Oakes v. Franklin Fire Insurance

120 A. 53, 122 Me. 361, 1923 Me. LEXIS 234
CourtSupreme Judicial Court of Maine
DecidedMarch 16, 1923
StatusPublished
Cited by7 cases

This text of 120 A. 53 (Oakes v. Franklin Fire Insurance) is published on Counsel Stack Legal Research, covering Supreme Judicial Court of Maine primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Oakes v. Franklin Fire Insurance, 120 A. 53, 122 Me. 361, 1923 Me. LEXIS 234 (Me. 1923).

Opinion

Wilson, J.

These several actions were tried together and involve with one exception the same questions. They were brought under Sec. 38, Chap.' 87, R. S., to recover the amount due under certain policies of insurance issued by the several companies named as defendants.

The defendant in each suit pleaded the general issue and also in a brief statement set up the defenses that the plaintiff had made certain false and fraudulent statements of, overvaluation in her written certificate of her loss following a fire, and that the amount of her loss had been submitted to a reference in accordance with [363]*363the provisions of her policy and of the statutes, and the amount of her loss having been determined by the referees, no action could be had against the defendant except upon the award of the referees.

At the close of the plaintiff's evidence, counsel for the defendant in each action moved for a nonsuit which was granted by the court, and the case comes to this court upon plaintiff's exception to this ruling.

At the trial of the cause at nisi prius the evidence offered related to the issue of whether any valid award had been made by the referees and the amount of the actual loss. In what respect the plaintiff had failed to make out her case the presiding Justice in ruling on the motion did not indicate, nor was he obliged to do so, but presumably it was upon this issue as to whether the evidence disclosed a valid, binding award.

The plaintiff, however, now contends that assuming there was an award by the referees that bound her as to the amount of her loss, she was at least entitled to recover the amount of the award or a proportionate amount of it in each case under her pleadings, and for that reason the nonsuit should not have been granted.

The defendants reply and say that not having raised this point when the motion for the nonsuit was being considered, she cannot now raise it before this court, that her pleadings will not permit a. recovery for the amount of the award, nor can a suit be maintained when once a valid award has been made by referees selected in accordance with the provisions of the Standard Policy authorized by the statutes of this State, except upon the award.

It is unnecessary from this court’s view of the case to determine whether the plaintiff by not raising the question of her right to recover at least the amount of the award in the court below has waived her rights to rely upon that ground here. It would obviously be unfair to the presiding Justice, though no intentional advantage was taken. The point was undoubtedly inadvertently overlooked by all parties at the time, the only issue apparently raised by the evidence being the validity of the award.

However, the court may say in passing, that these are not cases where an action will lie on the award of the referees. The rights of the insured to recover the loss is not submitted to the referees, only the amount of the damage. Dunton v. Ins. Co., 104 Maine, 372. Even in the event of a valid award, the right of the insured to recover [364]*364any amount may have to be determined in court and, if so, it must be done by an action upon the policy, in which the plaintiff must show, having established his right to recover, the amount of the loss, which he may do by offering the award of the referees as conclusively determining it. Fisher v. Ins. Co., 95 Maine, 486, 491. Soars v. Home Ins. Co., 140 Mass., 343.

Under Sec. 38, Chap. 87, R. S., an action of indebitatus assumpsit on an account annexed is authorized in all actions on insurance policies, with the additional allegation that the plaintiff has complied with all the conditions of the policy.

The statute does not require him to set forth anything more in his account annexed than “the amount claimed as due both as principal sum.and as interest if any.” Clearly we think the amount claimed as due may be substantiated either by “proof” of actual loss or by a valid award of referees, and must be by the latter, unless arbitration is refused or waived by the insurer. The plaintiff .is not required to prove the full sum claimed as due in his account annexed in order to recover. The statute expressly excuses him from this burden. “The fact that the amount claimed in the account annexed varies from the amount found to be due the plaintiff shall defeat the action, unless there be found to be a fraudulent claim of an excessive amount.”

The words ‘ ‘principal sum” in the plaintiff’s account annexed is not to be interpreted as an allegation that the face of the policy is claimed as due, but that such a sum is claimed to be due under the policy as principal in distinction from interest. Such is the language of the statute. Proof of a less sum due in accordance with a valid award of referees would entitle him to recover the amount of the award as the “principal sum” due.

However, upon the grounds that the defendants contend that the nonsuit was granted we think the exception must be sustained..

The Standard Policy of insurance against loss by fire as contained in Sec. 5, Chap. 53, R. S., provides that in case the parties- cannot agree as to the amount of the damage, it shall be referred to three disinterested men chosen in the manner provided therein, whose award as to amount of the loss shall be conclusive and final.

' This provision we construe to contemplate something more than a mere appraisement by the referees- upon a view and such information as they see fit to obtain, and-requires notice to the parties and an opportunity to present evidence and be heard. Bradbury v. Ins. Co., [365]*365118 Maine, 191; Second Soc. v. Royal Ins. Co., 221 Mass., 518. The Legislature, having made the result of such reference conclusive and binding on the parties, must have intended that the parties should have the right to be present at all hearings and also to be heard upon any matters pertaining to the amount of the loss. As the court said in the case last cited: “This has been the universal practice under general arbitrations.” And such was clearly the understanding of the parties here. Tn their written Agreement of Reference it is provided that notice of every hearing is to be given to each of the parties. It would be a useless requirement that the parties shall be notified, if they have no right to be present and be heard.

While an agreement of reference was entered into it appears to have been signed only by the plaintiff and by one who describes himself as Agent for the Franklin Fire Ins. Co. It is objected that only one of the defendants entered into the reference, viz.: the Franklin Fire Ins. Co. It is not necessary to pass upon this question at the time. The defendants did not put in their case. Their evidence may show that, while he described himself as agent of the Franklin Fire Ins. Co., he was acting for all. This question may well be left for determination upon another trial.

No notice of any hearing was given to either of the parties by the referees. The defendants apparently waived theirs; and if the plaintiff had been permitted to be present during what the referees termed in their award a hearing, was going on, and been heard, we should consider this defect waived on her part.

Where rights are to be conclusively determined, those acting as referees should see to it that the rights of all parties are fully protected.

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Bluebook (online)
120 A. 53, 122 Me. 361, 1923 Me. LEXIS 234, Counsel Stack Legal Research, https://law.counselstack.com/opinion/oakes-v-franklin-fire-insurance-me-1923.