Peters v. Colonial Life Insurance Co. of America

193 A. 460, 128 Pa. Super. 21, 1937 Pa. Super. LEXIS 93
CourtSuperior Court of Pennsylvania
DecidedApril 16, 1937
DocketAppeal, 164
StatusPublished
Cited by13 cases

This text of 193 A. 460 (Peters v. Colonial Life Insurance Co. of America) is published on Counsel Stack Legal Research, covering Superior Court of Pennsylvania primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Peters v. Colonial Life Insurance Co. of America, 193 A. 460, 128 Pa. Super. 21, 1937 Pa. Super. LEXIS 93 (Pa. Ct. App. 1937).

Opinion

Opinion by

Stadtfeld, J.,

This is an action of assumpsit by the beneficiaries to recover upon a policy of life insurance issued by the defendant on March 27, 1930. The policy required the *24 payment of a semi-annual premium of $29.20 on the 27th day of each March and September. After paying three semi-annual premiums the insured, Sarah Y. Grentzer, failed to pay the premium which was due on September 27, 1931, or within the thirty-one day grace period granted under the policy. The policy therefore lapsed for non-payment of the premium due on September 27, 1931.

Quoting from the opinion of the lower court: “On November 2, 1931, Lubeck, an agent of the defendant company, received from Mrs. Grentzer her signature to an application for reinstatement together with check for $35.20, which admittedly included the $29.20 premium due on this particular policy. The reinstatement provision in the policy reads as follows: ‘If this Policy shall lapse for non-payment of any premium when due, it may be reinstated at any time upon written application with evidence, satisfactory to the company, of the insurability of the Insured and the payment of all overdue premiums with interest at the rate of six per cent, per annum.’......It was the plaintiff’s contention that compliance with the reinstatement provision of the policy had been waived by the conduct of the company. In support thereof plaintiffs offered, through their witnesses, testimony to the effect that when the agent called at the Grentzer home, received the check and the signature to the application for reinstatement, he did not secure answers to the questions which were on the printed form, but that the agent left, taking the blank form, returned to the office of the company, where he gave to the cashier the check for the premium and the blank form. At that time and place, certain answers given by the agent to the cashier were filled in upon the form and turned over to those in charge of the office; that the check for premium was subsequently deposited and paid and that subsequently, on November 10, 1931, Mrs. Grentzer died; *25 that after the death of Mrs. Grentzer when claim was made by the plaintiff beneficiaries, the company tendered the premium of $29.20, which was refused.

“Contradicting this testimony was that relied upon by the defendant to indicate that no waiver of the reinstatement provision of the policy had been intended or made. It was the testimony of the defendant’s witnesses that when the reinstatement application, together with the premium check were received at the local office by the cashier there from Lubeck, the agent, that immediate steps were made to turn over one of the attached slips on the application for reinstatement to Dr. Thompson, examining physician for the company, who made two unsuccessful attempts, one on Nov. 4, 1931 and the other on Nov. 10, 1931, to interview the insured; that his failure in that regard was promptly reported to the company and that at no time did they do anything further with regard to the policy.

“The question of whether or not the conduct of the company constituted a waiver was properly submitted to the jury under adequate instruction and by them resolved in favor of the defendant when the jury returned a verdict for the plaintiff in the sum of $29.20, representing the last premium paid.”

Plaintiffs’ motions for judgment non obstante veredicto and for new trial were overruled, whereupon plaintiffs appealed.

Was the policy in this case ever reinstated? Under its terms, to renew a lapsed policy, the company required “evidence, satisfactory to the Company, of the insurability of the Insured and the payment of all overdue premiums.” This court, in Mitchell v. Alta Life Ins. Co., 116 Pa. Superior Ct. 490, 491, 176 A. 785, quoted with approval the following language: “ ‘But the mere payment of the premium was not of itself sufficient to reinstate the policy. It was also necessary that the insured produce evidence of the *26 insurability satisfactory to the defendant. There is no evidence whatever that the insured ever complied with this provision, and, since the burden was upon him to do so, we must presume as a matter of law, that he did not.’ ” We there stated, p. 493: “The plaintiff’s difficulty is that his evidence fails to show that the policy was renewed after it had lapsed by proving that evidence of the insurability of the deceased had been furnished to the company......He, therefore, did not make out a prima facie case.”

To the same effect is Fishman v. Eureka-Maryland Assurance Corp., 120 Pa. Superior Ct. 490, 183 A. 98, wherein President Judge Keller made a comprehensive review of the cases on this question and said on pp. 498, 499: “The policy and the law of the State provide that the holder applying for reinstatement of the policy must produce evidence of his insurability satisfactory to the company. The physician examining the applicant is not the judge of whether the evidence of insurability is satisfactory: Meerbach v. Metropolitan Life Ins. Co., 46 Pa. Superior Ct. 133, 135. It is the company that makes the decision. Until the application is received by the company evidence of the applicant’s insurability has not been furnished or produced. If the applicant dies before the evidence of insurability, on which the company is to determine whether it is satisfactory or not, is furnished to the company, there is no reinstatement of the policy.” To same effect is Iwankow v. Colonial Life Ins. Co., 120 Pa. Superior Ct. 114, 181 A. 870.

Likewise is Riebel v. Prudential Ins. Co., 319 Pa. 24, 179 A. 447. A compulsory nonsuit was affirmed in that case. That suit was upon a policy which had lapsed and which contained a reinstatement provision substantially similar to that in the case at bar. The insured applied in writing for reinstatement, paid the arrearages and was examined by a doctor. The day *27 after tlie medical examination and before the defendant company had acted upon the reinstatement application, the insured died. Subsequently the defendant disavowed liability and offered to refund the arrearages which had been paid. Holding that under the circumstances there could be no recovery, the Supreme Court said, at p. 27: “After the evidence at the trial was concluded, the trial judge, on motion, entered a compulsory nonsuit, which the court in banc refused to set aside, whereupon plaintiff appealed. The decision below is so clearly right that but little can be said on the subject. Admittedly, the policy properly lapsed for nonpayment of the premium, and the burden of proof of the necessary facts compelling reinstatement was on the plaintiff. Admittedly also it was not in fact reinstated, and the ultimate question is, therefore, was defendant legally required, under the facts above set forth, without more, to approve the application for reinstatement. We agree with the court below that it was not.”

In Smith v. Sovereign Camp Woodmen of the World, 123 Pa. Superior Ct. 500, 187 A. 290, the same basic principle was applied. This court there denied a recovery upon a beneficial certificate because the insured had not complied with the conditions for reinstatement after allowing his insurance to lapse.

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Cite This Page — Counsel Stack

Bluebook (online)
193 A. 460, 128 Pa. Super. 21, 1937 Pa. Super. LEXIS 93, Counsel Stack Legal Research, https://law.counselstack.com/opinion/peters-v-colonial-life-insurance-co-of-america-pasuperct-1937.