Rhine v. New York Life Insurance

248 A.D. 120, 289 N.Y.S. 117, 1936 N.Y. App. Div. LEXIS 6089
CourtAppellate Division of the Supreme Court of the State of New York
DecidedJune 23, 1936
StatusPublished
Cited by21 cases

This text of 248 A.D. 120 (Rhine v. New York Life Insurance) is published on Counsel Stack Legal Research, covering Appellate Division of the Supreme Court of the State of New York primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Rhine v. New York Life Insurance, 248 A.D. 120, 289 N.Y.S. 117, 1936 N.Y. App. Div. LEXIS 6089 (N.Y. Ct. App. 1936).

Opinion

Dore, J.

Plaintiff, as holder of one of defendant’s insurance • policies containing both life and disability insurance, sues under section 195 of the Civil Practice Act on behalf of herself and all other holders of similar policies issued by defendant between 1917 and 1934. The question presented is whether, during the years 1931 to 1935, the defendant failed to apportion equitably its divisible surplus among its policies or made an unlawful discrimination when it paid smaller dividends on its policies providing life and disability insurance than on policies, otherwise similar, providing only life insurance.

While the amount in dispute between the parties is trivial, the vast majority of New York Life policies contain disability benefits, approximately 1,600,000, as against 1,000,000 providing life insurance only; hence, if a legal wrong was done to plaintiff a similar wrong was done to the 1,600,000 holders of similar policies, and this alleged wrongful discrimination against her and all other holders of similar disability policies involves, for the years in question alone, approximately $15,000,000 in dividends.

The agreed statement of facts contains, in two volumes, a vast mass of detailed information regarding the types of policies involved; the basis, nature and principles of mutual fife insurance; the history and experience of the company; the basis, elements and factors in the computation of premiums, the creation and ascertainment of divisible surplus and the apportionment of dividends, with specific illustrations of the application of such factors over a wide range of experience; the company’s detailed policy records, long tables of figures, statistics and actuarial computations, etc. Such broad and complicated factual basis cannot, within reasonable compass, be discusséd _m any detail in a judicial opinion. Accordingly, the court will give only such summary of the salient facts as is necessary intelligently to present and discuss the issues, before pronouncing the conclusion of the court thereon.

Plaintiff originally had a $2,000 life plus disability policy issued by defendant on June 13, 1927. Subsequently, she surrendered this policy for two policies of $1,000 each, on one of which premiums are payable annually, and on the other semi-annually. For con[122]*122venience in making comparisons and contrasts with other policies,' plaintiff’s $1,000 twenty-payment policy providing both life insurance and disability insurance, for a total annual premium of $30.30, will be called herein the “ disability policy; ” and a policy issued at the same time and the same age and under generally the same conditions, but providing only life insurance and without provisions for disability, will be called the non-disability policy.”

Plaintiff’s disability policy contains: (1) Life insurance, i. e., the company’s promise to pay $1,000 on the death of the insured (and the terms and conditions relating to such life insurance are identical with those contained in all other similar life insurance agreements made at the same time by defendant, whether in policies providing only life insurance or in policies providing both life and disability insurance); and, in addition, (2) disability benefits under the terms of which, on receipt of proof that the insured is totally and permanently disabled before sixty, the company agrees to pay the insured ten dollars per month each month (i. e., one per cent of the face of the policy each month) and also agrees to waive payment of premiums falling due during the period of disability. The annual premium is stated to be $30.30. This total premium includes the fife insurance and the disability benefits. The policy expressly provides:

“ The total premium stated on the first page hereof includes an annual premium of $2.96 for Disability Benefits.
“ Any premium due on or after the anniversary of the policy on which the age of the Insured at nearest birthday is sixty, will be reduced by the amount of premium charged for Disability Benefits. Upon written request signed by the Insured and upon return of this policy for proper indorsement, the Company will terminate this provision and thereafter the premium shall be reduced by the amount charged for Disability Benefits.”

Under these terms, on termination of the disability benefits, plaintiff’s premium would accordingly be reduced to $27.34, the exact amount of the premium on a similar non-disability policy. The policy’s provision as to dividends reads as follows:

Participation in Surplus — Dividends
The proportion of divisible surplus accruing upon this Policy shall be ascertained annually. Beginning at the end of the second insurance year, and on each anniversary thereafter, such surplus as shall have been apportioned by the Company to this Policy shall at the option of the Insured be either ” paid in cash; applied toward payment of premiums; applied to purchase of participating paid-up addition to the sum insured; or left to accumulate as a dividend deposit.

