Prudence Mutual Casualty Insurance v. Switzer

175 So. 2d 476, 253 Miss. 143, 19 A.L.R. 3d 946, 1965 Miss. LEXIS 976
CourtMississippi Supreme Court
DecidedMay 17, 1965
Docket43509
StatusPublished

This text of 175 So. 2d 476 (Prudence Mutual Casualty Insurance v. Switzer) is published on Counsel Stack Legal Research, covering Mississippi Supreme Court primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Prudence Mutual Casualty Insurance v. Switzer, 175 So. 2d 476, 253 Miss. 143, 19 A.L.R. 3d 946, 1965 Miss. LEXIS 976 (Mich. 1965).

Opinion

*147 Brady, Tom P., J.

, This is an appeal from a judgment of the Circuit Court of Humphreys County, Mississippi in favor of the appellee, Mrs. Mervin Crawford Switzer, against the appellant, Prudence Mutual Casualty Company. The judgment was for the sum of $10,000 for the accidental death of appellee’s husband under the provisions of an accident-insurance policy issued by the appellant in which the appellee was named a beneficiary. The issue was *148 submitted to the jury and a verdict was returned in favor of the appellee, Mrs. Switzer. It is from this judgment that the appellant has appealed.

The material facts in the case at bar are not in dispute, and briefly are these: On January 16, 1963, Mr. B. J. Burgess, a soliciting agent of the Prudence Mutual Casualty Company, hereinafter called Prudence, contacted Mr. William A. Switzer, Jr., and prevailed upon him to submit an application for a health and accident insurance policy. This policy was an accident policy in the amount of $5,000 and provided for double indemnity in the event of death resulting from an automobile accident. At the time Mr. Switzer signed the application for the insurance policy, he also issued his check to the appellant for a semi-annual premium in the amount of $131, receiving from Mr. Burgess a receipt for the premium payment. The receipt contained the following provision: “No obligation is incurred by the Company unless said application is approved by the Company at its Home Office and a contract issued and delivered during the lifetime and good health of the applicant.” The check was deposited on January 21, 1963, and was paid in the usual course of business.

Mr. Switzer’s application was promptly mailed to the home office in Chicago. The policy was approved on February 7, with the effective date of February 8, 1963, being placed on it. The policy was mailed back to Jackson, Mississippi, where it was countersigned on February 17 by appellant’s resident agent in Mississippi.

On February 23, the policy was picked up from the Jackson office by Mr. Burgess, the soliciting agent, in order to deliver it to Mr. Switzer. On February 27, still not having delivered the policy to Mr. Switzer, Mr. Burgess learned of Mr. Switzer’s death, which had occurred on the previous day. Mr. Burgess immediately called the Jackson office and talked to the resident agent, who instructed him to mail the policy back to *149 Jackson. On February 28, two days subsequent to the death of Mr. Switzer, appellant’s resident agent wrote a letter to Mr. Switzer advising him that his application for insurance had been declined.

Appellee, Mrs. Switzer, subsequently brought suit alleging that a valid contract of insurance had been consummated. Appellant admitted that it issued its policy pursuant to the application and admitted that the policy was duly countersigned by its resident agent in Mississippi and that the policy contained a notation that the effective date was February 8, 1963.

However, appellant relied on the provision in the premium receipt requiring delivery of the policy during the lifetime and good health of the applicant before any obligation was to be incurred by the company. Appellant contended that Mr. Burgess explained carefully to Mr. Switzer the significance of this provision. Mr. Burgess testified that he had underlined in pencil in Mr. Switzer’s presence that portion of the receipt containing the requirement of delivering during the applicant’s lifetime and in good health. Appellant asserts that the intention of the parties at the time the insurance application was submitted should control.

The case was submitted to the jury, which brought in a verdict for the appellee, with double indemnity, in the sum of $10,000. The appellant asserts that actual delivery of the policy during the lifetime and good health of the applicant was a condition precedent to any obligation of the company and cites as error that the lower court erred in overruling appellant’s motion for a directed verdict; that the lower court erred in instructing the jury for the plaintiff that the premium receipt did not constitute any part of the contract in this case; and that the instructions granted the appellee, which in effect instructed the jury that the plain-, tiff was entitled to recovery if a constructive delivery *150 had been effected, were erroneous. Several other errors were assigned which we do not need to consider.

We hold that in order for the “delivery in good health” requirement to be valid, such a provision must be contained in the policy, itself, or attached to the policy as part of the contract of insurance.

Mississippi Code Annotated section 5687-03 (1956), “Accident and sickness policy provisions,” provides:

(A) Required provisions. Except as provided in ■paragraph (C) of this Section, each such policy delivered or issued for delivery to any person in this State shall contain the provisions specified in this subsection in the words in which the same appear in this Section.....

(1) A provision as follows:

Entire contract .... This policy, including the endorsements and the attached papers, if any, constitutes the entire contract of insurance. . . .

This statutorily required provision was contained in Part 11 of appellant’s insurance contract. The record discloses that the application for the insurance was attached and made a part of the policy. However, the premium receipt was not attached and thus was not made a part of the policy or a part of the contract of insurance.

If the delivery in good health provision had been inserted in the application and the application was not attached, to the policy, then under Mississippi Code Annotated section 5687-05(A) (1957) such provision would not be binding. See Scott v. National Bankers Life Ins. Co., 253 SW 2d 485 (Tex. Civ. App. 1952); Adams v. Lasalle Life Ins. Co., 99 SW 2d 386 (Tex. Civ. App. 1936); I Couch, Insurance 2d sec. 11.3 (1959).

While the Legislature may have had many reasons for enacting the “entire contract” requirement provision, it is obvious that one purpose was to require that any agreements or conditions modifying insurer’s *151 obligations must be included in tbe policy, itself, or attached thereto, and not contained in any collateral agreements or understandings. The premium receipt urged by the appellant here does not fall within the sanction of this statutory requirement. It is outside of the intention of the Legislature. The application and the policy, itself, provided solely for the issuance of the policy and did not call for a manual delivery of the policy to the insured during his lifetime or good health. The requirement of delivery in good health is an attempt to modify the obligations of the insurer and, as such, falls without the spirit of section 5687-03 (A) (1) that all such modifications be contained in, or attached to, the policy of insurance.

Appellant relies heavily on Cauthen v. National Bankers Life Insurance Company, 228 Miss. 411, 88 So. 2d 103 (1956).

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Related

Scott v. National Bankers Life Ins. Co.
253 S.W.2d 485 (Court of Appeals of Texas, 1952)
Cauthen v. National Bankers Life Insurance
88 So. 2d 103 (Mississippi Supreme Court, 1956)
Lincoln Income Life Insurance Company v. Mayberry
341 S.W.2d 199 (Court of Appeals of Texas, 1960)
Adams v. Lasalle Life Ins. Co.
99 S.W.2d 386 (Court of Appeals of Texas, 1936)
Reese v. American National Ins.
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56 Miss. 643 (Mississippi Supreme Court, 1879)
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New York Life Ins. v. Smith
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Bluebook (online)
175 So. 2d 476, 253 Miss. 143, 19 A.L.R. 3d 946, 1965 Miss. LEXIS 976, Counsel Stack Legal Research, https://law.counselstack.com/opinion/prudence-mutual-casualty-insurance-v-switzer-miss-1965.