Prudential Insurance Company of America, a Corporation v. William J. Burch and Lorene A. Burch

268 F.2d 159
CourtCourt of Appeals for the Eighth Circuit
DecidedJuly 20, 1959
Docket16126_1
StatusPublished
Cited by3 cases

This text of 268 F.2d 159 (Prudential Insurance Company of America, a Corporation v. William J. Burch and Lorene A. Burch) is published on Counsel Stack Legal Research, covering Court of Appeals for the Eighth Circuit primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Prudential Insurance Company of America, a Corporation v. William J. Burch and Lorene A. Burch, 268 F.2d 159 (8th Cir. 1959).

Opinion

VOGEL, Circuit Judge.

Lorene A. Burch and William J. Burch, plaintiffs, designated beneficiaries in a $10,000 decreasing term life insurance policy issued by the Prudential Insurance Company of America, defendant, to Mrs. Burch’s son, William J. Fisher, as the insured, brought this action upon refusal of Prudential to make payment following the insured’s death. The policy also contained a $5,000 face amount benefit which was admittedly paid without controversy as extended insurance. Such portion of the policy is not involved herein. The only question in the case is whether the policy for decreasing term life insurance had expired for non-payment of premium prior to the insured’s death on April 22, 1956. The District Court held that it had not expired, Burch v. Prudential Insurance Co. of America, D.C.W.D.Mo.1958, 165 F.Supp. 909. This appeal followed.

On July 14, 1955, William J. Fisher, the insured, applied for the insurance involved, paid the first full monthly premium of $10.25 and signed Part 1 of *160 the application, which, among other things, provided:

“THE UNDERSIGNED AGREE(S) THAT: (1) the matter contained in Parts 1 and 2 of this application shall become a part of the policy hereby applied for; * * * (8) an acceptance by the proposed insured or by the applicant if other than the proposed insured of any policy issued on this application shall constitute an approval of the provisions contained in such policy * * *; (4) if the full first premium on the policy applied for is paid at the time of signing Part 1 of this application and if the completed Part 1 and completed Part 2 of this application and such other information as may be required by the Company are received by the Company at one of its Home Offices and if the Company determines to its satisfaction that the proposed insured was insurable on the date of Part 1 or 2, whichever is the later, on the plan for the amount and at the premium rate applied for, the insurance in accordance with and subject to the terms and conditions of the policy applied for shall take effect as of the date of Part 1 or 2, whichever is the later (or an earlier date if requested in this application and permitted by the rules of the Company) except that if on request the policy is to bear a date later than both Parts 1 and 2, no insurance shall take effect until such later date and then only if the proposed insured’s health, habits and occupation and any other conditions remain as described in this application to such later date; (5) unless the insurance takes effect in accordance with the immediately preceding agreement ‘4’, no insurance shall take effect unless a policy is issued by the Company and received by the proposed insured * * * and the full first premium thereon is paid, all while the proposed insured’s health, habits and occupation and any other conditions remain as described in this application, in which case the insurance shall be deemed to have taken effect as of the date on the face of the policy.”

At the same time the company’s agent, Larsen, filled out and left with the insured a printed form of premium receipt, Plaintiffs’ Exhibit 4, which contained substantially the same language but in addition the following:

“In all cases where the insurance does not take effect in accordance with the preceding paragraph, the above payment will be refunded by the Company unless a policy is issued and delivered by the Company to the applicant and accepted by the latter.”

Agent Larsen testified that at the time the application was signed by the insured the following conversation was had:

“Q. At that time, what, if anything, was said during the conversation either by you or Mr. Fisher or Mrs. Burch regarding the effective date of insurance — in other words, when he would become insured? A. I don’t recall whether William Fisher brought it up or I brought it up. I always state to my policyholders, as I did in that case, ‘If this insurance is approved by the company, it goes into immediate effect when you pay your advance premium on the application.’
“Q. Which he did do at that time ?
A. Yes, sir.”

On July 20, 1955, Fisher, the insured, was examined by a physician, who then completed Part 2 of the application, which was forwarded to the company’s regional home office in Houston, Texas.

Ralph E. Fain, an associate counsel for the company, testified that this application was .first received in Prudential’s Houston underwriting department on August 12, 1955, approved for policy issue on August 17, 1955, and the policy issued at Houston with the policy date of August 19, 1955. As to the wherefore of the policy date, he explained:

“Q. * * * For what reason, if you please, was August 19, 1955, placed upon the face of that policy, sir? A. It was placed upon there because more than 21 days had elapsed between the date of the application and the approval of the *161 policy or the application in the Underwriting Division.
“Q. Is that in accordance with written, printed and published rules of the company? A. Yes.
* * •» * * *
“Q. Do you know the purpose for that rule? A. Yes, because it is a service to the policyholders. If there is a delay in the issuance of the policy, quite frequently, the policyholder would feel that he has not needed the insurance since he has not died in the interim period of time and would request many times, that the policy be dated at the current date. So, to avoid that, we date it at ! the date of issue. That really, in I effect, gives him free insurance for ’ that particular period of time.”

The policy was delivered on or after August 22, 1955, the latter being the date it was received by mail in the Kansas City District Office. On the first page the policy date was given as August 19, 1955, the first premium as $10.25, and the premium “due date September 19, 1955, and the 19th day of each month thereafter during the lifetime of the insured.” On page 2, under “Payment of Premiums,” the policy provided:

“The first premium, in the amount stated on the first page hereof, is payable on the delivery of this Policy. * * * subsequent premiums shall be payable in the amounts and on the due dates specified on the first page hereof, * * *. Any premium not paid when due shall be deemed to be in default. Except as provided in this Policy, the payment of any premium shall not maintain this Policy in force beyond the date when the next premium becomes due.” (Emphasis supplied.)

A grace period of 31 days was provided on page 2. Page 7 contains the following :

“Contract. — This Policy is issued in consideration of the Application herefor and of the payment of premiums as provided herein.”

Many times throughout the policy the “Policy Date” (August 19, 1955) is referred to. 1

Free access — add to your briefcase to read the full text and ask questions with AI

Related

Cite This Page — Counsel Stack

Bluebook (online)
268 F.2d 159, Counsel Stack Legal Research, https://law.counselstack.com/opinion/prudential-insurance-company-of-america-a-corporation-v-william-j-burch-ca8-1959.