Smith v. Minnesota Mutual Life Insurance Co.

195 P.2d 457, 86 Cal. App. 2d 581, 1948 Cal. App. LEXIS 1657
CourtCalifornia Court of Appeal
DecidedJuly 6, 1948
DocketCiv. 3673
StatusPublished
Cited by19 cases

This text of 195 P.2d 457 (Smith v. Minnesota Mutual Life Insurance Co.) 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
Smith v. Minnesota Mutual Life Insurance Co., 195 P.2d 457, 86 Cal. App. 2d 581, 1948 Cal. App. LEXIS 1657 (Cal. Ct. App. 1948).

Opinion

*583 GRIFFIN, J.

From a judgment of dismissal after order sustaining a demurrer without leave to amend as to two causes of action set forth in the complaint, plaintiffs appeal.

Bach cause of action is based upon the same alleged derelictions and negligence of defendants in their claimed unreasonable delay in acting upon an application of the deceased, Julius H. Smith, for a policy of life insurance.

In the first count, the widow, Ann Morris Smith, was plaintiff and alleged to be the beneficiary named in the application. In the second count, Josephine Irving, as administratrix of the estate of decesead, appeared as party plaintiff.

The complaint alleges generally that on December 17, 1945, the deceased, prior to his death, made written application to defendant company, through its agent, defendant Nunn, upon a form provided by it, for a policy of life insurance in the sum of $10,000; that he then paid the agent $21.20 as first premium and a receipt therefor, on a form provided and pleaded in the complaint, was issued. It recited, in part, that the policy would not take effect unless and until its delivery to the applicant and that the company would have until delivery of the policy to consider the question of the applicant’s insurability. It then alleged that on December 28, 1945, the applicant was examined by a physician engaged by the company ; that he had signed a statement concerning his physical condition; that in January, 1946, he received an inquiry requesting the name of the doctor who had operated on him in the spring of 1945; that the applicant was led to believe, by the defendants, and did believe, that the application would be accepted and the policy issued in accordance therewith within a reasonable time, or that in the event the application was not accepted, it would be rejected and he would be notified of the rejection within a reasonable time; that defendants negligently, carelessly and wrongfully failed to take action on the application within such time and.failed either to issue or deliver a policy in accordance with the application or to give the applicant, or anyone, notice of the action, if any, on the application for insurance; that the delay continued until April 19, 1946; that on March 21, 1946, the applicant died; that his wife gave prompt notice of his death to defendant and demanded payment to her of the sum of $10,000, which would have been payable to her under the policy applied for and that defendant refused to pay said sum; that on April 19, 1946, plaintiff wife was informed by defendant company, for the first *584 time, that it contended that negotiations between the applicant and defendants had not been completed at the time of his death and that they would not pay said sum payable under the policy but would only return to her the premium thus paid ; that the beneficiary, the applicant’s wife, and his minor daughter, were his sole heirs. Then follows an allegation that deceased, at the time of the application, was in good health and was an insurable risk and would have been able to obtain a policy elsewhere but for the negligence of defendant; that defendant company issued a policy of life insurance for $10,000 "without the waiver of premium benefit” and with an additional premium charged for the first two years, which policy was never delivered to the applicant.

Plaintiffs and appellant first argue that a cause of action for negligently failing to act on the application did exist and cite many cases from other jurisdictions so holding, as well as some decisions of other states opposed to them. It appears that the question as to the right of the insured himself, under an accident policy, to bring such an action has been sustained in this state. (Stark v. Pioneer Casualty Co., 139 Cal.App. 577, 580 [34 P.2d 731] (hearing denied by the Supreme Court); Linnastruth v. Mutual Benefit etc., Assn., 22 Cal.2d 216, 219 [137 P.2d 833].)

In the Stark case it was stated (p. 580) :

"An insurance company having solicited and obtained applications for insurance and having received payment of the fees or premium exacted, is bound, either to furnish the indemnity the state has authorized them to furnish or decline to do so within such reasonable time as will enable them to act intelligently and advisedly thereon. ... It has been said that an applicant having paid the premium to an agent, and the company having received its share thereof and assumed the duty of returning the same on rejection of the application, the applicant did all required of him, and having received no notice of adverse action on his application, he might assume after several months that it had been accepted.” (Italics added.) (Citing cases.) That "Mere delay in passing upon an application cannot be construed as an acceptance which will support an action ex contractu”; that the insurance company "may be held liable for actual damage not exceeding the amount of insurance purchased if it be shown to have delayed notice of rejection. . . .” (Citing authorities.) (Italics ours.)

*585 Duffie v. Bankers’ Life Assn, of Des Moines, 160 Iowa 19 [139 N.W. 1087, 46 L.R.A.N.S. 25] (cited with approval many times), was an action by the representative to recover against the insurance company for failure to pass upon a life insurance policy within a reasonable time. It was there held that the wife, as beneficiary, had no right of action but such right extended to the representative of the estate of the applicant. The question of the survivorship of the cause of action apparently was not raised, discussed or passed upon by that court.

In Linnastruth v. Mutual Benefit etc. Assn., supra, involving an accident policy, it was held that mere delay in passing upon an application for insurance is not sufficient to create a contract of insurance, and no liability may be imposed upon an insurer prior to the issuance of a policy where no facts are presented which would justify a finding of negligence on the part of the insurer, and it was likewise held that an interval of 16 days between the date of the application and the issuance of the policy was reasonable. In that case the action was by the beneficiary and based upon the policy issued. The injury was prior to the issuance thereof but death resulted from such injury after the issuance of the policy. It was held, by a divided court, that there had been no acceptance of the application by the company prior to the accident and that there was no liability since there was no finding or evidence of negligence on the part of the insured.

Defendants state in their brief that while the courts of other jurisdictions are in disagreement as to whether an action in tort, in any ease, lies against an insurance company for negligent delay in acting upon an application for insurance, that it has been held in California that an insurance company, involving an action arising out of an accident policy, may be liable upon this theory when the applicant himself brings the suit,

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Cite This Page — Counsel Stack

Bluebook (online)
195 P.2d 457, 86 Cal. App. 2d 581, 1948 Cal. App. LEXIS 1657, Counsel Stack Legal Research, https://law.counselstack.com/opinion/smith-v-minnesota-mutual-life-insurance-co-calctapp-1948.