Colonial Life and Accident Insurance Company v. Sarah Ethel Wilson

246 F.2d 922
CourtCourt of Appeals for the Fifth Circuit
DecidedSeptember 18, 1957
Docket16290
StatusPublished
Cited by12 cases

This text of 246 F.2d 922 (Colonial Life and Accident Insurance Company v. Sarah Ethel Wilson) is published on Counsel Stack Legal Research, covering Court of Appeals for the Fifth Circuit primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Colonial Life and Accident Insurance Company v. Sarah Ethel Wilson, 246 F.2d 922 (5th Cir. 1957).

Opinion

JOHN R. BROWN, Circuit Judge.

The principal question is whether an insurance company may, and did, permit the Assured to keep the policy in force by the mailing of premium checks never shown to have been actually received. Subsidiary to this main question which raises the sufficiency of the evidence to support the jury verdict for the beneficiary are procedural matters relating to the charge to the jury.

George Wilson, owner of a business and apparently regarded as a sufficiently responsible and substantial business man to qualify for the Insurer’s “Executive and Professional Accident Policy,” died from accidental means June 28, 1955. He had carried this policy since July 31, 1951, when he was then 36. Except for nonpayment of premiums, it was expressly declared to be “non-cancellable and guaranteed renewable to age eighty * * Under optional premium payment plans (annual, semiannual, quarterly or monthly), it was written for the period of the premium payment, in this case one month. While this denominated it a monthly policy, the Insurer, for the premium payment plan, treated the anniversary date as July 31 of each year. There is no dispute that for the years 1951-1952, 1952-1953, 1953-1954 (ending July 31, 1954) the premium was promptly paid in full by the method soon described. The question narrows down to whether, in July or August 1954, a sufficient “payment” of the next twelve months’ premium was made to keep it in force for the eleven months up to the time of the Assured’s death.

It was stipulated that no payments were made by the Assured in cash subsequent to the premium payment of June 30, 1954, and the beneficiary (Mrs. Wilson) does not have and cannot produce any cancelled check or premium receipt representing payments subsequent to June 30, 1954, or any bank statement reflecting payment as premiums on the policy subsequent to June 30, 1954.

On it the Insurer claimed, and now reiterates, that the policy lapsed or terminated by its own terms for failure to pay premiums. Underlying this was the persistent demand that the policy *924 term 1 required cash with an ofiicial receipt which “according to the law of the Medes and Persians * * * altereth not,” Cargill, Inc., v. Compagnie Generale Transatlantique, 5 Cir., 235 F.2d 240, 242, 1956 A.M.C. 1545, 1547. With this as the major theme, recurring from time to time as the structure develops, the Insurer, urging 2 what is in reality not in dispute, that the policy was for one month and would not be effective unless, for the next month, the premium were paid becomes almost transfixed byrf its preoccupation with another principle of universal acceptance—that ordinarily, ’in the absence of a clearly expressed intention to the contrary, payment by" check is conditional only until honored and paid on presentment. 3 From this it presumably argues that since the check is not- payment until cashed, it could under no circumstance constitute such payment as would keep the policy in force if never received, or if received, never acknowledged by the official 4 receipt, note 1, supra.

But this ignores altogether what the Insurer did and what Alabama considers an insurer may do or lead an assured to think it has done, Travelers’ Ins. Co. v. Brown, 138 Ala. 526, 35 So. 463. Undoubtedly the Insurer could have insisted on strict literal, formal, punctilious compliance with the policy provisions, note supra. But it did not. And this was neither inadvertent nor the result of careless or slovenly business habits. It was the result of an adoption of a eom *925 prehensive plan by which, as far as possible, the thousands of routine recurring items of an insurance company could be performed by or through the miraculous capacity of IBM machines.

If not altogether, at least as to the Executive and Professional Accident Policy, it was of acknowledged benefit to the Insurer for the Assureds to pay, not in cash, but by check. And it facilitated it further for the Assured to use the postdated “Series Checks” prepared and transmitted by the Insurer to the Assured for that purpose. Thus, 12 days prior to the anniversary date (here July 31, 1954), almost as though this Artzybasheffian marvel has reached down to pluck it out of the file, a First Notice was mailed to the Assured. This notice, as well as the Second Notice and the third, Final Notice, were prepared in manifold form from punch cards by the IBM printer and sorter. The “Series Checks” were likewise printed from punch cards by IBM on paper with punch holes at each end permitting processing in these machines. The machine automatically printed on the check the policy date, name of the Assured's bank on which the check was drawn, the predetermined postdate for each of the successive twelve checks and the amount. All was done save the Assured’s signature as the drawer. These “Series Checks” were sent with the First Notice, and, when returned signed by the Assured, were placed in a file from which as each month rolled around, that month’s check was removed, more cards were punched to show payment of the premium, credit to the writing agent’s account, and a deposit to the Insurer’s bank account. With 500 to 1,000 pieces of mail on an average day and twice as many on Mondays or following holidays, two-thirds of which were premium payments, it was of great advantage, if not necessity, to the Insurer that this all be as routine as possible. The more that checks were used, and indeed, the more the “Series Checks” plan was followed, the more fixed was the routine, the greater the savings in personnel time, and the less chance there was of error. And, of course, the system was keyed to the handling of it once each year on an annual basis.

When the First Notice was sent just prior to the anniversary date, a set of twelve “Series Checks” was enclosed for the next year. In the plainest of simple English words, this Notice told 5 the Insured that if he would sign and return the “Series Checks,” it was assurance “that your policy will be kept in force for another twelve months’ period * * Not only that, the Notice left it to the Assured to exercise the option *926 of using the check plan devised by the Insurer or, as indicated, the alternative annual or semiannual premium.

Under the “Series Check” plan, if, by the anniversary date, the “Series Cheeks” were not received from the Assured properly signed and ready for filing for later serial deposit, a Second Notice 6 (without another set of checks) was sent. Again, by simple, plain words the Assured was informed that all that was needed was to sign and return

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Bluebook (online)
246 F.2d 922, Counsel Stack Legal Research, https://law.counselstack.com/opinion/colonial-life-and-accident-insurance-company-v-sarah-ethel-wilson-ca5-1957.