Cason v. Aetna Life Insurance Co.

85 S.E.2d 568, 91 Ga. App. 323, 1954 Ga. App. LEXIS 920
CourtCourt of Appeals of Georgia
DecidedDecember 3, 1954
Docket35120
StatusPublished
Cited by15 cases

This text of 85 S.E.2d 568 (Cason v. Aetna Life Insurance Co.) 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
Cason v. Aetna Life Insurance Co., 85 S.E.2d 568, 91 Ga. App. 323, 1954 Ga. App. LEXIS 920 (Ga. Ct. App. 1954).

Opinions

Quillian, J.

(After stating the foregoing facts.) In the interest of brevity this opinion will refer to Fred B. Cason as the [327]*327insured, the City of Atlanta as the city, to the plaintiff in error as the plaintiff or beneficiary according to which term is more convenient in our discussion of the case, and reference will be made to the defendant in error as the company.

It will be observed from the foregoing statement of facts that the policy sued upon was not a single instrument, but consisted of the master or group policy issued by the company to the city, the certificate issued by the company to the insured by its terms insuring his life for $2,500, and the document designated as a rider to the certificate increasing that amount to $4,000.

The rider contained a clause that its effective date would be the date on which it was delivered to the insured, provided he was, on that date, regularly performing the duties of his occupation. There was a clause in the group policy quoted in the statement of facts, that employees applying for insurance under the group policy before the date of their eligibility to be insured according to its provisions, would be insured from the date of their eligibility if then performing the duties of their occupations.

The insured was not regularly performing the duties of his occupation at the time the rider increasing the amount of the insurance on his life by $1,500 was issued, nor did he at any time thereafter until his death perform them. The date of the certificate of insurance originally issued to him was April 1, 1949, the date of the delivery of the rider to him was January 1, 1952, and the date of his death was April 17, 1952.

Since the insured was not regularly performing the duties of his employment at the time the certificate of additional insurance was issued to him, he was not, under the terms of the group policy and of the certificate itself, eligible for the increased amount of insurance represented by the certificate.

It follows that had there been no evidence past this point the plaintiff beneficiary would not have been entitled to recover.

The plaintiff contends, however, that the City of Atlanta was the agent of the insurance company in delivering the certificate of increased insurance; that the city knew of the employee Cason’s ineligibility to be insured under the certificate of additional insurance both at the time it was delivered to him and continuously until his death; and that the knowledge of the city was imputable to its principal, Aetna Insurance Company.

[328]*328According to textbook authors and decisions of various jurisdictions, the majority view prevailing in the United States is that the employer—in doing what is required to make effective a group policy of insurance covering employees, such as obtaining the employees’ applications for coverage under the policy, delivering certificates to employees showing that they are protected by the policy, making deductions from employees’ wages to pay premiums necessary to keep the policy in force, reporting changes in the status of employees originally covered by the policy, and the eligibility of new employees to be insured, according to its terms and similar acts—is the representative of the employees and not the agent of the insurance company.

However, the opinions of the textbook writers are not in entire agreement on the subject and opinions of appellate courts of several States, particularly that of the Supreme Court of South Carolina, support the opposite view, holding the employer the agent of the insurance company for every purpose necessary to make effective the group policy. There are several opinions of this court that support the majority view. Blaylock v. Prudential Ins. Co. of America, 84 Ga. App. 641 (67 S. E. 2d 173); Lancaster v. Travelers Ins. Co., 54 Ga. App. 718 (189 S. E. 79); Thigpen v. Metropolitan Life Ins. Co., 57 Ga. App. 405 (195 S. E. 591).

But the older decision, Equitable Life Assurance Society v. Florence, 47 Ga. App. 711 (171 S. E. 317), not reversed and overruled, criticized, or distinguished, nor even referred to in the Lancaster case or any subsequent case above referred to, is authority for the view that the employer, in doing such acts as are necessary to obtain coverage of his employees under a group policy issued to him, to keep the policy of force and to effectuate its purposes, is the agent not of the employees but of the insurance company. In the Florence case at page 715 it is said: “The Standard Oil Company was authorized to receive and transmit applications for insurance and to issue certificates. It was peculiarly within the knowledge of the Standard Oil Company whether Joseph P. Florence was in its employ. The insured named himself as employee, the employer ratified the claim, and had the policy issued, and accepted payments thereunder. There were no misrepresentations on the part of the insured. If he [329]*329was not the employee, the Standard Oil Company had actual knowledge of the fact. It was the agent of the insurance company in submitting the application and having the policy issued.”

Language used by Chief Justice Russell in Carruth v. Aetna Life Ins. Co., 157 Ga. 608, 617 (122 S. E. 226), supports the view of this court expressed in the case of Equitable Life Assurance Society v. Florence. The Chief Justice wrote: “Construing the contract as a whole, it seems clear that the Aetna Life Insurance Company, subject to the conditions in the policy, undertook to insure the life of Ethel Harmon and her fellow employees, merely using the name of the Lanett Cotton Mills as beneficiary in order to protect itself, by such conditions precedent and warranties as are contained in the application, from liability where it would not have been legally bound under these warranties; and using the services -of the Lanett Cotton Mills as an agency to see that the insurance money is paid to the proper persons, and that in all cases the canceled certificate, which indicated a decrease of the insurer’s risk, should be returned to the insurance company.”

We are aware that the word “agency” does not necessarily connote the existence of the relationship of principal and agent. The services of brutes and the uses of inanimate objects are sometimes referred to as the “agency” through which certain ends are accomplished. When the context in which the word as used so indicates it simply means “instrumentality-.” But when the word “agency” is employed as relating to a legal entity performing acts for or under the authority of another, the word means as Webster defines it, “relationship between a principal and his agent,” so there can be little doubt that Justice Russell intended to hold that Lanett Mills was the agent of the insurance company, under the group policy referred to in that opinion, to pay the death benefits accruing under the policy to the beneficiary of the employee, to obtain the certificate, and return it for cancellation to t'he insurance company. The delivery of the certificate under a group policy is the beginning of the transaction with the employer and the insurance company; the retumof the certificate when the death benefits have been paid is the last. If the employer is the agent for the one purpose, it logically follows that he is the agent for the other.

[330]*330The view expressed in

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Cason v. Aetna Life Insurance Co.
85 S.E.2d 568 (Court of Appeals of Georgia, 1954)

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Bluebook (online)
85 S.E.2d 568, 91 Ga. App. 323, 1954 Ga. App. LEXIS 920, Counsel Stack Legal Research, https://law.counselstack.com/opinion/cason-v-aetna-life-insurance-co-gactapp-1954.