Howard v. Aetna Life Insurance

67 N.E.2d 878, 329 Ill. App. 248, 1946 Ill. App. LEXIS 317
CourtAppellate Court of Illinois
DecidedJune 26, 1946
DocketGen. No. 43,682
StatusPublished
Cited by9 cases

This text of 67 N.E.2d 878 (Howard v. Aetna Life Insurance) is published on Counsel Stack Legal Research, covering Appellate Court of Illinois primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Howard v. Aetna Life Insurance, 67 N.E.2d 878, 329 Ill. App. 248, 1946 Ill. App. LEXIS 317 (Ill. Ct. App. 1946).

Opinion

Mr. Justice Burke

delivered the opinion of the court.

In a complaint filed in the superior court of Cook county against the Aetna Life Insurance Company, Florence Howard alleged that defendant issued a group life insurance policy to Owens Illinois Glass Company covering its employees and those of its subsidiaries ; that on July 7, 1944 James Howard was an employee of the Owens Illinois Can Company, a subsidiary of the Owens Hlinois Glass Company, and as such was entitled to participation in the rights, privileges and benefits conferred and granted by the policy; that on that date defendant insured the life of James Howard, with plaintiff, his mother, as beneficiary, in the sum of $2,000, payable in the event of death from any cause; that the certificate of insurance provided, among other things: (a) the insurance thereunder automatically terminated when the employee' left the' service of the employer, was dismissed, or otherwise discontinued working for the employer; (b) in the event of termination of employment for any reason, the employee was entitled, without further evidence of insurability, to an individual policy of life insurance from the defendant upon condition that within 31 days thereafter he make written application therefor and pay the first premium thereon; (c) the amount of such individual policy should not exceed the employee’s coverage under the group policy; (d) such individual policy should be upon any one of the nonparticipating forms customarily issued by insurer, except term insurance; and (e) the premium of such individual policy should be determined by employee’s then age and class of risk, unless he elected to pay up the difference between the group coverage premium and that of the individual policy from the date of the group certificate to the date of the individual policy, in which case the policy would be dated back.

The complaint further alleged that the employee, James Howard, ceased to be employed by Owens Illinois Can Company on October 31, 1944; that he died on November 4, 1944; that he did not, in his lifetime, elect to convert his group insurance; that notice of his death was given to defendant; and that proofs of death were waived by defendant’s denial of liability. She asked judgment for $2,000, interest and attorneys’ fees on account of defendant’s alleged vexatious and unreasonable refusal to pay. Defendant filed a motion to strike and for judgment, specifying the grounds on which it relied. The court denied the motion and defendant refused to plead further. Thereupon, judgment was entered for plaintiff and against defendant for $2,050, representing the face amount of the policy and interest. No claim for attorneys’ fees was made at the time judgment was entered and this contention was abandoned. Defendant prosecutes this appeal to reverse the judgment.

Plaintiff’s theory of the case is that “during the 31 day period within which the employee had a privilege of conversion the insurance upon such policy necessarily remained in force.” Defendant’s theory is that “when Howard ceased to be employed by Owens Illinois Glass Company, his insurance automatieally terminated; that thereafter defendant’s only obligation to him was, at his request and upon his compliance with the conditions precedent enumerated in the certificate, to issue to him an individual life insurance policy; that only the former employee could make such request and comply with such conditions; and that he, not having done so in his lifetime, neither the beneficiary nor a court could bring into being a contract which never existed.” We accept as proved all allegations well pleaded, disregarding conclusions of the pleader.

Our Supreme Court in Schmidt v. Equitable Life Assur. Society of United States, 376 Ill. 183, said (190):

“No rule in the interpretation of an insurance policy is more firmly'established, or more imperative and controlling, than that which declares that in all cases it must be liberally construed in favor of the insured to the end that he will not be deprived of the benefit of insurance for which he has paid.”

In Moscov v. Mutual Life Ins. Co. of New York, 387 Ill. 378, the court said (383):

“The parties to an insurance contract may incorporate in it such provisions, not in violation of law, as they choose; and it is the duty of the courts to construe and enforce the contract as made.”

In Aschenbrenner v. United States Fidelity & Guaranty Co., 292 U. S. 80, our Federal Supreme Court said (84):

“The phraseology of contracts of insurance is that chosen by the insurer and the contract in fixed form is tendered to the prospective policy holder who is often without technical training, and who rarely accepts it with a lawyer at his elbow. So if its language is reasonably open to two constructions, that more favorable to the insured will be adopted, Stipcich v. Metropolitan Life Ins. Co., 277 U. S. 311, 322; Mutual Life Ins. Co. v. Hurni Packing Co., 263 U. S. 167, 174; and unless it is obvious that the words are intended to be used in their technical connotation they will be given the meaning that common speech imports. Neighbors v. Life & Casualty Ins. Co., 182 Ark. 356; 31 S. W. (2d) 418; Tupper v. Massachusetts Bonding & Ins. Co., 156 Minn. 65; 194 N. W. 99; Anderson v. Fidelity & Casualty Co., 228 N. Y. 475, 483; 127 N. E. 584.”

The principles announced in the cases from which we have quoted are in harmony. That part of the certificate with the heading “Conversion Privilege” is the foundation of plaintiff’s case. Defendant contends that plaintiff is attempting by process of strained construction to fasten liability upon defendant, contrary to the plain and unambiguous provisions of a contract entered into by parties legally competent to make it. Plaintiff does not subscribe to defendant’s contention that the language is so clear and unambiguous as to leave no room for construction. Defendant asserts that in ordinary understanding “convert” means “to change the form of,” “to exchange,” and when used in connection with insurance policies would connote the substitution of one policy for another; that this is slightly inaccurate, inasmuch as the group certificate having terminated, there is no policy to exchange or convert, and that what is really meant is that a privilege or option is granted to have a new policy issued. Plaintiff states that “this refreshing-concession made by the defendant gives rise to the application of the well settled principle that equivocal expressions in a policy of insurance, whereby it is sought to narrow the range of the obligations these companies profess to assume, are to be interpreted most strongly against the company,” and that the very use of the word “conversion” conveys an implication of a continuance in a different form of that which is the subject matter of conversion.

Group insurance is a distinct form of insurance. Under the usual life policy the premium charged is somewhat larger than the actual cost of coverage, and as a consequence a reserve is in time built up.

Free access — add to your briefcase to read the full text and ask questions with AI

Related

In Re Fahey
352 B.R. 288 (D. Colorado, 2006)
Paul Revere Life Insurance v. Gardner
438 N.E.2d 317 (Indiana Court of Appeals, 1982)
State Security Insurance v. Goodman
286 N.E.2d 374 (Appellate Court of Illinois, 1972)
Gray v. Great Central Insurance
283 N.E.2d 261 (Appellate Court of Illinois, 1972)
Landorf v. United States
408 F.2d 461 (Court of Claims, 1969)
Thieme v. Union Labor Life Insurance
138 N.E.2d 857 (Appellate Court of Illinois, 1957)
Crutchfield v. Continental Assurance Co.
84 N.E.2d 333 (Appellate Court of Illinois, 1949)
Metropolitan Life Ins. v. Whitler
172 F.2d 631 (Seventh Circuit, 1949)

Cite This Page — Counsel Stack

Bluebook (online)
67 N.E.2d 878, 329 Ill. App. 248, 1946 Ill. App. LEXIS 317, Counsel Stack Legal Research, https://law.counselstack.com/opinion/howard-v-aetna-life-insurance-illappct-1946.