Gilson v. Continental Casualty Co.

196 So. 2d 820, 1967 La. App. LEXIS 5639
CourtLouisiana Court of Appeal
DecidedMarch 21, 1967
DocketNo. 1947
StatusPublished
Cited by2 cases

This text of 196 So. 2d 820 (Gilson v. Continental Casualty Co.) is published on Counsel Stack Legal Research, covering Louisiana Court of Appeal primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Gilson v. Continental Casualty Co., 196 So. 2d 820, 1967 La. App. LEXIS 5639 (La. Ct. App. 1967).

Opinions

FRUGÉ, Judge.

The plaintiff, Mr. E. H. Gilson, filed suit against the Continental Casualty Company to recover commissions allegedly due him in connection with a policy of sickness [821]*821and accident insurance issued by the defendant to Northwestern State College at Natch-itoches and covering the students at that institution. The plaintiff alleges that the ■Continental Casualty Company is a nonresident insurance company doing business within the State of Louisiana and that ■the plaintiff was retained by the company as an insurance agent and was to be paid a •commission of fifteen percent on all sales ■made by him. The plaintiff further alleges that through his efforts the Continental Casualty Company received the bid for a group accident and sickness policy ■covering the students at Northwestern Louisiana State College, but that the defendant has paid only five percent of the premiums received by it. Thus, in this suit the plaintiff demands the additional ten percent commission which he alleges is owed him by the defendant, plus damages for embarrassment and humiliation which the plaintiff alleges that he suffered because of his reliance on the anticipated commission.

The defendant, in its answer, denied that the plaintiff sold or had any connection with the selling of the group accident and sickness policy to the college and averred that the negotiations which culminated in the sale of the policy were conducted directly between the college and the defendant without the aid or intervention of the plaintiff.

The trial judge, without assigning reasons for his decision, rendered judgment in favor of the defendant and dismissed the plaintiff’s suit. From this adverse judgment below, plaintiff has appealed to this court.

The facts are not in serious dispute. Each academic year, Northwestern State College, on the basis of the lowest bidder system, secures for its students who wish to participate, a program of accident and sickness insurance. The plaintiff, a resident of Natchitoches, Louisiana, is an insurance agent who, in the past, has represented several companies, including the defendant, in submitting bids in an effort to secure the student coverage. The record discloses that in January, 1965, the plaintiff wrote to the company and informed them of the college’s invitation for bids for the forthcoming academic year. The bids on an accident policy were to be submitted by March, 1965. The company provided plaintiff with copies of its proposed policy and indicated its desire to submit a bid to the college. Another insurance company not involved in this suit was the low bidder for the accident policy, but it was subsequently discovered that that company’s proposed policy did not meet the specifications desired by the college. Consequently, the bid was rejected and the college asked that the companies submit new bids by July, 1965. On the second round of bidding, the college decided that the interest of its students would best be served by a policy covering both accident and sickness. Continental Casualty Company submitted the low bid on the second round and, with only minor modifications, the defendant’s policy was accepted and approved by the college. As noted above, the company paid Mr. Gilson a commission amounting to five percent of the premiums that it received. The defendant justified this reduction in commission on the grounds that the plaintiff was actually the agent of the institution and not of the company, and that since no agency designation was made on the specifications and since no agent submitted a second request for bids, the defendant decided to design a quotation on the basis of a five percent commission, thus allowing the defendant to submit a lower bid. To this contention the plaintiff avers that he was and is the agent of Continental Casualty Company and not of Northwestern State College, and that defendant, Continental Casualty, has no right to reduce his commission in order to submit a lower bid without first notifying him of the change.

With regard to the .agency relationship of the plaintiff, we note with interest that Mr. Gilson is registered under the provisions of our insurance code as the duly authorized [822]*822agent for Continental Casualty Company.1 Offered as exhibits by the plaintiff are numerous letters between Mr. Gilson and Mr. Donald A. Smith and Mr. Edward C. Linck, Managers of the New Orleans Branch Offices. The tone of these communications indicates to this court that they were written by the company to their local agent, Mr. Gilson, in connection with the first round of bidding on the student accident policy. The company contends, however, that because the coverage was changed on the second round of bidding and because the college’s request to the company that it bid in the second round did not come through the agent but came directly from the college, Mr. Gilson was not acting as the company’s agent in his efforts to secure the bid for Continental Casualty. In support of this contention, Continental Casualty offered as defendant’s Exhibits 1 and 2 letters concerning the bidding in tire second round, which were exchanged directly between Dudley G. Fulton, Dean of Students at the college, and Mr. Linck, representative of the company. We do not deem this conclusive, however, in view of Dean Fulton’s testimony that the letters inviting bids are always sent directly to the companies, because in most cases the college does not know the identity of the local agent at the time the bids are requested (Tr. 70). We also note that in almost every instance of correspondence between the company and the college, a carbon copy was sent to Mr. Gilson as the local agent. Dean Fulton further testified that to the best of his knowledge Mr. Gilson was the person who presented the plan offered by Continental Casualty (Tr. 66), and that after Continental’s bid had been accepted, Mr. Gilson prepared at his own expense brochures designed to promote the sale of the policy to the individual students.

In a sample of the policy which was written by Continental Casualty for the college, the company makes these representations with regard to the handling of student claims:

“Continental’s student insurance plan is-handled' by your personal representative. * * * You receive local processing of' your claims by a man who is thoroughly familiar with the details of the plan and’ its operation. He, in turn, works in close-cooperation with the student insurance-staff of Continental Casualty Company’s-Special Risks Division, located in the Company’s New Orleans Branch Office.”"

Filed in the record are agent’s copies of' claim checks sent by the company to the-claimant through its local agent in conformity with the company’s representations in the policy. The agent’s name typed; at the bottom of each of these checks is that of the plaintiff, Mr. E. H. Gilson. Mr. Gil-son testified under oath that the aforementioned copies of claim checks represented': the first semester covered by Continental's-policy and that they were sent by the company directly to him and then forwarded! by him to the student involved (Tr. 34). He-further testified that after the college’s-rejection of the lower bidder on the first round, he worked closely with the representatives of the college until it was determined that Continental Casualty would be the company which would be invited to-write the policy for the college, after which he was instrumental in ironing out some small discrepancies between the coverage desired by the college and that submitted by the company (Tr. 44).

Though the defendant urges that throughout these negotiations Mr.

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Related

Wright v. SOUTHWESTERN LIFE INSURANCE COMPANY
364 F. Supp. 981 (W.D. Louisiana, 1972)
Gilson v. Continental Casualty Co.
199 So. 2d 181 (Supreme Court of Louisiana, 1967)

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Bluebook (online)
196 So. 2d 820, 1967 La. App. LEXIS 5639, Counsel Stack Legal Research, https://law.counselstack.com/opinion/gilson-v-continental-casualty-co-lactapp-1967.