American National Insurance v. Davidson

57 S.W.2d 788, 166 Tenn. 13, 2 Beeler 13, 1932 Tenn. LEXIS 105
CourtTennessee Supreme Court
DecidedMarch 18, 1933
StatusPublished
Cited by7 cases

This text of 57 S.W.2d 788 (American National Insurance v. Davidson) is published on Counsel Stack Legal Research, covering Tennessee Supreme Court primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
American National Insurance v. Davidson, 57 S.W.2d 788, 166 Tenn. 13, 2 Beeler 13, 1932 Tenn. LEXIS 105 (Tenn. 1933).

Opinion

Mb. Justice Swiggart

delivered the opinion of the Court.

This is a suit to recover the face value of a contract of insurance issued to Scott Davidson, plaintiff’s deceased husband. The circuit court rendered judgment for the plaintiff, and the insurance company has appealed in error. The material facts are stipulated.

The consideration for the contract is stated therein as the payment of a policy fee of five dollars, and the payment of a monthly premium of $2.50 on or before the first day of each month.

The insurance was against death or disability resulting from bodily injury by accident, and against death and disability from bodily disease or illness. The principal or contracting clause reads:

“This Policy will pay the sum of FIVE HUNDRED DOLLARS for Death from ACCIDENT or the sum of ONE HUNDRED DOLLARS for Death from SICKNESS after it has been maintained in continuous force and effect for not less than six consecutive months immediately preceding death of Insured, without delinquency; provided that one-half these amounts will be payable *15 upon tlie death, of the Insured if the Policy has been in force for less than six consecutive months without delinquency. (‘ ‘ Without delinquency ’ ’ meaning that each consecutive renewal premium has been paid within the five days ’ grace period as provided in Article 2 of Agreements and Conditions.) Death or disability due partly to accidental injury and partly to disease or bodily infirmity shall be classed as an illness and covered only under the natural death from sickness clause provisions hereof, the original or exciting cause thereof notwithstanding. ’ ’

The defense to the suit is grounded on paragraph 2 of “Agreements and Conditions.” This paragraph is as follows:

“A period of five (5) days of grace is allowed for the payment of any monthly installment or renewal premium, during which the Policy shall be maintained in full force and effect in accordance with its terms, but if the payment of any installment or renewal premium is not made within the grace period, the Policy will expire and neither the Insured nor the Beneficiary shall be entitled to recover for any accidental injury sustained between the date of such expiration and 12:00' o ’clock noon, standard time, of the day following the date of such payment; or for any illness originating causing disability or death before the expiration of ten (10) days after the date of such renewal payment;- failure to pay any renewal premium or installment thereof will void this Policy.”

The insured, in apparently good' health, suffered a stroke of apoplexy on June 22,1931, and died on that day. The premium for the month of June was paid on the sixteenth day of the month. Hence the insurance company insists that, under the quoted paragraph 2, death resulted *16 from an “illness originating (and) causing disability or death, before the expiration of ten (10) days after the date of such renewal payment,” and that therefore such death was not insured against.

The contract was dated July 31,1928, the'first month’s premium having been paid in advance. Receipts kept by the insured showing premium payments for the first twelve and the last two months of the life of the policy were introduced in evidence. From them it appears that only five of the fourteen monthly payments were made within the five days of grace. The premium for May, 1928, was accepted on the eighth day of June. In two other months the premium was paid after the twentieth day. The average date on which payment of the fourteen premiums was made was the twelfth day of each month. It is stipulated that for the twenty months not covered by the receipts exhibited, the “premiums were paid in substantially the same way.”

It thus appears that if the letter of the contract be enforced as written, although the insured paid the full premium for thirty-four months, he. was insured against disability or death from accident during only about three-fourths of each month, and was insured against disability or death from illness during one-third of each month. For the month of May, 1929, there was no coverage at all, since the premium for that month was not paid until the eighth day of the following month; -and in those months in which the premium was paid as late as the twentieth day, the insurance against illness did not attach; So construed and enforced, the particular contract would be likened strongly to a wagering or gaming contract, the insurance company assuming the risk only that *17 the insured would undergo injury or disability during the first five days or during the latter part of each month.

Three of the premium receipts, including the two payments immediately preceding the date of the death of the insured, were stamped with the words: “Accepted as per clause 2, Agreements and Conditions of policy.” There is, however, nothing in the record to suggest or indicate that the insurance company at any time made any protest at the habitual payments after the fifth day of the month, or that such payments were not entirely satisfactory to it.

It has been judicially recognized that in insurance contracts, maintained in force by periodical premium payments, the stipulated time for the payment of such premiums is of the essence of the contracts, and that reasonable forfeiture for default will be enforced. It is also the rule of this Court, however, that a provision for forfeiture contained in the contract or policy may be altered by a subsequent custom or course of dealing between the parties. Ellis-Jones Drug Co. v. Home Ins. Co., 158 Tenn., 237, 12 S. W. (2d), 707, and cases there cited. This rule, and the reason therefor, is stated in Foresters v. Cunningham, 127 Tenn., 521, 530, 156 S. W., 192, 5 A. L. R., 1569, quoted in Ellis-Jones Drug Co. v. Home Ins. Co., supra, as follows:.

“This doctrine does not grow out of the original agreement of the parties, but is based upon the conduct and dealings of the parties with each other in respect of the particular matter in controversy. It affects the conscience of the party whose conduct has led the other to a course of dealing to his injury, so that he is not allowed to predicate a right upon a former agreement inconsistent with his course of conduct. In practical effect, the con *18 duct of the parties makes a new contract, the substance of which is that the society agrees not to insist upon the forfeiture clause. It is not meant that the parties formally agree to a waiver of the forfeiture clause, but that the courts will not allow the party claiming the forfeiture in violation of good faith and good conscience to set it up.”

Long before the contract of insurance was matured by the death of the insured it was apparent that the insured could not or would not pay the monthly premiums within the five days of grace following the first day of each month.

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Cite This Page — Counsel Stack

Bluebook (online)
57 S.W.2d 788, 166 Tenn. 13, 2 Beeler 13, 1932 Tenn. LEXIS 105, Counsel Stack Legal Research, https://law.counselstack.com/opinion/american-national-insurance-v-davidson-tenn-1933.