Plesha v. United States

123 F. Supp. 593, 1953 U.S. Dist. LEXIS 2022
CourtDistrict Court, N.D. California
DecidedDecember 23, 1953
DocketNo. 6326
StatusPublished
Cited by6 cases

This text of 123 F. Supp. 593 (Plesha v. United States) is published on Counsel Stack Legal Research, covering District Court, N.D. California primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Plesha v. United States, 123 F. Supp. 593, 1953 U.S. Dist. LEXIS 2022 (N.D. Cal. 1953).

Opinion

LEMMON, District Judge.

No other country in the world has been so generous as the United States in the treatment of its service men and veterans. In the instant case, however, the plaintiffs are asking the Court to assist them in collecting from the Government sums that are not warranted by the National Service Life Insurance Act, 38 U.S.C.A. § 801 et seq., or the Civil Relief Act, 50 U.S.C.A.Appendix, § 501 et seq.

The plaintiffs contend that applicants for Government protection of their premium payments to insurance companies did not expect to reimburse the United-States for that protection. In the plain-, tiffs’ own pungent phrase, they expected the Government “to give them a free ride in their private insurance”.

In the very first of the “General Provisions” of the Civil Relief Act, however,, we are told that the “Purpose” of the statute is to “suspend enforcement of civil liabilities” of military personnel. Further on in the same section, we are again told that provisions are made “for the temporary suspension of legal proceedings and transactions” affecting service men. This opening section seems to have éscaped the notice of counsel. 50 U.S.C.A.Appendix, § 510.

Coming as they do at the very threshold of the statute, these Congressional declarations tincture the entire enactment. Every article, every section, every paragraph, every sentence is tinged with this “temporary suspension” hue — unless a contrary legislative intent is plainly shown.

No such contrary intent has been even intimated in any of the sections pertinent to the present lawsuit.

1. Statement Of The Case.

The original complaint was filed by the plaintiff Plesha. Complaints in intervention were filed by Mabbutt and Kern. The three pleadings were brought under the National Service Life Insurance Act of 1940, 38 U.S.C.A. §§ 801-818. It is sought to recover amounts withheld by the defendant from a “special dividend” declared by the Administrator of Veterans’ Affairs, alleged to be due each plaintiff on his policy of National Service Life Insurance, hereinafter referred to as “insurance”.

Inter alia, it is alleged that each plaintiff made claim for all money alleged to be due him under that dividend; that each claim was approved in part and denied in part; that the partial denial “was without legal cause or justification”; and that there is a disagreement as to each such claim, within the meaning of 38 U.S.C.A. § 817.

The defendant has set up three principal defenses:

1. That the complaint fails to state a claim upon which relief can be granted.
2. That the Court is without jurisdiction of the cause of action, because it is not cognizable under 38 U.S.C.A. Sections. 445 .and 817, and the defendant has not > [595]*595otherwise consented to be sued with respect to insurance; and because there is no disagreement between the parties as to any claim under the insurance policies involved.
3. That the defendant has paid the full amount of all special dividends herein sued for, in cash or by applying them in repayment of the insured’s debt to the defendant arising out of its payment to the insurer.

The case was tried to the Court without a jury.

2. The Questions presented.

The questions presented are the following:

1. Does the complaint state a cause of action within the jurisdiction of this Court ?
2. Are the plaintiffs entitled to recover the amount of special dividends from the defendant?
3. The Court Has Jurisdiction Of This Action.

The defendant contends that “This action is not within the consent provisions of 817, 38 U.S.C.A.”

Section 817 reads as follows:

“In the event of disagreement as to any claim arising under this sub-chapter, suit may be brought in the same manner and subject to the same conditions and limitations as are applicable to the United States Government life (converted) insurance under the provisions of sections 445 and 551 of this title.”

The defendant argues that “although the right to receive the Special Dividend in suit may have arisen out of, or by reason of, the contract of insurance, the United States did not by the contract undertake in all events to pay a policy-holder a dividend”. Reliance is placed upon the case of Candell v. United States, 10 Cir., 1951, 189 F.2d 442, 444, in which the Court construed Section 19 of the World War Veterans’ Act, 1924, as amended, 38 U.S.C.A. § 445, which contains the following provision:

“The term ‘claim’, as used in this section, means any writing which alleges permanent and total disability at a time when the contract of insurance was in force, or which uses words showing an intention to claim insurance benefits, * * (Emphasis supplied.)

Regarding the above excerpt, the Court in the Candell case said:

“An insurance benefit means money or its equivalent paid as indemnity for a loss insured against. A dividend upon a National Service Life Insurance policy is paid under the terms of the contract which gives the insured the right to participate in gains and savings of the National Service Life Insurance Fund as they may be determined by the Administrator. Such a dividend is a return of premium. Such a dividend has no relation to the obligation to pay indemnity on the happening of the loss insured against.”

With all due respect to the highest Federal Court in a sister circuit, this Court is unable to agree with the construction placed upon the word “insurance benefit”. In 38 U.S.C.A. § 454a, which is a part of the very statute that the Court in the Candell case was construing, we find a reference to “overpayments of dividends, refunds, loans, or other insurance benefits”, (Emphasis supplied.)

That Congress intended that the courts should have the right of review over the decisions of the Administrator of Veterans’ Aifairs on insurance matters generally was clearly brought out in United States v. Zazove, 1948, 334 U.S. .602, 611-612, 68 S.Ct. 1284, 1288, 92 L.Ed. 1601:

“On the other hand, we think it clear that an administrative regulation purporting to construe an ambiguous subsection of the National Life Insurance Act of 1940 is not automatically to be deemed valid merely because not plainly interdicted by the terms of the particular provision construed. The Administrator’s general rule-making power, * * * is limited by the' statute to [596]*596‘such rules and regulations, not inconsistent with the provisions of this chapter, as are necessary or appropriate to carry out its purposes * * Moreover, a 1946 amendment to § 608, designed to eliminate the finality of the decisions of the Administrator on insurance matters, amended the last sentence of § 608 to add the words set out in italics:
“ ‘Except in the event of suit as provided in section 617 hereof, or other appropriate court proceedings, all decisions rendered by the Administrator under the provisions of this Act, or regulations properly

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123 F. Supp. 593, 1953 U.S. Dist. LEXIS 2022, Counsel Stack Legal Research, https://law.counselstack.com/opinion/plesha-v-united-states-cand-1953.