Miller v. the Travelers Ins. Co.

17 A.2d 907, 143 Pa. Super. 270, 1941 Pa. Super. LEXIS 37
CourtSuperior Court of Pennsylvania
DecidedOctober 31, 1940
DocketAppeal, 280
StatusPublished
Cited by29 cases

This text of 17 A.2d 907 (Miller v. the Travelers Ins. Co.) is published on Counsel Stack Legal Research, covering Superior Court of Pennsylvania primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Miller v. the Travelers Ins. Co., 17 A.2d 907, 143 Pa. Super. 270, 1941 Pa. Super. LEXIS 37 (Pa. Ct. App. 1940).

Opinion

Opinion by

Baldrige, J.,

The plaintiff appealed from a judgment entered against her by the court below for want of a sufficient reply to new matter contained in the defendant insurance company’s affidavit of defense.

The facts appear from the pleadings and are not in dispute. Defendant issued two group insurance policies to the Lehigh Valley Railroad Company; the first *272 Number GA.-212, issued April 1,1922, known as a group accident policy, insured employees of the railroad against certain accidental injuries and also covered accidental death; the second, No. G-7409, issued June 1, 1933, was a group life policy covering railroad employees who joined the plan and authorized premium payments to be deducted from their wages. Plaintiff’s statement averred that she is the beneficiary named in the certificates issued under these two policies naming her husband as an insured in the amount of $1,000 on each policy; that the policies were renewed each year and that her husband died an accidental death on July 14, 1937, while both policies were in force, entitling her to $2,000 under the terms thereof.

Defendant admitted the execution of the policies, and all other pertinent facts set forth in plaintiff’s statement, but by way of defense set up new matter, averring the two group policies had been canceled as of July 1, 1937, by mutual agreement entered into May 26, 1937 between defendant and the Lehigh Valley Railroad Company, and that notice of the prospective cancellation was given to all employees of the railroad, including plaintiff’s husband, on June 2, 1937.

Plaintiff’s reply in lieu of a demurrer admitted the facts relative to cancellation of the policies contained in defendant’s new matter, but denied the cancellation was effective as a matte]? of law, since made without the insured employee’s consent.

(1.) Appellant’s first position is that the employee named in the certificate had such a vested interest as a beneficiary of the contract between the insurance company and his employer that he could not be deprived thereof without his consent — hence the attempted cancellation was ineffective.

Neither of the master policies contains any express clause dealing with conditions of cancellation. Each certificate, life and accident, issued to the employee *273 provided that he was insured under and subject to the terms, conditions and provisions of a policy of group insurance issued and delivered to Lehigh Valley Railroad Company, during the continuance of the policies.

It has been uniformly held, in decisions dealing with group life and accident insurance policies substantially similar to those here involved, that the insurer and the employer are the primary contracting parties. Whether or not a policy shall continue depends on their will. It is not within the power of the beneficiary to keep a group contract of insurance in force or to abrogate it. The insured employee or his beneficiary have no greater rights than are provided in the policy, certainly no vested right which would prevent cancellation by mutual agreement between the insurer and the employer, especially where reasonable notice of cancellation is given to the employee. A third party beneficiary in an ordinary contract is subject to the limitation of its terms as he has no greater rights under it than are provided in the contract itself: Restatement of the Law, Contracts, §140; Grim et al. v. Thomas Iron Co., 115 Pa. 611, 8 A. 595; Thull v. Equitable Life Assur. Soc., 178 N. E. 850, 851.

In Lancaster v. The Travelers Ins. Co., (Ga.), 189 S. E. 79, the suit was by an employee claiming disability benefits as of June 9, 1933, under a master or group policy which had been previously canceled by agreement between the insurer and the employer on its anniversary date. The employee refused to surrender his policy and continued to pay the employer the amount he had been paying under the policy, but the premiums were not forwarded to the insurance company. In affirming a judgment on a directed verdict for defendant, the court held that the employer was not the agent for the insurance company, and that the holders of the certificates issued thereunder had no vested *274 right to a continuation of such policy over the objection of the employer.

In Davis v. Metropolitan Life Ins. Co., (Tenn.), 32 S. W. 2d 1034, the City of Knoxville insured its employees under a group life policy issued by the Metropolitan Company. The city and the insurer agreed upon cancellation of the policy as of midnight June 21, 1927. An employee died July 21, 1927, one day before the expiration of the thirty-one day grace period which was contained in the policy and relied upon by the plaintiff. In ordering judgment for the defendant insurance company in the suit brought by the beneficiary named in the certificate the Supreme Court held that the policy was applied for by, and issued to, the employer; that the power of cancellation was in the city and- its action was binding on its employees; that the insuring company had no direct contractual relations with the several individual employees of the city holding certificates issued under the policy; that it is the employer who pays the premiums to the company, and there is no liability therefor to the company on the part of the individual employees. See, also, Austin v. Metropolitan Life Ins. Co., (La.), 142 So. 337; Missouri State Life Ins. Co. v. Hinkle, (Tenn.), 74 S. W. 2d 1082; Watkins v. Metropolitan Life Ins. Co., (La.), 174 So. 885; Thull v. Equitable Life Assur. Soc., supra, Group Insurance, 55 A. L. R. 1245, 1252.

The life insurance policy before us is for a distinct form of insurance differing in many if not most of its aspects from the ordinary life insurance, where usually a beneficiary may acquire a vested interest. Under group insurance the employer acts for itself or himself, as the case may be, and on behalf of employees in order that they may obtain cheap insurance, thus rendering the employees a service. The employer receives no compensation from the insurance company and is not its agent.

*275 In the two conflicting lower court decisions dealing with the disputed questions in the instant case (Stoner v. Equitable Ins. Assn., 28 Dauphin Co. Rep. 235, and Dale v. Aetna Life Ins. Co., 19 D. & C. 293) the former case is more in line with the prevailing authority in other jurisdictions.

The master policies here involved are what is known as term insurance. That form provides that payments of premiums shall be made on or before the due date and the policy shall not remain in force beyond that date, except that the employer is generally granted a grace period after the payment of the first premium. These policies had no cash reserve, extension of insurance, surrender or paid in value and were based upon a correspondingly low rate. The beneficiary (employee) had no interest in them except that he could have converted his life certificate into another form of a life insurance policy within the limited period: Magee v.

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Bluebook (online)
17 A.2d 907, 143 Pa. Super. 270, 1941 Pa. Super. LEXIS 37, Counsel Stack Legal Research, https://law.counselstack.com/opinion/miller-v-the-travelers-ins-co-pasuperct-1940.