Rogers v. Great Northern Life Ins. Co.

279 N.W. 906, 284 Mich. 660, 1938 Mich. LEXIS 551
CourtMichigan Supreme Court
DecidedJune 6, 1938
DocketDocket No. 18, Calendar No. 39,894.
StatusPublished
Cited by13 cases

This text of 279 N.W. 906 (Rogers v. Great Northern Life Ins. Co.) is published on Counsel Stack Legal Research, covering Michigan Supreme Court primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Rogers v. Great Northern Life Ins. Co., 279 N.W. 906, 284 Mich. 660, 1938 Mich. LEXIS 551 (Mich. 1938).

Opinion

Potter, J.

Plaintiff sued defendant to recover benefits under an accident insurance policy issued *662 by defendant covering her husband, Earl T. Rogers. The policy was issued June 10, 1935, and insured Earl T. Rogers against death by accidental means. Deceased was killed in an automobile accident July 18, 1935, while the policy was in full force and effect. The policy provided that in such event defendant would pay the beneficiary named in the policy $1,000. It has not paid it.

Plaintiff had no knowledge of the existence of the policy at the time of her husband’s death. After his death, she made a search of his papers but did not locate the policy. She has never found it. Plaintiff learned of the possibility of the existence of the policy in July, 1936, through John Hekman, president of the Hekman Biscuit Company by whom her husband had been employed. The Hekman Biscuit Company furnished its employee, Rogers, membership in the Automobile Club of Michigan. As a member of the club, deceased was issued the insurance policy involved, which is a part of the benefit derived from membership. Mr. Hekman, in conversation with Mr. Grashorn, Grand Rapids manager of the Automobile Club of Michigan, asked whether Rogers was covered by an accident policy. Grashorn agreed to investigate, and July 10, 1936, wrote Hekman that he had written the club’s Detroit office and found Rogers was covered under an accident policy at the time of his death, and asked that he be sent a complete account and newspaper clippings concerning the death. Grashorn said accidental death under the terms of the policy must be reported within 20 days, but the Detroit office of the club would do all it could to get the claim accepted. Hekman wrote Grashorn July 14, 1936, inclosing a newspaper account of the circumstances of death and explained that plaintiff knew nothing of the *663 existence of the policy and did not have it in her possession at any time. July 22, 1936, the assistant claims manager of the Detroit Automobile Inter-Insurance Exchange, D. N. Tanner, Jr., wrote Mr. C. O. Pauley, secretary of defendant, stating it had received word that Rogers was killed in an automobile accident about a year before, that he had a policy with the defendant, that the beneficiary, Mrs. Rogers, his widow, did not until recently learn there was such a policy issued by defendant, and requested instructions relative to whether it would be satisfactory for it to accept affidavits from the beneficiary, the undertaker, et cetera. July 23, 1936, Mr. Pauley wrote to Mr. Tanner stating defendant would not want to acknowledge any liability or waive any of the provisions of the policy with regard to notice or proofs of loss unless the circumstances were very unusual or until “we had an opportunity to investigate the facts.” He asked that a copy of Hekman’s letter and any other correspondence with anyone representing the beneficiary be sent to him and said the case would be looked into and a decision given as promptly as possible. July 29,1936, Pauley wrote Tanner acknowledging receipt of his letter of July 25, 1936, in which was inclosed Hekman’s letter to the Detroit Automobile Inter-Insurance Exchange, together with newspaper clippings. He said he intended to spend a day in Detroit during the month of August and they might discuss the matter personally at that time. He suggested that Tanner write Hekman that defendant, and not the Automobile Club of Michigan, would have to decide the question of liability; also to write him “that you expect an officer of the Great Northern Life Insurance Company to be in Detroit some time soon,'at which time this matter will be discussed and he will *664 be advised as to the company’s attitude.” His letter ended with this statement “Since there has already been a delay of a year in notifying us, further delay will not work any hardship to anyone. ’ ’ November 3, 1936, Pauley wrote Hekman that defendant could not recognize any liability under the policy in view of the failure of the beneficiary to comply with the standard provisions Nos. 4, 5, 6 and 7 of the policy. These provisions provided substantially as follows:

“4. Written notice of injury on which claim may be based must be given to the company within 20 days after the date of the accident causing such injury. In event of accidental death immediate notice thereof must be given to the company.
“5. Such notice given by or in behalf of the insured or beneficiary, as the case may be, to the company at Westminster building, Chicago, Illinois, or to any authorized agent of the company, with particulars sufficient to identify the insured, shall be deemed to be notice to the company. Failure to give notice within the time provided in this policy shall not invalidate any claim if it shall be shown not to have been reasonably possible to give such notice and that notice was given as soon as was reasonably possible.
“6. The company, upon receipt of such notice, will furnish to the claimant such forms as are usually furnished by it for filing proofs of loss. If such forms are not so furnished within 15 days after the receipt of such notice, the claimant shall be deemed to have complied with the requirements of this policy as to proof of loss upon submitting within the time fixed in the policy for filing proofs of loss, written proof covering the occurrence, character and extent of- the loss for which claim is made.
“7. Affirmative proof of loss must be furnished to the company at its said office in case of claim *665 for loss of time from disability -within 90 days after the termination of the period for which the company is liable, and in case of claim for any other loss within 90 days after the date of.such loss.”

In his letter, Panley said:

“In view of the large benefits provided in the policy in proportion to the premium paid, the Great Northern Life Insurance Company feels that the policyholder and the beneficiary should be held to strict compliance with the terms of the policy and therefore incorporated in the policy the following: ‘Strict compliance on the part of the insured and beneficiary with all of the provisions of this policy is a condition precedent to recovery hereunder, and any failure in this respect will forfeit to the company all rights to any indemnity.’ ”

November 10, 1936., Ilekman wrote Pauley expressing his displeasure concerning defendant’s decision, to which Pauley replied on November 16, 1936, with a further explanation of the reasons for the company’s decision.

February 5, 1937, suit was instituted by plaintiff. After appearance of defendant, and declaration filed, defendant filed an answer on April 2, 1937, in which affirmative defenses were set up based on the provisions in the policy relative to notice, proof of claims, and strict compliance with the terms of the policy, as mentioned above. Plaintiff replied, setting up her lack of knowledge of the existence of the policy, search of deceased’s papers, and the diligence, after she learned her husband had been insured, in giving notice to defendant, and that it was not reasonably possible for her to-do so before that time.

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Bluebook (online)
279 N.W. 906, 284 Mich. 660, 1938 Mich. LEXIS 551, Counsel Stack Legal Research, https://law.counselstack.com/opinion/rogers-v-great-northern-life-ins-co-mich-1938.