American Nat. Ins. Co. v. Donahue

1915 OK 1083, 153 P. 819, 54 Okla. 294, 1915 Okla. LEXIS 1311
CourtSupreme Court of Oklahoma
DecidedDecember 21, 1915
Docket5588
StatusPublished
Cited by17 cases

This text of 1915 OK 1083 (American Nat. Ins. Co. v. Donahue) is published on Counsel Stack Legal Research, covering Supreme Court of Oklahoma primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
American Nat. Ins. Co. v. Donahue, 1915 OK 1083, 153 P. 819, 54 Okla. 294, 1915 Okla. LEXIS 1311 (Okla. 1915).

Opinion

Opinion by

MATHEWS, C.

The parties hereto will be designated as in the trial court. Plaintiffs allege, in substance, that plaintiffs are residents of the State of Texas; that on the 5th day of November, 1908, the defendant issued an accident insurance policy to one W. *296 T. Harvey, a resident of Grayson county, Tex., wherein it was agreed that, if the said Harvey should lose his life by accident under the conditions set out in the policy, defendant would pay to plaintiff Mrs. John Donahue the sum of $2,000 and 5 per cent, additional for each full year renewal; that the death of the said Harvey occurred on the 13th day of July, 1911, in Pontotoc county, Okla., while he was engaged in his work as a carpenter in erecting a mail crane, by falling from a platform, and thereby sustaining injuries from which he died; that said insurance contract was a Texas contract, and that section 35, c. 108, Session Laws 31st Legislature of the State of Texas, provided that in case an insurance company shall, within 30 days after demand, fail to pay the policy, then, in addition to the amount of the loss, 12 per cent, damages of the amount of such loss, with a .reasonable attorney's fee, shall be collected; that due demand was made more than 30 days prior to the institution of this suit; and that the company refused to pay the loss, for which plaintiff prayed judgment, with the aforesaid 12 per cent, additional and a. reasonable attorney fee.

The defendant company answered by what" was, in effect, a general denial. Defendant's first contention is that the plaintiffs failed to either plead or prove that they furnished proof of death as provided in the policy. Plaintiffs admit that they purnished no proof of death as stipulated in the policy, but rely upon an alleged waiver, which they plead as follows:

"And the plaintiff would show that due demand was made, that the company refused and still refuses to pay said loss or any part thereof, and that said demand was made more than 30 days prior to the institution of this suit.”

*297 A provision in an insurance policy requiring proof of loss to be furnished the company within a' certain definite time is waived by the company denying liability within said time upon other grounds than failure to furnish proof of loss. Oklahoma Fire Ins. Co. v. Wagester, 38 Okla. 291, 132 Pac. 1071.

While we do not commend the loose and. indefinite style of pleading a refusal to pay after demand that has been used in the case at bar, yet the exact point here raised, that plaintiffs have not pleaded a waiver, has been decided adversely to defendant’s contention by this court in the very recent case of Continental Ins. Co. v. Chance, 48 Okla. 324, 150 Pac. 114, wherein almost the exact language was used in pleading a waiver that was used in the case at bar, and the. court there said:

“While it would have been better to have allegec directly that defendant had ‘denied liability,’ instead of saying that it had ‘refused payment,’ yet the refusing of payment by ■ a solvent insurance company is the equivalent to denying liability, and we think the rule that the facts relied upon to constitute estoppel must be pleaded with definiteness and particularity is sufficiently complied with in pleading estoppel in a case like this, by simply alleging that payment had been refused, or, better, that liability had been denied.”

The only evidence introduced as to the waiver of proof by the refusal of the company to pay the loss was the very brief statement of the plaintiff, Mrs. Donahue, who testified the suit was filed on March 27, 1912, which was more than 30 days after the death of her father, the insured, and that the company refused to pay the insurance 30 days after the demand was made. The company was represented at the trial by its attorneys, who did *298 not cross-examine the witness, and made no inquiry whatever as'to the nature of the demand or refusal and introduced no evidence on that point. Ought not this silence upon the part of the defendant be taken as conclusive that it was satisfied with the proof 'offered, as it saw fit not to deny it or- gainsay it in any way? It does' not comport with any idea of fairness, nor fill the requirements of 'a legal proceeding, which should have for its object the quest of the real facts, to permit the defendant to remain silent when it ought to speak out, and then be heard to complain here for the first time that the proof was not sufficient.

If defendant saw fit to accept it as sufficient there without complaining, then we shall accept it as sufficient here, notwithstanding its complaint. A law trial is not a game of “thimble,” but should be an endeavor to arrive at facts in order that justice may be administered. Under. the old adage that silence gives consent, we think the sensible conclusion in this case is, as defendant did not question plaintiff’s testimony that the company refused payment after she had made demand, that the demand made by her and the refusal upon the part of the company were amply sufficient to establish a legal waiver upon the part of defendant.

The same principle was laid down by this court in the recent case of German-American Ins. Co. of New York v. Lee, 51 Okla. 28, 151 Pac. 642, wherein this court used the following language:

“Where plaintiff testifies that he furnished proof. of loss in writing to defendant’s agent within 60 days from the fire, but the proof of loss or a copy thereof was not introduced in evidence, and no evidence was offered as to its contents, it is held, in the absence of any showing *299 upon the part of the defendant, that the proof of loss so furnished was not sufficient, - the evidence was sufficient to establish the fact that proof of loss was furnished in conformity with the terms of the policy.”

That the contract of insurance was a Texas contract and governed by. the laws of Texas permits of no argument. The domicile' of both contracting parties was in that state, and the place of execution and performance fell within the confines of the State of Texas, and the interpretation of the contract must be governed by its laws. Cooley’s Briefs on the Law of Insurance, vol. 1, p. 649; 5 R. C. L. p. 931.

When the contract is made and to be performed in the same jurisdiction, the law of the place governs the construction of its language and the rights of the parties under it. Brandeis v. Atkins, 204 Mass. 471, 90 N. E. 861, 26 L. R. A. (N. S.) 230; Crumlish’s Administrator v. Central Improvement Co., 38 W. Va. 390, 18 S. E. 456, 23 L. R. A. 120, 45 Am. St. Rep. 872; Union Central Life Ins. Co. v. Pollard, 94 Va. 146, 26 S. E. 421, 36 L. R. A. 271, 64 Am. St. Rep. 715.

Neither is there any doubt but that every part of the contract under consideration, whether the terms be expressly stated in the policy or be read into the same through the force of some governing statute of the State of Texas, can be fully enforced in this jurisdiction. Midland Co. v. Broat, 50 Minn. 562, 52 N. W. 972, 17 L. R. A. 312.

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Cite This Page — Counsel Stack

Bluebook (online)
1915 OK 1083, 153 P. 819, 54 Okla. 294, 1915 Okla. LEXIS 1311, Counsel Stack Legal Research, https://law.counselstack.com/opinion/american-nat-ins-co-v-donahue-okla-1915.