Life Investors Insurance Co. of America v. Citizens National Bank

392 N.W.2d 771, 223 Neb. 663, 1986 Neb. LEXIS 1043
CourtNebraska Supreme Court
DecidedAugust 22, 1986
Docket85-243
StatusPublished
Cited by37 cases

This text of 392 N.W.2d 771 (Life Investors Insurance Co. of America v. Citizens National Bank) is published on Counsel Stack Legal Research, covering Nebraska Supreme Court primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Life Investors Insurance Co. of America v. Citizens National Bank, 392 N.W.2d 771, 223 Neb. 663, 1986 Neb. LEXIS 1043 (Neb. 1986).

Opinion

White, J.

This is an action by the plaintiff-appellee, Life Investors Insurance Company (Life Investors), to recover an overpayment of insurance proceeds to the defendant-appellant, Citizens National Bank of Wisner (Citizens), and Janice Gralheer, personal representative of the estate of Merle Gralheer, under a policy of credit life insurance. A third-party action was filed by Citizens to obtain the benefits of a credit life insurance policy issued by the third-party defendant-appellant, United Life Insurance Company (United Life).

The trial court overruled the motion of Citizens to require Life Investors to select between fraud and mutual mistake of fact as a theory of recovery. Judgment was entered for Life Investors and against Citizens for $19,000 and interest taxed from October 6, 1982, at the rate of 12 percent. The trial court found there was no evidence to hold the estate of Merle Gralheer liable for any portion of the amount claimed due by Life Investors and dismissed the petition against the personal representative. Finally, judgment was entered for Citizens in the sum of $17,000 and against United Life.

Citizens, Life Investors, United Life, and Gralheer’s personal representative all appeared at trial. The case between Life Investors and Citizens and the personal representative was held first, followed immediately by the case between Citizens and United Life. The evidence on the record in the first case was considered in the second case. The following facts and circumstances were brought out at trial.

Merle A. Gralheer died of cancer on February 7, 1982. He *665 was a debtor of Citizens’ and was covered by Citizens’ creditor group life insurance policy No. 28-10961 with Life Investors. This policy provided maximum coverage of $25,000 to Citizens for life insurance benefits payable upon the death of an insured debtor. Gralheer was also covered by United Life’s creditor group policy No. 500-293. This policy also covered up to $25,000 on the bank’s outstanding balance credit life insurance. Accounts were split 50-50 between the two insurance companies for the first $50,000, and Life Investors provided coverage for balances in excess of $50,000. Gralheer applied for credit life insurance with United Life in January 1980.

The contracts Citizens had with each of the insurance companies had similar provisions. Citizens was required to calculate the monthly premiums and remit them to the insurance companies. The premium for an individual would fluctuate as the individual’s outstanding balance fluctuated. Citizens debited the borrower’s checking accounts in the amount of the individual premium.

Gralheer’s death precipitated the first claim under either policy. He had surgery for cancer in September 1981, and Citizens was notified of the diagnosis on September 12, 1981. On September 10, 1981, his loan balance was $34,000, and in February of 1982 it was $38,000. Each insurance company had received premiums sufficient to insure Gralheer’s life for $19,000, half of the debt at the time of his death.

Shortly after Gralheer’s death, George A. Haase, Jr., an officer of Citizens, filed a notice of claim for the entire $38,000 with United Life. United Life denied the claim. In September Haase filed a notice of claim with Life Investors. Life Investors paid Citizens the entire $38,000 later that month. Citizens then canceled the note signed by Gralheer. Haase testified that he did not file a notice of claim with Life Investors initially because he thought that United Life was the leading company on all the bank’s dealings on credit life and that United Life would take care of the relationship between the two companies.

Shortly after Citizens received the $38,000, Charles Kraut, claims manager for Life Investors, contacted Haase, demanding the refund of an overpayment of $13,000. The $13,000 represented the difference between the $38,000 debt of *666 Gralheer and the $25,000 maximum coverage per debtor. The accounting department at Life Investors discovered the overpayment. Haase told Kraut the $ 13,000 would be returned, but not immediately because Citizens wanted to use the payment as a wedge against United Life. Citizens, however, did not refund the money to Life Investors. Life Investors later discovered that it had received premiums for only $19,000, half of the total $38,000 debt, and increased the amount of the refund demanded by an additional $6,000.

Kraut testified that the overpayment was the result of a loophole in the company’s accounting system. He further testified that the overpayment would not have occurred-if Citizens had listed the correct amount due it from Life Investors in the notice of claim.

At the close of the evidence, Citizens moved that the petition be dismissed for failure to prove the issues raised. The motion was overruled. Life Investors moved for a directed verdict in its favor in the amount of $19,000. The court found that Citizens admitted the overpayment when Haase told Kraut that Citizens was using the money as leverage in dealings with United Life. The court further found misrepresentation of fact in the proof of loss prepared by Citizens. The court entered judgment for Life Investors for the sum of $19,000 and taxed interest at 12 percent per annum from October 6, 1982, the date of the telephone conversation during which Citizens acknowledged that it was wrongfully holding the $13,000.

The trial court proceeded to hear testimony on the case between Citizens and United Life. The evidence introduced showed that Citizens’ agricultural loans were all loans made on demand with interest due every 6 months. At the end of each 6-month period, when a demand was made for renewal, Citizens collected the interest and rewrote another demand note. Citizens did not require its customers who were covered by credit life insurance to sign a new certificate when a note was renewed. Gralheer’s notes were periodically renewed, and he was not required to sign a new certificate of insurance. In December 1981, after Gralheer was diagnosed as having cancer, his note was renewed for $38,000.

The policy of insurance issued to Citizens by United Life *667 requires a debtor to complete a new certificate at the time of renewal or refinancing. Haase testified that neither his contact at United Life nor anyone else from United Life ever told him that the enrollment certificates had to be reissued each time a loan was renewed. Haase’s contact at United Life, Melvin R. Faas, did not recall ever discussing with Haase whether it was necessary to write a new insurance certificate each time a loan was renewed. Haase testified that during the period of time from January 1980 until February 1982, he never required a bank customer to sign a new certificate when a note was renewed. He further testified that he had been involved with credit life insurance as an agent since 1973 and had never issued a new certificate on the renewal of a note.

United Life denied Citizens’ notice of claim because Gralheer was diagnosed as having cancer before his note was renewed in December 1981. United Life claimed to have no liability under the provisions of its contract with Citizens. The contract specifically provided that debtors diagnosed as having heart disease or cancer would be limited in their coverage and in their eligibility fqr coverage.

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Cite This Page — Counsel Stack

Bluebook (online)
392 N.W.2d 771, 223 Neb. 663, 1986 Neb. LEXIS 1043, Counsel Stack Legal Research, https://law.counselstack.com/opinion/life-investors-insurance-co-of-america-v-citizens-national-bank-neb-1986.