Hammons v. Carnegie-Illinois Steel Corp.

62 Pa. D. & C. 36, 1947 Pa. Dist. & Cnty. Dec. LEXIS 297
CourtPennsylvania Court of Common Pleas, Alleghany County
DecidedJune 20, 1947
Docketno. 316
StatusPublished

This text of 62 Pa. D. & C. 36 (Hammons v. Carnegie-Illinois Steel Corp.) is published on Counsel Stack Legal Research, covering Pennsylvania Court of Common Pleas, Alleghany County primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Hammons v. Carnegie-Illinois Steel Corp., 62 Pa. D. & C. 36, 1947 Pa. Dist. & Cnty. Dec. LEXIS 297 (Pa. Super. Ct. 1947).

Opinion

Patterson, J.,

— Plaintiff files this bill as guardian ad litem for a weak-minded person. She seeks to compel the reinstatement of a certificate of insurance issued by defendant to plaintiff’s ward under a group insurance policy covering defendant’s employes. Defendant in its answer generally admits the factual averments but sets up new matter alleging that the certificate of insurance issued to. plaintiff’s ward was cancelled as of December 31, 1944, with the effective date of discontinuance of insurance, January 31, 1945, and that the said cancellation was in accordance with the terms of the policy, as amended on January 26, 1944. The amount of the certificate issued to the insured was at the date of its issuance, January 1, 1935, for the sum of $1,000. This was subsequently on April 19, 1941, increased to $2,000. Two questions emerge from the pleadings and evidence, both questions of law, as follows: (a) Was the insurance company a necessary party to the bill?; (b) was the discontinuance of insurance authorized by the language of the group insurance policy?.

Findings of fact

1. Complainant is a resident of the City of Clairton, County of Allegheny and State of Pennsylvania.

2. Defendant, Carnegie-Illinois Steel Corporation, is a business corporation organized for profit, and doing business in the State of Pennsylvania in accordance with the acts of assembly relating to business corporations, maintaining an office and principal place of business in the Carnegie Building, Pittsburgh, Allegheny County, Pa.

3. On or about July 1, 1935, the above named Lee Hammons was an employe at the Clairton Works of the Carnegie Steel Company, now the Carnegie-Illinois Steel Corporation, a subsidiary of the United States Steel Corporation, and hereinafter called the employer.

4. On or about July 1, 1935, the Equitable Life Assurance Society of the United States, hereinafter called [38]*38the society, issued a group life insurance policy numbered 4600-2 to the employer, insuring the lives of all employes of the employer who made application for the insurance coverage thereunder.

5. On or about July 1, 1935, Lee Hammons made application for group life insurance coverage under policy numbered 4600-2 issued by the society to the employer and in accordance with said application the said Lee Hammons became insured thereunder, and there was issued to him individual certificate numbered 4600-2-C-1895, the same indicating and being evidence of life insurance coverage under the above numbered policy on the employe in the sum of $1,000, the beneficiary named thereon being Pauline Hammons, complainant in this action.

6. On or about April 19, 1941, the individual life insurance coverage on the said Lee Hammons was increased to $2,000.

7. On February 18, 1943, Lee Hammons, the insured, was committed to Woodville State Hospital where he has been since and is now confined and is permanently and totally disabled.

8. After his incapacitation the employer continued to accept premium payments and to carry the insurance in force up to January 31, 1945.

9. On December 26, 1944, the premium of $1.10 for the month of January 1945 was paid and a receipt therefor issued, and on the same day the employer sent the insured at his home in Clairton, Pa., a letter informing him that in view of his continued absence from work since February 18, 1943, his employment would be terminated as of December 31, 1944, and his insurance coverage terminated on January 31, 1945, and accompanied the letter with a check in the sum of $1.10 refunding the insurance premium for the month of January 1945.

10. On or about March 7, 1945, complainant, through counsel, forwarded a check to the society in [39]*39the sum of $3.30 covering the monthly contribution of the insured employe for the months of January, February and March 1945, which check was returned to counsel on March 12, 1945, without any adequate explanation.

11. On or about May 2,1945, complainant, through counsel, forwarded to the employer a check in the sum of $5.50 covering the monthly contributions of the above named from January 1,1945, until June 1,1945, and on May 16,1945, the same was returned to counsel for complainant with the explanation that there was no insurance on the life of the employe existing at that time.

12. The original policy of group insurance provided for the cessation of insurance upon the life of any employe upon discontinuance of his contributions towards the payment of premiums or in the case of •the termination of his employment in the specified classes of employes, with the usual 30-day period for the purpose of conversion to an individual policy.

13. On January 26, 1944, the said group policy as to cessation of work and termination of insurance was amended to provide cessation of active work by an employe should be deemed to constitute cessation of his employment, except that an employe absent from work because of disability due to injury or sickness, subject to the continuance of premium payments on account of such employe’s insurance, be regarded as still in the employment of the employer during the period of such disability, until the effective date of the discontinuance of such employe’s insurance as entered on the employer’s record.

14. Defendant entered on its records as the effective date of the discontinuance of the employment of Lee Hammons the date December 31, 1944, and as the effective date of the discontinuance of his insurance, January 31, 1945.

[40]*4015. The defendant has refused to accept any payment of premiums since the premium of December 1944, and has refused to reinstate the certificate of insurance.

Discussion

We are not disposed to view with approval defendant’s position that the insurer is a necessary party in this particular proceeding. Under the group policy the insurance coverage is a matter wholly within the control of the employer so far as the employe is concerned. The employer defines eligibility, collects premiums, decides the questions of cancellation or cessation of the insurance. Nor does it consult the insurer as to any of its functions. In the instant case the insurer so far as the record before us reveals was wholly without participation in or knowledge of the employer’s actions. Of course, it follows that if the employer goes beyond the terms of the policy in the exercise of its functions, as here-complainant claims it did, it becomes liable to the employe.

Was the employer then faithful in its obligation to the employe beneficiary? The whole question arises from the act of the employer in agreeing with the insurer to an amendment in its group policy on January 26, 1944, and availing itself of this amendment one year later. The facts are not in dispute. It is conceded that the policy (which is the contract between insured and employer) was amended. The fact is pleaded by the defendant in its answer and is accepted as an admission by the defendant in the record, to wit:

“Defendant avers that on January 26, 1944, said group policy numbered 4600-2 was amended to provide that cessation of active work by an employe should be deemed to constitute cessation of his employment, except that an employe absent from work because of disability due to injury or sickness would, subject to the continuance of premium payments on account of such employe’s insurance, be regarded as still in the [41]

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Related

Poch v. Equitable Life Assurance Society of United States
343 Pa. 119 (Supreme Court of Pennsylvania, 1941)

Cite This Page — Counsel Stack

Bluebook (online)
62 Pa. D. & C. 36, 1947 Pa. Dist. & Cnty. Dec. LEXIS 297, Counsel Stack Legal Research, https://law.counselstack.com/opinion/hammons-v-carnegie-illinois-steel-corp-pactcomplallegh-1947.