Sterling Insurance v. Commonwealth

78 S.E.2d 691, 195 Va. 422
CourtSupreme Court of Virginia
DecidedNovember 30, 1953
DocketRecord 4097, 4099
StatusPublished

This text of 78 S.E.2d 691 (Sterling Insurance v. Commonwealth) is published on Counsel Stack Legal Research, covering Supreme Court of Virginia primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Sterling Insurance v. Commonwealth, 78 S.E.2d 691, 195 Va. 422 (Va. 1953).

Opinion

Whittle, J.,

delivered the opinion of the court.

From the State Corporation Commission

These cases, by agreement, were heard together. That of the Sterling Insurance Company is before us upon an appeal from an order of the State Corporation Commission which revoked Sterling’s license to do business in Virginia. George D. Coffey, Jr. has appealed from an order of the Commission revoking all licenses authorizing him to act as agent for insurance companies in Virginia.

The above orders were entered on July 28, 1952, by a majority vote of the three commissioners, Commissioner Catterall dissenting. A third case against Charles R. White resulted in an order revoking his license to sell insurance. This order was entered by the unanimous vote of the Commission and White did not appeal.

The facts of the cases may be stated thus: In August, 1950, Katherine B. Nicholas secured a health and accident policy from Guarantee Reserve Life Insurance Company. Coffey at the time was acting as agent for Guarantee, and White, as his sub-agent, sold the policy to Miss Nicholas. When Miss Nicholas applied for the policy she was suffering from a cataract on her eye and this fact was disclosed to White. In April, 1951, Coffey left his employment with Guarantee Reserve Life Insurance Company and became State Manager for the Sterling Insurance Company. White continued to *424 work under Coffey and was licensed by the Commissioner as a solicitor for Sterling.

In April, 1951, White persuaded Miss Nicholas to surrender her Guarantee Reserve policy and take out a policy with Sterling. In the written application for the Sterling policy she did not disclose the trouble with her eye and affirmatively stated that she had not received medical advice within five years. White knew that the statement in the application was false. He informed Miss Nicholas that she need not disclose her ailment in the application.

Nine months after she had taken out the policy with Sterling Miss Nicholas had an operation for the cataract condition. She filed claim with Sterling for benefits and the company refused payment, because of the misrepresentation in the application.

When Sterling refused to pay Miss Nicholas’ claim she filed a complaint with the Insurance Department of the Commonwealth. On the basis of Miss Nicholas’ statements to the Insurance Department summonses were issued against White, Coffey, and the Sterling Insurance Company, and a hearing was held before the State Corporation Commission, resulting in the orders above referred to.

The summons against Sterling Insurance Company charged a violation of § 38-130, Code of Virginia, 1950, in that the company, “a foreign corporation * * # has issued or circulated, or caused or permitted with its knowledge and consent to be issued or circulated, statements misrepresenting the terms of policies of insurance issued by it and of the benefits and advantages permitted by its policies, and that such corporation has made, or permitted to be made, misleading representations and incomplete comparisons of its policies to Katherine B. Nicholas, for the purpose of inducing or tending to induce the said Katherine B. Nicholas to exchange policies held by her in other companies for policies in the said Sterling Insurance Company.”

This summons was issued pursuant to § 38-131 of the Code of Virginia, and commanded Sterling to show cause *425 why its license to transact business in the State should not be revoked.

The summons against Coffey charged that he “has, in soliciting and issuing a policy of insurance to Katherine B. Nicholas, been guilty of twisting the contracts of other companies, of misrepresenting the provisions of the contract he was selling, and of fraudulent or dishonest practices, contrary to the insurance laws of this State, including the provisions of section 38-84 of the Code of Virginia, 1950.”

Appellants filed four assignments of error but in our view of the cases it will be necessary for us to discuss only one, i.e., that the Commission’s findings were not supported by the evidence and were contrary to law.

In considering this assignment we must be mindful that the issue here involved is not between Miss Nicholas and the insurance company but rather between the company, one of its agents, and the Commonwealth. It is neither a civil suit nor a criminal prosecution. Modern statutes require many persons engaged in trades and professions to secure licenses from the State. The object of these statutes is to protect the public from the dangers of incompetency and fraud. As the requirement for a license is to protect the public, so is the reason behind its revocation. The strict rules of criminal procedure do not apply in such cases, and the charges do not have to be proven beyond a reasonable doubt. Campbell v. District Committee, etc., 179 Va. 244, 18 S. E. (2d) 883.

It is admitted that any misrepresentations made were made by White and that Sterling’s only contact with White was through Coffey. Therefore we have to look first to see if Coffey, through his relations with White, is guilty of such conduct as would warrant the revocation of his license. Manifestly, if Coffey is not guilty, Sterling cannot be.

Section 38-84, dealing with misrepresentation and twisting by agents, and section 38-130, dealing with misrepresentation by insurance companies, were passed to correct the same evil: namely, misleading representations or incom *426 píete comparisons of policies made to insured persons or prospects for insurance in order to induce them to take or switch contracts of insurance. The “twisting” referred to in section 38-84 contemplates misrepresentation or misstatement of facts or incomplete comparisons of policies to induce an insured to give up a policy of insurance in one company for the purpose of taking insurance in another. See Brandt v. Beha, 216 N. Y. S. 178, 217 App. Div. 644.

The Commonwealth conceded in argument at bar that where an agent leaves one company and goes with another, attempting to carry his customers with him, he has violated no law unless the policyholders are induced to leave their former company through false representations made by such agent. We find that Coffey was not guilty of or responsible for any such representations.

As said by Commissioner Catterall in his dissenting opinion:

“When Coffey transferred from the Guarantee Reserve to the Sterling he evidently wanted to take his customers with him. Since health policies contain a ‘waiting period’ before the insured is covered, a person insured in the old company would be unwilling to transfer to the new unless the new company agreed to waive the waiting period. Coffey obtained from Sterling authority to waive the waiting period in certain cases. Coffey’s testimony on that point was:
“ ‘Q. When did you leave Guarantee Reserve and go with Sterling? A. The spring of 1951; I can’t remember the exact date.
“ ‘Q. Did Mr. White come with you at that time? A. Yes he did.
“ ‘Q. Now, Mr. Coffey, there has been some testimony here by Mr.

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Related

Brandt v. Beha
217 A.D. 644 (Appellate Division of the Supreme Court of New York, 1926)
Campbell v. Third District Committee of the Virginia State Bar
18 S.E.2d 883 (Supreme Court of Virginia, 1942)

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Bluebook (online)
78 S.E.2d 691, 195 Va. 422, Counsel Stack Legal Research, https://law.counselstack.com/opinion/sterling-insurance-v-commonwealth-va-1953.