Prince v. Western Empire Life Insurance Company

428 P.2d 163, 19 Utah 2d 174, 1967 Utah LEXIS 597
CourtUtah Supreme Court
DecidedJune 1, 1967
Docket10671
StatusPublished
Cited by19 cases

This text of 428 P.2d 163 (Prince v. Western Empire Life Insurance Company) is published on Counsel Stack Legal Research, covering Utah Supreme Court primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Prince v. Western Empire Life Insurance Company, 428 P.2d 163, 19 Utah 2d 174, 1967 Utah LEXIS 597 (Utah 1967).

Opinion

ELLETT, Justice:

This case involves the question of how effective is a “binding receipt” in the State of Utah.

On September 19, 1960, Doctor Robert Alpine Prince, a 37-year-old dentist, the husband of the plaintiff herein, filed an application with the defendant for an insurance policy on his life in the amount of $100,000. He paid the premium thereon for one year in advance and received a slip of paper known as a binding receipt. This slip of paper, after reciting that the money had been received, contained the following language:

In connection with an application (bearing the same date and number as this receipt) to The Western Empire Life Insurance Company. This receipt shall operate as a Binding Receipt only under the conditions recited on the back hereof; otherwise, the liability of the Company is limited to the above amount, which shall be held to the applicant’s credit and subject to his 'order.

On the back of the slip was the following printed matter:

Any insurance applied for in the application bearing the same date and number as the receipt on the reverse side hereof shall take effect on the date of the application or date of medical examination, if required, whichever is later, provided that (1) proposed insured is determined by the Company at its Home Office in Salt Lake City, Utah, in accordance with its rules and practices, to be insurable on such date for the policy exactly as applied for; (2) full first premium is paid in cash on date of application and declaration of such payment is made therein; (3) policy is issued exactly as applied for within 30 days from this date; (4) the amount of insurance effective hereunder, together with any other insurance in force with the Company on the life of the proposed insured shall not exceed $50,000 through age 60; (5) check or draft is honored and no erasures or alterations have been made on this form.

The company required a medical examination, so the date of the medical examination rather than that of the application would be the effective date of the insurance.

The applicant submitted to a medical examination on September 22, 1960, by the *176 company doctor. This doctor approved the applicant for insurance. Because the defendant company had some information to the effect that the applicant had been rejected for military service, it required a second examination by another doctor, which examination was completed September 27, 1960. This doctor likewise approved the applicant for insurance. However, there was an inconsistency in the statements made to the two medical examiners by the applicant. In the first examination he answered “Yes” and in the second examination he answered “No” to this question: “4E. Have you ever been X-rayed for diagnostic purposes or for treatment of disease?” There was also an inconsistency in the answers given to the question “Has there been any suspicion of, or have you ever had or been treated for any of the following diseases or ailments: 6D. Palpitation of heart, shortness of breath, pain in chest, abnormal pulse, any disease of the heart or blood vessels or high blood pressure?” To the first doctor he answered “Yes,” and to the second doctor he answered “No.”

He explained in detail in all of the papers that he was requesting insurance in the amount of $100,000 to replace three policies which he was carrying in the total amount of $80,000. The company was advised that he had a herniorrhaphy in 1955 when in the air force f that'he had rheumatic fever at age twelve but that recent EKG’s were all negative; that he spent ten days in bed in 1936 with rheumatic fever and had a murmur in his heart which persisted until 1945 but that no one had heard one since.

At the first examination the company doctor found a heart murmur (systolic) after exercise. At the second examination the doctor wrote in the place provided for “Murmur present ? Systolic” the figure 118.

On October 19, 1960, the defendant requested its agent to secure from Doctor Prince “an afternoon heart chart, an electrocardiogram, and chest x-ray.” By November 10, 1960, the defendant had received the chest X-ray and the electrocardiogram. On November 11, 1960, defendant again requested its agent to secure the afternoon heart chart. On December 14, 1960, the defendant sent a third heart chart to its agent and requested that he make arrangements to have the chart completed on Doctor Prince.

The parties stipulated to the facts of this case, one-of which is that two appointments were made for the afternoon heart chart but that the company doctor cancelled one because of an emergency which he had with his clients, and the applicant cancelled the other because of some emergency of his own.

On the 19th day of December, 1960, Robert Alpine Prince was killed when he accidentally came in contact with some exposed *177 wiring in an office building he was constructing.

After the death of the applicant, the defendant tendered back the premium paid; and the plaintiff as beneficiary on the application sued for $100,000/the amount of insurance applied for.

The trial court found for the defendant on stipulated facts, and plaintiff has perfected this appeal.

We do not accord to the trial judge any advantage in this case because he based his findings on stipulated facts and he is not entitled to the advantage which goes with seeing and hearing witnesses testify. Therefore, we need not sustain him unless we are convinced of the correctness of his holding.

Originally, binding receipts were issued because they assisted the insurance company to keep a favorable contact with the applicant. - If the company got no money from the applicant, he- might refuse to take the policy after the company had gone to the expense of having a medical examination. ' If money was paid by the applicant, he could demand it back before the company had decided to pass him for insurance. By issuing -a binding receipt, the insurance company could either cover the applicant with insurance'pending the investigation or could-make him think he was covered so that he'-would not demand his money back.

The language of the binding' receipt is generally so devised that it is an attempt on the -part of the company not to bind itself to pay any money in case of death of the applicant before there is a policy issued or at least until the company has decided to issue a policy. If the applicant dies in the meantime, the company loses nothing. If the applicant lives, the company has received a premium for the period that has elapsed since the purported effective date of the binding receipt.

Courts have generally read into such binding receipt agreements an obligation on the part of the company to pay when the loss occurred before the issuance of the policy if, except for the loss, the company would have issued the policy. In doing so, courts have not departed from the regular rules of construction of an ordinary contract.

In the interpretation of binding-receipts, the intention of the parties should be the controlling factor. This intention is the mutual intention of the parties and not the intention of only one of them, unless the other party was aware of the intention and understanding of the one and allowed him to contract without advising him of another interpretation.

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Cite This Page — Counsel Stack

Bluebook (online)
428 P.2d 163, 19 Utah 2d 174, 1967 Utah LEXIS 597, Counsel Stack Legal Research, https://law.counselstack.com/opinion/prince-v-western-empire-life-insurance-company-utah-1967.