Porter v. Commonwealth Casualty Co.

110 A. 153, 267 Pa. 410, 1920 Pa. LEXIS 881
Supreme Court of Pennsylvania·Decided May 10, 1920·No. Appeal, No. 127·Published·Cited by 4 cases

Opinion

Opinion by

Mr. Justice Moschzisker,

Rebecca H. Porter, the beneficiary named in a contract between the Fraternities Accident Order and her husband, William A. Porter, now deceased, sued to recover $2,000 from the Commonwealth Casualty Co., which had assumed all the obligations of the former concern. The trial judge gave binding instruction for plaintiff, and a verdict was rendered accordingly, upon which judgment was entered; defendant has appealed.

March 17, 1902, the before-mentioned Order, a corporation chartered under the law of this State, issued the certificate, or contract, in suit, whereby it agreed to pay plaintiff not over the sum claimed, upon proof of her husband’s death “through external, violent and ac[413] cidental means”; uncontradicted testimony was produced, tending to show William A. Porter so died and that, if liable at all, defendant owed his widow the amount awarded her.

The certificate in controversy particularly provides that the “application” for membership and “laws” of the order shall be read into the contract, and the applicant expressly agrees to comply therewith. In excuse for not setting forth such application and laws, as part of the contract declared upon, plaintiff first averred she was unable to procure copies, “although several requests had been made of defendant therefor”; but this allegation was denied by the latter, who, in one of the affidavits of defense, gave, what it alleged to be, facsimiles of the desired documents, stating they would be furnished on demand, and that it had a substantial defense, based thereon — which need not be elaborated here.

Subsequently, in an amendment to her declaration, plaintiff averred that the Fraternities Accident Order, while purporting to carry on a beneficial association, was in fact conducting an insurance business, the contract in suit being really an insurance policy, and, as neither the application for membership nor laws of the Order were originally attached to such policy, the contract was complete without them, under the Act of May 11, 1881, P. L. 20; plaintiff stood on this position, and it was adopted by the trial judge as ruling the case.

Since the trial, in an opinion sustaining judgment for plaintiff, the court below states and. lays emphasis on the fact that there was no evidence presented to show the “existence of any laws, rules or regulations” of the Fraternities Accident Order; but, as these are expressly referred to in and made part of the contract sued upon, they must be presumed to exist, until proof to the contrary appears.

It is settled with us that certificates of membership in beneficial associations are not insurance policies within the meaning of the Act of 1881; hence, when the appli[414] cation to and laws of an association of this kind are by reference made part of the contract of membership, they must, if obtainable, be placed in evidence by plaintiff, unless he gives a good and legally sufficient reason for not doing so, or defendant produces them. Of course, if it be shown the association in question is conducting an insurance business, that will suffice: Marcus v. Heralds of Liberty, 241 Pa. 429, 431.

In Jones v. Commonwealth Casualty Co., 255 Pa. 566, 572, cited to us,, we did not decide whether or not the Fraternities Accident Order was conducting an insurance business; there, no such point was urged — plaintiff contended merely that, through the casualty company’s “taking over” of the contract of the former concern, it became an insurance policy within the Act of 1881. When put at issue, however, “the character of the business transacted must be determined by the [proved] facts, although the presumption is that the business is what the association [in its certificate of membership] declares it to be, but this is prima facie only, and may be overcome by evidence” (Marcus v. Heralds of Liberty, 241 Pa. 429, 433); such being the presumption in the present case, the burden is necessarily upon plaintiff to meet and overcome it.

The trial judge ruled, as a matter of law, that the certificate of membership was a “contract of life insurance,” and gave binding instructions on that theory, notwithstanding the presumption to the contrary and the fact that the evidence depended upon to make out plaintiff’s case, both in this and other respects, was largely oral, which required the issues involved to be submitted to the jury — particularly the question as to whether or not the Fraternities Accident Order was actually carrying on an insurance business. The course pursued was error, and calls for a new trial; but, in so deciding, we do not intend to intimate an opinion concerning the adequacy of the evidence to prove the Fraternities Accident Order was engaged in conducting an insurance business [415] —our sole purpose is to afford a fair opportunity to have the case properly developed, and, if sufficient evidence is adduced, submitted to the jury for determination.

When the present corporation defendant assumed the obligations of the Fraternities Accident Order, it “stood in the same position as the beneficial society, succeeded to its rights and privileges......, and became liable only to the same extent as the society was liable.” The latter’s certificate, now sued upon, remains the contract, or “obligation, of the beneficial society,” the casualty company “merely undertaking to carry out its terms”; and, as previously said, the “application for membership and the by-laws of the society” are, prima facie, parts of this contract, to be received in evidence “for the purpose of accurately determining the extent of defendant’s liability”: Jones v. Commonwealth Casualty Co., 255 Pa. 566, 573-4.

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Porter v. Commonwealth Casualty Co., 110 A. 153, 267 Pa. 410, 1920 Pa. LEXIS 881 (Pa. 1920).

110 A. 153 (Porter v. Commonwealth Casualty Co.) — published by Counsel Stack Legal Research, free access to 12M+ legal documents.

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