Lincoln Nat. Life Ins. Co. v. Means

95 S.W.2d 264, 264 Ky. 566, 1936 Ky. LEXIS 376
CourtCourt of Appeals of Kentucky (pre-1976)
DecidedJune 2, 1936
StatusPublished
Cited by8 cases

This text of 95 S.W.2d 264 (Lincoln Nat. Life Ins. Co. v. Means) is published on Counsel Stack Legal Research, covering Court of Appeals of Kentucky (pre-1976) primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Lincoln Nat. Life Ins. Co. v. Means, 95 S.W.2d 264, 264 Ky. 566, 1936 Ky. LEXIS 376 (Ky. 1936).

Opinion

Opinion of the Court by

Judge Richardson

Affirming.

From a judgment in favor of Harriet O. Means, beneficiary of a life insurance policy, against the Lincoln National Life Insurance Company, this appeal is prosecuted.

The Equitable Life & Casualty Insurance Company, a domestic corporation, was empowered by its articles of incorporation to write, execute, and issue, as principal, policies of life insurance. It was licensed so to do by the insurance commissioner of the commonwealth of Kentucky. It employed and authorized agents to solicit applications for health and life insurance. It’was unable to fulfill the requirements of *568 section 648, Kentucky Statutes,. concerning the deposit of securities, as therein required. On account of this disability the insurance commissioner declined to permit it. to engage in the business for which it was organized, unless and until it contracted with another life insurance company, ready, able, and willing to comply with section 631 et seq.

To qualify it to comply with the demands of the insurance commissioner, its representative in the spring of 1930, at Fort Wayne, Ind., the home office of the Lincoln National Life Insurance Company, approached the president of the latter for the purpose of making some arrangements with it, whereby the Equitable “could go ahead and issue contracts and thus get into the life insurance business.” The representative of the Equitable and the vice president of the Lincoln National made “a verbal, tentative, re-insurance agreement” which was later reduced to writing, forwarded to the Equitable, and by it signed and submitted to the insurance commissioner of' Kentucky for his approval. He declined to approve it on the ground it was merely a contract binding the Lincoln National as a reinsurer. The Equitable’s representative went back to the office of the Lincoln National at Ft. Wayne and reported his refusal to approve the “re-insurance contract,” and informed its vice president that the insurance commissioner would not let the Equitable “get into the life insurance business in any way, save by co-insuring the business by some good reliable company, taking the full risk and carrying the full reserves of the policies.” Thereupon, the Lincoln National agreed it would coinsure with the Equitable and “take the full risk and carry the full reserves of the policies”; and directed the representative of the Equitable to return to Kentucky and have the Equitable to proceed to engage in business as a health and life insurance company, issuing policies in its name, representing to those who sought to make application for health and life insurance that the Lincoln National was a coinsurer, though the policy was issued in the name of the Equitable. Accordingly, a written contract was prepared and signed by the Lincoln National, setting out elaborately the conditions, terms, and provisions by which the Lincoln National obligated itself to become, as here *569 claimed, a coinsurer with the Equitable. On receiving it, it was signed by the Equitable, presented to, and approved by, the insurance commissioner. At the time the provisions of the contract were agreed on by the Equitable and the Lincoln National, the Equitable’s form of application for life insurance was gone over. It was then changed to conform to the Lincoln National’s application form for life insurance, and it was agreed that it was to be headed “Equitable Life.” Thereafter, the Equitable actively engaged in this state in the business of life insurance, in accordance with, and pursuant to, its and the Lincoln National’s contract. It required all written applications for insurance, inspections, and physical examinations of the applicants to be sent to the Lincoln National for its approval or rejection. It provided that where the application was approved by the Lincoln National and a policy issued thereon by the Equitable., “the consideration to be paid the Lincoln National for disability coinsurance” was the premium which the Equitable charged the insured less a commission of 75 per cent, the first year, and 10 per cent., the renewal years. The Equitable was to retain a commission, and pay medical examiner’s fees and all charges incurred in connection with its life policies, out of the premiums received from policy-holders, and pay the balance to the Lincoln .National.

The contract contains this article:

“The Lincoln shall be liable to the Insurer for the benefits covered by reinsurance hereunder in the same manner in all respects and to the same extent as the Insurer is liable to the Insured for such benefits and all reinsurance shall be subject to the terms and conditions of the respective form of Policy under which the Insurer shall be liable.
“Whenever a claim is made under an Insurer’s policy which has been reinsured hereunder, it shall be taken and considered by the Lincoln to be a claim, for the amount of reinsurance on ■ such risk. If the Lincoln is carrying the entire liability involved in the claim, the Insurer shall submit all papers in connection with such claim to the Lincoln for its authorization, before making payment and the Lincoln shall pay the amount of reinsur *570 anee covered by the policy of reinsurance when the insurer shall settle with the claimant.
“Any suit or claim may be contested or compromised on the part of the Insurer and in case of a reduction of the claim made upon the Insurer, the Lincoln and the Insurer shall participate in such reduction in proportion to their respective net liabilities and any expense incurred by the Insurer in defending or investigating any claim shall be shared in the same proportion.
“In every case of loss, the proof thereof accepted as satisfactory by the Insurer shall likewise be taken as sufficient by the Lincoln and copies thereof, together with an affidavit showing the amount paid on such claim by the Insurer, duly certified to by the President, Vice-President, dr Secretary of the Insurer, shall be furnished to the Lincoln before payment shall be demanded of it.”

Article 10 states that “the agreement shall take effect from the - day of - month, 1930, and shall be unlimited as to its duration, but may be terminated at any time by either party giving three months notice of termination in writing.” The contract is dated the 25th day of May, 1931.

As soon as the Equitable and the Lincoln National by and through their officers verbally agreed on the conditions, terms, and provisions of the contract, thereafter to be reduced to writing, signed and presented to the insurance commissioner for his approval, the solicitors and agents of the Equitable began to solicit applications for life insurance to be issued in the name of the Equitable, in accordance with the contract. When soliciting and accepting applications, the solicitors of the Equitable were directed to, and did, make known to the applicants for health and life insurance, that the application was in the name of the Equitable; the policy would be issued in its name, and if the application were accepted by the Lincoln National, it would be a coinsurer with the Equitable. The applicant was examined by the Equitable’s medical examiner, the application approved by it, and then forwarded to the Lincoln National for its approval or rejection.

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Cite This Page — Counsel Stack

Bluebook (online)
95 S.W.2d 264, 264 Ky. 566, 1936 Ky. LEXIS 376, Counsel Stack Legal Research, https://law.counselstack.com/opinion/lincoln-nat-life-ins-co-v-means-kyctapphigh-1936.