Pacific Insurance v. Lovern

180 So. 2d 291, 253 Miss. 804, 1965 Miss. LEXIS 1053
CourtMississippi Supreme Court
DecidedNovember 22, 1965
DocketNo. 43699
StatusPublished
Cited by6 cases

This text of 180 So. 2d 291 (Pacific Insurance v. Lovern) is published on Counsel Stack Legal Research, covering Mississippi Supreme Court primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Pacific Insurance v. Lovern, 180 So. 2d 291, 253 Miss. 804, 1965 Miss. LEXIS 1053 (Mich. 1965).

Opinion

Lee, C. J.

J. Hubert Lovern and wife, holders of a storm, rain and hail insurance policy in Pacific Insurance Company of New York, on July 28, 1964, filed their bill of com[806]*806plaint against the company to recover the sum of $3,000 for damages, allegedly resulting from such hazard on April 10, 1962.

The defendant company, in its answer, denied that it owed the complainants the sum of $3,000 or any sum whatever. It pleaded that the insured, under the provisions of the policy, were under the duty to give it immediate notice of such loss; and, in compliance with a standard provision thereof, within sixty days after the loss, they were required to render to the company a proof of loss, signed and sworn to by the insured, giving the detailed account thereby required. It also pleaded, in accordance with the provisions of the policy, that, by reason of the stated failure of the insured, they were precluded from recovering under the terms of the policy because such proof was a condition precedent to their right thereto. It further pleaded that, by reason of such failure on the part of the insured to give such timely notice, it was also deprived of its right to arbitration, as provided for under the terms of the policy. There was also the further plea, as provided by the policy, to-wit:

“No permission affecting this insurance shall exist, or waiver of any provision be valid, unless granted herein or expressed in writing added hereto. No provision, stipulation or forfeiture shall be held to be waived by any requirement or proceeding on the part of this Company relating to appraisal or to any examination provided for herein.”

The answer of the complainants to the affirmative defenses was to the effect that they reported the damage to Felton Grubbs, agent for and manager of Philadelphia Insurance Agency, on the day following the storm, and inquired whether they should sign any forms therefor ; that they were assured that Grubbs would take care of the situation and would send a representative to view the loss promptly; that this agency had written the policy [807]*807originally; that Grubbs undertook the adjustment of the loss; that he and the agency were general agents of the insurance company; and that the proof of loss was waived.

The evidence showed that the property, located in the Fork or Henry’s Chapel Community, about four miles northwest of Philadelphia, was extensively damaged by the wind and hail between 8:00 and 9:00 o’clock P.M. on April 10, 1962.

Hubert Lovern testified that Grubbs, at the Philadelphia Insurance Agency, originally filled out and issued the policy to him and his wife; that Grubbs was the manager of the office at the time; that the premiums were promptly paid, and the insurance had been in force for about two years; that he was on his way to the insurance office the next morning, met Grubbs on the street, told him about the storm and damage, and asked whether there were any forms for him to fill out; that Grubbs told him “No, don’t worry about it. I will take care of it myself, I will send a man out to see about it this afternoon or in the morning.” He further said that Grubbs came out to the scene, turned around in his driveway, and went back to town or somewhere in that direction. He further testified that the company made no move to settle with him or have an appraiser to adjust the loss. He estimated the damage at $2,200, and waited so long that he decided nothing was going to be done. For that reason, he cancelled the policy. He admitted that, following his requested cancellation, the Philadelphia Insurance Agency sent him a check for $9.37 as the return premium. Lovern did not claim to have had any further relations with Grubbs, who subsequently died in the early part of 1963, roughly a year after the loss. Actually he made no further inquiry about the insurance until approximately 25 months after the loss, when, on May 5, 1964, he told Miss Virginia Bates, an employee of the agency, that he wanted to make a claim under [808]*808the policy which he had previously cancelled. The employee had agreed to find out about the matter, did so, and when he inquired again, she advised him that it had been too long.

Mrs. Molly Clark, the bookkeeper and an employee of the agency, was offered as a witness. She testified that the Philadelphia Insurance Agency was an agency of record for Pacific Insurance Company. It wrote and issued policies, filled in the blanks, collected the premiums, and paid them to the company. When an insured made a claim, the agent would make out a loss report, mail a copy to the company, assign it to an adjuster, and ask him to check it. Grubbs was the general manager of the agency. Two adjusters worked on the losses from this storm for several weeks. According to her recollection, Grubbs had the radio station to make an announcement to their policyholders, if they had had losses, to report them to the agency. When a claim was made, she would fill out a form, send it to the company, and contact an adjuster. She said that, when Lovern came in the office during the early part of May 1964, she had heard him tell Miss Virginia Bates that he wanted to check and see if he had a policy that was in force at the time of the hail storm; that he had sustained damages; and that he did not know whether he had an insurance policy or not. He explained that a Mr. McGraw in Louisville told him that he had coverage under the policy which he had cancelled, but that he did not know whether this was correct.

For the defendant, Jack Gallagher of Jackson, General Agent for Pacific Insurance Company, testified that Felton Grubbs was a local agent of the company; and that he was licensed as such and was not a general agent. The first notice that the Jackson office received about this loss was a letter from the Philadelphia agency of May 5, 1964, in which it was stated that the insured was saying that he did not know whether he had coverage or not.

[809]*809Miss Virginia Bates, who had been working for the agency since Angnst 1, 1956, testified that Lovern came in the office about May 5,1964, to see if he had insurance through that office when the hail and wind storm of April 10,1962 occurred. He told her that he had sustained damage; that he had repaired it himself; that he did not know that he had insurance to cover; and that he just found out that it would have been paid. She explained that she would submit the matter to the company; but then ascertained that no claim whatever had been filed. On cross examination, she said that they were not called general agents. In case of a storm loss, the policy-holder would submit notice to them.. They would make out a loss report, send it to the company, and let an adjuster handle it.

At the close of the evidence, the chancellor rendered a written opinion in which he held, in effect, that Felton Grubbs and the Philadelphia Insurance Agency examined into, adjusted and aided in adjusting the loss of the appellees; that these two agents had authority to waive the provisions of the policy requiring the insured to submit a sworn proof of loss; and that the appellees could recover their loss without complying with an express provision of the policy which required proof of loss. He awarded judgment in the sum of $2,000; and, from that decree, the insurance company appealed.

The appellant contends that the learned chancellor was manifestly wrong in so holding and that the cause should be reversed and dismissed.

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Bluebook (online)
180 So. 2d 291, 253 Miss. 804, 1965 Miss. LEXIS 1053, Counsel Stack Legal Research, https://law.counselstack.com/opinion/pacific-insurance-v-lovern-miss-1965.