Coci v. New York Life Ins.

99 So. 871, 155 La. 1060, 1924 La. LEXIS 1964
CourtSupreme Court of Louisiana
DecidedFebruary 25, 1924
DocketNo. 24267
StatusPublished
Cited by19 cases

This text of 99 So. 871 (Coci v. New York Life Ins.) is published on Counsel Stack Legal Research, covering Supreme Court of Louisiana primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Coci v. New York Life Ins., 99 So. 871, 155 La. 1060, 1924 La. LEXIS 1964 (La. 1924).

Opinion

THOMPSON, J.

This is a suit on a life policy for $3,000, issued by the New York Life Inurance Company on the life of Sebastian Coci, and in which the plaintiff, the wife of the insured, was named beneficiary.

The defense is a denial of any liability because of the nonpayment of the first premium in advance and because of the illness of the insured at the time of the delivery of the policy, which under the agreement of the insured avoided or prevented said insurance from becoming effective.

It is further alleged by way of elaboration that the possession of the policy was obtained by fraudulent misrepresentations and concealments, and that when respondent discovered the same it elected to rescind the contract and restore the status quo by tendering back the premium it had received.

The case .was tried by jury, and from a judgment approving the verdict of the jury in plaintiff’s favor the defendant appeals.

The facts as they appear from the record are substantially as follows: On November 14, 1918, Sebastian Coci, through defendant’s local agent in this city, made application to the defendant for a policy of $2,000. In payment of the first premium the agent accepted the notes of Coci payable at a future date to the order of the agent individually. The application, together with the report of the medical examination and the amount of the premium less the agent’s commission, was forwarded to the company, approved by the company, and a policy issued on November 19, 1918, and which in due course was delivered to the insured. There was never, any question raised by the company as to the manner of settlement or payment of the first premium. At the instance and solicitation of defendant’s agent, Coci made application for additional insurance or a second policy, the one here in contest.

This application was antedated at the agent’s suggestion so as to come under the first, and to avoid a second, medical examination. The first premium on this second policy was paid in the same manner as the premium on the first policy — that is to say, the agent accepted the insured’s notes and settled the premium with the company. The application was accepted and approved by the company and the policy was issued bearing date December 10, 1918, but made effective as of November 14 of that year.

The policy was mailed from the home office on December 11 addressed to the branch office in this city and reached the latter office on December 14. It was delivered by the local a'gent to a representative of the insured on Monday, December 16. On the day before (Sunday, the 15th) Coci, suffering from double lobar pneumonia, was taken to Hotel Dieu, where he died on the following Wednesday, December 18.

On proper proofs of death the company paid the $2,000 policy, but declined to pay the second policy for the reasons set forth as a defense herein.

Much of the brief of defendant’s able counsel is taken up with a discussion of the failure of the payment by the insured of the advance premium, it being contended that the agent was without authority to accept notes, and that the transaction as between the agent and insured was not binding on the [1064]*1064company. We do not find any such defense raised in the pleadings.

On the contrary, the petition alleges the payment of the first preinium in advance and its acknowledgment in the policy, and this averment is expressly admitted in the answer. But, aside from this, the action of the agent, following the course pursued with respect to the first policy, and which was approved hy the company, was ratified hy the company in accepting the amount of the premium from the agent and the issuance of the policy predicated on said payment. The company no longer looked to the insured. -The matter of the notes was a question between the agent and the insured, with which the company was not in the least concerned. The insured was never the debtor of the company, but of the agent. The agent had paid 'the company the advance premium after deducting his commissions, as is shown by the letter of the cashier of the company to its second vice president of date December 20 and by the testimony of the agent. In view' of these facts the company cannot be heard to say that the policy never became a contract for lack of payment of the advance premium.

The question of more difficult solution is as to when the contract of insurance became consummated and effective; whether when the policy was mailed at the office1 in New York December 11, addressed to the local agent in New Orleans, or when actually delivered by the local agent to the agent of the insured on December 16. If actual physical delivery was necessary to put the policy in force, then it never became effective, because at the time of such actual delivery (December 16) the insured was dangerously ill with pneumonia, from which he died two days later. If, however, the contract became a completed contract when the policy was mailed in New York December 11, the insurance then became effective, and the policy was in full force at the date of the death of the insured, for it is clearly established by the evidence that the insured was in good health within the legal meaning of that term as used in the application for the policy on the day the policy was mailed.

