Guthrie v. Northwestern Mutual Life Insurance

208 S.E.2d 60, 158 W. Va. 1, 1974 W. Va. LEXIS 255
CourtWest Virginia Supreme Court
DecidedJuly 30, 1974
Docket13267
StatusPublished
Cited by23 cases

This text of 208 S.E.2d 60 (Guthrie v. Northwestern Mutual Life Insurance) is published on Counsel Stack Legal Research, covering West Virginia Supreme Court primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Guthrie v. Northwestern Mutual Life Insurance, 208 S.E.2d 60, 158 W. Va. 1, 1974 W. Va. LEXIS 255 (W. Va. 1974).

Opinion

Sprouse, Justice:

This case is before the Court upon appeal by the plaintiff, Joyce B. Guthrie, from the judgment of the Circuit Court of Kanawha County, which affirmed a summary judgment granted by the Common Pleas Court of Kana-wha County in favor of the defendant, Northwestern Mutual Life Insurance Company.

This action was instituted in the common pleas court by the plaintiff on May 16, 1970, alleging that the defendant insurance company wrongfully refused to pay her the face value of a $35,000 life insurance policy previously issued upon the life of Mahlon G. Guthrie, the plaintiff’s deceased husband. Summary judgment was granted by the trial court upon the theory that the *3 insurance policy had lapsed prior to the death of the insured for nonpayment of premiums.

The life insurance policy was issued by the defendant insurance company on December 1, 1949, and premiums were payable in quarterly installments. The policy provided a grace period of thirty-one days for late premium payments. The insured died on January 11, 1969, and the quarterly premium which was due on December 1, 1968, had not been paid at the time of his death. The policy was void, under its provisions, after the expiration of the grace period.

Although not raised in the pleadings, the plaintiff now contends that the insured was totally and permanently disabled for a period of more than six months prior to his death. The deceased had, some years prior to his death, purchased by payment of a separate premium an additional provision attached to the life insurance policy entitled “Agreement for Waiver of Premiums in Event of Total and Permanent Disability”. The agreement provided, in part, that upon notifying the company that the insured had been totally and permanently disabled for a period of six months, the premiums on the policy would be waived during the period of disability. The defendant insurance company was not notified of the deceased’s disability prior to his death.

The complaint, in part, alleged that “up until the time of the death of the said Mahlon G. Guthrie, all premiums accrued upon said policy were fully paid”, and “[t]hat the said Mahlon G. Guthrie and plaintiff each performed all of the conditions of said insurance on his part.”

The defendant’s answer denied that the premium due on December 1, 1968, was paid when due or within the grace period. The defendant alleged that the “quarterly premium due under the policy and the provisions of the first paragraph of the agreement for waiver of premiums attached thereto as a part thereof was not paid when due or within the grace period provided * * * ”, and that the policy “was out of force at the time of his *4 death under the provisions of paragraphs 8 and 15 and other provisions of said policy.”

The deposition of the plaintiff was taken, and she answered interrogatories submitted to her. The plaintiff admitted that no attempt to pay the last quarterly premium was made until after the death of the insured.

The defendant moved for summary judgment on the basis of the pleadings, the deposition and interrogatories, together with a copy of the insurance policy which was introduced by way of an affidavit from an official of the company. The plaintiff, by order of the court, likewise filed a copy of the insurance policy. The trial court granted summary judgment in favor of the defendant.

The appellant alleges the trial court committed error by: (1) Granting summary judgment notwithstanding the existence of material issues of fact relative to the application of the premium waiver provision of the policy; (2) receiving the insurance policy in evidence by an insufficient affidavit; and (3) omitting the plaintiff’s note of argument from the record.

The principal question for decision is, of course, whether summary judgment was properly awarded by the trial court. The plaintiff argues that the applicability of the premium waiver provision, and the effect of the plaintiff’s failure to notify the company of the insured’s disability, created material issues of fact precluding summary judgment. These factual issues, according to the plaintiff’s contention, were raised by the complaint and the filing of the insurance policy. If not sufficiently raised, counsel for the plaintiff contends they were brought to the attention of the trial court by the note of argument allegedly submitted in connection with the motion for summary judgment.

The defendant insurance company concedes that the failure to notify the insurance company of the insured’s disability in accordance with the policy terms would not, under ordinary circumstances, necessarily preclude the plaintiff from recovery. The insured might have been unable to comply with the notice provision, thus excus *5 ing his failure. Generally, this would have been an issue to be resolved upon the trial of the case. Columbian Nat. Life Ins. Co. v. Zammer, 178 Okla. 207, 62 P.2d 63; Swann v. Atlantic Life Ins. Co., 166 Va. 852, 159 S. E. 192; 15 Appleman, Insurance Law and Practice, Section 8316, page 131.

The defendant insurance company, on the other hand, contends that any factual issues raised by the premium waiver provision and the insured’s total and permanent disability were not properly before the trial court at the time summary judgment was entered. Implicit in the defendant’s argument is the proposition that waiver must be pleaded specifically even under Rule 9(c) of the West Virginia Rules of Civil Procedure. The defendant further contends that summary judgment cannot be defeated by factual assertions in the brief of the opposing party.

Neither waiver of premium nor any facts concerning the disability of the deceased prior to his death were alleged in the complaint; nor could reliance upon waiver by reason of disability be ascertained from the deposition or answers to interrogatories submitted by the plaintiff. The plaintiff, in response to the defendant’s motion for a summary judgment, filed no information concerning these allegations. As a matter of fact, the defendant’s attorney did not appear at the time the motion was orally argued.

Rule 9(c) of the West Virginia Rules of Civil Procedure provides as follows:

“In pleading the performance or occurrence of conditions precedent, it is sufficient to aver generally that all conditions precedent have been performed or have occurred. A denial of performance or occurrence shall be made specifically and with particularity.”

Rule 9(c) constitutes a departure from the common-law requirement that performance of each condition precedent be alleged in detail. 5 Wright and Miller, Federal Practice and Procedure, Section 1302, page 428; Lugar *6 and Silverstein, West Virginia Rules 87; 2A Moore, Federal Practice, Section 9.04, page 1943. The burdensomeness of this type pleading, especially in insurance cases, prompted even code pleading states to provide quite universally that a general allegation of performance of conditions is sufficient. 2A Moore, Federal Practice, Section 9.04, pages 1943 — 44.

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Bluebook (online)
208 S.E.2d 60, 158 W. Va. 1, 1974 W. Va. LEXIS 255, Counsel Stack Legal Research, https://law.counselstack.com/opinion/guthrie-v-northwestern-mutual-life-insurance-wva-1974.