Swanson Ex Rel. Swanson v. First Fidelity Life Insurance

335 N.W.2d 538, 214 Neb. 654, 1983 Neb. LEXIS 1158
CourtNebraska Supreme Court
DecidedJune 17, 1983
Docket82-389
StatusPublished
Cited by9 cases

This text of 335 N.W.2d 538 (Swanson Ex Rel. Swanson v. First Fidelity Life Insurance) is published on Counsel Stack Legal Research, covering Nebraska Supreme Court primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Swanson Ex Rel. Swanson v. First Fidelity Life Insurance, 335 N.W.2d 538, 214 Neb. 654, 1983 Neb. LEXIS 1158 (Neb. 1983).

Opinion

Caporale, J.

Defendant-appellant, First Fidelity Life Insurance Company (First Fidelity), appeals from the summary judgment entered in favor of the plaintiffappellee, Van Robert Swanson, a minor, under a policy of life insurance covering plaintiff’s father, Robert L. Swanson. We affirm.

First Fidelity issued a $30,000 10-year nonparticipating convertible term policy to Robert L. Swanson on May 26, 1970, which provided: “At any time more than three full years before the Expiry Date on legal surrender while in full force, this Policy may *655 be exchanged without evidence of insurability for a term policy of the same Amount of Insurance on any plan other than term insurance issued by the Company at the time of such exchange.” The expiry date was May 26, 1980. It also issued to Swanson a $15,000 whole life nonparticipating policy dated May 26, 1980. Both the 1970 and 1980 policies provided for a suicide defense in the following language: ‘‘If the Insured shall commit suicide while sane or insane within two years from the Policy Date, the liability of the Company under this policy shall be limited to the return of premiums actually paid.” Each policy also stated: ‘‘This Policy, which includes all of its other pages, riders, endorsements, and the Application, constitutes the entire contract between the parties.” The application attached to the 1980 policy recites: ‘‘CHANGE PLAN AND/OR AMOUNT, BENEFITS, ETC., TO: fxlConvert to 15,000 Executive Preferred Date Policy 5/26/80 26- PAC.” The application for the 1980 policy refers by number to the 1970 policy.

According to First Fidelity, it received a telephone call from Robert Swanson, wherein he indicated he wanted to do something about insurance; on June 30, 1980, First Fidelity’s Ron Dodd met with Swanson, at which time Swanson said he wanted a policy of life insurance naming his son as beneficiary, and further indicated that he could afford a policy in the amount of $15,000; an application for such a policy was executed by Swanson on June 30, 1980, but was dated May 26, 1980, because Swanson’s birthday was May 27 and this allowed Swanson to get a better premium rate; Dodd, after checking into Swanson’s physical condition and finding it satisfactory, inserted the term ‘‘convert” on the application so that Swanson would not be required to take a physical examination; and Swanson admitted to Dodd that he, Swanson, understood the whole life policy was a new policy of insurance.

*656 The insured committed suicide on September 16, 1981.

Our task is to determine whether there here exists no genuine issue as to any material fact, the ultimate inferences to be drawn from those facts are clear, and that plaintiff herein is entitled to judgment as a matter of law; for it is only under such circumstances that summary judgment may properly be granted. Interholzinger v. Estate of Dent, ante p. 264, 333 N.W.2d 895 (1983); Galyen Petroleum Co. v. Hixson, 213 Neb. 683, 331 N.W.2d 1 (1983).

First Fidelity relies on the rule that an insurance policy should be construed as any other contract and should be given effect according to the ordinary sense of the terms used; and if those terms are clear, they are to be applied according to their plain and ordinary meaning. Hemenway v. MFA Life Ins. Co., 211 Neb. 193, 318 N.W.2d 70 (1982). It argues that under that rule the language of its “entire contract” clause makes the 1980 policy the only contract between the parties; therefore, the relevant suicide defense period began to run May 26, 1980. The difficulty with that argument, however, is that the entire contract clause itself makes the application for the 1980 policy a part of the contract. The language of that application ties the 1980 policy to the 1970 policy and refers to the transaction as a change in, and conversion of, the 1970 policy. The explanation that the transaction was labeled as a conversion in order to give Swanson the benefit of a lower premium and to make a medical examination unnecessary does not alter the fact that First Fidelity elected to waive the option expiration by treating the transaction as if it were within the conversion period contained within the 1970 policy. It cannot treat it thusly for some purposes and ignore that same character for another purpose. Nor did Swanson’s misunderstanding thereof affect the nature of the transaction; it remained what First *657 Fidelity made it: a conversion of the 1970 policy. Indeed, the clear meaning of the words used in the conversion option requires that it be exercised at least 3 years prior to the policy’s expiration date, perhaps to avoid the very problem presented by this case. In any event, for whatever reason, First Fidelity clearly elected to waive the time limitations imposed by the conversion option.

Resolving that issue, however, does not determine the lawsuit. It appears to be the general rule that even where a policy is issued under the provisions of a conversion option, whether a new, distinct, and independent contract results will depend upon the extent to which the terms of the substituted policy differ from the terms of the policy containing the option. IB J. Appleman, Insurance Law and Practice § 491 at 338 (1981); 9 G. Couch, Cyclopedia of Insurance Law § 40:52 (2d ed. 1962). Provident Life Ins. Co. v. Kegley, 199 Va. 273, 99 S.E.2d 601 (1957), held that an endowment life policy issued pursuant to the conversion provisions of a group life and disability policy was a new and separate policy because it contained different terms and covered different risks than had the group policy; therefore, the suicide defense period was to be computed from the date of the new policy, not from the date of the group certificate. Likewise, Gans v. Aetna Life Ins. Co., 214 N.Y. 326, 108 N.E. 443 (1915), reached a similar result upon finding that the rights, privileges, advantages, and obligations under the substituted policy were different than those in the former policy. On the other hand, Baugh v. Met. Life Ins. Co., 173 Tenn. 352, 117 S.W.2d 742 (1938), held that where the substituted individual life insurance policy covered the same risk as the former group policy, the individual policy was not an independent contract, and therefore the time on the suicide defense ran from the date of the group policy. Also, Founders Life Assurance Co. v. Poe, 242 Ga. 748, 251 S.E.2d 247 (1978), held that where each renewal of credit life *658 insurance was issued under and subject to the same terms as the master group credit policy, and each new certificate of insurance was essentially the same as the certificate replaced, the suicide provision of the last policy related back to the original transaction and would be construed as a continuation of the obligations and conditions of the original policy.

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Bluebook (online)
335 N.W.2d 538, 214 Neb. 654, 1983 Neb. LEXIS 1158, Counsel Stack Legal Research, https://law.counselstack.com/opinion/swanson-ex-rel-swanson-v-first-fidelity-life-insurance-neb-1983.