La Raw v. Prudential Ins.

12 F.2d 140, 56 App. D.C. 199, 49 A.L.R. 935, 1926 U.S. App. LEXIS 3166
CourtCourt of Appeals for the D.C. Circuit
DecidedApril 5, 1926
DocketNo. 4377
StatusPublished
Cited by4 cases

This text of 12 F.2d 140 (La Raw v. Prudential Ins.) is published on Counsel Stack Legal Research, covering Court of Appeals for the D.C. Circuit primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
La Raw v. Prudential Ins., 12 F.2d 140, 56 App. D.C. 199, 49 A.L.R. 935, 1926 U.S. App. LEXIS 3166 (D.C. Cir. 1926).

Opinion

VAN ORSDEL, Associate Justice.

Plaintiff in error, Loduth E. La Raw, brought a suit in the municipal court of the District of Columbia against defendant in error, Prudential Insurance Company, to re-, cov§r the amount of two policies of insurance, issued to one Prank B. Egan, on August 3, 1908, and September 14, 1908, respectively. The two policies aggregate $600.

It is alleged in the declaration that Egan paid the premiums on the policies until April 30, 1918, when he disappeared from his home, and he has never been heard of or from, from that date until the present time, although diligent search and inquiry has been made for him. It is further alleged “that, after the disappearance of the insured, one C. H. Schaffer, an agent of the- defendant company, who dealt with the insured and this plaintiff, and who collected the premiums from this plaintiff, told said plaintiff ‘never to allow the policies to become delinquent, to always keep the premiums paid up to date; that the person holding the policies and paying the premiums would be entitled to, and the company would pay, the insurance, after the seven-year period had elapsed, if the persons so entitled would make claim for the amount of the insurance.’ ”

Plaintiff further alleges that she paid the premiums as they fell due on the policies to the agent, Schaffer, and is continuing to pay the same to this date, all of which have been accepted by the company with full knowledge of the facts in the ease. When seven years had elapsed from the time of the disappearance of the insured, plaintiff made claim for the amount of the insurance to the defendant company, which claim was rejected chiefly on the ground that “the insured in this ease is a young man 44 years old, and is in all probability still alive.”

Defendant company demurred to the declaration on the following grounds: “(1) The plaintiff, in and by her said declaration, does not show any right to the proceeds of the policies of insurance sued upon. (2) In and by her said declaration it appears that, unless the defendant company should exercise the right given it in and by provision 2 of the said policies, known as the ‘facility of payment’ clause, the proceeds of said policies are payable to the executor or administrator of insured, upon receipt of due proof of death of the insured, and not to the plaintiff. (3) The plaintiff does not show, in and by her said declaration, that she has furnished the defendant due proof, or any proof, of the death of the insured.” On hearing, the court sustained the demurrer, and on plaintiff’s election to stand upon her declaration judgment was entered, from which the ease comes here on writ of error.

Plaintiff in error is a stepdaughter of the insured, therefore related to him by marriage. The “facility of payment” clause in the insurance policies reads as follows: “The company may make any payment provided for in this policy to relative by blood or connection by marriage of the insured, or to any other person appearing to said company to be equitably entitled to the same by reason of having incurred expense on behalf of the insured, for his or her burial, or, if the insured he more than 15 years of age at the date of this policy, for any other purpose, and the production by the company of a receipt signed by any or either of said persons, or of other sufficient proof of such payment to any or either of them, shall be conclusive evidence that such benefits have been paid to the person or persons entitled thereto, and that all claims under this policy have been fully satisfied.”

The demurrer admits the averments of the declaration that plaintiff had the arrangement with the agent of the company as alleged, and that, relying upon that arrangement, she has paid the premiums in full to the present time. The absence of the insured for the seven-year period is sufficiently alleged to establish the liability of the company under section 252 of the District Code. National Union v. Sawyer, 42 App, D. C. 475. This point, however, is not seriously controverted by the company; but the right [142]*142is claimed to make payment only to the executor or administrator oí the insured.

Plaintiff pitches her case upon the ground that, conceding the option contained in the policies, enabling the company to elect the beneficiary to whom the proceeds shall be paid, either the executor or administrator or a person having an equitable claim, the company has exercised its option in this case. The option is conditional or defeasible, and when the company negotiated with plaintiff for the payment of premiums for seven years, on the agreement that the proceeds of the policies should be paid to her, it thereby made a present election that upon fulfillment of the agreement by plaintiff, the proceeds should be paid to her. Her contention is that,- defendant having exercised its option in her favor, there is no one else to whom payment can lawfully be made. On the other hand, defendant claims the option to pay to another than the executor or administrator of the insured, but in this ease refuses to exercise this option, and in the face of its refusal the only person who can sue is an executor or administrator of the insured, and that therefore plaintiff has no right of action against it.

The right of election as to whom payment shall be made under the “facility of payment” clause undoubtedly rests with the company. In the absence of any election having been made by the company, under this clause the company may insist upon making payment to the executor or administrator of the insured; but we think that in this case an election has been made by the agreement entered into between plaintiff and Schaffer, the agent of the company. In face of this agreement, and the acceptance of the premiums for the period of more than seven years, the company is now estopped to claim the right to pay only an executor or administrator, or indeed to pay any one else than the plaintiff in error.

In the case of Shea v. United States Industrial Insurance Co., 48 N. Y. S. 548, 23 App. Div. 53, a similar agreement to that here alleged was made between the plaintiff and an agent of the company. The payments were made by the plaintiff on policies insuring the life of her daughter. The agent of the company in effect stated to plaintiff that, as she was a blood relative of the insured, she would be the beneficiary therein, • and entitled to the insurance if she paid the premiums as required. The company in that case, as in this, undertook to void the agree? ment of its agent. The court, in holding the company liable, and in considering the effect of the “facility of payment” clause, said: “This article corresponds with the representations made to the plaintiff, with this difference, that, instead of being an absolute promise to pay, it is permissive at the option of the company. As the company, however, made its absolute agreement with the plaintiff that she should be the beneficiary, we think such agreement had the force of a present election upon the part of the company to exercise the option in this regard in favor of the plaintiff.” It follows, we think, that the agreement made between plaintiff and Schaffer, the agent of the company, constituted a present election on the part of the company to exercise the option in favor of plaintiff.

But it is contended by counsel for defendant that this amounts to such a modification of the contract as was beyond the power or authority of the agent to make.

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Cite This Page — Counsel Stack

Bluebook (online)
12 F.2d 140, 56 App. D.C. 199, 49 A.L.R. 935, 1926 U.S. App. LEXIS 3166, Counsel Stack Legal Research, https://law.counselstack.com/opinion/la-raw-v-prudential-ins-cadc-1926.