Helmer v. Equitable Reserve Ass'n

252 N.W. 728, 214 Wis. 270, 1934 Wisc. LEXIS 97
CourtWisconsin Supreme Court
DecidedFebruary 6, 1934
StatusPublished

This text of 252 N.W. 728 (Helmer v. Equitable Reserve Ass'n) is published on Counsel Stack Legal Research, covering Wisconsin Supreme Court primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Helmer v. Equitable Reserve Ass'n, 252 N.W. 728, 214 Wis. 270, 1934 Wisc. LEXIS 97 (Wis. 1934).

Opinion

Fairchild, J.

The contract which determines the rights of the parties was entered into by Louis A. Helmer, November 27, 1905. It was a benefit insurance contract in the amount of $2,000 with certain limitations and conditions, accepted and continued until the insured was suspended De[271]*271cember 1, 1924, for non-payment of the monthly assessment payable in November of that year. The insured paid no further assessments and died June 23, 1927.

The contract among other provisions contained the following stipulations:

‘T. Thirty (30) days is allowed for the payment of assessments after the date of the notice of assessment. If the assessment is not paid within said thirty (30) days, the insured shall stand suspended from the association, and this contract shall become void without further notice.
“3. When said insured shall have paid the sum of one hundred fifty dollars in assessments upon the sum of five hundred dollars, and proportionately on any multiple thereof, for which this contract is issued, or when said insured shall have reached the age of seventy (70) years, he shall thereafter be released from all further assessments on this contract; unless at that time, or thereafter, the experience of the society proves that the reserve fund and assessments on the members as provided for by the laws are insufficient to enable the society to meet its promised insurance obligations in full.”

This contract under which appellant seeks to recover is described in the testimony as “Plan One.” Its terms are plain and under it the insured paid for his protection currently. It provided for no legal reserve. When the insured ceased paying the assessments properly levied, the association was under no obligation to continue the protection or furnish any benefit whatever. Appellant challenges this proposition and contends that the insured was entitled to extended insurance. This claim on appellant’s part is based on another claim that there was an accumulation of a reserve or credit which attached to this policy, and the argument is that this credit applied to that purpose did pay the assessment against the insured to a period beyond the date of his death and that respondent is estopped from claiming there was no reserve for that purpose. In.order to establish the point, ap~ [272]*272pellant must overcome the fact that no provision for extended insurance under a “Plan One Contract” was contained in the agreement or provided for in the by-laws, and must also overcome the fact that the so-called credit is not one belonging in any individual sense to the insured.

The “Plan One Contracts” were valued on what is spoken of as an accumulation basis. This creates very different results from contracts providing for adequate rates valued on what is known as the tabular basis. The many varieties of life insurance contracts can usually be resolved into two general types. One seeks to give protection for a definite limited period without attempting to build up a reserve and may be described as “term insurance.” The other type seeks to build up a reserve which will equal the face value of the policy at the end of the insured’s life and is called a “level rate, legal reserve, policy.” By way of illustration and reasoning by analogy, a term policy is similar in its operation to an ordinary fire insurance policy. The premium charged represents compensation to the insurer for the risk he undertakes of having to pay a much larger amount in case the insured dies within the period specified by the policy, which may be one year, five years, or even more. At the expiration of this period the insured, in order to continue his protection, must renew the contract or take out a new policy, and, since the hazard increases as he grows older, he will have to pay a higher premium. Thus, term insurance over a long period of time consists of a periodical • renewal of the contract at an ever-increasing rate. The significant thing abqut it is that the insured pays no more at any time than is actually necessary to compensate the insurer for the risk which the latter bears.

Premiums on level rate, legal reserve policies, however, are calculated on a different basis. Here, the premium is based on the insured’s life expectancy, not on the probability of his dying within a certain limited period. A premium [273]*273is charged which will be sufficient to enable the insurer to accumulate a fund which, upon the expiration of the insured’s life expectancy, will equal the face value of the policy. In order to protect policyholders and keep the insurer financially sound, the law requires that the insurer actually set up this reserve. This constitutes what is known as “legal reserve.” At any given time it represents an amount which, when augmented by the premiums which it is estimated the insured will pay in the future and by the interest accumulations on the fund, will equal the face value of the policy at the time when the insured’s life expectancy ends.

The significant thing about legal reserve, level rate insurance is that the premium is based on the average risk to the insurer over the period of the insured’s expected life, instead of increasing as the hazard increases, as in the case of term insurance. Consequently, during the earlier years of the policy, the insured pays a premium which exceeds the value of the protection which he receives. In order to compensate the insured for this excess payment, in the event that the policy is terminated the insurer agrees to pay him back a certain stipulated amount, somewhat less than the actual accumulated reserve. This is known as the “cash surrender value.” The insured may take it in cash or he may use it to buy either paid-up or extended insurance. For the purposes of this case, it is this distinction between legal reserve insurance and term insurance which is important. In the one case, the insured by paying in excessive premiums has built up a fund which he may use to extend his protection even after he stops paying premiums. In the other case, he has never paid in more than the amount actually necessary to cover the risk taken, and consequently, since no reserve is accumulated in his favor, when he stops paying premiums his protection is at an end.

While Helmer’s policy was not, strictly speaking, a term policy, many of the same principles which control term [274]*274insurance are equally applicable to it. The premium charged on the policy which Helmer carried was less than half of what would have been required to build up an adequate reserve on the legal reserve basis. It is true that a surplus of $98.35 per thousand dollars of insurance, representing a small fraction of the amount required on the legal reserve basis, appeared to be on hand when the insured was suspended, but there was neither an attempt nor obligation on the part of the insurer to set this up as a legal reserve or to consider it as such. It resulted, no doubt, from the favorable mortality experience of the company during the period when its policyholders were comparatively young, and, in the absence of additional assessments, would have been consumed subsequently if the company had continued to maintain insurance on this basis. The insured never paid in premiums so in excess of the amount actually required as to justify his beneficiary asking now for a return of part of the amount paid, either in cash or in the form of extended insurance.

The valuation on an accumulation basis is regulated by statute and by the by-laws of the association. The statute provides:

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Cite This Page — Counsel Stack

Bluebook (online)
252 N.W. 728, 214 Wis. 270, 1934 Wisc. LEXIS 97, Counsel Stack Legal Research, https://law.counselstack.com/opinion/helmer-v-equitable-reserve-assn-wis-1934.