Muñoz v. Pan American Life Insurance

42 P.R. 176
CourtSupreme Court of Puerto Rico
DecidedApril 30, 1931
DocketNo. 4802
StatusPublished

This text of 42 P.R. 176 (Muñoz v. Pan American Life Insurance) is published on Counsel Stack Legal Research, covering Supreme Court of Puerto Rico primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Muñoz v. Pan American Life Insurance, 42 P.R. 176 (prsupreme 1931).

Opinion

Mb. Chief Justice Del Toko

delivered the opinion of the Court.

This is an action on an insurance policy where the first premium was paid to the agent of the company at the time the application was- made, and there is no showing that the policy was ever issued. The district court found for the plaintiff. The defendant having appealed, the case was assigned to the writer of this opinion who submitted to this Court an extensive memorandum recommending the affirmance of the judgment appealed from. The memorandum was read to the judges in conference and submitted for their consideration. It was discussed several times, and the contrary view ultimately prevailed. Personally, I still think that the judgment of the district court is essentially correct; but I feel bound to acknowledge that from the way in which the issue was made and considering the little that the plaintiff succeeded in proving, the defendant company can not, under the law and the jurisprudence, be compelled to pay the claim made on the policy.

The facts, in brief, are as follows: The Pan American Life Insurance Company, of Louisiana, does business in Puerto Rico. Clifford S. Foy is its general agent,- with an office in San Juan, and insurance solicitors under him work throughout the Island. One of them, Sampiero Giordani, called on the plaintiff, José E. Muñoz, and negotiated for him and his wife, Maria Ruiz Laguerre, a $5,000 joint policy which was issued by the company and rejected by Muñoz because the same had not been issued in accordance with his application. Giordani then induced Muñoz to apply, on May 5, 1926, for a $2,500 insurance policy on his wife only. On the same day, Muñoz paid the sum of $145.12 as premium by means of a check, which was cashed by Giordani. At the time the $5,000 policy was applied for, Muñoz and his wife submitted to a medical examination and a report thereon was forwarded to the company. No new medical examination was made when-the $2,500 insurance policy was applied [178]*178for and the premium paid. Muñoz maintains that, in accordance with the instructions issued by the general agent himself, the original examination was sufficient if the application was filed before May 13, 1926, and as the application was filed on May 5, no new examination was either made or required. The company sought to prove at the trial that the failure to have a new examination made was the cause of the delay and of the failure to issue the policy. It seems advisable to transcribe at this stage the relevant part of the letter from the general agent to the plaintiff. It was dated in San Juan on May 12, 1926, and reads as follows:

“Dear Mr. Muñoz: I am in receipt of your esteemed favor of May 11, stating the reasons why the policy delivered to you by Mr. Griordani was not what you wanted, and I greatly regret that you have been so inconvenienced. Now, a 25-payment life insurance policy, with coupons, double indemnity and persistency bond, would cost you only $334.10 annually for $5,000, and $167.05 for $2,500. . . . Now, as your physical examination was made on January 29, the company has set May 13 as the limit for us to deliver and collect on that policy; therefore, I pray you to send me your check for $167.05 for a $2,500 policy, or for $334.10 for a $5,000 policy, so that I may be able to return the policy to the company together with your remittance, to be substituted by a 25-payment life insurance policy, with coupons, double indemnity and persistency bond, as above explained. If we wait until the 13th, we must then order a new examination to be made and that would be an inconvenience to you and to the physician. According to the information we have received from you, Mr. Muñoz, a $2,500 policy would be too small and, although we .are willing to do as you wish in the matter, I am sure that you would be much more satisfied with a $5,000 policy. It would cost you only $334.10, which indeed is not an expenditure but a saving, and the more you save in this way the better not only for you but for your family. You must also take into account that the company has already accepted the examination made the other day and is willing to issue you a policy up to $10,000 without any further examination for the present; whereas, if you insured yourself for a lesser amount now with the idea of increasing it later on, you might not then be in such good health as at present and it would be more difficult to accomplish your purpose.”

[179]*179.This letter, written on -May 12, does not. reveal with absolute clearness that the general agent was aware of the new application dated the 5th, hut it states that, according, to information received, a $2,500 policy would he too small, and this apparently shows that solicitor Griordani had com•municated with general agent Foy. Besides, although in the letter a different course of action is urged, it is said: “We are willing to do as you wish in the matter.” It has been insisted that the new examination was considered unnecessary inasmuch as a joint insurance of the spouses was contemplated, but the argument has not much weight, since the life of the wife would have been as much insured under one policy as under the other. In our view, the conflict was properly adjusted by the trial court. It seems indeed that the agents acted on the assumption that a new examination was unnecessary for the purpose of procuring the new policy. A second letter from the general agent to the plaintiff, dated in San Juan, May 17, 1926, supports this conclusion. It reads:

"Dear Mr. Muñoz: I am in receipt of your letter of the 14th. in which you advise me that all you want for the present is a $2,500 policy under the 25-year plan, to be cashed in 14 years. Most probably we will shortly receive that policy and I am sure you will find it exactly as requested.”

What happened between the general agent and the company? Nothing is known for certain. The fact is that months passed and the plaintiff did not receive the policy, and that February 24 came when the wife died without the policy having reached the plaintiff. The latter made direct demands upon the company, and the result of his efforts is shown by the two letters transcribed below; one from the assistant secretary of the company and the other from the general agent, Foy. They read as follows:

"Dear Sir: Our President, Mr. Ellis, has referred to me your letter of March 15, with instructions to give it my best attention. The company has no record of having issued any policy on the life [180]*180of your wife, Mrs. María Ruiz de Muñoz. I find that on April 19, 1926, we issued two policies for $5,000 each under the endowment plan of twenty years, with coupons, jointly on your life and that of your wife, but these policies were returned for their cancellation and have never been in force. Later on Mr. Foy wrote us asking for the issuance of a policy on your wife’s life and we answered and told bim that in order to consider the matter it was necessary for your wife to be examined again. The report of this examination never reached us, and we then closed our files. I will refer your letter of March 15 to Mr. Foy, and I am sure that this gentleman will give the matter his immediate attention. Mr. Foy has the full confidence of the officers of this company, and if he received your cheek for $146.12 in connection with án application from your wife for a $2,500 policy, we know that the same will be immediately returned.”
“Dear Mr. Muñoz: Referring to a letter which you wrote to the president of our company, Mr.

Free access — add to your briefcase to read the full text and ask questions with AI

Related

Robinson v. United States Benevolent Society
94 N.W. 211 (Michigan Supreme Court, 1903)

Cite This Page — Counsel Stack

Bluebook (online)
42 P.R. 176, Counsel Stack Legal Research, https://law.counselstack.com/opinion/munoz-v-pan-american-life-insurance-prsupreme-1931.