Burk v. Mutual Benefit Health & Accident Ass'n

388 S.W.2d 628, 54 Tenn. App. 108, 1963 Tenn. App. LEXIS 137
CourtCourt of Appeals of Tennessee
DecidedSeptember 3, 1963
StatusPublished
Cited by3 cases

This text of 388 S.W.2d 628 (Burk v. Mutual Benefit Health & Accident Ass'n) is published on Counsel Stack Legal Research, covering Court of Appeals of Tennessee primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Burk v. Mutual Benefit Health & Accident Ass'n, 388 S.W.2d 628, 54 Tenn. App. 108, 1963 Tenn. App. LEXIS 137 (Tenn. Ct. App. 1963).

Opinions

CARNEY, J.

Upon the trial below the Chancellor held that a health and accident policy No. 68-35942 issued October 29,1927, in favor of the complainant, William D. Burk, was in full force and effect and would continue in full force and effect throughout the life of the insured, William D. Burk, so long as the annual premiums are paid in advance in accordance with the terms and provisions of the policy. The Chancellor allowed the complainant, Burk, the recovery of the sum of $199.09 representing hospitalization and disability benefits under the policy. He also held null and void a new policy numbered 133399-57M dated 4/1/57 and ordered refunded to the complainant premiums paid thereunder less certain [110]*110premiums due and owing under old policy No. 68-35942 in the net amount of $921.20 making a total judgment of $1,120.29. The defendant, Mutual Benefit Health & Accident Association, has appealed and assigned error. Complainant’s testimony is undisputed.

On October 29, 1927, the defendant, generally referred to as Mutual of Omaha, issued its health and accident policy No. 68-35942 to the plaintiff, William D. Burk, a certified public accountant who was then 36 years of age. The policy provided for an initial payment in advance of $78.00 for the first year and “the payment in advance of premiums of $68.00 annually or $17.00 quarterly thereafter, beginning with April 1, 1928, is required to keep this policy' in continuous effect.” Mr. Burk paid the premiums of $68.00 per year continuously through March, 1956.

Sometime shortly prior to April 1, 1957, a local agent of the defendant, Mr. B. J. G-lick, called upon Mr. Burk at his office in Memphis, Tennessee, and notified him that the old policy No. 68-35942 which had been in effect for almost 30 years would be cancelled as of April 1, 1957, because Mr. Burk had reached the age of 65. He offered Mr. Burk a new policy with much less benefits which provided for an annual premium of $221.60 per year. Mr. Burk refused the offer of the new policy and went down to the defendant’s local office in Memphis and attempted to pay the premium on the old policy which would be due on April 1, 1957. The local office rejected the premium and Mr. Burk wrote the following letter to the home office of defendant:

[111]*111“March 1, 1957
Mutual Benefit Health & Accident Association Omaha, Nebraska
Gentlemen:
Enclosed is my check in amount of $68.00 dated March 1, 1957 issued to your Company in payment of annual premium due April 1,1957 on Policy #68-35942 issued October 29,1927. This check was offered to your Memphis Office today, and they did not accept it.
Recently a representative of the Company called on me and stated that the policy was to be cancelled since I had reached the age of 65 years during the past year. The only alternative offer was that a new policy could be issued calling for a premium of $108.00 per year for $100.00 per month benefits. The new policy in effect would cost (including benefits when in the hospital) almost five times the premium on the present policy. This action is so contrary to my conception of the Company’s policy that it is difficult for me to accept it unless it is approved by the Home Office. As a matter of fact there is a provision in the policy to the effect ‘no change in this policy shall be valid unless approved by an executive officer of the association, and such approval must be endorsed hereon’. There is attached to the policy also the following endorsements:
‘Non-Cancellable Endorsement
The Association cannot cancel this policy during any period for which the premium has been paid.
It is further understood and agreed that this policy cannot be cancelled by the Association during any period of disability of the Insured.
[112]*112IN WITNESS WHEREOF, MUTUAL BENEFIT HEALTH & ACCIDENT ASSOCIATION Las caused this endorsement to be signed by its President and its Treasurer.
P. P. Priss, Treasurer
H. S. Weller, President’
Your record of this policy will show that in the 27 years no claim has ever been made for the benefits accruing while in a hospital and only a few small claims have ever been made.
There is no provision in the policy to cancel at any specific age, and I am offering this payment in the belief that it is not your desire to cancel the policy.
This policy was acquired when you and I both were much younger, and in those years I had many opportunities to defend your Company and its policies because of my pleasant relationship with the Company and its local manager, Mr. A. W. Heuertz.
Yours very truly,
/s/ W. D. Burk
W. D. Burk
WDB/b
end.
cc: Memphis Office”

He received in return the following letter from the defendant company:

[113]*113“March 8, 1957
Mr. W. D. Burk,
448 Angelus,
Memphis, Tennessee.
Dear Mr. Burk: Policy 68-35942
Thank you for your letter of March 1, 1957, regarding the continuance of your 68 policy. We appreciate your writing us, Mr. Burk, so that there will he no misunderstanding regarding our action.
As you may know, Mr. Burk, most insurance companies automatically discontinue the type of coverage which you have at age 55, 60 or 65. Mutual of Omaha has always attempted to provide protection as long as possible under these policy forms. Changing cbndi-tions, however, have now made it necessary that your insurance program be adjusted. Since you were first insured with Mutual, many different types of insurance protection have been developed and it was felt that you would be interested in continuing your membership under one of these new contracts. It was for this reason that our representative called on you to discuss this new plan with you.
This is strictly in accordance with the provisions of your policy, since it is like the majority of such policies in force throughout the country today, a renewable term contract. By this we mean that both the insured and the insurer may allow this policy to expire at the end of any given term.
In this connection, may we respectfully refer you to paragraph C of the Additional Provisions of your policy, which states ‘acceptance of any premium shall be optional with the Association/ This type of cover[114]*114age was not designed to provide guaranteed renewable protection, but was introduced on the market to provide maximum coverage at the lowest possible premium, in contrast to the true noncancellable policies which carry a higher premium which many people cannot afford. Then, too, the great majority of these noncancellable and guaranteed renewable forms provide for automatic termination at a specified age, usually 60 or 65.

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Goodson v. American Home Assurance Company
251 F. Supp. 125 (E.D. Tennessee, 1966)

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Bluebook (online)
388 S.W.2d 628, 54 Tenn. App. 108, 1963 Tenn. App. LEXIS 137, Counsel Stack Legal Research, https://law.counselstack.com/opinion/burk-v-mutual-benefit-health-accident-assn-tennctapp-1963.