Hammon v. Occidental Life Ins. Co.

3 So. 2d 694, 198 La. 449, 1941 La. LEXIS 1141
CourtSupreme Court of Louisiana
DecidedJune 30, 1941
DocketNo. 36033.
StatusPublished
Cited by1 cases

This text of 3 So. 2d 694 (Hammon v. Occidental Life Ins. Co.) is published on Counsel Stack Legal Research, covering Supreme Court of Louisiana primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Hammon v. Occidental Life Ins. Co., 3 So. 2d 694, 198 La. 449, 1941 La. LEXIS 1141 (La. 1941).

Opinions

FOURNET, Justice.

Mrs. Jennie Hammon, the named beneficiary in a policy issued on the life of her late husband, William J. Hammon, by the Western Mutual Life Association, sued the Occidental Life Insurance Company, which had assumed all of the obligations under the policy, to recover the face value thereof, $3,000, alleging that all of the premiums had been paid up until the date of her husband’s death, and, in the alternative, that if the .premiums had not been paid the policy had a reserve sufficient to extend it beyond the date of the insured’s death; further in the alternative, if the policy did not have such a reserve that, being a policy for a term extending beyond twenty years, under the laws of this state, the company was compelled to maintain such a reserve.

In bar of the action the defendant pleaded prescriptions of one and two years and, with reservation of its rights under these pleas, answered denying that the policy was in force and effect at the time of the insured’s death for it had lapsed and, being a term policy of ten years, it had no reserve or surrender value; consequently, there could be no liability thereunder.

The trial judge overruled the pleas of prescription and rendered judgment in favor of the plaintiff on the merits. The defendant has appealed.

The Western Mutual Life Association of Los Angeles, California, issued its policy No. B-2S220, labeled “Natural Premium: *454 Convertible,” in the amount of $3,000 on the life of William J. Hammon on March 4, 1924, for a yearly premium of $39.15 for the first ten years, and, thereafter, at increased rates according to the attained age ■of the insured as provided for in the rules and by-laws of the association, an estimation •of which was given in the policy. On December 31, 1927, the Occidental Life Insurance Company, the defendant here, took ■over the management of the Western Mutual Life Association and issued to the insured a guarantee certificate, effective that date, assuming all of the obligations of the insurer under the terms of the policy. At the end of the ten-year period, during which the yearly premiums of $39.15 were maintained, it appears that a notice was sent to the insured advising him of the increase in rates at his attained age (fifty-five years). The insured then, on April 6, 1934, wrote the company advising them in effect that the proposed increase was “out of all reason” .and that he had decided to let the policy lapse. On December 27 following, the insured was killed in an automobile accident, but this suit was not instituted until July 26, 1937.

The plea of prescription of one year is predicated on the fact that the charter and by-laws of the insurer (alleged to be a fraternal benefit society or association within the meaning and contemplation of Act No. 115 of 1906, as amended by Act No. 256 of 1912) provided that “No suit at law or in equity shall be maintainable against the Association, unless the same shall be commenced within one year after the death of the deceased.”

A fraternal association within the meaning of the act is defined to be “any corporation, society, order or voluntary association, without capital stock, organized and carried on solely for the mutual benefit of its members and their beneficiaries, and not for profit and having a lodge system and ritualistic form of work and representative form of government * * *.” Section 1. In Section 2 it is provided that for any such organization to be deemed as operating on the lodge system, it is not only necessary that the members thereof “be elected, initiated and admitted in accordance with its constitution, laws, rules and regulations and prescribed ritualistic ceremonies” but it is also necessary that they “shall be required by the laws of such society to hold regular or stated meetings at least once in each month * * Societies falling into this classification are, according to Section 4, “exempt from all provisions of the insurance laws of this State * * *.”

An examination of the rules and by-laws of the Western Mutual Life Association shows conclusively that it was not a fraternal benefit society within the meaning and contemplation of Act No. 115 of 1906, as amended. It is true that under its rules and by-laws the privileges of the association were limited to Masons in good standing who could pass the required medical examination, but there is no provision in the bylaws for a ritualistic form of government. Defendant’s own witness, F. M. Hope, actuary of the defendant company, admitted this. These facts completely refute the prima facie showing of the defendant that it was a fraternal benefit society within the mean *456 ing of the act by its introduction into evidence of a certificate of the Secretary of State of Louisiana to the effect that the Western Mutual Life Association was duly licensed to do business in this state as a fraternal association under the provisions of Act No. 115 of 1906, as amended, from 1919 to 1926. Moreover, Masons are expressly excluded from the operation of the act for, in Section 29 thereof, is found the provision that “nothing contained in this Act shall be construed to affect or apply to grand or subordinate lodges of Masons * *

It necessarily follows that the Western Mutual Life Association, at the time of the issuance of this policy, was subject to all of the provisions of the insurance laws of this state, one being that every policy of insurance “shall contain the entire contract between the parties and nothing shall be incorporated therein by reference to any constitution, by-laws, rules, application or other writings unless the same are endorsed upon or attached to the policy when issued * * * ” Act No. 52 of 1906. Consequently, the period of limitation prescribed in the by-laws of the Association for the filing of suits cannot have any effect upon the plaintiff’s right of action in this case as these by-laws were not attached to and made a part of the policy sued on.

Defendant’s next contention, as stated in its brief, is “that the present suit is predicated upon a lapsed or forfeited policy, because the insured, William J. Hammon, not only declined to pay any premiums after March 4, 1934, but * * * on April 6, 1934, elected to terminate and lapse his policy. Upon such an election, the only right that then existed under the policy was the right to recover the cash’surrender value, if any existed, and all rights under the policy became barred by the two-year statute of limitations on April 6, 1936, some time before the present suit was instituted.”

The basis of this prescriptive plea is to be found in the last sentence of Section 1 of Act No. 68 of 1906, wherein it is provided that “No action shall be maintained to recover under a forfeited policy, unless the same is instituted within two years from the day upon which default was made in paying the premium, installment, interest or portion thereof for which it is claimed that forfeiture ensued.”

The object of the act, as expressed in its title, is to prohibit “life insurance companies from forfeiting policies for default in payment of premium * * * unless written or printed notice has been mailed to the policy holder or the assignee of the policy,” but the insured’s “right to a surrender value, extended insurance, or paid-up policy” is expressly excepted from the application of the act under the terms thereof. See Frey v. Great Southern Life Insurance Company, La.App., 167 So. 480; and Compton v.

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Bluebook (online)
3 So. 2d 694, 198 La. 449, 1941 La. LEXIS 1141, Counsel Stack Legal Research, https://law.counselstack.com/opinion/hammon-v-occidental-life-ins-co-la-1941.