Downing v. Farmers Mutual & Fire Insurance

138 N.W. 917, 158 Iowa 1
CourtSupreme Court of Iowa
DecidedDecember 12, 1912
StatusPublished
Cited by3 cases

This text of 138 N.W. 917 (Downing v. Farmers Mutual & Fire Insurance) is published on Counsel Stack Legal Research, covering Supreme Court of Iowa primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Downing v. Farmers Mutual & Fire Insurance, 138 N.W. 917, 158 Iowa 1 (iowa 1912).

Opinions

Deemer, J.

Among the live stock covered by the insurance against lightning was a certain black mare which met its death on or about September 13, 1910. It is the claim of the plaintiff that the animal was killed by lightning, and that under the terms of the defendant’s contract he is entitled to demand and recover thereon the sum of $100. The defendant admits the issuance of the policy, that it wias in force at the time of the loss of the mare, that the mare was of the reasonable value of $100, and that proofs of said loss have been waived by the company. It further admits that it has rejected plaintiff’s claim and refused to pay the value of the property alleged to have been lost. It denies, however, that the mare was killed by lightning, and pleads that said company is a co-operative insurance association, which is made up of the owners of the property insured by its policies, and that losses incurred are paid by assessment upon [3]*3said members in proportion to the amount of insurance carried by them, and all persons so becoming members are bound to observe and abide by the rules and regulations adopted for the government of its business. It is further alleged that by the regulations adopted by said company it is provided that, where a loss occurs, and the adjuster of the company and the insured fail to agree as to the amount of loss or damage suffered or concerning the question whether the company is liable at all, then the dispute must be referred to the company’s board of directors for final adjustment, and that under this rule or regulation, the matter of plaintiff’s alleged loss having become a subject of controversy between him and the adjuster, he- was duly notified to meet with the board of directors on September 21, 1910, for the purpose of considering his claim. It is further alleged that plaintiff did attend said appointed meeting and presented his claim and his evidence and proofs of loss, upon consideration of which the board of directors voted to reject the same and refused to make payment demanded. Upon this showing defendant says that, plaintiff having elected to submit his claim to the board of directors, and said board having acted thereon and found no liability on part of the company, he is now estopped to maintain this action.

I. Concerning the merits of the question whether plaintiff’s animal was in fact killed by lightning, we think sufficient to say that the testimony was such as to require its submission to the jury.

II. The by-law or regulation upon which the defendant- ' relies reads as follows:

This association-will not pay for stock killed by lightning, unless the loss has been brought to the notice of the nearest adjuster in five days, who shall immediately notify the secretary, and -as soon as practicable, proceed to adjust the loss. If this cannot be done in a reasonable time, the owner shall have two disinterested parties examine the animal and if there are no positive marks of lightning on the outside, then examine under the skin, until marks are found, or it is proven, [4]*4there are none, and report the facts to the adjuster. The president, secretary, and directors are the adjusters for the association. 4n casé the loss exceeds $200.00 there shall be two adjusters called, one of whom shall be the president or secretary. Should the adjuster and the assured fail to agree as to the amount of the loss or damage or as to whether there is any liability at all, the matter shall be referred for final adjustment to a meeting, of the board of directors, said meeting to be called by the president within ten days after notice of such disagreement.

1. Insurance: adjustment of loss: by-law provision. It appears from the evidence that plaintiff, upon discovering the death of his mare, at once notified the company of his loss, and on the same day the president and secretary visited plaintiff’s farm. After making some investigation, they announced their conclu- . . siofi that the loss had not been occasioned by lightning, and that the defendant was not liable therefor upon its policy. In this conclusion plaintiff refused to acquiesce and was told that a meeting of the board of directors would - be' held on Wednesday of the next week at which the claim would be considered. On the day named the directors met, and plaintiff appeared before them asserting his claim, some of his neighbors upon whose corroboration he relied were also present and made their statements; but the board, reaffirming the action taken by the president and secretary, denied the liability of the company and refused payment of the loss. It is’ now insisted for the defendant, that, plaintiff having elected to appear before the board of directors to obtain adjustment of his alleged loss, the decision there made must be given the effectiveness and finality of an adjudication by a .court of competent jurisdiction, and no further action for recovery upon the policy can be maintained. The trial court overruled this objection and did not err in so doing. Whether it be possible for a corporation or association to devise a scheme or plan by which'it shall itself be judge and jury to’ adjudicate the question of its own liability upon its own contracts to the exclusion of the judicial tribunals provided [5]*5by law we need not now stop to consider, for, even if we assume that such a thing is legally conceivable, we are very certain it is not to be found in the law above quoted. The evident purpose of this provision is to promote adjustment and settlement of losses without litigation, and to that end, if the claimant and adjuster sent out to make investigation shall fail to reach an agreement, a further hearing and consideration by the board of directors are provided for. Though the by-law speaks of this hearing as -a “final adjustment,” this cannot fairly be construed as a final and conclusive determination of the right to recover on the policy, but rather as the final effort to adjust or settle the claim amicably. Neither the adjuster nor the board of directors in such case acts judicially. Their attitude is that of representative of the association making inquiry to satisfy themselves whether the loss'is within the terms of the policy, and their final determination to reject the claim is not an adjudication of plaintiff’s right to recover, but is rather their final conclusion that the proofs offered are insufficient to justify them in making payment without suit.

Nor do we find anything in our cases or the policy of our own statutes or system of procedure to sustain the proposition that the effort of plaintiff to obtain payment of his loss by amicable adjustment operates as an election of remedies to bar him from seeking relief in the courts. To thus penalize negotiations for the private adjustment of disputed claims is not to lessen litigation, but to multiply it. There is nothing in this provision for settlement by adjusters or by the board of directors which brings the case within the rules or precedents applicable to the arbitration of disputes, or to contracts by which matters merely incidental or collateral to the performance may be referred to the decision of a designated third party. The by-law in question does not attempt, to prohibit resort to the courts, and such effect is sought to be deduced only by way of argument or inference from the use of the phrase “final adjustment.” For the reasons sug[6]*6gested, we are not disposed to adopt that construction, and therefore hold that the court correctly overruled appellant’s motion for a directed verdict.

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Cite This Page — Counsel Stack

Bluebook (online)
138 N.W. 917, 158 Iowa 1, Counsel Stack Legal Research, https://law.counselstack.com/opinion/downing-v-farmers-mutual-fire-insurance-iowa-1912.