Rosin v. Peninsular Life Insurance Company

116 So. 2d 798
CourtDistrict Court of Appeal of Florida
DecidedJanuary 6, 1960
Docket1263
StatusPublished
Cited by11 cases

This text of 116 So. 2d 798 (Rosin v. Peninsular Life Insurance Company) is published on Counsel Stack Legal Research, covering District Court of Appeal of Florida primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Rosin v. Peninsular Life Insurance Company, 116 So. 2d 798 (Fla. Ct. App. 1960).

Opinion

116 So.2d 798 (1960)

Elsie P. ROSIN and Simon Rosin, As Executors of the Estate of Marcus Aurel Rosin, Deceased, Appellants,
v.
PENINSULAR LIFE INSURANCE COMPANY, a Florida Corporation, Appellee.

No. 1263.

District Court of Appeal of Florida. Second District.

January 6, 1960.

*799 Harvey J. Abel, Joseph B. Cramer, Rosin & Paderewski, Sarasota, for appellants.

Clyde H. Wilson, Sarasota, and Wayne K. Ramsay; Milam, LeMaistre, Ramsay & Martin, Jacksonville, for appellee.

ALLEN, Chief Judge.

This action at law was instituted by the appellants, as plaintiffs in the lower court, in 1953 and is a companion case to Peninsular Life Insurance Company v. Rosin, Fla.App. 1958, 104 So.2d 792, and involves substantially the same parties and factual situation. The above reported case was filed on the same day as the instant suit and was filed by Elsie P. Rosin in her individual capacity as the named beneficiary in the application for insurance. Whereas in the instant suit, the plaintiffs are Elsie P. Rosin and Simon Rosin, Executors of the Estate of Marcus A. Rosin. Both cases originally sought similar relief but at the final hearing in the previous case the equitable grounds of relief were abandoned and the issue was limited to the construction of the application for insurance and the conditional receipt made a part thereof.

Following the decision of this court in the prior reported case, the present plaintiffs revived the instant action at law with their repleader of bill of complaint and an amendment thereto. This complaint alleged that on December 26, 1952, decedent Marcus Rosin signed a written application for a ten year term life insurance policy with appellee-defendant. The policy was in the face amount of $20,000 and provided for double indemnity in the event of death by accident. The decedent paid the defendant $85, the first annual premium and in return the decedent received from defendant a document entitled "Conditional Receipt." The complaint further alleged that defendant's agent in Sarasota reported to defendant on December 26, 1952, that decedent Rosin "was a desirable risk in all respects"; that defendant received the above applications and payment on December 31, 1952; that decedent submitted to two physical examinations at defendant's request on January 13, 1953, which found decedent in good health; and that defendant received all of these reports on January 16, 1953.

*800 The decedent was killed in an automobile accident on January 20, 1953, and immediately thereafter the defendant was notified. Upon being presented with a claim under this insurance policy, the defendant denied liability, and tendered back the premium which was refused by the beneficiary. The plaintiffs concluded the complaint with an allegation that defendant was guilty of fraud thereby damaging plaintiffs in the amount of $40,000.

The defendant filed an answer to the above complaint alleging that no action was customarily taken on policies such as this until all of the medical reports are received in the home office; that the reports were not forwarded in this case until January 15, 1953; that the reports were received in the home office on Friday, January 16, 1953, and that during its normal course of procedure the application could not have been processed by the date of decedent's death on January 20, 1953; and that, in fact, other applications received on the same date were not processed until as late as March 30, 1953. The defendant also set up its failure to issue an actual policy of insurance to decedent as a defense.