The agreement of the insured made the basis of defense is contained in the application, and, as said application is made a part of the contract, and with the policy constitutes the Whole contract, we shall insert the stipulation and the pertinent part of the policy:

“I agree as follows: That the insurance hereby applied for’ shall not take effect unless the first premium is paid and the policy is delivered to and received by me during my lifetime and good health and that unless otherwise agreed in writing, th.e policy shall then relate back to and take effect as of the date of this application.”

The policy;

“This contract is made in consideration of the payment in advance of the sum of $69.72, the receipt of which is hereby acknowledged, constituting the first premium and maintaining this policy to the fourteenth day of May, nineteen hundred and nineteen, and of a like sum on said date and every six calendar months during the life of the insured until premiums for twenty full years in fill shall have been paid from the date on which this policy takes effect. This policy takes effect as of the 14th day of November nineteen hundred and eighteen, which day is the anniversary of the policy.”

There can be no doubt .that the policy, independent of the application, evidences a complete and perfect contract. There were no conditions incorporated in the policy itself and nothing left, to be done by either the insurer or the insured to put the contract into effect. The proposal of the insured was accepted, the advance premium was paid, the policy was written as applied for and placed in the mail for delivery to the insured. This was the last act to be performed by either party, unless the stipulation in the application as to condition of health of the insured is to be regarded as a condition precedent, [1066]*1066suspending the contract until actual physical delivery of the policy to the insured.

The general rule, sustained by ample authority, is that:

Free access — add to your briefcase to read the full text and ask questions with AI

Related

New Jersey Life Insurance Co. v. Henri Petetin, Inc.
311 So. 2d 454 (Supreme Court of Louisiana, 1975)
New Jersey Life Insurance v. Henri Petetin, Inc.
297 So. 2d 726 (Louisiana Court of Appeal, 1974)
Zimmerman v. United Benefit Life Insurance Co.
199 So. 2d 14 (Louisiana Court of Appeal, 1967)
Morrison v. New Hampshire Insurance
181 So. 2d 418 (Louisiana Court of Appeal, 1965)
Lafleur v. All American Insurance Co.
157 So. 2d 254 (Louisiana Court of Appeal, 1963)
Hudson v. Travelers Insurance Co.
128 So. 2d 35 (Louisiana Court of Appeal, 1961)
Smith v. Travelers Fire Insurance
90 So. 2d 586 (Louisiana Court of Appeal, 1956)
Neal v. Life Ins. Co. of America
57 So. 2d 783 (Louisiana Court of Appeal, 1952)
Ferguson v. Hartford Live Stock Ins. Co.
39 So. 2d 108 (Louisiana Court of Appeal, 1948)
Metropolitan Life Ins. Co. v. Haack
50 F. Supp. 55 (W.D. Louisiana, 1943)
Pruitt v. Great Southern Life Ins. Co.
12 So. 2d 261 (Supreme Court of Louisiana, 1942)
Republic National Life Insurance v. Merkley
124 P.2d 313 (Arizona Supreme Court, 1942)
Morford v. California Western States Life Insurance
113 P.2d 629 (Oregon Supreme Court, 1941)
Rutherford v. Acacia Mut. Life Ins. Co.
181 So. 231 (Louisiana Court of Appeal, 1938)
Callan v. Mutual Life Ins. Co.
147 So. 110 (Louisiana Court of Appeal, 1933)
Ravenscroft v. Kansas City Life Insurance
276 P. 303 (Idaho Supreme Court, 1929)
Jones v. New York Life Ins. Co.
253 P. 200 (Utah Supreme Court, 1926)
Jackson v. New York Life Ins. Co.
7 F.2d 31 (Ninth Circuit, 1925)

Cite This Page — Counsel Stack

Bluebook (online)
99 So. 871, 155 La. 1060, 1924 La. LEXIS 1964, Counsel Stack Legal Research, https://law.counselstack.com/opinion/coci-v-new-york-life-ins-la-1924.