Kaeppel v. Mutual Life Ins. Co. of New York

78 F.2d 899, 1935 U.S. App. LEXIS 3897
CourtCourt of Appeals for the Third Circuit
DecidedJuly 8, 1935
DocketNo. 5524
StatusPublished
Cited by3 cases

This text of 78 F.2d 899 (Kaeppel v. Mutual Life Ins. Co. of New York) is published on Counsel Stack Legal Research, covering Court of Appeals for the Third Circuit primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Kaeppel v. Mutual Life Ins. Co. of New York, 78 F.2d 899, 1935 U.S. App. LEXIS 3897 (3d Cir. 1935).

Opinion

DAVIS, Circuit Judge.

This is an appeal from a judgment of the District Court against the plaintiff in a suit to recover on an insurance policy, forfeited for the nonpayment of the premium, and the question is whether or not the company could forfeit the policy without giving notice to the insured of the amount of the dividend.

The Mutual Life Insurance Company of New York issued its policy insuring the life of Charles W. Kaeppel, father of plaintiff, on September 5, 1922, for $20,000 on a ten-year term policy. The annual premium was $405.60. It had been paid each year for nine years, so that there was only one premium to. be paid, the one in question, before the expiration of the policy. If the insured had died at any time during the term of the policy, while it was in force, the beneficiary, who is the plaintiff in this case, would have received the amount of the policy of $20,000.

Among other things the policy provided that: “The policy shall participate in the surplus of the Company and the proportion of the surplus accruing herein shall be ascertained and distributed * * * at the end of the second and of each subsequent policy-year.”

It further provided that:

“At the option of the Insured each such dividend shall be either * * *
“(1) Paid in cash; or
“(2) Used toward the payment of any premium, if the above specified period of grace for such premium has not expired and if the remainder of the premium is duly paid.”

On August 18, 1931, the insured wrote the company asking if there was “any value in the policy to my benefit which I could use in paying the premium falling due September 5th next.” Two days later, on August 20th, the company, answering, said: “Replying to your letter of August 18th I am inclosing notice of the premium due September 5, 1931 on. your policy, No. 3,043,427 and dividend voucher. It will be satisfactoi'y if we receive your remittance on or before October 6, 1931, as the Grace Period will expire on that date. I wish to advise you that there is no loan value on your policy. The policy is written on the ten-year term plan and a term policy has no loan or cash value.”

The secretary of the insured, who regularly handled his mail, testified that the dividend voucher was not in the letter when it was received. Apparently nothing further was done in the matter. The 31 days of grace on the policy expired on October •6, 1931. Six days later, October 12, 1931, the insured died. The defendant refused to pay the policy on the ground that it lapsed or was forfeited at the close of the day of October 6, 1931. The plaintiff says that it did not lapse on that day because the defendant in not furnishing the insured with the amount of the dividend, which the policy had earned, waived its right to forfeit or lapse the policy until it had informed the insured of the amount of the dividend so that he would know how much in addition to the dividend he would have to pay in order to satisfy the premium.

The case was tried to the court and jury. At the conclusion both sides asked for binding instructions. The court thereupon dismissed the jury, took the case under advisement, and thereafter rendered a verdict for the defendaxit and entered jxxdgment thereon.

The case is here on appeal from that judgment. The defendant says that since the verdict found by the trial judge has the force and effect of a vei'dict by a jury, the facts found by him must be sustained if there is any evidence to support them. It infers that the court found that the dividend voucher giving the amount of the dividend was inclosed in the letter, for that is the dispxxted fact upon which, under the law, the right to a verdict depends. It further contends that even if the voucher was not in the letter the company was not [901]*901required, as a matter of law, to notify the insured of the amount of the dividend before forfeiting the policy,

As to the inference that the learned trial judge fottnd that the. voucher was inclosed in the letter, the company was mistaken. While the judge did not expressly find facts as such under the head of “Findings of Fact,” yet, as we read his opinion, he did find as a fact that the voucher was not inclosed in the letter. He said in his opinion on page 143, “although the letter (of August 20, 1931, of the company to the insured) stated that a dividend voucher was inclosed, none was found in the letter when it was received by the insured.”

As to the right of the defendant to forfeit the policy, the learned trial judge said: “Where the obligation of the insured in respect of a premium payment is to pay only a balance left after deducting from the premium the amount of an unascertained dividend, it is necessary for him to know how much that dividend is so that he may subtract it and send the correct amount. lie has no way of getting this knowledge except through the Company. It was not an unreasonable judicial rewriting of the contract to hold that it implied a term that the company must give notice of the amount of the dividend or waive its right to declare a forfeiture for nonpayment of the premium.” But after thus stating the general rule, he limited it by a condition to the effect that it applies only when the insured has exercised his option, reserved in the policy, to have the dividends applied to the reduction of the premium; that then, and then only, a definite obligation arises on the part of the company to notify the insured of the amount of the dividend before forfeiting the policy. If the rule is thus limited, the insured did not bring himself within that limitation and the judgment was right, but the text-writers and the cases generally do not support this limitation.

Couch on Insurance, vol. 3, § 667, p. 2192, says: “If the amount of the premium is uncertain, as for instance, where the insured is entitled to have dividends credited thereon, so that he is dependent upon notice for knowledge of the sum due, which notice the insurer has been accustomed to give, * * an obligation rests upon the company to give notice as a condition precedent to forfeiture or suspension, or the depriving of a member of good standing', and the failure to pay, through the fault or otherwise of those obligated to send notice, does not affect the right of the insured.” '

Richards on Insurance (4th Ed., 1932), in the section entitled “Payment of Premiums,” on page 622, reached the same conclusion. He says: “ * * * where dividends are applicable to reduce the amount due for premiums the burden is upon the insurer, before claiming forfeiture, to give notice of the amount of the balance payable by the insured.”

William R. Vance, professor of Law at Yale, in his book on Insurance, page 297 (2d Ed., 1930), says that the insured by accepting a policy containing a condition of forfeiture agrees that his rights thereunder shall become defeasible if lie fails to pay the specified premium at the times therein designated and under such circumstances there does not rest upon the insurer any legal obligation to be the keeper of the insured’s interest by giving him notice of the agreed time of payment, hut the insurer may, and usually does, give notice. But he further says that: “The insured cannot be required to pay a premium until he has knowledge of the amount payable. Therefore, when the policy stipulates that all dividends apportioned to such policy may be applied in payment of premiums due thereon, the insured cannot be in default for non-payment until he has notice of the balance due.”

Mr.

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Bluebook (online)
78 F.2d 899, 1935 U.S. App. LEXIS 3897, Counsel Stack Legal Research, https://law.counselstack.com/opinion/kaeppel-v-mutual-life-ins-co-of-new-york-ca3-1935.