Progressive Mutual Insurance v. Burrell Motors, Inc.

143 S.E.2d 757, 112 Ga. App. 88, 1965 Ga. App. LEXIS 611
CourtCourt of Appeals of Georgia
DecidedJuly 2, 1965
Docket41188
StatusPublished
Cited by13 cases

This text of 143 S.E.2d 757 (Progressive Mutual Insurance v. Burrell Motors, Inc.) is published on Counsel Stack Legal Research, covering Court of Appeals of Georgia primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Progressive Mutual Insurance v. Burrell Motors, Inc., 143 S.E.2d 757, 112 Ga. App. 88, 1965 Ga. App. LEXIS 611 (Ga. Ct. App. 1965).

Opinions

Fulton, Chief Judge.

1. Forfeitures are not favored by the law. Where a policy of insurance provides that when loss occurs, the insured shall file a sworn proof of loss within sixty days after the occurrence, and also provides that “payment for loss may not be required nor shall action lie against the company unless, as a condition precedent thereto, the insured shall have fully complied with all the terms of this policy nor until thirty days after proof of loss is filed and the amount of loss is determined as provided in this policy,” a mere failure to furnish'proper proofs of loss within the 60-day yeriod will not work a forfeiture of the policy unless there is an express stipulation to that effect. Southern Fire Ins. Co. v. Knight, 111 Ga. 622 (36 SE 821, 52 LRA 70, 78 ASR 216); Harp v. Fireman’s Fund Ins. Co., 130 Ga. 726 (1) (61 SE 704, 14 AC 299); Godley v. North River Ins. Co., 51 Ga. App. 242 (1) (180 SE 385); Pooser v. Norwich Union Fire Ins. Co., 51 Ga. App. 962 (2) (182 SE 14); Columbian Nat. Life Ins. Co. v. Miller, 140 Ga. 346 (2) (78 SE 1079). But where no proof of loss is filed, in the absence of waiver or estoppel the condition precedent to an action on the policy has not been met and the petition is subject to general demurrer.

2. An absolute refusal to pay on the part of an insurer, to constitute a waiver of its right to require filing of proof of loss forms, must be made within the 60 day period during which proof of loss forms are required to be filed, and a subsequent refusal after such time has elapsed will not obviate the neces[89]*89sity of filing. Reserve Ins. Co. v. Campbell, 107 Ga. App. 311 (130 SE2d 236). An admission of liability and an expression of willingness to pay the loss, even though not in the amount insisted upon by the insured, does not necessarily have a like effect. A refusal to pay may itself be based on the fact that the policy provisions as to proofs of loss have not been met, or that delay in their tender has prejudiced the rights of the company. A failure on the part of the company to furnish proof of loss forms after written notice of the loss also constitutes a waiver. Code Ann. § 56-2427. Where an insurance adjuster stated, within the 60 day period following the loss and after notice and investigation, that a prompt settlement would be made, a waiver by implication of the right to require proof of loss forms resulted and the insurer had no right to demand at a later time, but prior to the bringing of the action, that such forms be filled out.' Sentinel Fire Ins. Co. v. McRoberts, 50 Ga. App. 732 (179 SE 256). And, while there is authority to the contrary, the better view appears to be that where the insurance company is promptly notified of the loss, makes its investigation and thereafter admits liability or enters into negotiations for settlement, the jury may find that a waiver of the insurer’s right to insist on the filing of such forms has been waived. See Nathan Miller, Inc. v. Northern Ins. Co., 42 Del. 523 (39 A2d 23); Fink v. Lancashire Ins. Co., 66 Mo. App. 513; Hasterlik v. N. J. Fidelity & Plate Glass Ins. Co., 229 Ill. App. 604; Johnston v. Manhattan F. & M. Ins. Co., 294 Mich. 550 (293 NW 747); Van Allen v. Farmers’ Joint Stock Ins. Co., 10 Hun. 397 (aff. 72 NY 604); American Ins. Co. v. Rector, 172 Ark. 767 (290 SW 367); Nebraska Drillers, Inc. v. Westchester Fire Ins. Co., 123 FSupp. 678; Providence Washington Ins. Co. v. Wolf, 168 Ind. 690 (80 NE 26, 120 ASR 395); Reliance Motor Co. v. St. Paul F. & M. Ins. Co., 165 Minn. 442 (206 NW 655); Security Ins. Co. v. McAlister, 139 Okla. 176 (281 P 766); Kinney v. Hudson Ins. Co., 127 Kan. 264 (273 P 416); Pittsburgh v. Firemen’s Ins. Co., 366 Pa. 49 (76 A2d 368); Lusk v. American Central Ins. Co., 80 W. Va. 39 (91 SE 1078); Johnston Mfg. Co. v. Great American Ins. Co., 84 FSupp. 20. In this connection see generally 49 ALR2d, Anno., p. 87 et. seq. This rule has been abrogated in this State by statute in cases involving mere negotiations and investigation as will hereinafter appear.

