McMillon v. Old Republic Life Insurance Co.

342 N.E.2d 246, 33 Ill. App. 3d 658, 1975 Ill. App. LEXIS 3216
CourtAppellate Court of Illinois
DecidedNovember 17, 1975
Docket75-196
StatusPublished
Cited by11 cases

This text of 342 N.E.2d 246 (McMillon v. Old Republic Life Insurance Co.) is published on Counsel Stack Legal Research, covering Appellate Court of Illinois primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
McMillon v. Old Republic Life Insurance Co., 342 N.E.2d 246, 33 Ill. App. 3d 658, 1975 Ill. App. LEXIS 3216 (Ill. Ct. App. 1975).

Opinion

Mr. JUSTICE KARNS

delivered the opinion of the court:

This appeal arises from an action brought to collect benefits provided by a health and accident insurance policy in the Circuit Court of Madison County. The trial court granted plaintiffs motion for summary judgment and defendant appeals.

The affidavits and admissions of fact filed in support and opposition to plaintiff’s motion established the following:

On March 11, 1968, the defendant, appellant, Old Republic Life Insurance Co., issued a health and accident policy upon the life and health ef Benjamin A. McMillon, the deceased husband of the plaintiff-appellee, Rose McMillon. The policy provided for an accidental death benefit of $10,000. It also included a provision granting a 31-day grace period within which to pay past due premiums without losing coverage under the policy. The McMillons did not pay the premium due on October 16, 1973.

The defendant-appellant, received the McMillons money order for $17.20, the usual monthly premium, on November 27, 1973. Pursuant to usual procedures, the money order was automatically deposited for collection in Old Republics account by an electronic data processing system. At the same time, the McMillons accompanying premium notice was imprinted with the amount of the money order and processed through the defendant’s computer. The computer applies the payments made to policies which are in force but does not apply any payments to lapsed policies. It then prints out a fist of both categories of accounts. As the McMillons policy had lapsed as of November 17, 1973, ten days before receipt of the money order by Old Republic, their account was included by the computer in the latter group. On December 4, 1973, five working days after receipt of the McMillons payment, Mr. Saito, manager of the underwriting department, wrote a letter to the Mc-Millons informing them that the policy had lapsed and that therefore Old Republic could not apply their premium payment to the policy. He also enclosed Old Republic’s check for $17.20 as a refund of the Mc-Millons premium. The plaintiff received the letter and the check the next day. On December 8, the McMillons forwarded another money order for $34.20 to Old Republic. Tins money order was received on December 13, and promptly returned. On December 28, 1973, the insured, Benjamin McMillon was killed in an automobile accident in Madison County. Rose McMillon brought suit to collect the accidental death benefit, claiming the instant policy to be in force.

The dispositive issue on this appeal is whether, as a matter of law, the act of defendant in depositing the insured’s premium payment reinstated the policy under the provisions of section 357.5 of the Illinois Insurance Code (Ill. Rev. Stat. 1973, ch. 73, par. 969.5).

The statute provides in relevant part:

“REINSTATEMENT: If any renewal premium be not paid within the time granted the insured for payment, a subsequent acceptance of premium by the company or by any agent duly authorized by the company to accept such premium, without requiring in connection therewith an application for reinstatement, shall reinstate the policy; provided, however, that if the company or such agent requires an application for reinstatement and issues a conditional receipt for the premium tendered, the policy will be reinstated upon approval of such application by the company or, lacking such approval, upon the 45th day following the date of such conditional receipt unless tire company has previously notified the insured in writing of its disapproval of such application. # #

The statute is part of every contract of health and accident insurance delivered to any person in this State, and thus is applicable to the instant contract. (Ill. Rev. Stat. 1973, ch. 73, par. 969.1 (formerly par. 969a(1).) We must decide then, on the pleadings and the admissions and affidavits produced in support of, and in opposition to, plaintiffs motion for a summary judgment, whether there was no genuine issue of fact so as to preclude judgment as a matter of law for the plaintiff. (Ill. Rev. Stat. 1973, ch. 110, par. 57(3).) The trial court applied the rule that a health and accident policy is reinstated when an insurer or its authorized agent, deposits or cashes a late premium payment but does not issue a conditional receipt for the premium tendered, relying upon Eike v. Central National Life Insurance Co., 129 Ill.App.2d 28, 262 N.E.2d 338 (1970); however, we do not think that this is a proper interpretation of the statute for the facts of this case.

The rule of Eike equates receipt and negotiation (depositing or cashing) of an insured’s late premium payment with “acceptance” under the statute. Although this rule is apparently consistent with Perry v. Campbell, 45 Ill.App.2d 271, 195 N.E.2d 844 (1963), where it was held that the insurer’s depositing for collection a late premium payment waived the lapse of the insured’s policy, even though the amount of the premium was refunded, it is not and should not be controlling here. It is not just the act of negotiating the insured’s check which is considered in determining acceptance, but also the length of time the insurer holds the insured’s payment and knowledge of an intervening loss. (Van Hulle v. State Farm Mutual Automobile Insurance Co., 44 Ill.2d 227, 254 N.E.2d 457 (1969).) Furthermore, Eike and Bousquet v. Transportation Insurance Co., 354 Mass. 152, 235 N.E.2d 807 (1968) (interpreting an identical statute), upon which the Eike court relied, are distinguishable. In both of these cases an application for reinsurance was required, but no conditional receipt was issued, payment was made to the insurer’s agent, who took the payment for the purpose of reinstating the lapsed policy. Other facts were present which indicated the insurers intention to reinstate the policy. Thus, the courts were addressing themselves to whether the insurer could avoid automatic reinstatement under the proviso clause of the statute. In both these cases the loss occurred prior to the refunding of the premium.

We believe the statute contemplates two instances where a health and accident policy will be reinstated by operation of law. One exists when an insurer requires an application for reinstatement and issues a conditional receipt, but does not notify the insured within 45 days of the date the conditional receipt was issued that it is rejecting his application. If an insurer does not require such an application, or fails to issue a com ditional receipt in connection with a reapplication, the policy will be reinstated when it accepts the insured’s late premium payment. We do not think that the legislature intended by this statute to compel insurers to require reapplications and conditional receipts for lapsed health and accident policies. Since Old Republic did not require an application for reinstatement, we must determine whether it accepted the Mc-Millon’s late premium payment.

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Bluebook (online)
342 N.E.2d 246, 33 Ill. App. 3d 658, 1975 Ill. App. LEXIS 3216, Counsel Stack Legal Research, https://law.counselstack.com/opinion/mcmillon-v-old-republic-life-insurance-co-illappct-1975.