Sun Life Assur. Co. of Canada v. Dalton

196 S.W.2d 383, 302 Ky. 712, 1946 Ky. LEXIS 752
CourtCourt of Appeals of Kentucky (pre-1976)
DecidedMay 14, 1946
StatusPublished
Cited by1 cases

This text of 196 S.W.2d 383 (Sun Life Assur. Co. of Canada v. Dalton) is published on Counsel Stack Legal Research, covering Court of Appeals of Kentucky (pre-1976) primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Sun Life Assur. Co. of Canada v. Dalton, 196 S.W.2d 383, 302 Ky. 712, 1946 Ky. LEXIS 752 (Ky. 1946).

Opinion

Opinion op the Court by

Judge Siler

Affirming.

By agreement of the litigants, this case was submitted to the trial court without the intervention of a jury, and upon rendition of a judgment for $1500 in favor of Wanda Sutherland Dalton, appellee, as beneficiary under a group policy contract, the insurer, Sun Life Assurance Company of Canada, appellant, perfected this appeal.

The sole question before us for present determina *713 tion is the legal propriety of appellee’s judgment as it is viewed in light of the terms of the policy contract which was outstanding among the parties in interest.

In 1932, Illinois Central System, an organization in the railroad industry, purchased life insurance coverage for its regular employees in the age group between fourteen and seventy years who might elect to take such protection. This insurance protection was embodied in the terms of a group policy- that was issued by appellant insurer to the railroad employer. Such policy terms were also reflected in a limited degree in an individual employee’s certificate that' was issued to each employee that elected to come within the offered protection of the group contract. Each eligible employee electing to take the insurance did so by making his own application for it and by signing an authorization card directing the railroad employer to deduct monthly from his wages a sum sufficient to satisfy his individual contribution to the total premium charge payable to the insurer upon the overall contract. The employer itself made its own contribution to the total premium, thereby making this arrangement with the insurer a joint enterprise on the part of the employer in cooperation with its employees.

This group policy contained a termination clause that provided that the insurance for any covered employee would cease “at the due date of the premium to which such employee has failed to make a required contribution.”

Edward C. Sutherland, J,r., a young man of 21 years, went to work for the railroad employer on January 14, 1935, and elected to participate in the benefits and burdens of this group insurance arrangement. He received an individual employee’s certificate showing that his life was insured by appellant for $1500 and that his mother was the beneficiary, this being subsequently changed to the present appellee after he had made the latter his wife.

Sutherland was engaged in the active service of the railroad employer .with a bridge crew until February 28, 1937, when he received an involuntary, temporary layoff order that was caused by necessary repairs on the equipment used by the bridge crew. 1 All of the bridge crew *714 pletion of the repairs, that is all except Sutherland who was accidently killed on April 2, 1937, during the layoff period. According to undisputed evidence, Sutherland’s status was that of an inactive employee, temporarily suspended for the employer’s own convenience but subject to recall, during the 33 day period between the last day of his active service and the day of his death. He had made his regular monthly contributions to the policy’s overall premium payment for more than two years during the period of his active employment prior to his death. However, between February 28, 1937, when he was involuntarily and temporarily laid off, and the date of April 2, 1937, when he was killed, he made no individual contribution of his own payment to the premium that was payable by the railroad employer to the insurer. He was not working in that particular period and accordingly no deduction from his wages was possible. Neither did he go to any of his employer’s offices and pay his monthly contribution out of his own cash reserves. Notwithstanding this failure of any individual contribution by Sutherland, the railroad itself paid the full and regular monthly premium to the insurer, including Sutherland’s individual and proportionate part. Then about the last of April in 1937, after Sutherland had been dead about a month, the railroad employer notified, the insurer in writing that Sutherland’s employment had ceased as of February 28, 1937, and that his insurance was accordingly cancelled. Upon receiving that notification, the insurer cancelled the Sutherland insurance on April 29, 1937, 27 days after Sutherland’s death, making the effective date of cancellation as of February 28, 1937.

The insurer refused to pay Sutherland’s death benefit to appellee beneficiary on the ground that Sutherland had failed to make his required monthly premium contribution which became due and payable during the period between February 28, 1937, and April 2, 1937. The insurer took the position that Sutherland’s failure of contribution during that period caused a cessation of the insurance coverage upon his own life. This action for recovery of $1500 on the policy followed the insurer’s refusal to pay the death benefit claimed by appellee beneficiary.

The fundamental undertaking of this contract was *715 to provide life insurance upon the lives of this employer’s regular employees within a specified age group. The three basic requirements for those insured under the provided coverage were: (A) Employment with this railroad, (B) age status between fourteen and seventy, and (C) regularity of that employment status. The insurer was only interested in eliminating the hazard of any employment activity of its insured group that might be outside the scope of this particular industry and also in eliminating the hazard of mortality experience that might lie outside the age group between fourteen and seventy years. The profits for the insurer in the premium payable on this group policy were calculated and determined solely on the basis of eliminating those two hazards, viz., (1) industrial activity not included in the operations of this railroad business and (2) indiscretion of employees under fourteen years of age and infirmity of employees over seventy years- of age. The certainty or uncertainty of the premium payment personally by the employee was, in our opinion, not a subject of any importance or consideration in the formar' tion of this contractual relationship. The premium payment to the insurer was secured by the resources and financial stability of this great railroad system. The only possible reason for providing in the policy that the insurance would be terminated as to any individual employee upon his failure to make a required contribution lay in the desire of the insurer to understand at all times that the persons covered by the insurance policy were limited to the employees of this railroad system. In other words, the failure of any contribution of a covered railroad employee would serve as a red signal of danger to indicate that the comparatively good risk of railroad employment, the hazards of which were at least known, had ceased to exist because the covered employee had gone out into the unknown hazards of some other employment, for example, that of a paratrooper in time of war.

The insurer never lost one trivial cent because of the failure of contribution by Sutherland. The railroad paid the insurer the full premiums, including Sutherland’s part, at all times when they became due. The insurer had no interest whatever in Sutherland’s contribution, except insofar as it served to broadcast a warning to the insurer that this railroad employment and its *716

Free access — add to your briefcase to read the full text and ask questions with AI

Related

John Hancock Mut. Life Ins. Co. of Boston v. Cooper
239 S.W.2d 989 (Court of Appeals of Kentucky, 1951)

Cite This Page — Counsel Stack

Bluebook (online)
196 S.W.2d 383, 302 Ky. 712, 1946 Ky. LEXIS 752, Counsel Stack Legal Research, https://law.counselstack.com/opinion/sun-life-assur-co-of-canada-v-dalton-kyctapphigh-1946.