Shuff v. Life Casualty Ins. Co.

114 So. 637, 164 La. 741, 1927 La. LEXIS 1816
CourtSupreme Court of Louisiana
DecidedOctober 31, 1927
DocketNo. 28706.
StatusPublished
Cited by27 cases

This text of 114 So. 637 (Shuff v. Life Casualty Ins. Co.) is published on Counsel Stack Legal Research, covering Supreme Court of Louisiana primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Shuff v. Life Casualty Ins. Co., 114 So. 637, 164 La. 741, 1927 La. LEXIS 1816 (La. 1927).

Opinion

O’NIELL, G. J.

This, is a suit by the beneficiary named in a life insurance policy for $1,000 on the life of the plaintiff’s son. The policy is called an industrial limited payment life policy, which means that the premiums were payable weekly fo,r the limited period shown in the policy. The defendant pleaded that, on the date of the policy, as well as at the time when it was issued and delivered, the insured was not in sound health, and that the delivering of the policy in the circumstances in which it was delivered was done in collusion between the company’s agent and the insured to defraud the company. The plea was founded upon two clauses or conditions printed in the policy contract, viz.:

(1) “No obligation is assumed by the company prior to the date hereof, nor unless on said date the insured is alive and in sound health and (2) “agents (which term includes superintendents and assistant superintendents) are not authorized to make, alter, or discharge contracts or waive forfeitures.”

The district court sustained the defense, and, on appeal to the Court of Appeal, the judgment was affirmed. The,case is before us on a writ of review.

There is no dispute about the facts of the case. The insured was an agent of the company, and he and the agent, Eoper, who .took the application and delivered the policy, were not only solicitors for the same company, but were intimate friends and roommates. As each received as his commission ■the first fifteen premium payments on every policy he sold, they conceived the idea of writing each other; Eoper writing this policy on Shuff’s life and Shuff writing a policy on the life of Eoper’s child. The applications were signed on the 25th of November, 1922. Shuff was then apparently in sound health, but a week later he became ill, and the next day, the 3d of December, he was tafeen to a sanitarium and operated on for acute appendicitis. On the next day, the 4th of December, the policy on Shuff’s life, dated that day, was given to Eoper for delivery, along with other policies on the lives of others whose applications had been taken by Eoper and approved by the company. On the 8th of December, while Shuff was yet ih bed in the sanitarium, Eoper delivered the policy to him there, by handing it to Shuff’s sister-in-law, at his request. On the 19th of December Shuff died of pneumonia and other complications following the operation.

Aside from the stipulation in the policy that no obligation was assumed by the company unless on the date of the policy the insured was alive and in sound health, the solicitors were under a strict rule of the company, as to which both Eoper and Shuff were instructed by the district superintendent of the company, not to deliver a policy to any one not apparently in sound health. Eoper’s excuse for violating the instruction was that the attending physician, who had taken part in the operation on Shuff, told him (Bope¡r), at the time when he delivered the policy, that Shuff was out of danger and might be taken home next daybut the physician, testifying as a witness in the case, denied that he had told Eoper any such thing, and testified positively that Shuff was never out of danger at any time after the operation. There is no doubt that Shuff was not in sound health but seriously if not critically ill continuously from the day before the date of the policy until after it was delivered.

In Shuff’s application for the policy, Eoper, who signed the application as solicitor, declared that he had collected in advance two weekly premuims of $1 each; but the receipt book, attached to the policy, shows *745 that the two premiums were credited to Shuff on the 4th of December, the date of the policy; and the fact is that, as the first fifteen premiums went as commissions to the solicitors, respectively, the two advance premiums on Shuff’s policy were paid by his giving Roper a corresponding credit on the receipt book attached to the policy on the life of Roper’s child.

It is not claimed on behalf of the plaintiff 'that the company’s agent, Roper, pretended, at the time when he solicited the insurance, or when he credited the insured with the two premiums supposed to have been paid in advance, or at the time when he delivered the policy, that he had authority to waive the condition in the policy, that no obligation was assumed by the company unless on the date of the policy the' insured was alive and in sound health. It is not claimed that the insured was induced to take out the insurance or to accept the policy by any promise or pretense of the agent, Roper, that he would or could procure the consent of the company to waive the condition that the insured should be in sound health on the date of the policy. The plaintiff urges and relies upon the proposition that the agent’s knowledge that the insured was not in sound health on the date of the policy and at the time when it was delivered was notice to the company, and that the agent did in fact waive the condition that the insured should be in sound health, and that the company was thereby deprived of the protection of that condition stated in the policy. The plaintiff’s contention, therefore, stated broadly, is that, even though the insured was aware that the agent had no authority to dispense with or to alter any of the conditions of the policy, nevertheless the agent could confer the authority upon himself by merely disregarding those conditions and limitations expressed in the contract and known to the insured. The argument is not sound. It is the same as to say that it is not competent for an insurance company to protect itself against unauthorized acts of its agents by any condition or limitation of that kind expressed in its policy contracts. On the contrary, such limitations upon the authority of insurance agents are not only reasonable but absolutely necessary stipulations in a policy contract, to protect the investors of their money in such companies against unauthorized transactions between faithless or careless agents and unscrupulous or indifferent patrons. There is no reason of public policy why ’such conditions and limitations in a policy of insurance should be nullified by the courts, or be declared invalid, or be incompetent to protect either party to the contract.

This case is very similar in the principle involved, to that of Gardner v. North State Life Insurance Co., 163 N. C. 367, 79 S. E. 806, 48 L. R. A. (N. S.) 714, Ann. Cas. 1915B, 652, from which we quote one of the head-notes, viz.:

“Waiver of misrepresentation by an applicant for insurance that he had not been in contact with transmissible disease, or of the fact that he had typhoid fever when the policy was delivered, is not effected by delivery by an agent of the policy with knowledge that the applicant had been in contact with the disease and had himself contracted it, if there was a fraudulent or collusive agreement between the agent and the insured as to such delivery, or the insured had knowledge that the agent was delivering the policy without authority or contrary to instructions.”

We do not believe that either the agent or the insured, in this case, intended to defraud the company, for the insured was apparently in sound health when his application for insurance was- accepted. It is more likely that both the agent and the insured believed, when the policy was delivered, that the insured would regain his sound health-in consequence- of the operation, and that *747

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Bluebook (online)
114 So. 637, 164 La. 741, 1927 La. LEXIS 1816, Counsel Stack Legal Research, https://law.counselstack.com/opinion/shuff-v-life-casualty-ins-co-la-1927.