Meding v. Prudential Insurance Co. of America

444 F. Supp. 634, 1978 U.S. Dist. LEXIS 19615
CourtDistrict Court, N.D. Indiana
DecidedFebruary 10, 1978
DocketCiv. H 77-264
StatusPublished
Cited by5 cases

This text of 444 F. Supp. 634 (Meding v. Prudential Insurance Co. of America) is published on Counsel Stack Legal Research, covering District Court, N.D. Indiana primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Meding v. Prudential Insurance Co. of America, 444 F. Supp. 634, 1978 U.S. Dist. LEXIS 19615 (N.D. Ind. 1978).

Opinion

MEMORANDUM DECISION

McNAGNY, District Judge.

This matter comes before the Court on plaintiff’s Motion for Summary Judgment on the Issue of Contract Liability and defendant’s Motion for Summary Judgment. The parties at oral argument stipulated that:

(1) Indiana law is controlling in this case;
(2) Plaintiff is the named beneficiary on an application for insurance completed by the decedent (her husband) on June 14, 1977, from defendant insurance company;
(3) On June 14, 1977, the decedent tendered to defendant insurance company the sum of $31.50 for which the decedent received a “Prepayment Receipt”;
(4) Plaintiff’s husband was prevented from taking a medical examination in connection with said application for insurance due to his death on June 16, 1977;
(5) Defendant insurance company failed to notify the decedent that it had either accepted or rejected him as an insurable risk prior to his death on June 16, 1977;
(6) Thereafter, in timely fashion, plaintiff inquired about insurance benefits under the June 14, 1977, application and premium payment;
(7) In response to said inquiry, defendant insurance company disclaimed any liability on the theory that the events of June 14, 1977, did not create any contractual liability between defendant insurance company and the deceased named insured; and
(8) Defendant insurance company attempted to return the $31.50 prepayment, which was refused by the plaintiff.

The pleadings and affidavits on file, along with the parties’ stipulations on oral argument “show that there is no genuine issue as to any material fact”, Rule 56, Federal Rules of Civil Procedure, and therefore, the plaintiff is entitled to judgment as a matter of law on the question of contract liability.

The sole issue of law presented is whether under the facts stipulated, a conditional receipt created a contract of temporary or interim life insurance by reason of insured’s payment of premium and acceptance thereof by the defendant insurance company.

In confronting the issue of conditional receipts, this Court discerns two opposing views. The first view is based upon the theory that the application for insurance is an initial step, that the absolute right to accept or reject such application is with the insurance company, and that until there is an acceptance, there is no contract of insurance. The plaintiff contends, however, that a contract of insurance is effective as of the date of the prepayment. The plaintiff does recognize that any insurance coverage is subject to the company’s right to reject as of the date of the application, if, upon reasonable grounds, the applicant was not insurable upon that date. In such a situation, insurance would never have become vested and the insurance company could not be held liable. These two views may be termed, respectively, the condition precedent view and the condition subsequent view.

These two approaches were distinguished in Western & Southern Life Insurance Company v. Vale, 213 Ind. 601, 12 N.E.2d 350 (1938), where the Indiana Supreme *636 Court refused to construe the language of a form (conditional) receipt, given to an applicant for industrial insurance who tendered a premium payment with the application, to permit the insurer to say that it had not bound itself. In that case, the insurance company had solicited an application for industrial insurance from Vale, who tendered an initial premium payment with his application. Upon his payment, Vale completed a physical examination as required by the insurance company, and before a policy had been issued to him, he sustained a loss, which the Court found to be covered.

Today, in the spirit of Vale, both case authority and public policy in Indiana support the view that “a binding (conditional) receipt issued by a life insurer connotes an obligation, and when supported by valid consideration, suggests a contract.” Liberty National Life Insurance Company v. Hamilton, 237 F.2d 235 (6th Cir. 1956). Two recent Indiana cases which support this proposition are Kaiser v. National Farmers Union Life Insurance Company, Ind.App., 339 N.E.2d 599 (1976), and Monumental Life Insurance Company v. Hakey, Ind.App., 354 N.E.2d 333 (1976).

Kaiser represents the strong public policy in Indiana which prohibits insurers from accepting premiums and then conditioning the receipts to prevent the insurer from incurring any risk during the period which it retains an applicant’s premium, and during which an applicant might have reason to believe he was insured. In Kaiser, the insurance applicant had paid the first year’s premium, undergone a medical examination, and received a conditional receipt. This receipt provided that insurance coverage would be effective as of a specified date provided that the company was satisfied that on that date the applicant was an insurable risk for the type of policy sought. The applicant died before the policy was approved and the trial court found no contract of insurance existed. The Appellate Court reversed, however, relying on the reasoning in Prudential Insurance Company of America v. Lamme, 83 Nev. 146, 425 P.2d 346 (1967), and Service v. Pyramid Life Insurance Company, 201 Kan. 196, 440 P.2d 944 (1968), which construed so-called “insurability (conditional) receipts” as binding contracts creating temporary insurance coverage subject to the insurer’s later rejection of the risk.

As the Court concluded in Kaiser, it is now the law in Indiana that:

“Where ... a receipt is issued by a life insurer and the receipt is supported by consideration, a contract is created. Any conditions contained in the receipt are to be treated as conditions subsequent thereby compelling an insurer to act affirmatively or negatively on the application. Moreover, where an application is not acceptable, he must be notified and the premium returned. An insurer cannot terminate the risk so assumed unless the applicant is so notified in his lifetime.” Kaiser, supra, at 604.

In the Hakey case, which was decided shortly after Kaiser, the Court of Appeals for the Third District had an opportunity to pass on the First District Court of Appeals’ decision in Kaiser. In Hakey,

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Cite This Page — Counsel Stack

Bluebook (online)
444 F. Supp. 634, 1978 U.S. Dist. LEXIS 19615, Counsel Stack Legal Research, https://law.counselstack.com/opinion/meding-v-prudential-insurance-co-of-america-innd-1978.