Industrial Indemnity Co. v. Industrial Accident Commission

211 P.2d 857, 34 Cal. 2d 500, 1949 Cal. LEXIS 182
CourtCalifornia Supreme Court
DecidedNovember 30, 1949
DocketL. A. 20878
StatusPublished
Cited by4 cases

This text of 211 P.2d 857 (Industrial Indemnity Co. v. Industrial Accident Commission) is published on Counsel Stack Legal Research, covering California Supreme Court primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Industrial Indemnity Co. v. Industrial Accident Commission, 211 P.2d 857, 34 Cal. 2d 500, 1949 Cal. LEXIS 182 (Cal. 1949).

Opinion

CARTER, J.

Petitioner, insurance company, seeks an annulment of an award of respondent commission reforming and *502 enforcing as reformed a workmen’s compensation insurance policy, whereby the widow of the deceased workman, a relative of the employer, was allowed death benefits.

Prior to August 1, 1946, E. C. Cornish and Eoland T. Schultz were partners in a business venture. A policy of workmen’s compensation insurance was issued to the partnership and to the partners jointly but not severally, running from January 22, 1946, to January 22, 1947, covering all of their employees. On the subject of whether relatives were excluded, the policy provided that if a partnership was the insured it would not include partners but nothing was said as to relatives of the partners. With respect to relatives, it provided that if the policy is issued to an “individual” then such individual’s relatives are not covered. Schultz, having sold his interest in the business to Cornish in July, 1946, a new policy was issued by the petitioner dated January 17, 1947, but covering the period August 1, 1946, to August 1, 1947, and presumably the partnership policy was canceled. The new policy ran to Cornish as an individual and the clauses with respect to relatives were the same as in the partnership policy. Thus it could be reasoned that as long as the insured was a partnership, the employees of the partnership would not be excluded even though related to one of the partners, but when an individual was the insured, his relatives are excluded. This presents the question of the extent to which the coverage was intended to be affected by the change of the insured from a partnership to Cornish alone, the individual, when the arrangement was made for the cancellation of the partnership policy to be replaced by an individual-insured policy. That is to say, was it contemplated that the change from a partnership insured to an individual insured would affect only the name in which the policy was to stand, or was it to go farther and bring into operation the clauses that excluded relatives when the insured was an individual rather than a partnership 1

The circumstances surrounding the issuance of the above mentioned policies are as follows: The partnership was dissolved on August 1,1946, and notices of such dissolution were sent to all persons with whom the partners had dealt, including petitioner, and Clarence Haugen. Haugen was an insurance broker who procured the partnership policy for the partnership. While in such capacity he was the agent for the partnership, and later, for Cornish in connection with the procurement of the insurance. There is evidence from which *503 it may be inferred that he was petitioner’s agent for the collection of premiums on policies inasmuch as the invoices or bills for premiums from petitioner stated that Cornish should pay the premiums to “your agent’’ Haugen. On October 23, 1946, Mrs. Cornish, the wife of Cornish, who acted as his bookkeeper and who handled all his insurance matters, called on Haugen to make out payroll reports and see about the change of name resulting from the partnership dissolution. At that time, Spidle, Cornish’s son-in-law, and his son, Arthur Cornish, were employed by Cornish, and Haugen was aware of the relationship and employment. (There is a conflict on that subject but the evidence clearly establishes it.) The system of arranging for premiums in workmen’s compensation insurance contemplates a payment by the insured at the time the policy is ordered. Thereafter, at periodic intervals, sometimes monthly, the insured makes a payroll report to the insurer which shows his employees and compensation received. On the basis of these reports the premium is computed and a statement sent to the insured. There may be a credit in favor of either the insurer or insured depending upon the relation of the figures arrived at by the computation and the initial deposit. Haugen assisted in preparing the reports for August and September, 1946, and the premiums for those months were paid to Haugen. Spidle was listed by name on the payroll and it may be inferred Haugen knew of the presence of his name thereon. Haugen, being doubtful as to how the change in the named insured should be accomplished, telephoned petitioner’s office and was advised by a Mr. Furbush that the partnership policy should be sent in for cancellation and the insurance would be rewritten to name Cornish alone as the insured and dated back to August 1, 1946.

In the Report of Referee (Report of Record) dated April 22, 1947, we find this statement: “When the witness [Mrs. Cornish] left the broker’s [Haugen’s] office after having left with him for cancellation the old compensation and liability policy on the partnership, and arranging for the issuance of a new policy in their stead, the witness remarked to the broker in substance, ‘I have nothing to show now that we are insured, are we fully cover edV The broker replied in substance, ‘Yes, you are fully covered, don’t worry.’ The broker had said that he would write a new policy as of Aug. 1, 1946. The broker had been introduced to the defendant’s [Cornish’s] son, Arthur, and the decedent as the defendant’s son-in-law on *504 the Sunday in January when he first came to their house in connection with writing the policy on the partnership.” The petitioner stresses the theory that Mrs. Cornish intended to order exactly the same type of policy, with the exception of a change in name from a partnership to an individual insured. It appears quite obvious that the employer intended to order a policy naming him as individual insured with /mZI coverage for all his employees. Much importance is attached to the provision in the original policy declaring that certain relatives are excluded if the insured is an individual. This would seem to be most unimportant since that policy was issued to a partnership under the terms of which such relatives were not excluded. It would seem that what Mrs. Cornish intended to order was a policy extending the same coverage under a different name.

Haugen, at the time Mrs. Cornish took in the old policy for cancellation, called Furbush, admittedly an agent of the defendant carrier, to ascertain the manner in which the matter should be handled. Petitioner states, in its briefs, that Haugen “may have been” its agent for collection of premiums, and that Haugen “was its agent for collection,” but it is denied that he was an agent for the purpose of effecting or extending coverage, yet it is admitted that the oral agreement, made by Haugen with Mrs. Cornish, to the effect that the policy of insurance would be retroactive from August 1, 1946, is valid. Haugen then sent a letter to petitioner in which he stated that the partnership policy should be canceled as of August 1, 1946, because of “change of entity” of the insured; that the policy should be “rewritten” effective August 1, 1946, naming Cornish as an individual, as insured; and that enclosed were checks, one for $29.75 for the balance of premium due on partnership policy, and one for $54.21, for premiums on the policy to be “rewritten” according to payroll report for August 1, 1946, to October 1, 1946. No word was heard from petitioner until January 17th or 20th, 1947, when the rewritten policy was finally received by Cornish. This was after the accident occurred (Dee. 10, 1946) in which Spidle lost his life.

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Bluebook (online)
211 P.2d 857, 34 Cal. 2d 500, 1949 Cal. LEXIS 182, Counsel Stack Legal Research, https://law.counselstack.com/opinion/industrial-indemnity-co-v-industrial-accident-commission-cal-1949.