Massachusetts Protective Ass'n v. Palmer

18 P.2d 585, 141 Or. 688, 1933 Ore. LEXIS 207
CourtOregon Supreme Court
DecidedOctober 14, 1932
StatusPublished
Cited by5 cases

This text of 18 P.2d 585 (Massachusetts Protective Ass'n v. Palmer) is published on Counsel Stack Legal Research, covering Oregon Supreme Court primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Massachusetts Protective Ass'n v. Palmer, 18 P.2d 585, 141 Or. 688, 1933 Ore. LEXIS 207 (Or. 1932).

Opinion

RAND, C. J.

On April 24, 1928, the defendant applied to the plaintiff corporation for an accident and health insurance policy and stated in his written application therefor that his occupation was that of a “train conductor” for the Southern Pacific Company, and that the policy which he desired to obtain was a “14 mos. Perfection Special.” No reference was made therein to the principal sum for which the policy should be issued. The application was approved and a policy of the particular kind applied for was issued and accepted and all premiums provided for therein have since been paid. The policy issued expressly stated that the principal sum was $5,000 and stipulated that that sum should become due and payable for an accident which should result in the loss of both of defendant’s feet. On April 29, 1931, defendant sustained such an accident and, under the terms of the policy, the whole of said sum became immediately due and collectible.

At the time said application was made and the policy issued, defendant was the conductor of a mixed passenger and freight train and plaintiff had on file in the office of the Insurance Commissioner of the State of Oregon a rate manual and classification of risks which provided that “where the Perfection or Premier policies are issued to Class 5 risks, the principal sum will be limited to $2,500, and the rates will be those hereafter shown in this rate book for Class 5.” And in the same manual a train conductor of a *690 freight or mixed train was rated as a Class 5 risk, while a conductor of a passenger train was rated as of Class 3.

Section 46-107, Oregon Code 1930, prohibits discrimination by insurance companies between “risks of essentially the same hazard in its application of its rates for insurance.” And, because of this prohibition and said provision in said manual, plaintiff contends that it is entitled to reform the policy so as to make it provide for the payment of $2,500 for the accident sustained in lieu of the amount stated in the policy, and brought this suit for such relief upon the ground that the policy providing for payment of $5,000 was issued by mistake of a scrivener or clerk of the plaintiff. Plaintiff’s main office is in Worcester, Massachusetts, and the policy was issued there and transmitted to plaintiff’s state agent at Portland, Oregon, and by him to defendant. It contained certain standard provisions among which were the following:

“1. This policy includes the endorsements and attached papers, if any, and contains the entire contract of insurance. No reduction shall be made in any indemnity herein provided by reason of change in the occupation of the insured or by reason of his doing any act or thing pertaining to any other occupation.

“2. No statement made by the applicant for insurance not included herein shall avoid the policy or be used in any legal proceeding hereunder. No agent has authority to change this policy or to waive any of its provisions.”

No papers were attached to the policy other than a photostatic copy of the application itself and, as issued, the policy did not contain any provision that the contract of insurance should be subject to or be in any way affected by the table of rates or classification of *691 risks filed with the insurance commissioner and it is neither alleged nor proven that defendant, when signing the application and accepting the policy, had ever seen said manual or knew of any of the provisions contained therein. However, our statute, section 46-801, Oregon Code 1930, among other things, provides:

“On and after September 1, 1911, no policy of insurance against loss or damage from disease or by the bodily injury by accident, or both, of the assured shall be issued or delivered in this state * * * unless it contains in substance the following provisions; * * * A provision that such policy, with a copy of the application therefor, if any, and of such other papers as may be attached to or indorsed thereon shall constitute the entire contract of insurance except as the same may be affected by any table of rates or classifications of risks filed by the corporation with the insurance commissioner, (b) * * * A provision that no statement made by the applicant for insurance, which statement is not incorporated in or indorsed on the policy issued to such applicant, shall avoid the policy or be used in evidence, and no provisions of the charter, constitution or bylaws shall be used in defense of any claims arising under any such policy unless such provisions are incorporated in full in the policy; but this requirement shall not be deemed to apply to the table of rates or manual of classification of risks of any corporation filed with the insurance commissioner prior to the date of the occurrence of the injury or commencement of the sickness for which indemnity is claimed.”

Section 46-802, prohibits the issuance of any policy insuring against accidental bodily injury, disease or death if it contains, in substance, a provision limiting the amount of indemnity to be paid in a sum less than the indemnity as stated in the policy and for which the premium has been paid. It was alleged in the *692 complaint that at the time the application was made plaintiff’s soliciting agent informed defendant that the principal sum was to be $2,500. This allegation was denied in the answer. Upon the trial of the cause plaintiff offered some evidence tending to show that such information had been furnished to the defendant by the soliciting agent when tailing the application.

Defendant objected to the introduction of this testimony upon the ground that the policy itself provided that no statement made by the applicant for insurance not included in the policy shall avoid the policy or be used in any legal proceeding thereunder, and now contends that such testimony was inadmissible. It is a rule of general application that the contract as written by the parties shall be held to embody all prior and contemporaneous agreements and, therefore, that evidence of matters outside the instrument cannot be admitted to control its legal effect. If the rule were otherwise, there would be no security in written contract. But a court of equity has power to reform an instrument so that it will express the actual agreement of the parties, where there has been a mutual mistake or a mistake upon the part of one and fraud or inequitable conduct on the part of the other: Columbian Nat. L. Ins. Co. v. Black, 35 Fed. (2d) 571 (71 A. L. R. 128), and cases cited. But in a suit in equity brought to reform a contract upon the ground of fraud or mistake, parol evidence is admissible to establish that the contract was entered into by mutual mistake, or mistake on the part of one and fraud on the part of the other. In Mercer v. Germania Ins. Co., 88 Or. 410 (171 P. 412), which it will be noted was an action at law to enforce the contract and not a suit in equity to reform it, it was held that parol evidence which *693 tends to modify the terms of the written contract is not admissible “unless defendant is estopped from availing itself of the portions of the contract so undertaken to be modified.”

In section 2182, Couch on Insurance, the author states the rule which is applicable in a suit of this character as follows:

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Bluebook (online)
18 P.2d 585, 141 Or. 688, 1933 Ore. LEXIS 207, Counsel Stack Legal Research, https://law.counselstack.com/opinion/massachusetts-protective-assn-v-palmer-or-1932.