Kennedy v. Underwriters at Lloyd's, London

219 Cal. App. 2d 11, 32 Cal. Rptr. 685, 1963 Cal. App. LEXIS 2334
CourtCalifornia Court of Appeal
DecidedAugust 5, 1963
DocketCiv. 26360
StatusPublished

This text of 219 Cal. App. 2d 11 (Kennedy v. Underwriters at Lloyd's, London) is published on Counsel Stack Legal Research, covering California Court of Appeal primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Kennedy v. Underwriters at Lloyd's, London, 219 Cal. App. 2d 11, 32 Cal. Rptr. 685, 1963 Cal. App. LEXIS 2334 (Cal. Ct. App. 1963).

Opinion

*12 FILES, J.

This is an action upon an accidental death policy,' plaintiff ■ being the beneficiary and defendant'the insurer. A jury returned its verdict for defendant, and plaintiff has appealed..

On June 16, 1958, the deceased, who was then 80 years of age, fell on some porch steps. He was taken to the county hospital where he remained for oné week. 5-rays did not indicate any broken bone. He was in the hospital again from June 27 until July 11. After that he was in a sanitarium until he was taken back to the county hospital on August 1. He. died on August 3, 1958. The cause of' death, as shown on the death certificate, was .bronchopneumonia. Other conditions, noted ,on the certificate were recent coronary artery occlusion, , general debilitation and pulmonary emphysema. • •

The insurance, policy provided that payment would be made if “the Assured shall sustain any accidental bodily injury which shall, solely - and independently of any other' cause within twelve (12) calendar months from -the date of the< accident . . . , occasion the death of the Assured. . .-”

The answer of the defendant admitted that the insurance was in' "force, but denied that the death had resulted from accidental injury, and alleged further that plaintiff had failed to give, immediate, notice of death as required by the’ terms of the policy. ■ • _• ■

( Plaintiff produced the testimony, of a physician who was of the opinion that the -decedent’s fall “set in chain.a series of events which led inevitably to his death.” Defendant’s medical Witnesses stated that the fall was not the cause of the death. Plaintiff makes no contention here- that the verdict was not supported by substantial evidence.

Plaintiff’s appeal is based .'upon her contention that the trial court erred in instructing the jury that plaintiff had the' burden of proving that notice of death had been given" in accordance with the terms of the policy. The policy provided, “In the event of death, immediate notice must be sent to Underwriters or The Undersigned [Swett & Crawford].” Plaintiff testified that on August 4, 1958, she telephoned the office of Swett & Crawford and spoke to a claims agent with whom ;she was personally acquainted. She told him of the decedent’s death. Written proof of loss was not submitted until about February 9, 1959. On cross-examination plaintiff conceded that when her deposition had been taken she had *13 testified that the first conversation with the claims man had not been on August 4, but had been “shortly after he died. . . . About three days later.’’ No other evidence was offered on the issue of notice. The trial court instructed the jury that notice may be given orally, and that if there was an unreasonable delay in giving notice such delay may be excused if the insurance company suffered no substantial prejudice because of it.

It was not error to instruct the jury that plaintiff had the burden of proving that she had given the notice required by the policy. The giving of the notice provided for in an insurance policy is generally spoken of as a condition precedent to the insurer’s duty to pay. (See Arnold v. American Ins. Co., 148 Cal. 660, 668 [84 P. 182, 25 L.R.A. N.S. 6]; Abrams v. American Fidelity & Cas. Co., 32 Cal.2d 233, 236 [195 P.2d 797]; National Auto. & Cas. Ins. Co. v. Brown, 197 Cal.App.2d 605, 609 [17 Cal.Rptr. 347]; Hall v. San Jose Abstract & Title Ins. Co., 172 Cal.App.2d 421, 426 [342 P.2d 362] ; Artukovich v. St. Paul-Mercury Indem. Co., 150 Cal.App.2d 312, 326 [310 P.2d 461].) The burden of proof is upon the plaintiff to plead and prove compliance or an excuse for noncompliance with such a condition. (See Arnold v. American Ins. Co., supra; Notes (liability insurance) : 76 A.L.R. 23, 212; 123 A.L.R. 950, 986; 18 A.L.R.2d 443, 504; Note (motor vehicle theft insurance): 66 A.L.R.2d 1280, 1285.) Pertinent here is this comment of Professor Corbin concerning notice as a condition precedent:

“When a promisor has not expressly made notice a condition precedent to his duty of performance, in what kinds of cases will the giving of notice to him be a condition precedent to his duty to perform, either by implication or by construction of law ? It is believed that the most general rule that can safely be laid down in this matter is as follows. Notice need not be given to a promisor who has the same or substantially equivalent sources of information with respect to the facts or events, knowledge of which is necessary for performance, as those that are available t'o the promisee. If the promisor can find out the facts for himself as easily as the promisee can find them out and give notice of them, the giving of notice will not be a. condition precedent to the promisor’s duty of performance, unless hé has clearly so specified in the contract. If, on the other hand, the sources of information available to the two parties are not equiva *14 lent and it is much more difficult for the promisor to find out the facts for himself than it is for the promisee to find out qnd give notice, it should usually be held that the giving of notice to the promisor is, by construction of law, a condition precedent to his duty to perform.” (3A Corbin on Contracts, § 724.)

Plaintiff bases her argument upon some language appearing in Woodman v. Pacific Indem. Co., 33 Cal.App.2d 321, 330 [91 P.2d 898], where the court said: “Certainly the giving of timely notice of an accident and of cooperating in its investigation, and the defense of an action based upon it, are not conditions precedent to the validity and enforceability of an insurance policy. Of course, under some circumstances breach of these obligations by an assured may relieve the insurer from liability. ’ ’

The Woodman case was an action against an insurer on a public liability policy, plaintiff being the party who held an unsatisfied judgment against the insured. In the action against the insurer the plaintiff neglected to allege that the insured had performed all of the terms of the policy, and upon that ground the insurer sought a reversal of the judgment against it on the policy. The statement of facts indicates that the insurer had suffered no prejudice from any lack of notice or lack of cooperation, and for this reason the defendant was not entitled to a reversal because of the pleading defect.

In the language quoted above concerning the pleading, the court lumped together the duty to give notice and the duty to cooperate. Where the insured has given notice, he should ordinarily be able to prove this simple fact without difficulty and it is not unreasonable to require him to do so. On the other hand, proof that he cooperated with the insurer could involve an unlimited variety of facts.

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Related

Hall v. San Jose Abstract & Title Insurance
342 P.2d 362 (California Court of Appeal, 1959)
Abrams v. American Fidelity & Casualty Co.
195 P.2d 797 (California Supreme Court, 1948)
Norton v. Central Surety & Insurance Co.
51 P.2d 113 (California Court of Appeal, 1935)
Woodman v. Pacific Indemnity Co.
91 P.2d 898 (California Court of Appeal, 1939)
National Automobile & Casualty Insurance v. Brown
197 Cal. App. 2d 605 (California Court of Appeal, 1961)
Artukovich v. St. Paul-Mercury Indemnity Co.
310 P.2d 461 (California Court of Appeal, 1957)
Arnold v. American Insurance Co.
84 P. 182 (California Supreme Court, 1906)

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Bluebook (online)
219 Cal. App. 2d 11, 32 Cal. Rptr. 685, 1963 Cal. App. LEXIS 2334, Counsel Stack Legal Research, https://law.counselstack.com/opinion/kennedy-v-underwriters-at-lloyds-london-calctapp-1963.