John Hancock Mutual Life Insurance v. Commissioner of Insurance

208 N.E.2d 516, 349 Mass. 390, 1965 Mass. LEXIS 734
CourtMassachusetts Supreme Judicial Court
DecidedJune 23, 1965
StatusPublished
Cited by12 cases

This text of 208 N.E.2d 516 (John Hancock Mutual Life Insurance v. Commissioner of Insurance) is published on Counsel Stack Legal Research, covering Massachusetts Supreme Judicial Court primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
John Hancock Mutual Life Insurance v. Commissioner of Insurance, 208 N.E.2d 516, 349 Mass. 390, 1965 Mass. LEXIS 734 (Mass. 1965).

Opinion

Kirk, J.

This is a petition for review pursuant to G. L. c. 175, §§ 22A; 108, cl. 2 (a); 132 and 192. The case was reported by the single justice without decision for the determination of the full court upon the pleadings, a statement of agreed facts and exhibits.

We state, in somewhat condensed form, the agreed facts. The petitioner, John Hancock Mutual Life Insurance Company (Hancock), is a mutual life insurance corporation organized under the laws of this Commonwealth. It has been continuously engaged in the Commonwealth since 1862 in the business of life insurance and since May 15, 1957, in the business of accident and sickness insurance. Hancock has a usual place of business in Boston and is authorized to engage in the named insurance activities in all States of the United States of America, the District of Columbia, Puerto Eico and the Virgin Islands. The respondent is the Commissioner of Insurance (commissioner).

On April 13, 1964, Hancock, in accordance with G. L. c. 175, §§ 22A, 108, cl. 2 (a); 132 and 192, filed with the commissioner for his review and approval an endorsement *392 form, set out in the footnote, 1 to he issued and delivered in the Commonwealth for attachment to noncancellable disability insurance contracts (disability policies), hospital and surgical expense contracts (hospital expense policies) and life insurance policies (life policies) in the ordinary and industrial forms, 2 issued by the petitioner to individual insurants prior to and on and after February 5,1964, which were still in force, and also to insurance policies that the petitioner would issue in the future. As to a substantial number of these policies all premiums were and would be collected by insurance agents employed by the petitioner.

On April 27, 1964, the commissioner notified the petitioner that the proposed endorsement did not comply with the laws of the Commonwealth and was therefore disapproved. Specifically, the commissioner stated that, as to insurance policies the premiums for which are normally collected by insurance agents employed by the petitioner, the reinstatement privilege contained in the endorsement was less favorable than the provisions of St. 1963, c. 796 (inserting § 187F in G. L. c. 175). 3

*393 Hancock prior to and on and after February 5,1964, has issued and intends to continue to issue disability, hospital expense and life policies to individual insurants. Under the premium collection practices of Hancock all premiums on a substantial number of said policies have been collected by licensed insurance agents (debit agents) employed by it. The duties of the petitioner’s debit agents, licensed in this Commonwealth under Gr. L. c. 175, § 163, include the collection of premiums due through personal contact with the insurants, and the petitioner intends to continue such premium collection practices.* ** 4

Each of the policy forms on which insurance has been issued in the Commonwealth has, since 1907, been approved or permitted for use under the applicable statutes. Each insurance policy (several examples of which are exhibits in *394 this case) describes the benefits and rights of the insured. Bach provides that it is issued in consideration of the payment of premiums of amounts and at times specified therein; that premiums are due in advance of the period for which insurance benefits are provided; that payment of a premium will not operate to keep the policy in force beyond the period for which it is payable, except as provided in the period of grace provision; and that if any premium is not paid when due (or by the end of the grace period) the policy will lapse. The grace periods provided in the sample policies are four weeks or thirty-one days.

Substantially all of the ordinary life policies issued by Hancock or to be issued provide in substance that any premium unpaid at the end of the grace period shall be paid from any dividends on deposit with the company. Except for term policies, most ordinary life policies provide further that by election of the owner any premium unpaid at the end of the grace period will be paid by an automatic loan up to the loan value of the policy. Each of the insurance policies may be reinstated after a lapse for failure to pay premiums but the insurer has the right to require evidence of insurability.

All insurance policies provide in substance that payment of premiums shall be made to the petitioner at its home office or to an agent authorized to receive payment. Failure of an agent to collect a premium by personal contact does not relieve the insurant of his obligation to pay the premium when due. Except as provided in the two next preceding paragraphs none of the forms in which the petitioner has issued or intends to issue insurance policies contains any provision excusing failure or delay in the payment of premiums during the period that its agents might be on strike nor does any form provide for continuance of coverage and benefits without advance payment of premiums during the period of any such strike. The policies specify varying time intervals for the payment of the stated premiums. Some require weekly or monthly payments; others permit annual, semiannual, quarterly or monthly payments.

*395 The petitioner annually determines whether a divisible surplus exists. A divisible surplus is that portion of the petitioner’s assets which, after payment of covered claims, benefits and expenses, exceeds the amount necessary to provide for the payment of future claims, benefits and expenses. The divisible surplus so ascertained is apportioned to each class of policy with reference to the proportion which the premiums and experience contributed by that class have generated the surplus, and then paid in the form of dividends without distinction or discrimination to each insurant of the same class and life expectancy at issue. To the extent that any class is not self-supporting, the surplus contributed by other classes is applied to make up the deficiency, and the assets available for apportionment as divisible surplus among the other classes are reduced or eliminated.

Without any obligation or guaranty on its part to do so, the petitioner has assigned and intends to continue to assign debit agents employed by it to collect premiums due through personal contact with debit policyholders. Hancock employs approximately 6,100 debit agents of whom 1,022 work in the Commonwealth. To holders of premium notice policies, defined by the petitioner as all policies which do not require monthly or more frequent payment of premiums, the petitioner has mailed and intends to continue to mail notices of premiums due. From time to time some holders of premium notice policies, instead of following the usual practice of transmitting their premium payments to offices of the petitioner, pay their premiums to debit agents. Some holders of debit policies transmit their premiums directly to offices of the petitioner.

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Bluebook (online)
208 N.E.2d 516, 349 Mass. 390, 1965 Mass. LEXIS 734, Counsel Stack Legal Research, https://law.counselstack.com/opinion/john-hancock-mutual-life-insurance-v-commissioner-of-insurance-mass-1965.