New Jersey Life Insurance Co. v. Henri Petetin, Inc.

311 So. 2d 454, 1975 La. LEXIS 3783
CourtSupreme Court of Louisiana
DecidedFebruary 24, 1975
Docket55247
StatusPublished
Cited by5 cases

This text of 311 So. 2d 454 (New Jersey Life Insurance Co. v. Henri Petetin, Inc.) is published on Counsel Stack Legal Research, covering Supreme Court of Louisiana primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
New Jersey Life Insurance Co. v. Henri Petetin, Inc., 311 So. 2d 454, 1975 La. LEXIS 3783 (La. 1975).

Opinion

311 So.2d 454 (1975)

NEW JERSEY LIFE INSURANCE CO.
v.
HENRI PETETIN, INC. and H. H. Hansell, Inc.

No. 55247.

Supreme Court of Louisiana.

February 24, 1975.
Rehearing Denied March 31, 1975.

*455 Val A. Schaff, III, Schaff & Currier, New Orleans, for defendant-applicant.

Harry McCall, Jr., Chaffe, McCall, Phillips, Toler & Sarpy, New Orleans, for plaintiff-respondent.

BARHAM, Justice.

Although this litigation was instituted to question the validity of five life insurance policies, it has resolved itself in this Court to a determination of the validity of only one life insurance policy, Policy No. 109526. That policy, issued by New Jersey Life Insurance Company (hereinafter referred to as New Jersey Life), on the policy date of April 10, 1969, insured Lawrence A. Comiskey in the amount of $100,000.00, and named Petetin, Inc., as the beneficiary. Both the lower court and the appellate court declared the policy without effect on the basis that there had been no actual delivery of the policy to the insured before his death on April 29, 1969.

In late 1968, Morris Shapiro, a New Orleans insurance broker and a general agent for New Jersey Life and other insurance companies, began to reappraise and rearrange life insurance policies for Lawrence A. Comiskey. The policies Comiskey had with other companies carried the rated premium schedule for sub-standard risks because he had a mild case of diabetes mellitus. Shapiro undertook to replace these policies with policies at a lower premium rate. On December 12, 1968, an application, Part 1, signed by Comiskey, was submitted to New Jersey Life's home office in Newark, New Jersey. A physical examination was had and the medical examination report and application, Part 2 were subsequently forwarded to New Jersey Life. After a pre-insurance investigation by New Jersey Life and the receipt in their Chicago underwriting office of an EKG, chest X-ray and urine specimen, New Jersey Life issued two graded whole life policies on Comiskey, dated January 28, 1969, in the amount of $25,000.00 each. Other life insurance policies were applied for during January, February, March, and April of 1969.

Shapiro's written memoranda in connection with these negotiations for life insurance, except as hereinafter noted, were always addressed to:

Eddie Barts

Department—New Jersey Life

Subject—Lawrence Comiskey

From Department—Morris Shapiro

Barts was a partner in Reinsurance Service Bureau and was the superimposed general agent for New Jersey Life and Globe Life Insurance Company. It is difficult to ascertain from the record exactly where his office was located, but the underwriter for New Jersey Life testified that Barts solicited business from brokers and agents out of the New Jersey Life underwriting office in Chicago. A Mr. Binder was New Jersey Life's only underwriter in the Chicago office from December 1968 until April 1, 1969 when he was joined by Mr. King, who had been the underwriter for Globe Insurance Company, which maintained offices on the same floor a few feet *456 from New Jersey Life's underwriting office.

Almost all, if not all, of the written correspondence between Shapiro and Barts ended up in the New Jersey Life files in policies applied for or issued by New Jersey Life in spite of the fact that some of the correspondence appeared on stationery supplied by other life insurance companies. Shapiro testified that in all transactions with him, Eddie Barts constituted the New Jersey Life Insurance Company. It is without doubt that to the extent it can be verified in writing, all of Shapiro's communication is directed to Barts and New Jersey Life as though they were the same party.

According to Mr. Kenneth J. Kaufhold, Manager of the Policy Service Department of New Jersey Life's home office, his company had contracted with Eddie Barts in his capacity as representative for Reinsurance Service Bureau, which customarily contracted with agents throughout the United States who wrote sub-standard insurance. To service their sub-standard business, New Jersey Life subsequently established an underwriting office for sub-standard insurance in the Chicago office. New Jersey Life had placed the underwriting office in Chicago in order to finalize the contract with Reinsurance Service Bureau. The close relationship between Barts (Reinsurance Service Bureau), the Chicago underwriter, and the New Jersey Life home office can readily be seen by the fact that Reinsurance Service Bureau was permitted to send TWX communications to the home office over the signature of the underwriter. Reinsurance Service Bureau would supply the applications and the other necessary data to the underwriter in Chicago, who would determine whether to issue policies on the basis of the applications, medical work-ups and other information. If the underwriter decided that the policy should be issued, he sent all of the material pertaining to the applicant to the home office in Newark, with instructions to issue the policy. According to Mr. Kaufhold the underwriters kept no records other than copies of their file; the entire file would be sent to the New Jersey Life home office. Kaufhold also testified that although the Reinsurance Service Bureau and Barts placed sub-standard insurance risks with other companies, Barts was a special contract agent of New Jersey Life during the time of negotiations for the policy under consideration here.

A total perusal of the record renders indisputable the fact that Barts received frequent telephonic and written communications from Shapiro between December, 1968 and April, 1969. The first communication resulted in the aforementioned two graded whole life policies of $25,000.00 each on Comiskey's life which the underwriter Binder determined to issue. Thus Binder sent a quote-sheet and the entire file, including applications, Parts 1 and 2 and all other medical information to the New Jersey Life home office in Newark, ordering the two $25,000.00 graded whole life insurance policies. On the basis of the quote-sheet prepared by Binder, the special risk division of New Jersey Life's home office issued the two policies which were delivered to Comiskey via Shapiro.

The background of the method used in the issuance of these two policies is essential to arrive at an understanding of the problem which arose under the policy before us for consideration. Shapiro found that he could sell still more insurance to Comiskey, so he attempted to obtain several other policies in the course of a continuing exchange of communication with Barts and New Jersey Life after January. To complete an order for the issuance of a policy, an underwriter is required to supply the home office with a "quote-sheet," which also is mailed to the local agent, and a "work-sheet," which shows some of the background information and work of the underwriter. King testified (and the physical exhibit confirms his testimony) that, as a New Jersey Life underwriter, on *457 April 9, 1969, he sent to Shapiro a quote-sheet which stated "Final Quotation of: Table Std * * * Maximum Amount $100,000 * * * The policy is being issued and held for H.O.S."[1] The quote-sheet did not indicate to Shapiro or to New Jersey Life that any application form was required or missing. Both the work-sheet and the quote-sheet sent to the home office on that policy called for $100,000.0 whole life. The previously written-in requirement of "H.O.S." had been scratched out and the work-sheet had been amended to read, "App.

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Bluebook (online)
311 So. 2d 454, 1975 La. LEXIS 3783, Counsel Stack Legal Research, https://law.counselstack.com/opinion/new-jersey-life-insurance-co-v-henri-petetin-inc-la-1975.