Bailey v. American Marine & General Insurance

178 So. 2d 279, 1965 La. App. LEXIS 3787
CourtLouisiana Court of Appeal
DecidedJuly 15, 1965
DocketNo. 1727
StatusPublished
Cited by2 cases

This text of 178 So. 2d 279 (Bailey v. American Marine & General Insurance) is published on Counsel Stack Legal Research, covering Louisiana Court of Appeal primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Bailey v. American Marine & General Insurance, 178 So. 2d 279, 1965 La. App. LEXIS 3787 (La. Ct. App. 1965).

Opinions

McBRIDE, Judge.

Plaintiff-insured appeals from a judgment dismissing his suit against defendant-[280]*280insurer for $10,000 (policy limit), plus penalties allegedy due under a policy of fire insurance issued by defendant covering 2419 Philip Street, New Orleans, which was damaged by a fire on September 20, 1961. The mentioned policy had been issued April 17, 1958, and the fire occurred during the term thereof.

■ Plaintiff acquired 2419 Philip Street in 1958, at which time there was a space for a restaurant therein not then being used for said purpose. A restaurant was not operated on the premises until about a year after plaintiff’s purchase, or sometime in 1959. A restaurant business was being operated at the time of the fire.

Upon purchasing the property, plaintiff granted a mortgage thereon to one Strough-ter who arranged for a policy of fire insurance covering the property through Creuzot, an independent insurance agent. Stroughter, acting as a sort of business agent of plaintiff, gave Creuzot the description of the premises to be insured as:

"A two story, frame, approved roof, two family divelling located at 2419 Philip St., New Orleans, La.” [Italics ours.]

Creuzot had Reliable Insurance Company issue a fire policy to plaintiff for $10,000 covering the property under the above description. The policy, which was for a term of five years, was subsequently cancelled by said insurer.

Upon the cancellation of the Reliable Insurance Company’s policy, Creuzot, acting as agent or broker for plaintiff through Stroughter, communicated with Montaldo Insurance Agency and requested George North of that agency to issue a policy of fire insurance to plaintiff covering the property under the above description. North had Trinity Universal Insurance Company issue a $10,000 fire policy which was also subsequently cancelled by the insurer.

Thereupon North secured the policy sued upon for plaintiff from the American Marine & General Insurance Company. The policy describes the property as:

“A two story, frame, approved roof, two family dwelling located at 2419 Philip St., New Orleans, La.”

North sent the policy via mail to Creuzot for delivery to the insured. Subsequently, because of nonpayment of premium, a notice of cancellation was sent to plaintiff, whereupon he paid the premium due and the policy was reinstated.

Defendant-insurer declined payment of the fire loss of September 20, 1961, because its investigation showed that instead of the insured premises consisting of a two-story, frame, approved roof, two-family dwelling, the building contained one five-room apartment, three bedroom apartments and eleven bedrooms plus an operating bar and cafe.

In the insurance field there is a vast difference in the risk as between a two-family dwelling and a building containing a five-room apartment, three bedroom apartments and eleven bedrooms plus an operating bar and cafe. The premium plaintiff paid on the policy for the five-year term thereof amounted to $210.12, whereas the premium for a policy, had it contained the correct description and the use and occupancy of the property, should have been $815.04. Aside from the restaurant and saloon features of the premises, a frame dwelling with multiple occupancy, such as apartments or a rooming house, as was the case at. the time of the fire loss, is not as good a risk from an underwriting standpoint as a two-family dwelling. There would be a difference in rates. Multiple occupancies would command the higher rate. It appears from the evidence that had defendant-insurer been cognizant of the true use to which the property was being put and the nature of the occupancy thereof, the risk would not have been accepted.

R.S. 22:692 (as amended by Act 125 of 1958) provides:

“No policy of fire insurance issued by any insurer on property in this state [281]*281shall hereafter he declared void by the insurer for the breach of any representation, warranty or condition contained in the said policy or in the application therefor. Such breach shall not avail the insurer to avoid liability unless such breach (1) shall exist at the time of the loss, and be either such a breach as would increase either the moral or physical hazard under the policy, or (2) shall be such a breach as would be a violation of a warranty or condition requiring the insurer to take and keep inventories and books showing a record of his business. Notwithstanding the above provisions of this Section, such a breach shall not afford a defense to a suit on the policy if the fact or facts constituting such a breach existing at the time of the issuance of the policy and were, at such time, known to the insurer or to any of his or its officers or agents, or if the fact of facts constituting such a breach existed at the time of the loss and were, at such time, known to the insurer or to any of his or its officers or agents, except in case of fraud on the part of such officer or agent or the insured, or collusion between such officer or agent and the insured.”

When it was represented to the insurer that 2419 Philip Street was a two-family dwelling and that description of the premises was carried in the policy, such constituted a material representation within the meaning of R.S. 22:692. There was a breach of such representation in that the insured building was put to a different use and occupancy which existed at the time of the accrual of the loss. There is no question that the physical hazard of the insurer under the policy was increased because of the difference in the use and occupancy.

The defense in this case is that such breach of representation is sufficient to avail the insurer of the right to avoid liability under the policy, and defendant is contending that plaintiff has no right to a judgment against it for his loss,

Plaintiff attempted to prove knowledge on the part of the insurer’s agent, Montaldo Insurance Agency, of the presence of the restaurant and seeks to bring himself under that portion of R.S. 22:692 which provides that a breach shall not afford an insurer a defense to a suit on the policy if the fact or facts constituting such a breach existed at the time of the issuance of the policy and were, at such time, known to the insurer or its officers or agents, or if the fact or facts constituting such a breach existed at the time of the loss and were, at such time, known to the insurer or to its officers or agents.

We are cited by plaintiff’s counsel to the case of McCoy v. Pacific Coast Fire Insurance Company, La., 178 So.2d 761, No. 47369 of the docket óf the Supreme Court, in which the opinion and decree (handed down January 18, 1965) is not yet reported. The facts and circumstances in said case in some respects resemble those in the instant case. There the insurer contended there had been a breach of a material representation which existed at the time of the loss and sought to exculpate itself from liability under the fire policy. The policy described the use and occupancy simply as “apartments.” An investigation after the fire loss showed that in addition to the apartments there was also a restaurant in the premises which materially increased the risk involved. The main issue in the case was whether the insurer’s agent had knowledge within the intendment of R.S. 22:692 of the restaurant-use before the fire loss.

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Related

Bailey v. American Marine & General Insurance
185 So. 2d 214 (Supreme Court of Louisiana, 1966)

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Bluebook (online)
178 So. 2d 279, 1965 La. App. LEXIS 3787, Counsel Stack Legal Research, https://law.counselstack.com/opinion/bailey-v-american-marine-general-insurance-lactapp-1965.