Naomi R. Hanna v. Mt. Vernon Life Insurance Company of New York, Successor to Union Casualty and Life Insurance Company

260 F.2d 244
CourtCourt of Appeals for the Eighth Circuit
DecidedNovember 28, 1958
Docket15943
StatusPublished
Cited by9 cases

This text of 260 F.2d 244 (Naomi R. Hanna v. Mt. Vernon Life Insurance Company of New York, Successor to Union Casualty and Life Insurance Company) is published on Counsel Stack Legal Research, covering Court of Appeals for the Eighth Circuit primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Naomi R. Hanna v. Mt. Vernon Life Insurance Company of New York, Successor to Union Casualty and Life Insurance Company, 260 F.2d 244 (8th Cir. 1958).

Opinion

VAN OOSTERHOUT, Circuit Judge.

This is an appeal by plaintiff, Naomi R. Hanna, from judgment dismissing her claim against the defendant, Mt. Vernon Life Insurance Company of New York, for benefits she claimed were due her as beneficiary of her deceased husband, Samuel Hanna, under group life and accident insurance policies issued by the defendant for the benefit of employees of the Earl Gibbon Petroleum Transport Company, hereinafter called Gibbon. It is undisputed that Samuel Hanna was an employee of Gibbon at the time of his death, and that there were then in existence defendant’s group life and accident insurance policies affording Gibbon’s covered employees $5,250 insurance for accidental death. Defendant’s position is that plaintiff’s husband was not covered by defendant’s policies at the time of his death because of default in payment of premiums on behalf of Mr. Hanna. At the close of all of the evidence both parties moved for a directed verdict. Plaintiff’s motion was overruled, defendant’s motion was sustained, and plaintiff’s action was dismissed. This appeal is from such judgment. Jurisdiction has been satisfactorily established.

Plaintiff’s contention that the court erred in overruling her motion for a directed verdict is clearly without merit. The evidence does not conclusively establish that defendant’s policies were in force as to Hanna at the time of his death.

Plaintiff’s contention that the court erred in directing a verdict for the defendant presents a number of troublesome problems. Before considering the applicable law, we summarize the pertinent facts.

Hanna entered the employment of Gibbon as a truck driver on August 18, 1955. Gibbon had two plans of group insurance available to its employees. One *246 plan was that provided by the defendant company as part of a collective bargaining agreement between Gibbon and the Teamsters’ Union. Under this plan Gibbon’s employees were automatically covered by the group policies provided by the defendant after 30 days of employment. The premiums were to be paid by Gibbon. Gibbon paid defendant premiums in the amount of $33.75 for coverage of Hanna under this plan from September 19 to December 31, 1955.

The other available plan was provided by the Equitable Life Assurance Company with $4,000 coverage for accidental death. $4.63 of the monthly premium for this plan was paid by the employee, the balance being paid by Gibbon. On January 19, 1956, Hanna made written application for the Equitable plan, authorizing deduction from his salary of his share of the premium. Such application was accepted. All premiums attributable to Hanna under the Equitable plan were paid up to Hanna’s death, and his beneficiary collected the $4,000 benefit due under the Equitable group policy.

Hanna, on March 17, 1956, joined the Teamsters’ Union, and as part of such transaction he made application for the insurance provided by the defendant. Said application was left with the local union, which forwarded the application to the defendant. On July 7, 1956, Hanna received certificates from the defendant showing him to be insured under defendant’s group insurance plan effective May 1, 1956. Hanna was accidentally killed on August 11, 1956. To avoid repetition, other pertinent facts will be related during the course of the opinion.

The trial court directed the verdict for the defendant on the basis that the evidence conclusively showed that Gibbon paid no premiums on behalf of Hanna to the defendant subsequent to December 31, 1955, and that defendant’s group policy had lapsed as to Hanna for nonpayment of premium prior to Hanna’s death on August 11, 1956. Gibbon’s bookkeepers testified that Hanna’s name was not included in any of the required Report and Remittance Forms sent by Gibbon to the defendant subsequent to December 31, 1955. In a discussion between court and counsel at the trial, the evidence to the effect that Gibbon had paid no premiums on behalf of Hanna to the defendant subsequent to 1955 was treated as undisputed, and for that reason depositions of defendant’s officials to the same effect were not introduced. The record fully supports the trial court’s conclusion that Gibbon paid defendant no premiums on behalf of Hanna subsequent to December 31, 1955. The master group policy provides that the insurance on any employee shall automatically terminate, “(b) For non-payment of premiums by the Assured on behalf of an employee in which event such insurance shall automatically terminate at the end of the period for which premium has been paid.”

Under Arkansas law the group insurer has a right, in the absence of' fraud or collusion with the employer, to-rely upon the information it has received' from the employer as to employees covered by the group insurance. Metropolitan Life Ins. Co. v. Thompson, 203 Ark. 1103, 160 S.W.2d 852. In the case-just cited, the court quotes with approval from the A.L.R. Headnote to Magee v. Equitable Life Assurance Society, 62 N.D. 614, 244 N.W. 518, 85 A.L.R. 1457, as follows (160 S.W.2d at page 855):

“ ‘Where such “terms and conditions” (in the group or master policy) require that the names of those insured in the group life insurance policy be certified to the assurance-society by the employer, and premiums for such employee paid monthly, the failure to include such employee-in the list insured and to pay premiums upon insurance for him precludes recovery against the assurance society upon the aforesaid certificate.’ ”

Thus, since Gibbon did not include Hanna as an insured in its reports, and did not pay the current premiums on his behalf,, the defendant had a right to rely upon-such information, and assume that Han *247 na was no longer covered by its group policies.

We must now consider the effect of the certificates of insurance issued by the defendant. Plaintiff produced certificates stating that Hanna was insured under defendant’s group life and accident insurance plans. Such certificates state they are effective May 1, 1956. They were delivered by the defendant to Hanna by mail on July 7, 1956. Plaintiff had been reinstated as a member of the union in March 1956, and at that time had applied for the defendant’s group insurance. The applications for insurance were sent to the defendant by Teamsters’ Union officials, and an inference can be drawn that the certificates were issued pursuant to such applications. No officer or employee of the defendant company testified as to the circumstances under which the certificates were issued. Johnson, the Teamsters official who sent in the applications, testified that he did not check the Report and Remittance Forms sufficiently, and that he sent in the applications by mistake. There is no evidence that Gibbon had anything to do with the processing or forwarding of the applications. The trial court found the certificates were issued by mistake and gave them no significance.

The certificates issued do not state that premiums had been paid, but state that Hanna is insured under the group policies. We are inclined to think that the issuance and delivery of the certificates could justify a permissible inference on the part of the fact finder that defendant’s group policies were in effect as to Hanna when the certificates were issued, and that such possible inference has not been overcome as a matter of law.

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Bluebook (online)
260 F.2d 244, Counsel Stack Legal Research, https://law.counselstack.com/opinion/naomi-r-hanna-v-mt-vernon-life-insurance-company-of-new-york-successor-ca8-1958.