National Inspection & Repair, Inc. v. Valley Forge Life Insurance

56 P.3d 807, 274 Kan. 825, 2002 Kan. LEXIS 704
CourtSupreme Court of Kansas
DecidedNovember 1, 2002
Docket87,279, No. 87,981
StatusPublished
Cited by4 cases

This text of 56 P.3d 807 (National Inspection & Repair, Inc. v. Valley Forge Life Insurance) is published on Counsel Stack Legal Research, covering Supreme Court of Kansas primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
National Inspection & Repair, Inc. v. Valley Forge Life Insurance, 56 P.3d 807, 274 Kan. 825, 2002 Kan. LEXIS 704 (kan 2002).

Opinion

The opinion of the court was delivered by

*826 ALLEGRUCCI, J.:

The central issue in this case is whether diere was temporary insurance coverage on the life of William Thomas Gaines at the time of his death. Gaines died within the temporary coverage period set by the conditional premium receipt. When National Inspection and Repair, Inc., (NIR) demanded payment of $500,000 in life insurance on Gaines, Valley Forge Life Insurance Company and Continental Assurance Company (collectively known as CNA) denied coverage.

NIR sued CNA and Eugene Straub. Against CNA, NIR alleged breach of contract and, in the alternative, negligence. Against Straub, it alleged negligence or misrepresentation and acting without authority in failing to procure the insurance. CNA filed a cross-claim against Straub for improperly accepting the application and initial premium for Gaines. On cross-motions, the district court granted summary judgment in favor of NIR and against CNA. The district court dismissed CNA’s cross-claim against Straub. CNA appeals. The district court’s entry of summary judgment in favor of Straub was not appealed.

CNA filed separate notices of appeal from the entry of summary judgment and the dismissal of its cross-claim. Those appeals, 87,279 and 87,981, are consolidated for purposes of argument and decision under case No. 87,279. This court transferred the appeal from the Court of Appeals. K.S.A. 20-3018(c).

On appeal, CNA argues that the trial court erred in granting summary judgment in favor of NIR and in dismissing CNA’s cross-claim against Straub.

The district court made findings of fact. On appeal, CNA contends, among other things, that summary judgment is precluded by a genuine issue of material fact whether NIR had notice before Gaines died that his life was not insured by CNA. CNA argues that summary judgment is not precluded because any notice NIR may have had of the lack of coverage on Gaines’ life is, as a matter of law, insufficient to terminate temporary coverage. The district court made findings of fact, set out in numbered paragraphs, as follows:

1. The Defendant, Valley Forge Life Insurance Company, is an insurance company licensed to conduct business in the State of Kansas.

*827 2. The Defendant, Continental Assurance Company, is an insurance company licensed to conduct business in the State of Kansas. The two companies are referred to collectively as CNA.

3. On or about September 18,1998, William T. Gaines and Kenneth Burkhead both filled out applications for key man insurance. The plaintiff, NIR, was the intended beneficiary. Both William T. Gaines and Kenneth Burkhead filled out applications, which were accepted by defendant Straub.

4. On September 18, 1998, NIR issued check number 2409 to CNA in the amount of $653.36 with $211.72 being the amount due for Burkhead and $441.84 due for Gaines for life insurance coverage of $500,000 each, and delivered the check to defendant Straub.

5. Straub accepted the check, which was the premium payment for the first three (3) months for each policy and in return provided two “Conditional Premium Receipts” to NIR.

6. On September 19,1998, Straub forwarded the applications to Financial Brokerage, Inc., which processed applications on behalf of CNA. Straub then went to China for 1 month.

7. Straub took premium money for the Gaines application although technically he should not have done so because Gaines had answered a question in section 20 of his application in the affirmative.

8. On September 24, 1998, Financial Brokerage, Inc., on behalf of CNA wrote to Straub and acknowledged receipt of the two applications.

9. The premium check from NIR was cashed by CNA on or about October 2, 1998.

10. On October 9, 1998, Financial Brokerage, Inc., wrote to Straub as a “STATUS UPDATE AS OF 10/08/98” and advised: “We may consider $234,500 as maximum for key man insurance. Please verily if the applicant was diagnosed with schizophrenia in August of 98? Thank you for your business.”

11. On October 29, 1998, Financial Brokerage, Inc., again corresponded with Straub as a “STATUS UPDATE AS OF 10/28/98” and advised: “I have given the underwriter the medical information *828 regarding schizophrenia and we will continue to underwrite this case. I will contact you as soon as I have a decision. Thank you.”

12. NIR’s payment was for the first 3 months’ premium for each policy. CNA does not dispute this fact, but it denies the payment was for any temporary, conditional or unconditional life insurance contract.

13. Straub did not disclose that this insurance was contingent in any way and in fact stated that upon the acceptance of the check the company would be covered and if the individuals died the next day that the insurance would be in effect. Defendant CNA does not dispute that the statement may have been made but denies it was valid or that Straub had authority to make it or that it would give rise to a temporary insurance contract.

14. Gaines died unexpectedly on November 15, 1998.

15. Straub wrote in a letter to the Kansas Insurance Commissioner on April 22, 1999: “I called Financial Brokerage, Inc., promptly upon notification by phone from Mr. Kenneth Burkhead, Jr. that Mr. Gaines had died during the night.” This fact is not disputed by CNA, but it denies that prompt notification has any effect to create temporaiy, conditional or unconditional coverage.

16. On November 23, 1998, 8 days after Gaines’ death, CNA, through its agent Financial Brokerage, Inc., notified Straub by letter that a policy of insurance was being issued for Burkhead with an annual premium payment of $622.50.

17. After Gaines died, NIR contacted CNA on December 30, 1998, and on January 21, 1999, attempting to collect on the insurance policy. NIR, through its counsel, notified CNA of its demand to collect the life insurance proceeds for the policy which insured Gaines in the amount of $500,000 at the time of his death on November 15, 1998.

18. In a letter dated January 8, 1999, CNA attempted to refund the original premium amount by issuing a refund check in the amount of $653.36. The letter states that “any coverage that may have been provided under our Conditional Premium Receipt no longer applies.” This letter was date stamped by the post office, January 11,1999. CNA denies that the letter expressly or impliedly *829 creates temporary, conditional or unconditional insurance coverage.

19. NIR refused to cash the refund check.

20. In a letter to the Kansas Insurance Department, CNA on May 7, 1999, admitted: “Although the money was refunded under the partner file, no notification was sent to Mr. Gaines that coverage did not exist.”

21. CNA has refused to pay NIR the $500,000 coverage upon the death of Gaines, and NIR contends that the money is now due and owing under the application and conditional receipt.

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Cite This Page — Counsel Stack

Bluebook (online)
56 P.3d 807, 274 Kan. 825, 2002 Kan. LEXIS 704, Counsel Stack Legal Research, https://law.counselstack.com/opinion/national-inspection-repair-inc-v-valley-forge-life-insurance-kan-2002.