Lusk v. American Central Insurance

91 S.E. 1078, 80 W. Va. 39, 1917 W. Va. LEXIS 6
CourtWest Virginia Supreme Court
DecidedMarch 20, 1917
StatusPublished
Cited by21 cases

This text of 91 S.E. 1078 (Lusk v. American Central Insurance) is published on Counsel Stack Legal Research, covering West Virginia Supreme Court primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Lusk v. American Central Insurance, 91 S.E. 1078, 80 W. Va. 39, 1917 W. Va. LEXIS 6 (W. Va. 1917).

Opinion

Lynch, President:

Upon a policy of insurance against loss by fire, drawn to cover an office building for one year from August 25, 1914, plaintiff brought assumpsit, and, upon defendant’s demurrer to the evidence, recovered the judgment of which it complains. The fire that destroyed the property occurred at one o’clock on the morning of July 11, 1915. The grounds of defense are cancellation of the policy, failure to notify the company of the loss and to furnish proofs of loss.

The policy is the New York standard form, and reserves the right to cancel it by giving five days’ notice to the insured. No such notice was given. The only attempt to comply with that provision of the contract was a notice to the Welch Insurance Agency, a copartnership representing defendant in procuring and writing for it policies of insurance in McDowell county, to cancel all policies procured for it through the agency and then in force in that county, among them being the one now in suit. Of this direction it is not contended plaintiff had notice or knowledge from any source whatever. From the testimony it appears that in lieu of the policy issued by defendant, Blakely, the active agent of the Welch agency, substituted a policy of another company on [41]*41July 10, 1914, and on the evening of that day mailed it to plaintiff at Davy, the situs of the property insured. This policy plaintiff did not receive imtil July 13, because of absence from home; and Blakely admitted he would not have received it until after the fire. Devoid as the record is of proof in the slightest degree tending to show the Welch agency had authority to represent plaintiff in the cancellation of the policy and the substitution of another therefor, it can not be said the attempted cancellation operated to relieve defendant from liability. On the contrary, there is no escape from the conclusion that the agency as to that matter represented defendant alone; and it could not excuse itself from liability by cancellation except upon five days’ notice, unless plaintiff waived that requirement. The transaction between plaintiff and the agency prior to the fire related solely to the issuance of the policy sued on. So far as appears, the authority conferred upon it by him was limited to 'the procurement of that indemnity. Clearly, the insurance agency was not the agent .of plaintiff to effect a cancellation of that contract, and notice to it by defendant therefor was not notice to the insured, and was ineffective because not communicated to him in compliance with the policy provisions. Wight v. Royal Insurance Co., 53 Fed. 340; Insurance Co. v. Central Railway Co., 134 Fed. 794; Assurance Co. v. Cooper, 26 Col. 452; Hartford Fire Insurance Co. v. Tewes, 132 Ill. App. 321; American Fire Insurance Co. v. Brooks, 83 Md. 22; Snedicor v. Citizens Insurance Co., 106 Mich. 83; for other cases see note 38 L. R. A. (N. S.) 623. Nothing in evidence discloses any desire, motive or inducement actuating Lusk to discharge defendant from liability or to effectuate any change in the policy he then had. Nor did the mere retention by him of the substituted policy, pending his efforts to secure an adjustment and settlement under the original contract, .constitute a waiver of want of notice or invalidity of the cancellation. Quong Tue Sing v. Assurance Corporation, 86 Cal. 566; Insurance Companies v. Raden, 87 Ala. 311.

There is not more plausibility in the contention that plaintiff failed to cause information of the loss to be imparted to defendant. He promptly notified the Welch agency through Blakely, who visited Davy on July 12, saw what the fire [42]*42had wrought, and to Perry, the special agent of defendant, reported all that was necessary to fix liability under the provision of the policy as to notice of the loss. Besides, according to the testimony of plaintiff, the defendant sent J. F. Hurt, an adjuster, to view the premises after the fire. Moreover, the Welch agency wrote plaintiff July 13: “We have your favor of the 12th inst., advising us of your loss in the recent fire at Davy, and in reply beg to say that we have reported this loss to the company and will have your loss adjusted and paid within a few days”. And Blakely testified: “I reported the loss in the usual way. * * I wrote to Mr. Perry, the special agent of the American Central Insurance Company in charge of this section of the state. I told him the conditions and everything in regard to the loss”.

The only other defense is based upon the failure to present to the company proofs of loss, by writing under oath, in strict compliance with a condition of the policy therefor. Plaintiff did not furnish any formal proofs of loss.

The loss was total, the destruction complete. No question has arisen as to ownership or encumbrances, or as to the amount of the loss sustained. Formal proofs could not have made these facts more clear; and enough is proved to warrant the inference that defendant was advised as fully and completely of the existence of these facts as it would have been had formal proof thereof been furnished as required by the policy. The testimony renders certain that the Welch Insurance Agency was as to the transactions the agent of the defendant. Blakely, the active manager and secretary-treasurer of the firm, puts that question beyond dispute. The defendant recognized that agency as its representative, and through it procured many contracts of insurance in McDowell county. These contracts the agency had authority to solicit, to write and execute so'as to bind the company, collect and remit premiums, and cancel policies when directed by the insurer or required by the insured. For these purposes the' insurance companies represented by the agency supplied it with policies duly signed by them ready for delivery when countersigned by the agency. It was defendant’s general agent in the transaction of its business in that locality. In [43]*43it as such representative plaintiff apparently confided. To it he gave information of the loss, which it imparted to the defendant “in the usual way”. Blakely told Perry “the conditions and everything in regard to the loss”. But two witnesses testify, plaintiff in his own behalf, and Blakely for defendant; and their testimony does not conflict. They conferred upon the liability of the company, and Blakely assured plaintiff the policy would be paid promptly. These negotiations continued from a few days to three or four months after the fire, Blakely all the time assuring plaintiff the loss would be settled by the company. None of these facts does defendant- undertake to controvert; but it is argued that they do not satisfy the condition of the policy requiring proofs of loss, and are insufficient to constitute a waiver of such requirement.

Courts look with disfavor upon attempts by insurers to evade liability by reliance upon forfeiture, and such a defense will not-be permitted to defeat a Just cause of action if there be reasonable ground on which to predicate a waiver of the forfeiture asserted. Although preliminary proofs of loss are made a condition precedent to the right to recover on a policy of insurance, yet if what is said and done by the insurer, or by an authorized agent on his behalf, may reasonably induce the insured to believe that formal compliance is not required, and he is influenced thereby to rely in good faith thereon as a waiver, such conduct will operate to excuse non-compliance. Peninsular Land Co. v. Franklin Insurance Co., 35 W. Va. 666; Hartford Fire Insurance Co. v. Keating, 86 Md.

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Bluebook (online)
91 S.E. 1078, 80 W. Va. 39, 1917 W. Va. LEXIS 6, Counsel Stack Legal Research, https://law.counselstack.com/opinion/lusk-v-american-central-insurance-wva-1917.