Finkelstein v. AMERICAN INS. CO. OF NEWARK

62 So. 2d 820, 222 La. 516, 1952 La. LEXIS 1355
CourtSupreme Court of Louisiana
DecidedNovember 10, 1952
Docket40872
StatusPublished
Cited by27 cases

This text of 62 So. 2d 820 (Finkelstein v. AMERICAN INS. CO. OF NEWARK) 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
Finkelstein v. AMERICAN INS. CO. OF NEWARK, 62 So. 2d 820, 222 La. 516, 1952 La. LEXIS 1355 (La. 1952).

Opinion

LE BLANC, Justice.

The plaintiff owns a property situated on East Hickory Street in Amite, La. On it he had a frame building which was insured by the defendant, the American Insurance Co. of Newark, N. J. The policy insured the building against damage or'loss by fire but it also- contained an extended coverage endorsement which included loss or damage resulting from windstorm.

On September 19, 1947, while the policy was in effect, a tropical storm or hurricane struck the town of Amite and plaintiff’s ■building suffered damages for which he seeks to recover judgment in this suit. His demand is in the sum of $1695.75.-

Suit was not filed until September 27, 1948 and, on the basis of the provisions of Act No. 251 of 1944, now part of the Insurance Code, LSA-R.S. 22:1-1459, and also a clause in the policy, both to the effect that no suit for recovery on an insurance policy shall be entertained in any court “unless commenced within twelve months next after inception of the loss”, the defendant plead *519 ed prescription. The plea also included an exception of no right or cause of action.

The district judge overruled the plea and after trial of the case on the merits rendered judgment in favor of the plaintiff in the sum of $800 plus the statutory penalty of 12% and 20% additional as attorney’s fees.

On appeal tO' the Court of Appeal for the First Circuit the plea of prescription was sustained and as a consequence the judgment of the district court was reversed and the plaintiff’s suit was ordered dismissed 58 So.2d 338.

Plaintiff applied for and was granted a writ by this court and the decision of the Court of Appeal is now before us for review.

The question presented seems to be res nova in Louisiana.

It becomes apparent upon a statement of the issue made under the plea that there is involved an interpretation of the provisions of the Insurance Code which makes it mandatory for all insurance companies doing business in the State to incorporate in their policies, among others, the limitation clause with which we are here concerned.

A strict application of the language of that clause would necessarily result in sustaining the plea of prescription for the reason that plaintiff’s suit was not instituted until September 27, 1948 which was eight days more than the twelve months from the date of the storm which caused the damage claimed. The important words in the clause and those which lead to- some difficulty in interpreting it are the words “within twelve months next after inception of the loss”.

In 29 Am.Jur., Insurance, Section 1397 we find the following statement:

“There is a sharp conflict in the cases on the question when the time begins to run within which a suit is required to be brought under the usual policy provisions. It is usually provided that the insurer shall have a certain.time within which to pay the loss, postponing the time of payment, and that no^ action shall be sustained unless commenced within a certain time. Whatever may be the term employed in the latter provision, whether it is within a certain time ‘after loss,’ ‘after the fire,’ or ‘after death,’ many courts hold that the provision for immunity from suit and the one of limitation must be construed together and that the period of limitation does not begin to run until the loss is payable and an action might be brought against the insurer. Other courts hold that the provision limiting the time of suit must be given effect and that the time begins to run at the time the loss actually occurs.”

An examination of the decisions of various courts in the country reveals the conflict which is referred to in the statement. However, we believe it can safely be said that the majority of the courts have applied *521 a liberal rather than a literal construction of such a limitation clause and hold that the twelve month period does not begin to run until after the cause of action has accrued by virtue of some other provisions and requirements of -the policy, that is, sixty days after ascertainment of loss either by agreement between the insured and the insurance company, or, by arbitration as is usually provided for in the policy in case the parties are unable to agree.

In this State the provisions in the statute relating to the bringing of a suit on a policy of insurance, which provision, as required by the statute is incorporated in the policy in this suit, reads as follows:

“No- suit or action on this policy for the recovery of any claim shall be sustainable in any court of law or equity unless all the requirements of this policy shall have been complied with, and unless commenced within twelve months next after inception of the loss.”