[90]*903. In the present case it appears that an automobile insured by the defendant showing Cecil Glover as named insured and the plaintiff as loss payee as its interest might appear was a total loss as the result of a collision occurring October 21, 1963. The plaintiff learned of the collision about two weeks later and immediately notified the defendant. The petition fails to show that the notice was in writing, or that, if so, the insurer thereafter failed to forward proof of loss forms, both of which would have been necessary to constitute a waiver under Code Ann. § 56-2427. Within a few days the defendant’s adjusters investigated the claim and were furnished all information requested. On March 19, 1964, the plaintiff obtained an assignment of the claim from Glover, the named insured. On March 25th plaintiff’s attorney wrote the adjuster requesting to be notified if it was incorrect in thinking that the loss had been reported; the claim had been investigated and the automobile inspected; that it was agreed to be a total loss; that there was no dispute about liability of the insurance company for the loss, the only issue being the amount, and further requesting instructions about selling the wrecked automobile. The letter was answered March 28th, the adjuster stating that he had talked to Burrell Motors and also to Mr. Burrell, that he needed information regarding ownership by Burrell Motors, that the insurance company had authorized payment between $300 and $400, and giving instructions regarding the sale of the property. The assignment of ownership was forwarded on April 17th and a demand for payment was made. In reply, the defendant’s agent stated that “we are at this time again extending an offer of $400 less deductible as fair evaluation.” The offer was rejected for inadequacy and the suit was filed August 12, 1964.

The question is whether these allegations are sufficient to support the pleaded conclusion that the insurer waived the filing of proof of loss forms as against special demurrer. The petition shows that the defendant was promptly notified and investigated the loss, which, however, is not of itself sufficient for this purpose. Code Ann. § 56-2428 (3) provides: “Without limitation of any right or defense of an insurer otherwise, none of the following acts by or on behalf of an insurer shall be deemed to constitute a waiver of any provision of a policy. . . (3) Investigating any loss or claim under any policy or engaging in negotiations looking toward a possible [91]*91settlement of any such loss or claim.” Here, however, there is more, for the defendant, when directly called upon to deny, if it wished to, that the company admitted liability for the loss and contested only the amount, replied by stating merely that it had been authorized to offer a stated amount. This constituted a definite admission of liability. “In the ordinary course of business, when good faith requires an answer, it is the duty of the party receiving a letter from the other to answer within a reasonable time. Otherwise he is presumed to admit the propriety of the acts mentioned in the letter of his correspondent, and to adopt them.” Code § 38-120. Obviously, between October 21, 1963, when the loss occurred, and March 19, 1964, when the plaintiff received the assignment from the named insured, the company if it desired proof of loss forms would normally have forwarded them for completion to Glover, the named insured, rather than to the plaintiff.

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Progressive Mutual Insurance v. Burrell Motors, Inc.
143 S.E.2d 757 (Court of Appeals of Georgia, 1965)

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Bluebook (online)
143 S.E.2d 757, 112 Ga. App. 88, 1965 Ga. App. LEXIS 611, Counsel Stack Legal Research, https://law.counselstack.com/opinion/progressive-mutual-insurance-v-burrell-motors-inc-gactapp-1965.