Ells v. Order of United Commercial Travelers of America

125 P.2d 457, 20 Cal. 2d 290, 1942 Cal. LEXIS 277
California Supreme Court·Decided April 30, 1942·No. L. A. No. 18178·Published·Cited by 10 cases

Opinion

CURTIS, J.

This is an appeal from a judgment in favor of respondents in an action to recover death benefits under [292] an insurance certificate issued by the appellant fraternal beneficial order.

On January 2, 1914 appellant issued an insurance certificate to James Fisk Ells, respondents’ father, which provided that he was accepted as an insured member under “Class A” and as such entitled to all the rights and benefits provided in the constitution of appellant for such insured members. The certificate contained the following provision: “This Certificate, the Constitution, By-laws and Articles of Incorporation of said Order, together with the application for insurance .. . shall constitute the contract. . . and shall govern the payment of benefits.” Under the constitution, “Class A” insured members were to be indemnified against the results of bodily injury or death caused by accidental means. On April 2, 1939, the insured accidentally fell in the bathroom of his home and sustained injuries which resulted in his death on April 4, 1939. At the time of his. death he was in good standing, having paid all dues, assessments and other charges called for under the terms of the insurance certifícaté from its date of issuance up to the time of his death, a period of over 25 years. On April 5, 1939, an autopsy was performed upon the body of the insured by the autopsy surgeon of the county of Los Angeles at the request of the county coroner, which revealed that death was caused by contusion of the right lung with traumatic pneumonia. The autopsy was performed without the knowledge of respondents or either of them. On the same day, but following the post mortem examination, A. J. Loeslein, secretary-treasurer of Los Angeles Council No. 82, the local council of appellant, was informed by respondents of the facts concerning the autopsy and of their intention to have the body cremated on the following day. No other notice of the autopsy or cremation was given to the appellant. On April 6, 1939, with the express permission of Loeslein, the body of the insured member was cremated. Respondents, as beneficiaries under the insurance certificate, submitted a claim for the death benefits, which was rejected by appellant on the ground that the right to the death benefits was forfeited by respondents’ failure to give the manager of appellant’s claim department 72 hours’ notice of the intended autopsy and cremation as required by the constitution.

Preliminary to the discussion of the questions involved herein, it might be well to refer to the evidence that the local [293] lodge had given Mrs. Barnes permission to have the body cremated immediately following the funeral. The constitution of the appellant, which we have seen was made a part of the contract of insurance, expressly provides that no officer of a subordinate lodge shall have power to waive any provision of the “constitution of the order relating to insurance” and that no knowledge or information obtained by any member of the local organization shall be construed as “knowledge or notice to the order. ’ ’ These provisions of the constitution incorporated in the terms of the insurance certificate are held to be binding upon the insured (Marshall v. Grand Lodge A. O. U. W., 133 Cal. 686 [66 Pac. 25]; Valentine v. Head Camp, P. J., W. O. W., 180 Cal. 192 [180 Pac. 2, 8 A. L. R. 380]), and the insured is charged with full knowledge of these provisions of the constitution. (Valentine v. Head Camp, P. J., W. O. W., supra; Supreme Lodge v. Price, 27 Cal. App. 607 [150 Pac. 803].)

The basis of these decisions is that since the insured is a party to the contract of insurance, he is charged with knowledge of all its terms, including the constitution of the order, as the latter was made a part of the contract. However, we wish to add at this time that these cases are of doubtful authority in determining whether the beneficiaries named in the insurance certificate but not parties to the contract are charged with knowledge of its terms.

It might be further said that the trial court did not base its decision upon any alleged waiver by the secretary of the local lodge, as it appears from its remarks in ruling upon a motion to strike out the evidence of waiver. In ruling upon that motion it stated: “Because Mr. Loeslein [the secretary] says ‘go ahead and do something’ that it is O. K. with him, that certainly does not bind the company from that standpoint. ’ ’

We are not, therefore, basing our decision of any question involved herein on any asserted waiver of the terms of the insurance certificate by any act of the secretary or other officer of the local lodge.

Appellant first contends that respondents’ claim for death benefits was forfeited and rendered null and void by the failure of respondents to notify the manager of the claim department of the appellant 72 hours before said autopsy was held that said autopsy was to be held. As noted above, [294] the insurance certificate issued to the insured makes the constitution of appellant a part of the contract between the insured and the appellant. Article XV, section 21 of this constitution reads in part as follows: “Any claim for death alleged to have been caused by accident shall be forfeited and rendered null and void should an autopsy not requested by the Supreme Executive Committee, or any representative authorized by it, be held without notice thereof being first given to the Manager of Claim Department at least seventy-two (72) hours in advance of the intended autopsy. Any claim for death alleged to have been caused by accidental means shall also be forfeited and rendered null and void should the remains be cremated without first giving notice thereof to the Manager of Claim Department at least seventy-two (72) hours in advance of the intended cremation.”

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Ells v. Order of United Commercial Travelers of America, 125 P.2d 457, 20 Cal. 2d 290, 1942 Cal. LEXIS 277 (Cal. 1942).

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