Fryar v. Employers Ins. of Wausau

607 P.2d 615, 94 N.M. 77
CourtNew Mexico Supreme Court
DecidedMarch 6, 1980
Docket12459, 12471
StatusPublished
Cited by10 cases

This text of 607 P.2d 615 (Fryar v. Employers Ins. of Wausau) is published on Counsel Stack Legal Research, covering New Mexico Supreme Court primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Fryar v. Employers Ins. of Wausau, 607 P.2d 615, 94 N.M. 77 (N.M. 1980).

Opinion

OPINION

SOSA, Chief Justice.

The general issues presented in this case are (1) whether the insurance broker had authority to modify an insurance contract for an insurance company, and (2) if he did, whether the insureds reasonably relied to their detriment upon representations by the broker. We hold that under the facts of this case the broker was an agent of the insurance company and legally bound the company to a modification of the insurance contract.

Plaintiff-appellees Lem and Danny Fryar (Fryars) entered into a partnership to conduct a logging business in September of 1973. The Fryars were at that time contacted by appellants Marsh & McLennan, Inc. (broker), an insurance brokerage firm. The broker subsequently obtained a workmen’s compensation policy for the Fryars from Employers Insurance of Wausau (insurors). The policy provided that a portion of the premium would be refunded to the insured if the claims on the policy were low, and that an additional premium would be charged if the claims were high. The refund was to be computed six months after each annual period of the policy, and if due, paid as soon as practicable thereafter. The policy also contained a clause which attempted to provide that the insureds would not be entitled to their refund if the policy was cancelled before a three-year period had expired.

In 1974, a year after the policy took effect, the Fryars asked the broker if their “dividend” for the year could be used to pay the premiums of a general liability policy which they also carried with the insurors. The broker, after contacting the insurors, wrote to the Fryars and told them that the “dividend” could be so used, because it would be forthcoming in November of 1974, and could then be used to pay the general insurance premium. Relying upon this, the Fryars then repaired some of their equipment with the money they ordinarily would have used to pay insurance premiums, though the repairs were not essential at the time. The company, however, did not pay the refund in November as promised. The Fryars continued to pay premiums on the general insurance policy, but could not afford the premium on the workmen’s compensation policy, so they requested that the insurors cancel that policy. The insurors then refused to pay the Fryars the refund of premium due them, citing the provision in the policy which stated the refund would not be paid if the policy was cancelled before three years. The trial court found this provision to be an unenforceable penalty; found the policy to be adhesive and ambiguous, and found that the broker was an agent of insurors who bound the insurors to pay the refund in November of 1974. The court awarded a judgment jointly and severally against both the broker and the insurer for $52,042.07, which was the amount of the refund the Fryars would have received had there not been a breach of contract.

I. We first discuss whether the broker had authority to modify the contract. The insurors argue that Section 59-5-37, N.M.S. A.1978 applies and precludes a finding that the broker acted as an agent of the insuror.

The section reads in part:

[A]ny broker licensed to transact an insurance business in the state of New Mexico shall, in any controversy between any insured or his beneficiary and the company, issuing the insurance through its licensed agent at the request of said broker, be held to be the agent of the insured, anything in the application or policy to the contrary notwithstanding.

The statute is remedial in nature, and as such, is intended to “right” certain “wrongs.” We believe the statute is inapplicable to the facts of this case because they do not constitute the “wrong” intended to be covered by the statute. As was stated by the United States Supreme Court in considering the applicability of a statute deeming certain persons to be agents of the insurors:

“The purpose of the statute was to settle, as between the parties to the contract of insurance, the relation of the agents through whom the negotiations were conducted. Many insurance companies provided in their applications and policies that the agent by whom the application was procured should be regarded as the agent of the assured. Under that provision they were able to avail themselves, in many cases of loss, of defenses which would not have been available if the solicitor had been regarded as their agent, and many cases of apparent hardship and injustice arose under its enforcement, and that is the evil which was intended to be remedied by the statute, and it ought to be interpreted as to accomplish that result.”

Continental Ins. Co. v. Chamberlain, 132 U.S. 304, 310, 10 S.Ct. 87, 89, 33 L.Ed. 341 (1889), quoting from St. Paul F. & M. Ins. Co. v. Shaver, 76 Iowa 282, 286, 41 N.W. 19, 20 (1888). We believe that Section 59-5-37 has as its purpose the protection of insureds. Accordingly, Section 59-5-37 should not be construed or applied in a manner which would allow insurance companies to mislead those who reasonably rely on their agent’s representations. Additionally, we believe that the statute should be held to a restrictive interpretation because it is in derogation of the common law of agency. See 3 Sutherland Statutory Construction, § 61.01 (4th ed. C. Sands 1974). The statute states that in a controversy between a company issuing the insurance through its licensed agent at the request of the broker, and the insured, the broker is to be held to be an agent of the insured. In this case, there is testimony that the broker dealt directly with the insurors, and not through an agent licensed in New Mexico. The statute, therefore, if restrictively interpreted, does not apply here. We instead follow established case law.

Normally, the question of agency is one of fact. Brown v. Cooley, 56 N.M. 630, 247 P.2d 868 (1952); State v. De Baca, 82 N.M. 727, 487 P.2d 155 (Ct.App.1971). It is to be determined from the facts and circumstances of each case, together with the conduct and communications between the parties. Brown v. Cooley, supra, 56 N.M. at 635, 247 P.2d at 871. If there is substantial evidence to support the verdict of the finder of fact, the finding will not be disturbed on appeal. Id. The trial court determined that the broker acted as an agent of the insuror in making the representation that the refund would be paid in November, 1974. We find that there is substantial evidence in the record to support a determination that the broker had apparent authority, manifested by the acts of the insuror toward the insured, to modify the contract. See 2 Williston on Contracts § 277 (3rd ed. Jaeger 1959); Restatement (Second) of Agency §§ 8, 27 (1957). There was evidence that the policy itself indicated that the broker was the representative of the insuror. There was also evidence that the insurance company knew of the modification by the broker, and consented or acquiesced to it. As we have quoted before,

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Bluebook (online)
607 P.2d 615, 94 N.M. 77, Counsel Stack Legal Research, https://law.counselstack.com/opinion/fryar-v-employers-ins-of-wausau-nm-1980.