Hamilton v. Phoenix Ins. Co. of Hartford

61 F. 379, 8 Ohio F. Dec. 137, 1894 U.S. App. LEXIS 2188
CourtCourt of Appeals for the Sixth Circuit
DecidedApril 3, 1894
DocketNo. 140
StatusPublished
Cited by15 cases

This text of 61 F. 379 (Hamilton v. Phoenix Ins. Co. of Hartford) is published on Counsel Stack Legal Research, covering Court of Appeals for the Sixth Circuit primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Hamilton v. Phoenix Ins. Co. of Hartford, 61 F. 379, 8 Ohio F. Dec. 137, 1894 U.S. App. LEXIS 2188 (6th Cir. 1894).

Opinion

TAFT, Circuit Judge,

after stating the facts as above, delivered the opinion of the court.

In the case of Insurance Co. v. Hamilton, reported in 8 C. C. A. 114, 59 Fed. 258, it was held by this court, all the judges concurring, that the joint demand for a joint, appraisal by the 12 insurance companies contained in the joint correspondence was not within the ternas of the policy of the Connecticut Fire Insurance Company providing for an appraisal, for the reason that such a policy stipulated for a separate appraisal. This holding is equally applicable to the case at bar, for the appraisal clauses in the Connecticut and Phoenix policies are substantially similar. In the Connecticut case, Judge Severens, referring to the demand for an appraisal in the joint correspondence, said:

"This was not a demand for an appraisal by the insurance company sueh as its policy gave it a right to make, it did not. acquire its rights in any respect from the policies of other companies, anil it. had no legal concern with their disputes or the mode to he adopted for Ihcir settlement, and had no obligation to champion their cause or mix its controversy with theirs; and the insured was not hound to accept such proposition for determining the value and damage as was demanded by ihe companies, this among them. If he had done so, it would have boon an arbitration aside and independent of the policy, standing on the general ground of common-law arbitration.”

Judge Severens was of the opinion, however, that the joint correspondence did contain a notice that ihe loss fixed in the proofs was not satisfactory to the insurer, and that, therefore, an appraisal became a condition precedent to Ihe payment of any money under the policy, and that, by the sale of the property before the expiration of the 60 days, Hamilton had rendered such an appraisal impossible, had prevented the performance of the condition precedent, and had therefore deprived himself of any right of recovery under the policy. [386]*386Judge Swan was of the opinion that the appraisal was not a condition precedent, and that the failure to make a demand for such appraisement within the terms of the policy was a waiver of it, and that the proof of loss having been filed, and not objected to otherwise than in the joint demand for an appraisement, the insurance company was estopped to deny that the proofs of loss were sufficient under the policy. I was of the opinion that, while the joint demand for the joint appraisal was not within the terms of the policy, that there was enough in the correspondence to notify Hamilton that the Connecticut Insurance Company did not agree with his valuation of the loss, and that this notice made proofs of loss with an appraisal a condition precedent to recovery of the loss under the policy. But it seemed to me that by the last letter from all the companies under date of May 7, 1886, each company assumed an obligation to take the initiative in the matter of appraisal, and submit a form of appraisal to Hamilton, failing which the Connecticut company waived the defect in the proofs of loss made by the absence of the appraisal. If an appraisal was waived, the right to take the goods at an appraised value went with it, and it was therefore immaterial what had been done with the stock by the insured. To quote the language used in the opinion:

“By this letter the defendant company assumed an obligation to submit a form of appraisal to Hamilton. Whatever duty under the policy there might have been upon Hamilton to take the initial step towards an appraisement after receiving notice of a disagreement as to valuation so as to fulfill the condition precedent to his recovery, this communication was a clear waiver of that duty by the defendant company. It was a clear invitation to Hamilton to- do nothing until the company had acted. The company never did act. It cannot now be heard to say that Hamilton lost all his rights under the policy by delay which the company itself occasioned. The appraisement was, under this policy, a part of the proof of loss. The conduct of the company was as much as to say: ‘We have -your proof of loss; we object to it; and we will hereafter point out to you the method by which it can be remedied.’ Subsequent failure to point out the method of remedying it estops the company from asserting that the proof of loss does not comifiy with the requirements of the policy.”

I am authorized to say that the court, as at present constituted, concurs in the view just stated of the effect of the letter of May 7th upon the mutual relations and obligations of the parties to the policy involved in the Connecticut Fire Insurance Company Case; and, as that policy is in all substantial respects the same as the one in suit at bar, we are of the opinion that if the Phoenix Insurance Company had failed, as the Connecticut Insurance Company did fail, to take any action after the letter of May 7th, it could not now be heard to claim that the proofs of loss already filed were not a sufficient compliance with every condition precedent to a recovery of the actual loss. In this case, however, the Phoenix Insurance Company did, on May 24th, make a demand for arbitration in accordance with the prolusions of their policy, and protested against the proposed sale of the property insured, as in direct conflict with the right of the insurer. We. are of the opinion that if this letter was written within a reasonable time after the letter of Muy 7, 1886, closing the joint correspondence, it did properly and unquestionably demand an appraisement, and that a failure to comply therewith was a failure of [387]*387the condition precedent to the recovery under (.his policy, which must defeat the plaintiff’s right of action. In other words, we think the sole question in the case, as now presented, is whether the demand for a separate appraisal, in accordance with the terms of the policy of the Phoenix Insurance Company, was made within a reasonable time after the close of the joint correspondence.

The court below treated the question of reasonable time as one of law, and told the jury that a sufficient demand for a separate appraisal within due time had been made, and thereupon directed a verdict for defendant. It is contended on behalf of plaintiff in error that, under the circumstances of this case, the question of what was reasonable time was a mixed question of law and fact, to be left with the jury with proper instructions. The delay between the close of the joint correspondence and the letter demanding a separate appraisement from the Phoenix Insurance Company was 17 days. The provision of the policy was that the loss was to be paid 60 days after due notice and satisfactory proof of the same had been received at the office in accordance with the terms of the policy. The learned trial judge seems t,o have thought the effect of this clause to be that the company had 60 days within which to object to the proofs of loss. Was this a proper inference? Could the company wait until the fifty-ninth day after receiving proof, and then object; to it, and postpone the time of payment for 60 days more? It seems to us clear that the company would have no right; to do so. The 60 days is the period between the reception of the satisfactory proof and the time of payment, and not the period between the tendering of any proof and the acceptance of it as satisfactory. It is true that a delay of 60 days before rejecting a proof of loss would certainly be unreasonable, but it by no means follows that any time short of 60 days would he reasonable. The reasonableness of time depends on all the surrounding circumstances.

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Cite This Page — Counsel Stack

Bluebook (online)
61 F. 379, 8 Ohio F. Dec. 137, 1894 U.S. App. LEXIS 2188, Counsel Stack Legal Research, https://law.counselstack.com/opinion/hamilton-v-phoenix-ins-co-of-hartford-ca6-1894.