Jaggi v. Prudential Insurance Co. of America

177 S.W. 1064, 191 Mo. App. 384, 1915 Mo. App. LEXIS 372
CourtMissouri Court of Appeals
DecidedJune 8, 1915
StatusPublished
Cited by7 cases

This text of 177 S.W. 1064 (Jaggi v. Prudential Insurance Co. of America) is published on Counsel Stack Legal Research, covering Missouri Court of Appeals primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Jaggi v. Prudential Insurance Co. of America, 177 S.W. 1064, 191 Mo. App. 384, 1915 Mo. App. LEXIS 372 (Mo. Ct. App. 1915).

Opinion

ALLEN, J.

This is a suit upon a policy of insurance — what is ordinarily termed an industrial policy— issued January 31,1910, insuring the life of one Fred[389]*389erick Beckley in the sum of $177. The insured died February 21, 1912, and this suit was instituted June 4, 1912. The cause originated before a justice of the peace, and found its way to tbe circuit court where upon a trial de novo, before the court and a jury, there was a verdict for plaintiff for the amount of the policy with interest, together with an attorney’s fee of $50, making a total of $235.99. From a judgment rendered upon such verdict the defendant prosecutes this appeal.

The defense below was that the policy had lapsed for nonpayment of premiums according to its terms, and was not in force at the time of the death of the insured. It appears that the premiums were paid by plaintiff, the insured giving her the money therefor, up to December 4, 1911, after which date no premiums were paid until February 16, 1912. On the latter date plaintiff went to the office of the company in the city of St. Louis and paid- $1.65, being the amount of the unpaid premiums then due. This sum was accepted by the defendant, plaintiff being given a “temporary receipt” which stated that the same was given upon the condition that the company would under ho circumstances be liable under the policy unless it was in force in accordance with its terms when the said payment was made. The policy provides for a forfeiture if the premiums be in arrears for a period of more than four weeks; and that if the policy be lapsed for nonpayment of premiums it will be revived within one year from the date to which premiums have been paid, upon the payment of all arrears, provided evidence of the insurability of the insured satisfactory to the company be furnished it. And it appears that defendant’s agents in the city of St. Louis entered the insured’s name and the policy number upon its “lapsed policy schedule,” and made a report to the home office of the company to thé effect that the policy had become lapsed.

[390]*390There is a sharp conflict in the testimony relative to plaintiff’s transaction with the company in respect to the retention of the $1.65 above mentioned. Plaintiff’s testimony is that the agent who ordinarily collected the premiums would not enter it in the receipt book held by her, assigning as a reason therefor the fact that the transaction had been had at the company’s office, but gave her no further information; that she (plaintiff) was not informed that the company regarded the policy as lapsed or that there was any necessity of reviving it, and that she was entirely ignorant thereof. She further testified that she had never been tendered back the premiums so paid. During the trial defendant’s counsel made formal tender of the premiums into court.

Further details of the evidence ■ need not be stated, since the main question before us pertains to the ruling below upon the demurrer to the evidence, and for the purposes thereof the evidence is to be viewed in the light most favorable to plaintiff.

The trial court held, in effect, that plaintiff’s evidence, if true, showed a state of facts such as to preclude the defendant from insisting upon a forfeiture of the policy. This holding we think was correct. The case made by plaintiff is one where the insurance company, with knowledge of the forfeiture, has accepted and retained the premiums for the nonpayment of which it is attempting to forfeit the policy. Manifestly its tender into court at the time of the trial would come too late, and avail it nothing. And if defendant so retained the premiums, it would matter not that it entered insured’s name and policy number upon its lapsed policy schedule; nor would the conditional receipt given plaintiff afford it any protection. In Andrus v. Insurance Assn., 168 Mo. l. c. 165, 166, 67 S. W. 582, of such a receipt it is said:

“The conditional receipt in use by the company is a snare in itself. It acknowledges receipt of the [391]*391money. It keeps the money, but it says the policy is not reinstated by .the acceptance of the money and shall continue to he null and void until the health certificate is filed, and until the president and medical director determine to reinstate the policy. The company must take one horn of the dilemma or the other. It cannot retain the benefits and deny the existence of the contract. If it does not wish the receipt of the premiums to have the effect in law of reinstating the' policy or of preventing a forfeiture, it must refuse to receive the money until the health certificate is filed and until the president and medical director act.”

The law does not favor forfeitures; and where, as here, there is substantial evidence of facts from which it may be found that an insurer has waived a forfeiture clause in its policy, the matter is one to be referred to the jury under appropriate instructions. [See Nichols v. Ins. Co., 170 Mo. App. l. c. 449, 450, 155 S. W. 478; Francis & Hunter v. A. O. U. W., 150 Mo. App. 347, 130 S. W. 500; Reed v. Bankers’ Union, 121 Mo. App. 419, 99 S. W. 55.]

We therefore hold that the court committed no error in its ruling on the demurrer.

Appellant complains of the action of the trial court in submitting to the jury the question of vexatious refusal to pay; it being urged that there is no evidence to justify the giving of such an instruction. The jury did not award anything by way of damages for vexatious refusal to pay, hut, as said above, did allow an attorney’s fee of $50. Section 7068, Revised Statutes 1909, which has so often been before our courts, provides that “in any action against any insurance com-' pany . . . if it appear from -the evidence that such company has vexatiously refused to pay” the loss a court or jury may allow the plaintiff damages not exceeding ten per cent on the amount of the loss, and a reasonable attorney’s fee. Our courts have gone very far in leaving to the discretion of the jury the mat[392]*392ter of awarding such, damages and attorneys fees. [See Keller v. Home Life Ins. Co., 198 Mo. l. c. 460, 461, 95 S. W. 903; Stix v. Indemnity Co., 175 Mo. App. l. c. 180, 157 S. W. 870.] However, it is doubtless true that the question of vexatious delay is for the jury only “when from a general survey of all of the facts and circumstances in the case an inference can be drawn that the refusal was unjustifiable and vexatious.” [Patterson v. Insurance Co., 174 Mo. App. l. c. 44, 160 S. W. 59; Keller v. Insurance Co., supra, l. c. 460, 461.]

In the' case before us there is sufficient, in our judgment, to make the matter one for the jury. It appears that formal demand was made upon the comr pany, with proofs of death, on April 22, 1912. Defendant refused to pay; and the suit was instituted on June 4, 1912. The defendant had accepted the premiums in arrears, and the jury found that it had not tendered them back, whereby it waived the forfeiture. Ample opportunity was afforded defendant to pay the claim without litigation. Under such circumstances its refusal to pay may be found to be without reasonable cause and vexatious.

It is urged that plaintiff is not entitled to maintain this action; that the insurance is payable to the executors and administrators of the insured, who alone may recover on the policy. The policy has “a facility of payment” clause such as was involved in Wallace v. Insurance Co., 174 Mo. App. 110, 157 S. W. 1028, and Jones v. Insurance Co., 173 Mo. App. 1, 155 S. W. 1106, and which has been frequently before our courts.

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Bluebook (online)
177 S.W. 1064, 191 Mo. App. 384, 1915 Mo. App. LEXIS 372, Counsel Stack Legal Research, https://law.counselstack.com/opinion/jaggi-v-prudential-insurance-co-of-america-moctapp-1915.