[123]*123No default has occurred in plaintiff’s performance of the terms and conditions of her policies, and such policies are in full force and effect.

The defendant New York Life Insurance Company (hereinafter referred to as “ the Company ”) is and has been since its inception in 1845 a mutual life insurance company with no capital stock, engaged in the insurance business in what is called the co-operative or mutual plan. Under such mutual plan, all the members pay regular fixed sums or premiums into the company fund, the sums being based on age and character of insurance desired; the company’s officers manage the money, investing and reinvesting, paying out death and disability claims, matured endowments, surrender values, loans, taxes, expenses, etc., and set aside as a reserve fund the amount required by law, calculated mathematically, to be held for future protection of the members, and after setting aside funds sufficient to cover other liabilities (such as unpaid death and disability claims and other amounts embraced in a contingency reserve), return what is left over to the members annually, as their equitable share of divisible surplus. The share so distributed is called a dividend.

Since 1845 the company has issued policies covering over 6,000,000 policyholders whose lives have been insured in sums aggregating over $18,000,000,000, and it has paid to the policyholders nearly $3,000,000,000 in death and disability claims, matured endowments and surrender values, and over $1,000,000,000 in cash dividends. During the past eight years (1927 to 1934, inclusive), the company paid to its policyholders (1) over $1,100,000,000 in death, disability and other policy claims, and (2) about $480,000,000 in dividends; and it apportioned to pay to its policyholders in 1935 about $46,000,000 in dividends. In 1935 the company had over 2,000,000 policyholders, insured to the extent of about $6,661,000,000, who receive dividends annually.

Under the mutual plan, in order to provide for unforeseen contingencies, the premium to be paid by a member is fixed by the company at an amount somewhat in excess of that which the company anticipates will be necessary to cover the cost of the insurance. The member pays that amount in advance, but later receives such excess payment, if any, as a dividend, and thus gets the insurance at cost.

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

Related

Reilly v. NatWest Markets Group Inc.
181 F.3d 253 (Second Circuit, 1999)
Dryden v. Sun Life Assur. Co. of Canada
737 F. Supp. 1058 (S.D. Indiana, 1989)
Bistrian Gravel Corp. v. Wainscott Northwest Associates
116 A.D.2d 681 (Appellate Division of the Supreme Court of New York, 1986)
Spence v. Medical Mutual Liability Insurance Society
500 A.2d 1066 (Court of Special Appeals of Maryland, 1985)
Pioneer Transportation Corp. v. Kalajian
122 Misc. 2d 412 (New York Supreme Court, 1984)
First Savings & Loan Ass'n v. American Home Assurance Co.
35 A.D.2d 344 (Appellate Division of the Supreme Court of New York, 1970)
Fidelity & Casualty Co. v. Metropolitan Life Insurance
42 Misc. 2d 616 (New York Supreme Court, 1963)
McQuade v. Thacher
23 Misc. 2d 643 (New York Supreme Court, 1960)
Curran v. John Hancock Mutual Life Insurance
10 Misc. 2d 904 (New York Supreme Court, 1958)
American Surety Co. v. Rosenthal
206 Misc. 485 (New York Supreme Court, 1954)
Chastang v. Mutual Life Ins.
65 N.E.2d 873 (Ohio Court of Appeals, 1946)
Lubin v. Equitable Life Assurance Society of United States
61 N.E.2d 753 (Appellate Court of Illinois, 1945)
Pratt v. Mutual Life Insurance
145 P.2d 113 (Supreme Court of Kansas, 1944)
Maynard v. Mutual Life Ins. Co.
165 S.W.2d 385 (Tennessee Supreme Court, 1942)
Blackburn v. Home Life Insurance
120 P.2d 31 (California Supreme Court, 1941)
Barnett v. Metropolitan Life Insurance
258 A.D. 241 (Appellate Division of the Supreme Court of New York, 1939)
Lipsman v. Reich
173 Misc. 294 (New York Supreme Court, 1939)
Florence v. Metropolitan Life Insurance
171 Misc. 878 (City of New York Municipal Court, 1939)
Rubin v. Metropolitan Life Insurance
251 A.D. 382 (Appellate Division of the Supreme Court of New York, 1937)

Cite This Page — Counsel Stack

Bluebook (online)
248 A.D. 120, 289 N.Y.S. 117, 1936 N.Y. App. Div. LEXIS 6089, Counsel Stack Legal Research, https://law.counselstack.com/opinion/rhine-v-new-york-life-insurance-nyappdiv-1936.