Schaefer v. California-Western States Life Insurance

262 Cal. App. 2d 840, 69 Cal. Rptr. 183, 1968 Cal. App. LEXIS 2375
CourtCalifornia Court of Appeal
DecidedJune 11, 1968
DocketCiv. 31898
StatusPublished
Cited by5 cases

This text of 262 Cal. App. 2d 840 (Schaefer v. California-Western States Life Insurance) is published on Counsel Stack Legal Research, covering California Court of Appeal primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Schaefer v. California-Western States Life Insurance, 262 Cal. App. 2d 840, 69 Cal. Rptr. 183, 1968 Cal. App. LEXIS 2375 (Cal. Ct. App. 1968).

Opinion

*842 FOURT, J.

John M. Schaefer appeals the determination of the trial court that he did not properly receive a permanent waiver of life insurance policy premiums and that the issuer, California-Western States Life Insurance Company (hereinafter sometimes referred to as Cal-Western) is entitled to reformation of the policy on grounds of mutual mistake.

Appellant contends that the incontestability clause of the policy precludes Cal-Western from obtaining reformation on the ground of mutual mistake more than two years following the issuance of the policy; that the action for reformation is barred by the statute of limitations; and that the facts disclose only Cal-Western’s unilateral mistake which is not-sufficient grounds for reformation. These contentions are without merit.

The evidence discloses that in 1952 appellant's father, who had then been an agent for Cal-Western for almost 20 years, applied for and was issued a $5,000 “Junior Estate Builder” policy on the life of appellant, then about 14'years old. The policy provided for a $5,000 payment if the insured died prior to the policy anniversary date nearest his 21st birthday. If the insured survived that date, the insurance coveragé increased to $25,000 and under the terms of the policy, control and ownership thereof passed from the payor and purchaser to the insured, appellant in the instant case.

The elder Mr. Schaefer, who was one of Cal-Western’s most able and experienced sales agents, was thoroughly familiar with the policies offered by the company and with the peculiar advantages of the policy he purchased for his son. In 1953 he obtained in connection with this policy, an additional benefit which provided that if he died before the policy anniversary nearest his son’s 25th birthday, premiums would be waived until that date. This benefit, known as “payor insurance”- ife in fact insurance on the father’s life because it would provide benefits insuring that the policy would remain in force without payment of premiums in the event of the father’s death and until the insured had the opportunity to complete his education, as occurred in this instance.

Cal-Western issued to each of its sales agents a rate book for use in soliciting business. Appellant’s father possessed such a rate book from which he could obtain information and rates relating to the various types of insurance policies available from the company. These rate books Cal-Western kept current by issuing periodically, dated replacement pages to be inserted in the loose leaf books. The payor insurance or *843 “Payor Death Benefit” as it is called in the rate book, is explained on page 347A thereof. It is there provided, in the case of the Junior Estate Builder policy, that the company will, for an extra premium, issue payor insurance to waive future premiums falling due prior to the policy anniversary nearest the insured’s age 25, at which time that benefit shall cease. 1 Except as there set forth, no payor insurance was offered by Cal-Western in connection with the Junior Estate Builder policy of life insurance.

Respondent on January 24, 1953, by a rider attached to the existing policy of insurance on appellant’s life, issued payor insurance to appellant’s father for an additional annual premium of $104.56. Through a clerical error on the part of Cal-Western, however, a “Form 494” rider which purported to waive all premiums due under the policy after the father’s death rather than merely those falling due before the policy anniversary date nearest appellant’s age 25, was stapled to the Schaefer policy. The “Form 494” rider provides a type of payor insurance intended only for endowment type policies which would be fully paid in any event by the insured’s reaching age 21, or 20-pay life insurance policies issued only to juveniles up to the age of 14 and fully paid up in 20 years. The “Form 494” rider, which in this case would waive all future premiums due and otherwise payable until the policy anniversary date nearest the insured’s 65th birthday, at which time all premiums cease, has never been approved for attachment to Junior Estate Builder policies.

Appellant’s father died in 1960 and shortly thereafter appellant so notified Mr. Adam ICupiec, managing agent of respondent’s San. Diego office. Although appellant claims that he visited the office and discussed specifically the payor death benefit with Mr. Kupiec at that time, Mr. Kupiee testified that *844 the provision was not then drawn to his attention but the policy was, instead, temporarily left with his secretary. Cal-Western by letter dated September 13,1960, notified appellant that premiums would be waived on the policy to and including September 24,1962, and when appellant made no response or objection the company proceeded in accordance with its understanding. By letter of September 26, 1962, the company notified appellant that premiums on the policy would become due and payable beginning September 24, 1963, and appellant then responded by letter dated April 25, 1963, indicating that he interpreted the policy provisions in a different manner. On May 10, 1963, respondent by letter acknowledged its error and requested that the insurance policy be returned to its office for correction. Appellant declined to return the policy, paid the premiums as they fell due thereafter under protest, and on November 20, 1963, commenced the present action for declaratory relief seeking to have all premiums due under his policy from and after the date of his father’s death waived permanently.

When appellant instituted this action, the company cross-complained seeking reformation of the insurance contract to conform to the true intent and agreement of the parties as set forth in the company rate book. The trial court found 2 that the Form 494 rider did not embody the real and actual agreement of the parties, did not fully and truly express the intention of the parties, and was not in accord with the type of payor death benefit offered by Cal-Western in connection with Junior Estate Builder policies, but that instead the parties intended that the rider providing the waiver of premiums until the anniversary date nearest appellant’s 25th birthday be attained. The trial court further found from the evidence that neither the company, nor any of its ■ agents, had any knowledge of the incorrectly attached rider until the company discovered the mutual mistake of fact when it received appellant’s letter of April 25,1963.

Appellant contends that the company was precluded from asserting the grounds of mistake to obtain reformation after *845 two years from the date of issuance of the policy according to the policy’s incontestability clause. 3 (Richardson v. Travelers Ins. Co. 171 F.2d 699 [7 A.L.R.2d 501].) The ease relied upon by appellant, however, fails to sustain his contention and its application in California has since been limited. “The denial of liability under a policy by reason of fraud or misrepresentation in its procurement is the ‘contest’ which is governed by the incontestable clause. [Citations.] . . .”

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262 Cal. App. 2d 840, 69 Cal. Rptr. 183, 1968 Cal. App. LEXIS 2375, Counsel Stack Legal Research, https://law.counselstack.com/opinion/schaefer-v-california-western-states-life-insurance-calctapp-1968.