It thus appears that in order for a suit to be entertained by the court two conditions have to be met: (1) All the requirements of the policy must have been complied with and (2) suit must be commenced within -twelve months after the inception of the loss. As appears from the citation from American Jurisprudence, supra, for the purpose of construing its provisions, it does not seem to make any difference what the particular language of the clause relating to the time from which the twelve month limitation begins to run is. As is shown in the quoted provision of our statute the wording of the phrase is “after inception of the loss.” In other instances, as pointed out in the quoted section from American Jurisprudence, the term employed may be “after loss”, “after the fire” or probably some other. What is important in determining the issue that is presented is that no matter what the language of that particular phrase in the clause may be, the whole clause has to be construed together with the other provisions of the -policy which relate to the requirements the insured has to comply with before his suit o-r action can be sustained.

In this connection we refer to- the provision in the statute and the clause in the policy which immediately precedes the one of limitation. That clause reads as follows :

“The amount of loss for which this company may be liable shall be payable sixty days after proof of loss, as herein provided, is received by this company and ascertainment of the loss is made either by agreement between the insured and this company expressed in writing or by the filing with this company of an award as herein provided for.” 1

*523 The proof of loss which the insured is required to make, and which the insurance ■company may hold for sixty days after receiving it, may, under the provisions of the statute and also of the policy, become a very detailed affair for which the law gives him sixty days to prepare and submit to 1 the company and, moreover, this term of sixty days may be extended beyond that time, all of which appears from a reading of that clause:

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

Related

Taranto v. Louisiana Citizens Property Insurance Corp.
62 So. 3d 721 (Supreme Court of Louisiana, 2011)
Borgen v. Economy Preferred Insurance
500 N.W.2d 419 (Court of Appeals of Wisconsin, 1993)
Closser v. Penn Mutual Fire Insurance
457 A.2d 1081 (Supreme Court of Delaware, 1983)
F & D Co. v. Aetna Insurance
287 S.E.2d 867 (Supreme Court of North Carolina, 1982)
Gambino Industries, Inc. v. Security Insurance Co.
333 So. 2d 759 (Louisiana Court of Appeal, 1976)
POP CONSTEUCTION CO. v. State Farm Fire & Cas. Co.
328 So. 2d 105 (Supreme Court of Louisiana, 1976)
P. O. P. Construction Co. v. State Farm Fire & Casualty Co.
316 So. 2d 863 (Louisiana Court of Appeal, 1975)
Hughes v. FIRST NATIONAL LIFE INSURANCE COMPANY
272 So. 2d 57 (Louisiana Court of Appeal, 1973)
Hall v. Provident Life & Accident Insurance Co.
250 So. 2d 435 (Louisiana Court of Appeal, 1971)
Johns v. New Hampshire Insurance
66 Misc. 2d 799 (New York Supreme Court, 1971)
Gremillion v. Travelers Indemnity Company
240 So. 2d 727 (Supreme Court of Louisiana, 1970)
Peloso v. Hartford Fire Insurance Co.
267 A.2d 498 (Supreme Court of New Jersey, 1970)
Gremillion v. Travelers Indemnity Co.
228 So. 2d 520 (Louisiana Court of Appeal, 1969)
Peloso v. HARTFORD FIRE INS. CO.
246 A.2d 52 (New Jersey Superior Court App Division, 1968)
Muse v. Heine
189 So. 2d 40 (Louisiana Court of Appeal, 1966)
Joe E. Freund, Inc. v. Insurance Co. of North America
261 F. Supp. 131 (W.D. Louisiana, 1966)
O'Neal v. American Equitable Assurance Co. of Ny
162 So. 2d 384 (Louisiana Court of Appeal, 1964)
Noel v. Jumonville Pipe & Machinery Co.
148 So. 2d 891 (Louisiana Court of Appeal, 1962)

Cite This Page — Counsel Stack

Bluebook (online)
62 So. 2d 820, 222 La. 516, 1952 La. LEXIS 1355, Counsel Stack Legal Research, https://law.counselstack.com/opinion/finkelstein-v-american-ins-co-of-newark-la-1952.