The plaintiffs then filed an amendment to the repleader bill of complaint which deleted paragraph 18 of the repleader bill of complaint and substituted in lieu thereof the following:

"18. That on and prior to December 26, 1952 said Marcus Aurel Rosin was desirous of additional insurance of the type and in the amount referred to herein and on December 26, 1952, made application to the defendant as above set forth for such policy. At the time said application was so made and the above quoted receipt was issued the defendant through its agent Forrest Freeman represented to said Rosin that if he, the said Rosin, successfully passed a medical examination an insurance policy would be issued of the type and in the amount above referred to, which said representation was made by the defendant through its agent Forrest Freeman for the purpose of inducing the said Rosin to make application for said insurance, pay the initial premium and submit to a medical examination. That the defendant, at the time said representation was made to the said Rosin, knew that the same was not true and knew that it would not issue such an insurance policy regardless of the receipt of the initial premium and of the said Rosin successfully passing the medical examination. Said Rosin believed said representation to be true and in reliance thereon made said application, paid the initial premium, secured the receipt above referred to and submitted himself to medical examination which he successfully passed. That he and his estate, in view of the facts hereinabove alleged that the defendant knew it would not issue such policy and some time after the death of said Rosin did undertake to disapprove and refuse to issue said policy, was injured thereby as were the plaintiffs herein and, among other things, said Rosin from the time of the application to said defendant for such policy until the date of his death did forego the right and opportunity which he had to make application to another insurance company for a policy of like type and like amount. That therein and thereby defendant was guilty of fraud and negligence upon the decedent and said decedent and the plaintiffs herein have been damaged in the sum of $40,000.00."

The defendant answered denying all allegations of the amended answer. The defendant then filed a motion for summary judgment; a motion for a repleader; a motion to strike, and a motion to dismiss. After argument by both sides the lower court entered an order on February 27, 1959, dismissing the complaint and since plaintiff did not desire to plead further, the court entered a final judgment in favor of defendant. The final order stated that the *801 complaint failed to state a cause of action against the defendant; that the complaint failed to state a cause of action that survived the decedent or could be brought by his personal representatives; and that the pleadings do not warrant recovery on estoppel, fraud, delay, or any other theory under which the complaint may have been drafted.

The question of whether an insurance company is under a duty to act upon an application for insurance within a reasonable time and that violation of this duty, with resultant damages, subjects the company to liability for negligence has not been passed upon by the Supreme Court of this State.

Insurance is a contract, which like other contracts, results only from an offer and an acceptance of the offer. There is a conflict in the authorities as to whether legal obligations arise only after a contract of insurance has been made, or whether in certain circumstances a legal duty arises, from the relationship created during the negotiations between an applicant for insurance and the insurance company, to act promptly upon the application, and to inform the applicant whether the offer is accepted or rejected. There are essentially two main lines of decisions dealing with these questions.

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

Related

Campbell v. HOUSEHOLD LIFE INSURANCE COMPANY
77 So. 3d 772 (District Court of Appeal of Florida, 2011)
Trief v. American General Life Insurance
444 F. Supp. 2d 1266 (S.D. Florida, 2006)
Life Ins. Co. of N. Am. v. Cichowlas
659 So. 2d 1333 (District Court of Appeal of Florida, 1995)
Nu-Air Manufacturing Co. v. Frank B. Hall & Co.
822 F.2d 987 (Eleventh Circuit, 1987)
Independent Life and Acc. Ins. Co. v. McKenzie
503 So. 2d 376 (District Court of Appeal of Florida, 1987)
Huberman v. John Hancock Mut. Life Ins. Co.
492 So. 2d 416 (District Court of Appeal of Florida, 1986)
La Quay v. Union Fidelity Life Insurance
403 So. 2d 1359 (District Court of Appeal of Florida, 1981)
Roy v. United Benefit Life Insurance
314 So. 2d 817 (District Court of Appeal of Florida, 1975)
Berher, Ltd. v. Fidelity General Insurance
202 So. 2d 615 (District Court of Appeal of Florida, 1967)
Weatherford v. Allstate Insurance
26 Fla. Supp. 97 (Hillsborough County Circuit Court, 1965)

Cite This Page — Counsel Stack

Bluebook (online)
116 So. 2d 798, Counsel Stack Legal Research, https://law.counselstack.com/opinion/rosin-v-peninsular-life-insurance-company-fladistctapp-1960.