Chastang v. Mutual Life Ins.

71 N.E.2d 270, 147 Ohio St. 341, 147 Ohio St. (N.S.) 341, 34 Ohio Op. 257, 1947 Ohio LEXIS 410
CourtOhio Supreme Court
DecidedJanuary 29, 1947
Docket30735
StatusPublished
Cited by3 cases

This text of 71 N.E.2d 270 (Chastang v. Mutual Life Ins.) is published on Counsel Stack Legal Research, covering Ohio Supreme Court primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Chastang v. Mutual Life Ins., 71 N.E.2d 270, 147 Ohio St. 341, 147 Ohio St. (N.S.) 341, 34 Ohio Op. 257, 1947 Ohio LEXIS 410 (Ohio 1947).

Opinion

Zimmerman, J.

Under the policy of insurance in issue the defendant agreed to pay to the insured’s beneficiaries the sum of $5,000 upon receipt of due proof of the insured’s death, or $10,000 upon due proof that such death resulted from bodily injury effected solely through external, violent and accidental means. The policy provides further that if the insured is total *344 ly and presumably permanently disabled before tbe age of 60 years, tbe insurer will pay tbe insured $50 monthly during such disability, increasing after five and ten years continuous disability, etc.

It is stated in the policy:

“This policy is issued in consideration of tbe application and of tbe payment of tbe first premium of sixty-six and 00/100 dollars, receipt of wbicb is hereby acknowledged, and of the payment to the company of sixty-six and 00/100 dollars (of which two and 80/100 dollars is the premium for the double indemnity benefit and seven and 95/100 dollars the premium for disability benefits) on each nineteenth day of July and January hereafter until forty-three full years’ premiums shall have been paid or until the prior death of the insured.”

In support of his case the plaintiff makes the principal contentions:

1. That Section 94Ó3, General Code, applies and should be read as a part of his insurance contract.

2. ■ That Section 9403, General Code, requires defendant to pay annually to the holders of its life policies with disability benefits dividends at the same rate as it annually pays dividends to the holders of its life policies without such benefits.

3. That' defendant is bound by the practical construction which it gave plaintiff’s insurance policy and other like policies over a period of years, during which time it paid dividends to those holding life policies including disability provisions on the same basis as it paid to those holding life policies lacking such benefits.

On the other hand, the defendant argues:

1. That plaintiff’s policy containing death and dis *345 ability benefits constitutes a single integral insurance contract.

2. That policies of life insurance are not “of the same class” within the meaning of Section 9403, General Code, where some contain disability benefits and others do not.

3. That the payment of dividends on an insurance policy must be based upon the contribution of that policy as a whole to the insurer’s divisible surplus.

4. That the apportionment of the defendant’s divisible surplus to plaintiff and to the holders of similar policies was fair and equitable and was so determined by both the lower courts.

As already suggested, plaintiff’s action is founded on the claim that defendant can make no differentiation in the payment of dividends between its policies of life insurance containing disability benefit provisions and it§ life policies where no such provisions are included.

In our opinion, the solution of the problem presented turns on whether a policy such as plaintiff’s is to be treated as two separate and distinct agreements of insurance — one covering death benefits and the other disability benefits — or whether it is to be treated and regarded as a single integral contract.

This proposition has been before a number of courts and all of them, so far as we can ascertain, have held that a policy of insurance like plaintiff’s constitutes one contract containing both death and disability provisions, and that the holders of policies of that charac-, ter are entitled to dividends on the basis of the contributions of such policies as a group or class to the divisible surplus of the insurer. In other words, the computation and payment of dividends by the insurer *346 are to be measured by tbe contributions of such policies as units to the divisible surplus of the insurer and not on the basis of the separate contributions for death benefits and the separate contributions for disability benefits.

From an examination of the insurance policy here involved it is plain that the agreement as to the payment of disability benefits is dependent on the provisions relating to the payment of death benefits. For example, plaintiff, by tendering the sum of $7.95, representing the premium for disability benefits, could not require the defendant to continue separately its undertaking to pay such benefits unless at the same time plaintiff paid the premium for the life insurance. The terms of the policy permit no other conclusion. If plaintiff wishes to reduce his premium payments and better himself in the future with respect to the receipt of dividends, he may take advantage of that part of the policy which allows the termination of the provisions for disability benefits upon written request therefor. However, he does not possess the right, under the language of the policy, to terminate that part of the insurance contract relating to death benefits and retain that part covering disability benefits. The provisions as to disability benefits cannot stand alone independent of the provisions as to death benefits. In support of the above comments, attention is directed to the following cases, and to other cases cited therein:

Rhine v. New York Life Ins. Co. (1936), 273 N. Y. 1, 6 N. E. (2d), 74, 108 A. L. R., 1197; Sullivan v. Penn Mutual Life Ins. Co. (1938, C. C. A. 7), 100 F. (2d), 560; Blackburn v. Home Life Ins. Co. of New York (1941), 19 Cal. (2d), 226, 120 P. (2d), 31; Maynard v. *347 Mutual Life Ins. Co. (1942), 179 Tenn., 267, 165 S. W. (2d), 385.

By the provisions of Section 9403, General Code, “no life insurance company doing business in this state shall make or permit any distinction or discrimination in favor of individuals between the insured of the same class and equal expectation of life in the amount of payment of premiums, or rates charged for policies of life or endowment insurance, or in the dividends or other benefits payable thereon, or in any other of the terms and conditions of the contracts it makes. ’ ’

In our opinion, an insured who holds a plain life policy and one who holds a policy containing added benefits for disability are not “of the same class” within the contemplation of the statute. The wording of the policies themselves, the premiums collected and the obligations assumed by the insurer with respect to each kind of policy are different.

As has previously been indicated, the defendant adopted the “contribution method” as to the policies of insurance it issued. At first, it used what is known as the “zero factor” in calculating dividends on those life policies containing disability provisions. The application of this factor resulted in the payment of dividends at the same rate on policies of this class as on life policies lacking such feature. As time passed, the defendant discovered that it was sustaining considerable losses by pursuing such course.

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Related

Cohen v. Prudential Ins. Co.
155 A.2d 304 (New Jersey Superior Court App Division, 1959)
Chastang v. Mutual Life Ins.
159 Ohio St. (N.S.) 167 (Ohio Supreme Court, 1953)

Cite This Page — Counsel Stack

Bluebook (online)
71 N.E.2d 270, 147 Ohio St. 341, 147 Ohio St. (N.S.) 341, 34 Ohio Op. 257, 1947 Ohio LEXIS 410, Counsel Stack Legal Research, https://law.counselstack.com/opinion/chastang-v-mutual-life-ins-ohio-1947.