., 81 F. Supp. 157, 1948 U.S. Dist. LEXIS 1848 (southcarolinaed 1948).

Opinion

TIMMERMAN, District Judge.

This action is to recover insurance premiums. Two causes of action are alleged in the complaint, the first for a premium alleged to be due the plaintiff by the defendant on Workmen’s Compensation Policy No. WC-272669-E, covering the period from October 30, 1944 to October 30, 1945, and the second for a premium alleged to be due plaintiff on Public Liability Policy No. MC-27189-E, effective from October 30, 1945 to October 30, 1946.

The basic question involved here has been from the' first whether the premium on Policy WC-272669-E is to be computed in accordance with the terms of the policy; the plaintiff maintaining that it must, but the defendant claiming that a different method of premium computation was fraudulently represented to it as the- applicable one by the plaintiff’s agents when the policy was contracted for, or that the premium computation was later changed under an accord and satisfaction entered into between the parties in October 1946. There have also been several collateral issues involving the correctness of certain reserves set up by the plaintiff and the inclusion by the plaintiff in computing the premium of certain logging payrolls. However, a stipulation entered into by the parties on November 22, 1948, has fixed the amount of premium due if- the premium is to be computed under the policy’s terms and the effect of this stipulation is to eliminate from my consideration all issues save the primary one — whether the premium is to be computed in accordance with the strict terms of the policy.

The defendant’s first claim, is that the premium provided for in the policy does not control because it was induced to accept the policy because of fraudulent misrepresentations made by plaintiff’s authorized agents. The defendant says that, by reason of prior cordial business relations between the parties, originating in 1941, plaintiff -had induced it “to repose special trust and confidence in the plaintiff, and its representatives relating to matters of Workmen’s Compensation and Employer’s Liability Insurance”; that, taking advantage of defendant’s trust, plaintiff’s agents falsely and fraudulently represented the terms of said policy to be other than those contained in it when delivered, and that defendant had caused it to accept such, representations as true and to rely thereon.

The representations which defendant claims plaintiff’s agents made are: “That the plaintiff would carry the said insurance coverage for the defendant for which the defendant would pay to the- plaintiff all of the losses by reason óf all claims under the workmen’s compensation and employers’ liability laws, from October 30, 1944, during the year following, plus thirteen per cent (13%) thereof for the servicing of said claims, and that the defendant would pay to the plaintiff from time to time funds for the payment of losses and for a reserve for the payment of losses to be incurred under such agreement, and that no dividend or other charges would be paid by the plaintiff to the defendant.” Par. 6, Deft’s. Answer.

The policy, after execution, was delivered to defendant on December 6, 1944 and contained a premium payment plan quite different from the one defendant claims was represented to it. .The premium payment [159]*159plan which defendant claims was represented to it, prior to the delivery of the policy, would have been in contravention of South Carolina law, Secs. 7035-76(a) and 7994, S.C.Code, 1942, since it had not been approved by the State’s Insurance Commissioner. The plan actually incorporated in the policy had been so approved and it was on file in the Insurance Commissioner’s office at the time the policy was issued.

The defendant, a Massachusetts corporation, started its business operations in South Carolina in 1941 and at about that time plaintiff became its Workmen’s Compensation and Employer’s Liability Insurance carrier and so remained until October 30, 1945. All policies issued and accepted prior to the effective date of WC-272669-E (the policy with which we are presently concerned) were issued upon the Standard Premium Plan. The last yearly policy preceding the one here in question expired October 1, 1944. Prior to its expiration and at the request of the defendant (Ex. P-K) plaintiff, on September 27, 1944, executed and delivered a binder extending defendant’s insurance coverage until the issuance of new policies (Ex. P-I). About that time the parties exchanged letters concerning re-rating defendant’s saw mill operation. Defendant contended that such operation should be considered and rated as an “integral part” of its main plant, which took a lower rate than the saw mill operation. Plaintiff did not agree, holding that the saw mill was a more hazardous operation requiring a higher premium rate. In this matter they dealt at arm’s length.

In the meantime, the defendant had been informed that, based on its prior accident record, its standard premium rate, if continued, would be about fifty-four per cent (54%) higher than the rate for the previous year. Defendant was greatly dissatisfied with this increase and threatened to become a self-insurer. A conference was held between representatives of the parties in defendant’s offices at Hampton, S. C., on October 31, 1944. Representatives, of plaintiff, Messrs. W. I.“Blanton and J. E. Rags-dale, submitted for defendant’s consideration Retrospective Premium Rating Plan C under which defendant would become, in part, a self-insurer. There is disagreement as to what the plan was represented to be. It is not disputed, however, that the plan was on file with the Insurance Commissioner and had been approved by him. Plaintiff’s representatives testified that they explained the plan in accordance with its terms, although they did not have a copy of it with them at the conference. On tjie other hand, the President of the defendant testified as follows:

“They (plaintiff’s agents) presented the program verbally without any documents or any ability to back up in writing a contemplated policy, and told us in effect that that is what they would sell us in the way of coverage, and that under that type of coverage, we would be paying exactly the losses plus an administration charge. To us, that seemed to be a very fair program. After all, the insurance companies are not in business to pay everybody’s losses without some remuneration for it. And so, we felt that was the type of coverage we wanted, and either Mr. Blanton or Mr. Ragsdale then dictated this letter that I have in my hand (Ex. P-1). And, that was as far as I knew about the type of coverage we would receive.

“Q. What amount was the premium?

“A. That was the day after the expiration of the old policy when something had to be done in a hurry. The amount of the actual premiums would be the actual losses plus administration costs, such as medical, hospitalization, and so forth, plus thirteen percent of the overall figure.

“Q. State please whether or not the words used in that letter were ‘Retrospective Plan C’ ?

“A. Yes, sir.

“Q. Did they explain to you — that is Mr. Blanton or Mr. Ragsdale — what that was?

“A. They explained the plan. They didn’t define it. I doubt whether they could. I haven’t yet been able to define the plan. But, under that plan, the sum-substance of the premium payments was to cover the total losses plus whatever hospitalization, medical and so forth, plus thirteen per cent of the overall figure. As I said before, that seemed very reasonable to us.” Tr. Rec. pp. 27, 28.

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Cite This Page — Counsel Stack

Bluebook (online)
81 F. Supp. 157, 1948 U.S. Dist. LEXIS 1848, Counsel Stack Legal Research, https://law.counselstack.com/opinion/american-mut-liability-ins-v-plywoods-plastics-corp-southcarolinaed-1948.