MASS. INDEM. & LIFE INS. v. Humphreys

644 So. 2d 818, 1994 WL 546153
CourtLouisiana Court of Appeal
DecidedOctober 7, 1994
Docket93 CA 2025
StatusPublished
Cited by5 cases

This text of 644 So. 2d 818 (MASS. INDEM. & LIFE INS. v. Humphreys) is published on Counsel Stack Legal Research, covering Louisiana Court of Appeal primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
MASS. INDEM. & LIFE INS. v. Humphreys, 644 So. 2d 818, 1994 WL 546153 (La. Ct. App. 1994).

Opinion

644 So.2d 818 (1994)

MASSACHUSETTS INDEMNITY AND LIFE INSURANCE COMPANY
v.
Sandra B. HUMPHREYS and Marie C. Jackson.

No. 93 CA 2025.

Court of Appeal of Louisiana, First Circuit.

October 7, 1994.

*819 Francis G. Weller, New Orleans, for plaintiff-appellant Massachusetts Indem. and Life Ins., Co.

Afif Jebara, and Jimmy Simien, Baton Rouge, for defendant-appellee plaintiff in Reconvention Marie C. Jackson.

Before LOTTINGER, C.J., and SHORTESS and CARTER, JJ.

LOTTINGER, Chief Judge.

In 1984, Ray A. Jackson and Sandra Humphreys, then a married couple, applied to Massachusetts Indemnity & Life Insurance Company (MILICO)[1] for life insurance. The couple obtained a $75,000.00 policy on Mrs. Humphreys'[2] life and a $75,000.00 spouse rider on Mr. Jackson's life. Mrs. Humphreys was designated owner of the primary policy and the rider. On July 21, 1989, Mr. Jackson and Mrs. Humphreys were divorced.

In July of 1989, Marie Bynum also applied for and received a $75,000.00 life insurance policy from MILICO. On September 9, 1989, Marie Bynum and Mr. Jackson were married. Following their marriage, the Jacksons tried to obtain a spouse rider for Mr. Jackson on Mrs. Jackson's newly acquired MILICO policy. By this time, Mr. Jackson had been diagnosed with leukemia and therefore was uninsurable by MILICO.

According to MILICO, the Jacksons were informed that the only method by which MILICO could insure Mr. Jackson was to transfer the spouse rider from Mrs. Humphreys' policy to Mrs. Jackson's policy. Under MILICO's standard operating procedures, the original rider could not be transferred until Mrs. Humphreys, the primary insured, consented in writing.

According to Mrs. Jackson, however, MILICO informed her that the spouse rider could be transferred without Mrs. Humphreys' signature upon submission of a judgment of divorce, the premium amount and two policy change application forms. Under one form, a new spouse rider would be added to Mrs. Jackson's policy and under the other form, the existing rider on Mrs. Humphreys' policy would be deleted.

Mrs. Jackson submitted the judgment of divorce and the two policy change forms on August 21, 1990. One form, completed for Mrs. Jackson's policy, was signed by Mrs. Jackson, the primary insured, and Mr. Jackson, the potential spouse rider. The second form, completed for Mrs. Humphreys' policy, was signed only by Mr. Jackson. Mrs. Humphreys, the primary insured, did not sign the form.

*820 Following submission of these documents, a spouse rider was issued and delivered to Mrs. Jackson on October 23, 1990. The following day, MILICO's vice president drafted a letter to Mrs. Jackson informing her that without Mrs. Humphreys' signature, the spouse rider could not be transferred. After reading the letter, Mrs. Jackson negotiated the enclosed premium refund check.

Following Mr. Jackson's death on March 12, 1991, Mrs. Jackson submitted a claim to MILICO for $75,000.00. MILICO then initiated this action for declaratory judgment, requesting the district court to declare that Mrs. Jackson was not entitled to any proceeds under the spouse rider. Mrs. Jackson filed a reconventional demand seeking the proceeds of the rider, attorney's fees and interest. The parties submitted the case on a joint motion for disposition on the merits by summary judgment. The district court held that Mrs. Jackson was entitled to benefits under the spouse rider.

On appeal, MILICO raises the following issue: whether the district court erred in concluding that Mrs. Jackson did not assent to "rescission of the coverage when she [was] advised a day after the coverage [was] issued that the coverage was improvidently issued, her premium [was] returned to her, and she knowingly cashe[d] the premium refund check four months before any loss occurs under the purported coverage." In her answer to the appeal, Mrs. Jackson asserts that the district court erred in failing to hold MILICO liable for damages, attorney's fees and interest.

VALIDITY OF THE SPOUSE RIDER

In its petition, MILICO asserts that the spouse rider was "issued through mistake and clerical error" and that upon discovering this error, it notified Mrs. Jackson "that the spouse rider was invalid, and refunded ... the amount of the premium...." Contrary to this assertion, we conclude that the rider was valid.

Under Louisiana law, "[c]ontracts have the effect of law for the parties and may be dissolved only through the consent of the parties or on grounds provided by law...." La.Civ.Code art. 1983. The law provides that a contract may be invalid when consent is vitiated by error, fraud, or duress. La.Civ. Code art. 1948. Error vitiates consent only when it "concerns a cause without which the obligation would not have been incurred and that cause was known or should have been known to the other party." La.Civ.Code art. 1949. However, unilateral error does not vitiate consent if the cause of the error was the complaining party's inexcusable neglect in discovering the error. Scott v. Bank of Coushatta, 512 So.2d 356 (La.1987); Woods v. Morgan City Lions Club, 588 So.2d 1196 (La.App. 1st Cir.1991).

MILICO admitted that the rider was issued through its own mistake and clerical error. Upon issuance, MILICO had in its possession, the judgment of divorce and two change order forms submitted by the Jacksons. MILICO issued the spouse rider on Mrs. Jackson's policy without first obtaining Mrs. Humphreys' signature on the appropriate change order form. Even assuming that this error concerns MILICO's cause in creating the obligation, MILICO's inexcusable neglect in failing to secure Mrs. Humphreys' signature, precludes it from claiming that the error vitiated its consent. Therefore, we conclude that the contract between MILICO and Mrs. Jackson was valid from its inception.

RESCISSION

Having determined that the spouse rider was valid, we now address MILICO's contention that Mrs. Jackson assented to rescission of the rider.[3] According to MILICO, when an insurer issues a premium refund check and explains that the premium is being returned because the policy is rescinded, the insured, by cashing the check, consents to the rescission and is barred from suing to recover the proceeds of the policy. In support of this argument, MILICO cites *821 Vest v. Richardson, 253 So.2d 97 (La.App. 4th Cir.), writ denied, 254 So.2d 618 (1971). In Vest, the insurer sought to rescind an automobile policy after discovering that the insured made material misrepresentations on the insurance application. Id. at 99. The court first found that the insurer had the burden of proving that the policy had been rescinded. Id. at 100. The court then stated that although the insurer had the right to rescind the policy, the insurer failed to meet its burden of proof as there was no evidence that the insured received the letter of rescission or that the insured negotiated the premium refund check. Id.

In the present case, MILICO asserts that the spouse rider was rescinded. To prove the rescission, MILICO submitted evidence of Mrs. Jackson's receipt of the rescission letter and the canceled premium refund check. Relying on Vest,

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Cite This Page — Counsel Stack

Bluebook (online)
644 So. 2d 818, 1994 WL 546153, Counsel Stack Legal Research, https://law.counselstack.com/opinion/mass-indem-life-ins-v-humphreys-lactapp-1994.