Delta Life Ins. Co. v. Martin

59 So. 2d 465, 1952 La. App. LEXIS 638
CourtLouisiana Court of Appeal
DecidedMay 7, 1952
DocketNo. 3499
StatusPublished
Cited by12 cases

This text of 59 So. 2d 465 (Delta Life Ins. Co. v. Martin) is published on Counsel Stack Legal Research, covering Louisiana Court of Appeal primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Delta Life Ins. Co. v. Martin, 59 So. 2d 465, 1952 La. App. LEXIS 638 (La. Ct. App. 1952).

Opinion

ELLIS, Judge.

The plaintiffs herein are six industrial .life insurance companies which were first authorized as such by Act 65 of the Legislature of Louisiana for the year 1906, and by that Act and the amendments thereto are defined to be those companies which sell insurance for which the stipulated premiums are payable every four weeks or a lesser term, and the policies are for the sum of $1,250 or less, on a single life, [466]*466and which policies provided for a weekly-cash benefit for a disability caused by sickness or accident of $20 per week, or less, or to provide for the attendance of a physician or the supplying of drugs or the furnishing of a funeral.

Act 65 of 1906 has been amended by Act 240 of 1916, Act 148 of 1936, Act 340 of 1942, and Act 195 of 1948, which latter is known as the Insurance Code, Louisiana Statutes Annotated — Revised Statutes, Title 22. All of these acts specifically authorized such insurance companies to issue policies providing for the payment of cash sums or “provide for the attendance of a physician or supplying of drugs, or furnishing a funeral.” Act 195 of 1948 broadened the provision to “Provide for the payment for or furnishing of a funeral, all as herein limited and provided.”

The plaintiffs, in order to fulfill the terms of the contract of insurance which provided for the furnishing of a funeral, entered into contracts with funeral homes at discounts ranging from 25% to 70% off the retail value of the funeral as stated in the policy. For example, the insurance company would sell a burial benefit policy to an insured in which the company agreed that:

“⅜ * * immediately upon receipt of due proof of the death of the Insured while this Policy is in full force and effect, agree to provide a Designated Official Funeral Director who will furnish and conduct a funeral for the Insured as follows:
“Schedule A
“(1) Embossed Grey Tharson or Plain Grey Analea Cloth Covered Casket, outside box, adult burial garment, funeral car, three limousines, transferring remains, flower car, velvet drape or palm decorations (when available), door badge, veiling, candles or vigil lights, embalming, bathing, dressing, shaving, burial permit, two local press notices and acknowledgment cards, all to be furnished by the Company’s Designated Official Funeral Director.
“(2) Or $300.00 allowance on any other more expensive funeral service selected, provided the Company’s Designated Official Funeral Director wholly furnishes and conducts the funeral service. This allowance shall not be in addition to the funeral service described in No. 1 above, but in lieu thereof.
# * * * * *
“Funeral Benefit “$300.00”

Then, this insurance company, in order to fulfill the terms of its contract with the insured, would enter into a contract with a funeral home to furnish the funeral as detailed by the contract of insurance at a discount of, say, 50% or $150. Instead of using the stated or face value of the funeral benefit as shown by the policy of insurance as the basis for calculating the reserve, which is the amount of the premium that the insurance company must invest at a specified earning rate of interest in order to fulfill its commitment to the insured under the policy, these insurance companies have used the cost to them of furnishing the funeral benefit under the terms of the policy as shown by the contract with the funeral director in effect at the time of the issuance of the policy.

Using the same example as -above, where the funeral benefit on the face of the policy was stated as $300 and the contract with the funeral home or director to provide this funeral was $150, the insurance company used the $150 as the basis of their liability in calculating the necessary reserve.

On November 30, 1948, Hon. Wade O. Martin, Jr., Secretary of State and Ex-Officio Insurance Commissioner, addressed the following letter to the Delta Life Insurance Company, (formerly Tharp-Son-theimer Industrial Life Insurance Company) of New Orleans, Louisiana:

“Delta Life Insurance Co.
“New Orleans, Louisiana
“Gentlemen:
“This letter is addressed to you as your company was one of those represented at the conference held in my office on November 16, 1948. At that conference, you, through your repre[467]*467sentatives, asked the Department for a statement of its position with respect to the payment of cash surrender values and nonforfeiture benefits under burial policies on a reserve basis less than one hundred per cent (100%) of the legal minimum reserve required under the statutes of this State. As stated to you at that conference, there has never been any interpretation by this Department of any of the insurance laws of this State, prior to Act 195 of 1948; or since, which was not in accord with the laws of this State or which did not require cash surrender values and other non-forfeiture benefits on burial insurance policies to be computed and paid upon the basis of one hundred per cent (100%) of the reserve calculated according to the table specified in the policy or the American Experience Table of Mortality with interest at 4% per annum, whichever was the greater.
“It comes as quite a surprise to me to have you or any of the other companies represented m%ke a representation to me that this question was open to any doubt. This interpretation was so clearly established that a number of the companies present at the November 16, 1948 conference prevailed upon the 1948 Legislature to accept an amendment through the Code, in order to change this on future policies, and this was done, as you know, over the objection of the Insurance Department. Although this matter was so well settled as to require, in my opinion, no necessity for a legal instruction thereon from the Department, it is a matter of record that at all conferences which we held with representatives of your companies, and at which the drafting of Act 121 of 1946 was considered, the position of the Department that all cash values and other non-forfeiture benefits must be made on the basis of the legal minimum reserve required by law, i. e., one hundred per cent (100%) reserve computed on the American Experience Table of mortality with interest at 4%, or a higher table if specified in the policy.
“In addition, under date of November 20, 1946, a policy form manual was issued over my signature and sent by mail to each industrial company doing business in this State, which contained this provision:
“ ‘20. Cash Values (Industrial “Burial”).
“ ‘The cash values granted in burial policies shall be identical with the cash values given in identical contracts where the benefits are paid in cash. The fact that the law permits the measuring of the solvency of an industrial insurance company granting burial benefits on the basis of only 75% of the reserve under certain conditions does not permit the granting of a cash value on the basis of 75% of the reserve.’
“There has been no contrary interpretation written or otherwise issued by me or by my Department with respect to this matter.

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Bluebook (online)
59 So. 2d 465, 1952 La. App. LEXIS 638, Counsel Stack Legal Research, https://law.counselstack.com/opinion/delta-life-ins-co-v-martin-lactapp-1952.