Moss v. Aetna Life Ins. Co.

73 F.2d 339, 1934 U.S. App. LEXIS 2694
CourtCourt of Appeals for the Sixth Circuit
DecidedNovember 7, 1934
Docket6511
StatusPublished
Cited by15 cases

This text of 73 F.2d 339 (Moss v. Aetna Life Ins. Co.) is published on Counsel Stack Legal Research, covering Court of Appeals for the Sixth Circuit primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Moss v. Aetna Life Ins. Co., 73 F.2d 339, 1934 U.S. App. LEXIS 2694 (6th Cir. 1934).

Opinion

SIMONS, Circuit Judge.

The suit below was on three policies of life and double indemnity accident insurance brought by the beneficiary and assignee, and, from a judgment upon directed verdict fori the defendant company, the plaintiffs appeal.

The company’s defense, sustained by the court below, ^was that the policies lapsed without value for nonpayment of premiums prior to the death of the insured. Conceding default in the payment of premium last due on each of the three policies, the plaintiffs contend that the policies were nevertheless in full force and effect at the date of death, because the one month’s notice required to be given that indebtedness on the policies equalled their loan value was given neither-to the insured nor to the assignee; because-the payment of premium, when due, was waived by the previous conduct of the com-, pany and its agent; and because there was sufficient reserve value in each of the policies *340 to carry it, in the form of extended insurance, beyond the death of the insured.

The policies were on the life of Robert J. Moss, deceased husband of the appellant Mary E. Moss. Moss died August 22, 1932, as the result of an accident whieh occurred August 17th of that year.' He had three policies in the defendant company, two issued on July 12, 1918, for $2,000 and $3,000, respectively, and a third written in 1919 for $5,000. All three of the policies were twenty-payment life policies, with premiums payable annually, semiannually, or quarterly. The premiums for the last year became due on July 12, 1932, and the period of grace for their payment expired August 12th. Moss had borrowed upon the policies, and his unpaid loans, plus accumulated interest thereon, are claimed to have exhausted all of the reserve value remaining in the policies at the time of his death.

The contention of the plaintiff as to the requirement of notice is based upon article 13 of each policy. This provides that unpaid interest when due shall be added to the principal, and with respect to payment of the loan contains this provision: “Failure to pay any loan or interest due thereon will avoid this policy when the total indebtedness hereon to the company shall equal or exceed the loan value at the time of such failure, but not before that time, nor until one month after notice of the same has been mailed by the company to the last known address of the person to whom the loan was made and of the insured, and assignee if any.” The company concedes that no notice under this paragraph was given, but contends that none was required, as the avoidance of the policies was due, not to the insured’s failure to pay the loans, but to the lapse of the policies for nonpayment of premium; section 7 of the policies providing that, if any subsequent premium after the first is not paid when due, the policy shall cease, subject to the values and privileges thereinafter described, except that a grace of thirty-one days is allowed for the payment of any premium after the first.

Provisions of policies touching loans similar to or identical with the one here considered have been construed in a number of the federal Judicial Circuits. It has uniformly been held that the loan and forfeiture provisions do not modify or in any way affect the avoidance of the policy for failure to pay premiums thereon. When there is a failure to pay a premium when it is due, the policy becomes void, except for the automatically extended insurance, but, where there is no reserve or loan value in the policy, it having been exhausted by the discharge of an indebtedness thereon, “the loan agreement and all its incidents * * * became non-existent — a chapter finished and closed.” Hawthorne v. Bankers’ Life Co., 63 F.(2d) 971, 972 (C. C. A. 8); Bach v. Western States Life Insurance Co., 51 F.(2d) 191, 192 (C. C. A. 10); Pacific Mutual Life Insurance Co. v. Davin, 5 F.(2d) 481 (C. C. A. 4); Minnesota Mut. Life Ins. Co. v. Cost, 72 F.(2d) 519 (C. C. A. 10). With this view we find ourselves in accord, notwithstanding the urgent insistence of the plaintiffs that we repudiate it. Under policies such as are here involved, the insured, by paying premiums for a number of years, builds up a reserve. As to such reserve he is given several options. He may take the reserve in cash, purchase extended insurance for a term, or purchase a paid-up policy for a limited amount. He cannot have both the cash and' the extended insurance, or the cash and the paid-up policy, when the reserve is exhausted by a cash withdrawal. As was said in the" Bach Case, supra, “This is contrary to the agreement of the parties, and no insurance company could exist that paid out its reserves twice.”

The second complaint of the plaintiffs is of the exclusion of evidence introduced to establish waiver, based upon a course of conduct by the company estopping it from insisting upon timely payment of premiums. Since a very detailed statement of what the interdicted'witnesses would testify to, if permitted, was made by counsel for the plaintiffs, it becomes necessary only in ascertaining error to consider whether the proffered testimony was sufficiently substantial to support a verdict of the jury in their, favor on the basis of estoppel. The general agent of the company, Thomas M. Searles, sworn on behalf of the plaintiffs, had testified that he had had direct supervision of the company’s business in the Memphis territory, and that his duties included notifying policyholders when their premiums were due, and granting extensions of payment under certain rules of the company. What the rules were did not appear, but, if premiums were not paid, or a partial payment made thereon, he had to make report. He further testified that he had had an arrangement with the insured over a period of ten years to the .effeet that, when Mr. Moss was out of town, he would protect his premiums. Inasmuch as it had already appeared that the insured had been in the city during the en *341 tire period of grace and thereafter up to the time of death, the court excluded further testimony on the subject. It was at this point that counsel indicated that Searles and a corroborating witness would, if permitted, testify substantially as follows: That some ten years prior to his death Moss had made arrangements whereby, in the event that he did not pay his premiums when due or within the period of grace, the policies would not lapse or he forfeited; that on repeated occasions after this understanding was reached he had failed to pay premiums at their due date, hut executed extension agreements after the expiration of the grace period which Searles dated back, so that they would appear to have been executed prior to the expiration of grace; that at such times Moss paid his premiums; that ho had relied on this course of dealing; that there had been no notice to him prior to his death that this course would not be adhered to; that Searles had never informed him that such dealings were in any way in violation of the company’s rules, or in excess of the agent’s authority.

Viewing this testimony in the light most favorable to the plaintiffs, we fail to see in it such substantial character as is required to support a verdict for the plaintiffs based upon waiver. “In the absence of conduct creating an estoppel, a, waiver must be supported by an agreement founded upon a valuable consideration.

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Bluebook (online)
73 F.2d 339, 1934 U.S. App. LEXIS 2694, Counsel Stack Legal Research, https://law.counselstack.com/opinion/moss-v-aetna-life-ins-co-ca6-1934.