Harris v. Criterion Insurance

281 S.E.2d 878, 222 Va. 496, 1981 Va. LEXIS 334
CourtSupreme Court of Virginia
DecidedSeptember 11, 1981
DocketRecord 790702
StatusPublished
Cited by27 cases

This text of 281 S.E.2d 878 (Harris v. Criterion Insurance) is published on Counsel Stack Legal Research, covering Supreme Court of Virginia primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Harris v. Criterion Insurance, 281 S.E.2d 878, 222 Va. 496, 1981 Va. LEXIS 334 (Va. 1981).

Opinion

COMPTON, J.,

delivered the opinion of the Court.

In this automobile insurance case in which the insurer had can-celled a policy for nonpayment of premiums, we consider whether the insurer was estopped to deny coverage under the policy.

Appellant James Harris was the named insured in a “Family Automobile Policy” containing liability and physical damage coverage issued by appellee Criterion Insurance Company. The insured filed a motion for declaratory judgment below against the insurer and others seeking an adjudication that the policy was in full force and effect at the time of a 1976 accident which caused personal injuries and property damage. Following a bench trial, the court determined the insurer was “not obligated to provide insurance coverage” to Harris on the day of the accident. From this February 1979 judgment in favor of Criterion, we granted the policyholder an appeal.

For the most part, the facts are undisputed. During the period 1969 to 1975 Criterion issued policies of automobile insurance covering vehicles owned by Harris, who resided in Norfolk. The premiums were always paid by mail in installments. Utilizing computerized procedures in its Washington, D.C. office, the insurer would mail premium notices to Harris. If the installments were not paid when due, notices of cancellation were sent which advised the insured that the policy “is hereby cancelled” on a specific date in the future. Such notice also stated that payment of the past due premium amount before the cancellation date would “void” the cancellation notice and keep the policy in effect. Premium payments were processed by the insurer’s data processing equipment.

Under the insurer’s standard operating procedure, if a premium payment was “posted” with the computer within ten days after the cancellation date, the cancellation notice would automatically be “voided” and uninterrupted coverage would be provided by Criterion. On the 11th day after the effective date of the cancellation, the computer “physically” cancelled the policy if the past due premium payment had not been received. If, however, a premium payment was posted more than ten days after the cancellation date, the computer “generated a flag” to the insurer’s Collec *500 tions Division. Upon receiving this information that the policy had been cancelled and that “cash has been received” the Collections Division reviewed the policyholder’s insurability in accordance with standards established by the insurer’s Underwriting Department.

If a decision was made to provide coverage, the insurer notified the policyholder by letter that his remittance had been received after the effective policy cancellation date. The letter further advised that the Underwriting Department had approved “re-establishment of coverage under the policy,” and that the coverage had lapsed, being void from the cancellation date to the date the premium payment was posted by the computer. A “premium reduction credit” was allowed for the period that coverage was lapsed. Alternatively, the Collections Division, relying on the underwriting directions, could determine that coverage should not be reinstated, in which case the former insured’s unearned premium would be refunded.

In February of 1976, the Underwriting Department adopted a new general internal policy with reference to late receipt of premium payments. Although the record is not completely clear on this point, this new policy apparently applied only to late premium payments posted more than ten days after the cancellation date. Under the new policy, if two or more cancellation notices had been mailed to the insured during the policy year, then the Collections Division was to refuse to accept late payments and was to return the amount to the former insured.

The following facts generated the present litigation. A notice of cancellation was mailed from Washington to Harris in Norfolk on April 1, 1976, specifying April 25, 1976 as the effective date of cancellation. Payment of the $34.41 that was due was not received by the insurer and the policy was cancelled by the computer on May 6, 1976, effective 12:01 a.m. April 25, 1976. Harris testified he purchased a money order for $34.41 in Norfolk on April 25 and mailed it either that day at 7:00 p.m. or “some days” after he bought it. The late payment was posted by the computer on May 7, twelve days after the cancellation date. The accident in question happened in Norfolk on May 9. Harris reported the accident by telephone, presumably to a Criterion office in the Tidewater area, on May 10. The Collections Division in Washington received computer information on May 10 that the policy had been can-celled and that a premium payment had been received. Employing *501 the new underwriting policy and unaware of the accident, Collections determined that the policy should not be reinstated because at least 4 cancellation notices had been sent to Harris during the current policy year which began on June 5, 1975.

By letter dated May 12, 1976, Harris was notified from Criterion’s Virginia Beach office that it was investigating the accident without waiving any of its rights under the policy, for the reason that the policy expired on April 25 for “non-payment of a due premium.” By check dated May 19, Criterion refunded the premium payment of $34.41.

During the period of time Harris was insured by Criterion, at least 11 cancellation notices were sent to him because of nonpayment of premiums. The evidence showed he submitted payment before the cancellation date at least once, in December 1975. On at least seven other occasions, Harris tendered his payment within ten days of the cancellation dates which, under the insurer’s procedure, continued coverage without interruption and “voided” the respective cancellation notices. Upon the remaining three occasions, in March 1972, October 1972 and June 1975, the premium payments were posted more than ten days after the cancellation dates. On each of these occasions, Criterion cancelled the policy but, upon reviewing his insurability, reinstated the policy with a lapse in coverage, and so notified Harris. The insurer never provided Harris with continuous coverage when a late payment was posted more than ten days after the cancellation dates.

On appeal, Harris points to the evidence which shows that during the period 1969 to 1976 he made numerous payments of premiums that were “received and cashed” by Criterion after the purported date of cancellation. He says that in each instance, depending upon when the payment was received, the insurer either continued the policy in effect or reinstated the policy with a lapse. Citing text and foreign authority, Harris contends that the customary receipt of his late payments induced him to believe that he could properly tender payments late and that a forfeiture of his policy benefits would not result from a short delay in the payment of premiums. Therefore, he urges, Criterion is estopped from insisting on a forfeiture for a delay induced by its course of conduct. We disagree.

Manifestly, the insurer had a right to terminate the contract of insurance without the insured’s consent by complying with the terms of the policy and with the applicable statutory provisions *502 relating to cancellation. State Farm Ins. Co. v. Pederson, 185 Va.

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Bluebook (online)
281 S.E.2d 878, 222 Va. 496, 1981 Va. LEXIS 334, Counsel Stack Legal Research, https://law.counselstack.com/opinion/harris-v-criterion-insurance-va-1981.