Scott v. Federal Life Insurance

200 Cal. App. 2d 384, 19 Cal. Rptr. 258, 1962 Cal. App. LEXIS 2723
CourtCalifornia Court of Appeal
DecidedFebruary 16, 1962
DocketCiv. 25199
StatusPublished
Cited by19 cases

This text of 200 Cal. App. 2d 384 (Scott v. Federal 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
Scott v. Federal Life Insurance, 200 Cal. App. 2d 384, 19 Cal. Rptr. 258, 1962 Cal. App. LEXIS 2723 (Cal. Ct. App. 1962).

Opinions

HERNDON, J.

This action is brought to recover on a policy of life insurance. The cause was tried by the court without a jury and judgment entered in favor of plaintiff-respondent, the named beneficiary.

The policy contains the usual forfeiture clause. The defense was that the policy had been forfeited prior to the death of the insured for nonpayment of premiums. The court found waiver and estoppel on the part of defendant-appellant, the [386]*386insurer, by its conduct in dealings with the insured and allowed recovery on that theory. On appeal, it asserts the evidence does not establish either waiver or estoppel.

The facts appear practically undisputed. On July 23, 1954, the insured, then 64 years of age, made written application for a policy in the amount of $7,000 at the standard rate for the policy at his age, $584.50, payable annually. The application contained this statement: “I authorize the Company to charge any unpaid premium as a loan against the policy according to its ‘Premium Loan’ provision, unless otherwise requested by me in writing prior to the due date of such premium. ’ ’

Appellant issued the policy for an annual premium of $920.64, adjusting it upwards at the extra rate of $48.02 per thousand because of medical reports indicating impairment of insured’s physical condition, and deleting a standard provision in the policy for extended term insurance at the option of the insured in the event of default. Dated August 9, 1954„ it was delivered on August 23, 1954, with a copy of the application attached thereto. An annotation had been made on the application under the heading “Home Office Corrections or Additions” as follows: “Extra premium of $48.02 per M per annum. Without extended insurance values Annual premium is $920.64.”

The policy in the face amount of $7,000 by its terms is payable on proof of the insured’s death, or as an endowment at the end of the policy year nearest age 85 of the insured. It calls for the first premium payment on delivery of the policy and subsequent premium payments on August 9 of each year. The policy provides a grace period of one month of not less than 30 days and if death occurs during the grace period, any unpaid premium is deductible from the amount payable.

Other pertinent provisions are as follows:

“Premium, Loan If any premium hereon shall not be paid when due or within the period of grace, prior written request therefor having been made by the Insured, the Company will charge the same against the policy as a loan with interest at five per cent per annum, payable in advance, provided the loan value specified on the fifth page herein be sufficient to cover such loan with interest in addition to the existing indebtedness and accrued interest; otherwise the Company will apply the available loan value to pay the premium and interest for a proportionate period, and at any time while this policy is thus sustained in force the payment of premiums may be [387]*387resumed without medical examination. If interest is not paid when due it shall be added to the existing loan and bear interest at the same rate. The word ‘premium’ as used in this clause comprehends the entire premium under the policy, including the premium for any supplement covering additional accidental death benefits and/or waiver of premium disability benefits.”
“Payment of Premiums All premiums are due and payable at the Home Office of the Company in the City of Chicago or to a duly authorized agent of the Company, on or before the due dates, but only on the production of the Company’s receipt therefor, signed by its Secretary or Assistant Secretary and countersigned by the authorized agent to whom the payment is made. Although this contract is based on the receipt of premiums annually in advance, the premiums may be paid in semiannual or quarterly installments, in advance, and under certain conditions in monthly installments, in advance, the amount of which will be named by the Company on application. Change in the mode of premium payment may be made on any anniversary of the date of issue of this policy. Except as herein provided, the payment of any premium or installment thereof shall not maintain this policy in force beyond the date when the next premium or installment is payable. If any premium or part of a premium shall not be paid when due or within the period of grace, this policy shall become void, except as otherwise herein provided, without notice to any person interested.”
“Reinstatement At any time after any default, this policy will be reinstated upon written application therefor, subject to evidence of insurability of the Insured satisfactory to the Company and also subject to any indebtedness existing against the policy at the date of default, with interest thereon and the payment of past due premiums with interest thereon at five per cent per annum. ’ ’

A table setting forth the factors to be employed in determining cash or loan values of the policy at a given age at the end of each policy year is contained in the policy. No explanation of how the computation is to be made appears therein.

The policy was assigned as additional collateral for a mortgage loan made to the insured by a savings and loan association. The association paid the annual premiums on August 31, 1954, and August 23, 1955. The assignment was released on November 16, 1955, and monthly premiums were accepted [388]*388beginning with the premium due August 9, 1956. The following table chronicles the history of subsequent payments:

Premmm Due Date Paid Premium Paid Paid by Aug. 9, 1956 Sept. 13, 1956 $ 80.64 Insured Sept. 9, Oct. 9, and Nov. 9,1956 Nov. 14, 1956 241.92 99 Dec. 9, 1956 Feb. 8, 1957 80.64 99 Jan. 9, 1957 Mar. 19, 1957 80.64 99 Feb. 9, 1957 Apr. 10, 1957 80.64 99 Mar. 9, 1957 May 28, 1957 80.64 99 Apr. 8,! May 9, June 9, and July 9, 1957 July 28, 1957 322.35 Loan Aug. 9, 1957 Aug. 5, 1957 80.64 Insured Sept. 9, Oct. 9 Nov. 9 ¡ and Dec. 9, 1957 Nov. 23, 1957 322.35 Loan Jan. 9, 1958 Jan. 21, 1958 80.64 Insured Feb. 9, 1958 May 20, 1958 80.64 Loan

At the time payments were made by loans on the policy the cash or loan values of the policy were equal to or in excess of the amounts of the loans. It was the practice of appellant to send out a “premium due” notice 20 days in advance of the date a premium was due. If a premium which was due prior to the time a notice ordinarily was sent out had not been received, the regular notice would not be sent until receipt of the earlier premium. Premium notices were sent to the insured on or about:

Date Notice Sent Date Premium Du,e September 13, 1956 November 14, 1956 February 8, 1957 March 19, 1957 April 10, 1957 May 28, 1957 September 9, 1956 December 9, 1956 January 9, 1957 February 9, 1957 March 9, 1957 April 9, 1957

Premiums due April 9, May 9 and June 9, 1957, were delinquent. On June 18, 1957, appellant sent insured a notice printed on yellow paper similar to that of a telegram entitled “Telepost” advising him these premiums had not been paid and requesting payment. No reply or payment was received. On July 5, 1957, appellant sent insured a letter advising him a loan of $327.81 representing four monthly premium payments, plus interest on the loan to and including August 9, 1957, had been completed in accordance with the policy provi[389]*389sions.

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Scott v. Federal Life Insurance
200 Cal. App. 2d 384 (California Court of Appeal, 1962)

Cite This Page — Counsel Stack

Bluebook (online)
200 Cal. App. 2d 384, 19 Cal. Rptr. 258, 1962 Cal. App. LEXIS 2723, Counsel Stack Legal Research, https://law.counselstack.com/opinion/scott-v-federal-life-insurance-calctapp-1962.