Gillespie v. Security Mutual Life Insurance

18 Ohio App. 164, 1924 Ohio App. LEXIS 125
CourtOhio Court of Appeals
DecidedFebruary 15, 1924
StatusPublished
Cited by4 cases

This text of 18 Ohio App. 164 (Gillespie v. Security Mutual Life Insurance) is published on Counsel Stack Legal Research, covering Ohio Court of Appeals primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Gillespie v. Security Mutual Life Insurance, 18 Ohio App. 164, 1924 Ohio App. LEXIS 125 (Ohio Ct. App. 1924).

Opinion

Mauck, J.

Gillespie brought bis action in tbe Common Pleas upon a matured endowment life insurance policy issued to him by tbe defendant in 1902. The policy was for $1,000. The plaintiff claimed that he was entitled to the face of the policy, plus $523 surplus, subject to a loan previously made him of $925.53, and that the net amount owing him at the maturity of the policy was $597.47. The defendant at the conclusion of plaintiff’s testimony tendered judgment for $161.06, on the theory that the plaintiff was entitled to a surplus above the face of the policy of $86.58, instead of the $523 claimed by plaintiff. After the case had been finally submitted to the jury the trial court sustained a motion of the defendant and directed a verdict for the plaintiff for the amount conceded by the defendant, and to the judgment that followed error is now prosecuted by the plaintiff.

The undisputed evidence is that the amount of surplus actually apportioned to the policy sued upon was. $86.58. The question at issue, therefore, is whether the plaintiff was entitled to the surplus so apportioned or was entitled to the surplus of $523 claimed by him.

Among the provisions of the policy was one covering the question at issue in the following language :

“Third. That at the end of the endowment period, provided this policy is in full force, the company will declare a dividend to the insured [166]*166or assigns of the share of the surplus then found by its actuary to be apportionable to this policy, which dividend may be drawn in cash, together with the endowment; or total cash value may be converted into a paid up policy (subject to medical examination and the company’s approval for any excess in paid up insurance over the amount of the original policy).”

Preceding the provision quoted was a table of loan values, surrender values and paid up continuing insurance values.

If the foregoing were all the pertinent provisions of the contract between the parties, there could be no question that the position of the company was sound, and that the plaintiff was entitled only to the increase of $86.58 actually apportioned by the actuary, unless such apportionment was impeached as unfair, and no such impeachment was attempted. The plaintiff, however, relies upon an additional paper, entitled “Illustration for Endowment Policy,” pinned to the policy at the time it was delivered to the plaintiff by the agent who solicited him. This paper recites the same loan values, surrender values, etc., that appear in the body of the policy heretofore mentioned. At the bottom of the “illustration,” and following the tables, appears this language not found in the policy proper.

“If the insured be living and the policy is in force at the end of twenty years, the insured or assigns will be credited with an equitable share of the surplus then found by the Actuary of the Company to be apportionable to the policy. Assumed surplus $523 which will be paid in cash together with the endowment of $1,000; Total $1,523, [167]*167or total cash value may be used as a single premium in purchase of paid up insurance $3,344; (subject to medical examination and the Company’s approval for any excess in paid up insurance over the amount of the original policy). The endowment policy herein illustrated contains the largest guarantees, grants freedom of residence, occupation and travel from its date, is incontestable for any cause after one year, nonforfeitable after three years, and payable immediately on receipt of proper proofs of claim. The company is purely mutual, and the expenses of management limited and inflexible. All profits belonging to and will be paid to persistent policy holders.”

The italicized word and figures are made by pen, the remainder is printed matter.

It is clear from the record that the company never authorized the soliciting agent to attach this illustration to the policy and make it a part of the contract. It is equally clear that such solicitor did attach it to the policy and that the policy as delivered had the illustration attached by a pin thereto.

The claim of the plaintiff is that the action of the agent in making the illustration a part of the contract is binding upon thé company within the doctrine laid down in Foster v. Scottish Union & Natl. Ins. Co., 101 Ohio St., 180. That was a case of fire insurance where the policy provided against liability if the building covered was. situated on property not owned by the insured in fee simple. The building was in fact situated on á leasehold. The agent of the company knew that it was a leasehold before the policy was issued and the premium paid. The insured, however, did not [168]*168know that the policy contained such a provision as that relied upon by the insurer, as he never saw the policy until it came into his possession after the fire. Upon this state of facts the court held in the Foster case that the knowledge of the agent as to the title was the knowledge of the company. This opinion is not helpful in the pending litigation. The question here is not what the company knew, but what it promised to do. The Foster case did not hold that the agent had power to add anything to the company’s promise to pay. If the agent, by virtue of his agency, has the power, by attaching a rider, to enlarge the company’s liability to pay dividends, no reason is apparent why he could not in the same way increase the face of the policy or shorten the period of its maturity.

If the plaintiff is entitled to the construction claimed by him it must be on some other grounds. It is claimed that such other grounds are present because on several occasions the insured returned the policy in question to the home office of the company, where the officers could have, and in the course of business would have, observed that the illustration was pinned to the policy. The company’s officers answer that on the occasions when the policy was returned to the home office none of them saw or had occasion to see the attached illustration and that they were ignorant of its existence until after the policy had matured. Whether the company did or did not know of the existence of the illustration was a question of fact, and as the trial judge in directing a verdict was bound to give the evidence that interpretation most favorable to the plaintiff it must now be assumed that [169]*169the executive officers of the company had knowledge during the life of the policy that the illustration was pinned thereto. This state of facts approaches that found in Forman v. Mutual Life Ins. Co., 173 Ky., 547, 191 S. W., 279, L. R. A., 1918F, 330, where it was held that an illustration somewhat like the one in the case at bar became a part of the contract of insurance. As will be observed by the opinion in that case, the note thereto in L. R. A., 1918F, at page 343, and Maddox v. Mutual Life Insurance Co., 193 Ky., 38, 234 S. W., 949, 22 A. L. R., 1276, annotated in the latter volume at page 1284, the weight of authority is that illustrations of the kind in question are mere expressions of opinions as to future earnings and not parts of the policies or guarantees that the expectations will be realized, although a number of the oases cited support the other view.

It is undisputed that under the policy sued on Gillespie was to pay $49.07 premium per year. Of this, $8.26 went to the General Fund, where it was available for expenses and any purpose for which the company needed it.

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Related

Karras v. Nationwide Life Insurance
582 N.E.2d 1010 (Ohio Court of Appeals, 1989)
Young v. Metropolitan Life Insurance
28 Ohio N.P. (n.s.) 179 (Court of Common Pleas of Ohio, Franklin County, Civil Division, 1930)

Cite This Page — Counsel Stack

Bluebook (online)
18 Ohio App. 164, 1924 Ohio App. LEXIS 125, Counsel Stack Legal Research, https://law.counselstack.com/opinion/gillespie-v-security-mutual-life-insurance-ohioctapp-1924.