Indemnity Ins. v. Eazor

71 Pa. D. & C. 626, 1950 Pa. Dist. & Cnty. Dec. LEXIS 489
CourtPennsylvania Court of Common Pleas, Alleghany County
DecidedMarch 1, 1950
Docketno. 2474
StatusPublished

This text of 71 Pa. D. & C. 626 (Indemnity Ins. v. Eazor) 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
Indemnity Ins. v. Eazor, 71 Pa. D. & C. 626, 1950 Pa. Dist. & Cnty. Dec. LEXIS 489 (Pa. Super. Ct. 1950).

Opinion

Thompson, J.,

The pleadings consist of a complaint, an answer and counterclaim, plaintiff’s reply and new matter, an answer to new matter and an amended answer and counterclaim.

Plaintiff has sued for a balance of premiums alleged to be due upon a policy of indemnity insurance, which was in effect from March 1,1946, to March 1,1947, and which was renewed for a period of a year but was can-celled on April 30,1947. The amount claimed by plaintiff is $4,366.92 with interest. The policy in question is described by plaintiff as “National Standard Automobile Policy, Liability Form”. The losses or claims paid under the policy as shown by exhibit A in the statement of claim amount to $10,452. Although there were 35 claims, which seem to have been settled during the period the policy was in force, almost the entire amount of the loss sustained, to wit, $9,018 was the result of an accident on May 13, 1946, and as a result of which two claimants were paid the following sums:

Leroy Harden .................$7,563.00
Leroy Harden ................. 455.00
Mabel Harden ................. 1,000.00

The premium charged under the policy was determined by a rather elaborate method being based in part on the gross receipts of defendant company and in part on the amount of claims paid under the policy, and also other factors which need not now be mentioned, and there is what is called a standard premium, a basic premium and a retrospective premium. Plaintiff contends that the gross premium due it was $13,-664.08 on which there was paid the standard premium [628]*628of $3 per hundred upon gross receipts of $321,507.75 or $9,645.23 leaving a balance of $4,018.85 due upon the policy before its renewal and $348.07 after its renewal together with interest.

The original answer admits all the eight paragraphs of the original statement of claim and then avers that defendant was not negligent or liable with respect to the Harden claims mentioned above, but that plaintiffs in the Harden actions were guilty of contributory negligence and that no sums should have been paid in settlement of the Harden claims, but that they should all have gone to trial and that if the Harden claims had gone to trial and had resulted in verdicts for defendant, the total amount of premiums due from defendant would have been $6,430.16 instead of $13,664.08 and that defendant as a result would have overpaid the standard premium paid by him and would be entitled to a refund of $3,215.07.

Defendant avers that he notified plaintiff company that the Harden claimants were contributorily negligent and in his amended answer avers that “defendant notified and informed plaintiff company through its duly authorized representatives not to settle or pay the claims made by said persons as the driver of their automobile had been contributorily negligent in the collision to such an extent as to relieve defendant from liability for their damages”.

In the answer to new matter defendant avers:

“Further, defendant was advised by the representatives of plaintiff insurance company that no settlement of said claims would be made by the claim department of said insurance company without notice to defendant.”

Plaintiff has moved the court for judgment on the pleadings in the amount claimed and it is this motion upon which we must now pass.

[629]*629 Question

The question, which we have to determine, may be stated as follows:

Does the insurance company under the policy of insurance issued in this case have the power to determine .and pay claims arising under the policy without the approval of the insured?

The policy with which we are concerned contains, inter alia, the following statements:

“As respects such insurance as is afforded by the other terms of this policy under coverages A (Bodily Injury Liability) and B (Property Damage Liability), the company shall (a) defend in his name and behalf any suit against the insured alleging such injury or destruction and seeking damages on account thereof even if such suit is groundless, false or fraudulent; but the company shall have the right to make such investigation, negotiation and settlement of any claim or suit as may be deemed expedient by the company” (Italics supplied.)

Also, the policy contains the following:

“Notice to any agent or knowledge possessed by any agent or by any other person shall not effect a waiver or a change in any part of this policy or estop the company from asserting any right under the terms of this policy; nor shall the terms of this policy be waived or changed, except by endorsement issued to form a part of this policy, signed by the president, vice-president, secretary or assistant-secretary of the company; provided, however, changes may be made in the written portion of the declaration by the agent countersigning this policy, when initialed by such agent or by endorsement issued to form a part of this policy signed by such agent.”

Plaintiff relies on Schmidt v. Travelers Insurance Co., 244 Pa. 286, wherein it is said (page 288) :

[630]*630“The rights of the parties are to be determined by the agreement into which they entered. By the provisions of the policy, the insurance company was obliged to defend at its own cost any action against the insured and the entire management of the defense was expressly entrusted to it and the insured was forbidden to settle any claim or to interfere in any negotiations for settlement or in any legal proceeding against it. The insurer was under no obligation to pay in advance of trial and the decision whether to settle or to try was committed to it. The plain words of the policy have no other meaning.”

Defendant in his brief does not seem to dispute the holding of the above case, but states that it was based on a standard automobile insurance policy, which was different from the policy now at issue. Defendant’s position seems to be that where the policy does not provide for a fixed premium, as we infer was the case in Schmidt v. Travelers Insurance Company, supra, but bases its premium upon calculations, which we have in part enumerated, the insurance company no longer has the unrestricted right to settle claims at its discretion. Defendant argues that this arises because of the fact that the premium finally to be determined may vary with the amount of the claims paid by the insurance company and that the insured should, therefore, have some control over these amounts.

Defendant contends that he should have been consulted before settlements were made, but it seems to us that the logical effect of his contention goes much further and that what he really contends is that no settlement at all can be made by the insurance company without his consent and approval. It is quite obvious that if this were the rule to be applied, the insurance companies in their investigations and settlements would be hampered to such a degree as to make settlements almost impracticable and that if settlements [631]*631were not made and all the claims presented were tried, our courts would be cluttered with personal injury and property damage claims, and not only the insurance company but also the insured would be subjected to unreasonable hazards in the verdicts of juries.

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Related

Schmidt v. Travelers Insurance
90 A. 653 (Supreme Court of Pennsylvania, 1914)

Cite This Page — Counsel Stack

Bluebook (online)
71 Pa. D. & C. 626, 1950 Pa. Dist. & Cnty. Dec. LEXIS 489, Counsel Stack Legal Research, https://law.counselstack.com/opinion/indemnity-ins-v-eazor-pactcomplallegh-1950.