Buffalo Insurance Co. v. Steinberg

124 S.E.2d 681, 105 Ga. App. 366, 1962 Ga. App. LEXIS 931
CourtCourt of Appeals of Georgia
DecidedJanuary 16, 1962
Docket39162
StatusPublished
Cited by10 cases

This text of 124 S.E.2d 681 (Buffalo Insurance Co. v. Steinberg) is published on Counsel Stack Legal Research, covering Court of Appeals of Georgia primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Buffalo Insurance Co. v. Steinberg, 124 S.E.2d 681, 105 Ga. App. 366, 1962 Ga. App. LEXIS 931 (Ga. Ct. App. 1962).

Opinion

Bell, Judge.

The defendant’s motion for judgment notwithstanding the verdict is based upon the contention that there was no compliance with the terms of the policy relating to time of filing of proof of loss and of filing suit, and the terms of the contract prevent any action being maintained on the policy. In response the plaintiff contends that the insurer waived the provision of the policy concerning the time for filing the proof of loss and that the circumstances in the case concerning the presumption of death of the insured, together with the time required for appointment of a conservator of her estate, have abated the enforcement of the provision of the policy requiring that the action be brought within 12 months after the inception of the loss.

A review of the evidence shows that the insured’s whereabouts were unknown from a time -beginning prior to the loss, and diligent efforts to locate her proved unavailing; that after a period of time searching for the insured, the mortgagee instituted proceedings climaxing in his appointment as conservator of her estate; that promptly thereafter he filed proof of loss in the name of the insured with the company’s representatives and made demand for the payment, which was refused. During this entire period the uncontradicted evidence does not show any denial by the insurer of liability under the policy, but, on the *371 contrary, there is shown a continuing contact between the mortgagee, the insurer’s adjuster, and finally the attorney representing the defendant insurer, with a view to having the proof of loss filed by the insured.

In Pilgrim Health &c. Ins. Co. v. Chism, 49 Ga. App. 121 (2, 3) (174 SE 212), this court held that while the clause in a policy of life insurance which required furnishing of notice and proof of death of the insured within one year from the date of death and that suit must be brought within one year from the death is valid and the beneficiary is bound thereby, where the death of the insured was unknown to the beneficiary and occurred while the policy was in force and it was not the fault of the beneficiary that the death of the insured was unknown to her and thereby a literal compliance with the terms of the policy was rendered impossible, the giving of notice within a reasonable time after discovery of the death of the insured, or within the time stipulated after the cause preventing prior compliance had ceased to exist, would be a sufficient compliance to prevent the forfeiture of the policy. “The questions of the sufficiency of the excuse offered, and the diligence of the beneficiary in giving notice after the removal of the disability, are generally questions of fact, to be determined by the jury, according to the nature and circumstances of each case.” Ibid., p. 123. See also, Godley v. North River Ins. Co., 51 Ga. App. 242, 243 (180 SE 385); Progressive Life Ins. Co. v. Haygood, 53 Ga. App. 231 (185 SE 534); and Hulme v. Mutual Benefit Health &c. Assn., 60 Ga. App. 65 (2 SE2d 750).

In Krauss v. Brooklyn Fire Insurance Co., 130 N.J.L. 300 (33 A2d 100) the insured disappeared two days after the fire. He not having been seen or heard from, his widow waited the statutory period of seven years, after which the presumption of death arose and the insured was adjudged legally dead. She then brought suit upon the policies. In holding the action was maintainable and was not barred by the one-year limitation clause in the insurance policy nor the six-year statute of limitations in the State, the court held that, “the limitation on the beginning of an action on these policies, whether by the terms of the policies or by statute, did not begin to run until a cause *372 of action accrued . . . and that... a cause of action had not accrued until there was someone competent to sue as well as someone competent to be sued.”

The extensive regulation of insurance shows conclusively that it is a matter highly affected with a public interest. To allow the insurer to be relieved of liability for an admitted loss falling within the terms of the policy, under the circumstances of this case, would be unreasonable and would confer a totally unwarranted gratuity upon the company at the expense of the premium payor or his estate. While admittedly the contractual period limiting the bringing of an action is valid, it must not be held to be unconscionably inflexible. Accordingly, where, as here, there was no one competent to bring the action for the insured until appointment by the court, the limitation may be found by the jury to have been postponed for the period required to accomplish the appointment, plus a reasonable period in which to bring the suit. To hold otherwise would violate the long established precept of the law that forfeitures are not to be favored against innocent and helpless victims of unfortunate circumstances.

Under the factual situation of the present case; we hold that the bringing of the action by the conservator of the estate of the insured was not barred, as a matter of law, by the twelve-month provision for bringing the action on the policy of insurance nor by the failure to file proof of loss within sixty days after the loss. The circumstances could be found by the jury to show reasonable diligence in efforts to locate the insured, after which the plaintiff was appointed her conservator and he thereupon, without unreasonable delay, filed proofs of loss, demand upon the company, and then brought the action to recover under the policy.

Nothing in Dean v. Northwestern Mutual Life Ins. Co., 175 Ga. 321 (165 SE 235), two justices dissenting, compels a different conclusion here. While the Dean case accepted the principle that the filing of a proof of disability for waiver of premiums was a condition precedent to invoking the waiver of premium provision, it held that the policy was not in force at the time of the insured’s death despite the facts that the insured *373 could not make proof because of his insanity without a lucid interval prior to death, and no one else could make it for him for the reason that no one knew he had the policy of insurance. In the Dean case the Supreme Court was not concerned with a question of delay in furnishing the proof, but of failure to do so. Here we are concerned merely with a delay; we are not confronted with a failure to furnish the proof of loss. In addition, the company had actual knowledge of the loss; the policy was in force at the time of loss; and there was evidence from which the jury could conclude that the filing of proof of loss was waived or the time for filing was extended.

Under the authority of the Pilgrim case and other decisions cited, the sufficiency of the excuse offered was a question of fact for the jury to determine, which it has determined adversely to the defendant.

The defendant cites the provision of the policy which declares that, “If the insured fails to render proof of loss such mortgagee, upon notice, shall render proof of loss in the form herein specified within 60 days thereafter and shall be subject to the provisions thereof relating to appraisal, time of payment, and of bringing suit,” and urges that the provision placed the burden upon the mortgagee here to render the required proof of loss.

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Cite This Page — Counsel Stack

Bluebook (online)
124 S.E.2d 681, 105 Ga. App. 366, 1962 Ga. App. LEXIS 931, Counsel Stack Legal Research, https://law.counselstack.com/opinion/buffalo-insurance-co-v-steinberg-gactapp-1962.