Kathryn S. Wright v. Pilot Life Insurance Company, Inc.

379 F.2d 409, 1967 U.S. App. LEXIS 6182
CourtCourt of Appeals for the Fourth Circuit
DecidedMay 30, 1967
Docket11056_1
StatusPublished
Cited by9 cases

This text of 379 F.2d 409 (Kathryn S. Wright v. Pilot Life Insurance Company, Inc.) is published on Counsel Stack Legal Research, covering Court of Appeals for the Fourth Circuit primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Kathryn S. Wright v. Pilot Life Insurance Company, Inc., 379 F.2d 409, 1967 U.S. App. LEXIS 6182 (4th Cir. 1967).

Opinion

CRAVEN, Circuit Judge:

This is a suit by the widow of Clinton Wright to recover money due under a contract or “binder” of life insurance allegedly in effect at his death. The district judge, after holding a pre-trial conference, but without there having been a trial, entered an order dismissing the plaintiff Kathryn S. Wright’s claim with prejudice. Subsequently, the court reopened the case and granted leave to Mrs. Wright to “proceed to take * * * further evidence.” Her motion (pointing out there had been no trial) to present *410 such evidence to a jury was overruled. 1 Thereafter, the court reinstated its former judgment, filing a written opinion and judgment again dismissing the plaintiff’s case with prejudice.

Since the district court considered the depositions of both plaintiff and defendant, referring to them as having been “introduced into evidence”, and since the judgment and opinion contained what appear to be detailed “findings of fact,” we think it probable that the district judge was proceeding under the misapprehension that trial by jury had been waived and that the parties had agreed that he was to determine the ease on the merits by reference to the conflicting depositions and affidavits. Yet, we are unable to find in the record any such waiver or agreement. 2

It seems unlikely that the district judge was treating the case as one for summary judgment because (1) he does not characterize the facts he recites as being undisputed, and (2) the defendant insurance company never made a motion for summary judgment, nor for that matter, any other motion. 3

Aside from procedural perplexity, it is plain from an examination of the district court opinion 4 that the court thought that Mrs. Wright could not recover — on any possible hypothesis. We express our contrary viewpoint for his guidance on remand.

The principal question purportedly adjudicated below is whether or not a “conditional receipt” issued upon payment of the initial premium for a life insurance policy may result in temporary policy coverage. We think this cannot be determined without there first being had a jury determination of the material facts. There is at least one genuine issue: whether the deceased truck driver Wright was medically “insurable” at the time of application.

It is uncontroverted that Pilot Life Insurance agent Walter Turner sold truck driver Clinton Wright on a plan of life insurance under which Wright’s employer would make monthly salary deductions to pay the premiums due the Company. Wright signed an application for insurance with Pilot, paid his first monthly premium, and was issued a “Conditional Receipt” which was detached from the application and signed by Turner. The application was for life insurance in the amount of $10,000.00 with a provision for double indemnity in the event of accidental death.

The “Conditional Receipt” provided on its face that Pilot had received from Wright $23.80 “as settlement” for the first monthly premium on the policy. It recited that if the application were “declined by the Company, no policy of insurance will be issued * * *. If the application is approved, without restrictions, as applied for, the insurance will be in effect from the date of this application in accordance with its terms and conditions * * (Emphasis added.)

The reverse side of the “Conditional Receipt” is to be completed by those who, unlike Wright, do not make settlement for the initial premium with their application. It informs the applicant, who may subscribe to the statement, that “[ajlthough the agent has explained to me how I may make settlement under this application, thereby placing it im *411 mediately in full force and effect * * * provided I am insurable, it is not my desire to take advantage of this opportunity.” (Emphasis added.) The front of the application itself includes a printed statement, subscribed in the appropriate place by Wright, which includes, inter alia, “I understand and agree * *■ * that unless I shall have made settlement for the first premium at the time this application is signed and have conditional receipt in my possession, there shall not be any contract of insurance until the policy shall have been issued and delivered to me and the first premium paid thereon * * (Emphasis added.)

Within the period covered by the first monthly premium, Wright was killed in a tractor trailer accident in Fairfield, Connecticut. At the time of his death, Wright’s application for insurance had neither been approved nor declined by Pilot. The plaintiff in this action, Wright’s widow and beneficiary under the policy, contends that Wright was insured on the day of his death.

What is the effect of the delivery of the conditional receipt to Wright upon payment of his initial premium? There is a substantial difference of opinion among the various jurisdictions. See generally, e. g., Annot., 2 A.L.R.2d 943 (1948); Life Insurance Receipts: The Mystery of the Non-Binding Binder, 63 Yale L.J. 523 (1954).

On the assumption that North Carolina law applies, two leading North Carolina cases are argued to us by counsel for both parties on this appeal, Cheek v. Pilot Life Ins. Co., 215 N.C. 36, 1 S.E.2d 115 (1939), and Gardner v. North State Mut. Life Ins. Co., 163 N.C. 367, 79 S.E. 806, 48 L.R.A.,N.S., 714 (1913). In Gardner the North Carolina Supreme Court quoted with approval a leading insurance text to the effect that a conditional receipt is a “ ‘preliminary contract of insurance, intended to give temporary protection pending investigation of the risk by the insurer.’ ” 163 N.C. at 371, 79 S.E. at 808. The receipt “protects the applicant for insurance against the contingency of sickness intervening its date and the delivery of the policy, if the application is accepted.” Id. (Emphasis added.) The court specifically did not decide whether the company may avoid liability by “unreasonably” refusing approval in the event of intervening illness or death. Id.

In Cheek v. Pilot Ins. Co., the insurance agent, solicited the father of an infant on the day of his birth. A policy application was completed and sent to the home office, and the initial premium was paid. A “binding” receipt issued by the agent was conditioned upon approval by the home office, and provided that “if the person proposed for insurance is, on the date of this receipt, alive and in good health, the person proposed is insured from the date of the receipt * * Upon reviewing the application, the company requested its agent to determine the actual weight of the infant, but the infant died before the agent’s investigation could be completed or policy issued. The court noted that the potential insured was not in fact insurable since his weight was “under the minimum considered by the company necessary to make an infant insurable.” 215 N.C. at 38, 1 S.E.2d at 116.

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Cite This Page — Counsel Stack

Bluebook (online)
379 F.2d 409, 1967 U.S. App. LEXIS 6182, Counsel Stack Legal Research, https://law.counselstack.com/opinion/kathryn-s-wright-v-pilot-life-insurance-company-inc-ca4-1967.