Tate v. Charles Aguillard Ins. & Real Est.

508 So. 2d 1371
CourtSupreme Court of Louisiana
DecidedJune 22, 1987
Docket86-C-2316
StatusPublished
Cited by66 cases

This text of 508 So. 2d 1371 (Tate v. Charles Aguillard Ins. & Real Est.) 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
Tate v. Charles Aguillard Ins. & Real Est., 508 So. 2d 1371 (La. 1987).

Opinion

508 So.2d 1371 (1987)

Richard TATE, M.D.
v.
CHARLES AGUILLARD INSURANCE & REAL ESTATE, INC., et al.

No. 86-C-2316.

Supreme Court of Louisiana.

June 22, 1987.

*1372 Jeffery M. Bassett, Morrow & Morrow, Opelousas, for appellant-plaintiff.

James C. Lopez, H. Douglas Hunter, Guglielmo, Lopez & Tuttle, Jerry J. Falgoust, Brinkhaus, Dauzat & Falgoust, Opelousas, John Nickerson Chappuis, John P. Wolff, III, Voorhies & Labbe, Lafayette, for appellee-defendant.

DENNIS, Justice.

We granted certiorari to consider whether the insurer of an animal under a livestock mortality insurance policy may tacitly waive a condition precedent that the animal must be in sound health at the inception of the policy. After a trial by jury, verdicts were rendered in favor of the owner of a deceased thoroughbred stallion against a livestock mortality insurer, as well as the owner's local insurance agent and foreign broker. On appeal, the court of appeal reversed, concluding that the policy never came into effect due to the failure of the horse to meet the condition precedent of sound health and that the plaintiff was not entitled to recover under the theory of estoppel, reformation or ratification. 494 So.2d 1240 (La.App. 3d Cir.1986). We affirm. The doctrine of waiver is available to an insured in proving that the insurer waived a condition precedent to coverage under the policy. However, In this case we cannot give deference to the jury verdict as constituting a finding of waiver because no instruction or interrogatory regarding waiver was submitted to the jury, and we find from our independent review that the evidence preponderates against a waiver of the sound health condition precedent by the insurer. The court of appeal's failure to consider the waiver issue, therefore, did not prevent it from reaching a correct result, and its decision was sound in all other respects.

1. Context of the Issue

Dr. Richard Tate owned a thoroughbred stallion named British Colonial. Acting through his local agent and a London broker, Dr. Tate paid a premium of $4,500 and obtained a binding agreement on October 19, 1981 from a group of underwriters, known as the Milligan Syndicate, at Lloyd's of London, to insure the life of British Colonial in the amount of $100,000 for a term of one year commencing on October 30, 1981. The binder, or cover-debit note, was subject to a condition precedent to liability under Lloyd's standard livestock policy that the insured animal be in sound health at the commencement of insurance. British Colonial became ill with a neurological *1373 disease on October 26, 1981 and was put to death on December 25, 1981. Therefore, it is undisputed that the horse was not in sound health on October 30, 1981, the date insurance was due to commence, as required by the condition precedent.

Nevertheless, Dr. Tate brought suit against the Milligan Syndicate, the London broker and his local agent, and contended that he should be permitted to recover from them under theories of equitable estoppel, ratification and reformation. He argued that the defendants purposefully or negligently retained his premium during the animal's illness and failed to notify him promptly of the denial of coverage, thereby effectively preventing him from obtaining other insurance or consigning the horse to euthanasia in November, which would have been covered under a previous policy. After a trial by jury, verdicts were rendered against the defendants and in Dr. Tate's favor.

On appeal, however, the court of appeal reversed the judgments against the defendants, concluding essentially that: (1) The Milligan Syndicate was not liable to Dr. Tate under the standard Lloyd's mortality livestock policy because the insured animal failed to meet the condition precedent of sound health at the commencement of insurance; (2) Dr. Tate could not recover under the doctrine of equitable estoppel because he failed to show that he had been induced to change his position to his detriment, as once the horse became ill Dr. Tate would not have been able to insure the horse with another carrier against death caused by the existing illness and Dr. Tate would not have been able to obtain approval from his previous underwriter to euthanize the horse during that policy's coverage because the animal's case did not become hopeless until late December; (3) the contract of insurance could not be reformed to delete the condition precedent because the original agreement had not been induced by error or fraud; and (4) the theory of ratification was unavailable because Dr. Tate had not proved either that an unauthorized agent of the insurer agreed to cover the risk or that the insurer had ratified such an agreement.

2. The Issue

We find no fault with these conclusions by the court of appeal. We granted certiorari to consider argument made by Dr. Tate but not dealt with in the appellate opinion. Dr. Tate contended that the Milligan Syndicate "played the risk", i.e., that the syndicate, with knowledge of the potential claim, purposefully delayed denial of coverage in the hope that the horse's recovery would enable the syndicate to retain the $4,500 premium. In other words, Dr. Tate claimed, in unorthodox terms, that the Milligan Syndicate waived the condition precedent of sound health with respect to the illness which befell British Colonial on October 26, 1981. Consequently, the issues of fact and law bypassed by the court of appeal were whether the condition precedent can be waived tacitly, and if so, whether the record supports Dr. Tate's allegations that the Milligan Syndicate waived the sound health condition precedent in this case. Because the legal issue raised is significant and because it appeared Dr. Tate may have proved his case factually, we granted his application for further review.

After considering the evidence and the arguments of counsel, we conclude however, that we should affirm the court of appeal judgment. Although upon proper proof an insurer may be held to have tacitly waived such a condition precedent, we find that the evidence does not prove the facts necessary to support the theory of waiver.

3. Waiver

Waiver is usually defined as the intentional relinquishment of a known power or privilege. Ledoux v. Old Republic Life Ins. Co., 233 So.2d 731 (La.App. 3d Cir. 1970) cert. den. 256 La. 372, 236 So.2d 501 (1970); Comment, "Waiver and Estoppel in Louisiana Insurance Law", 22 La.L.Rev. 202 (1961); Couch on Insurance 2d § 35:249 (Rev. ed. 1985); Appleman, Insurance Law and Practice § 9081 (1981); see also Highlands Ins. Co. v. Allstate Ins. Co., 688 F.2d 398 (5th Cir.1982); Mardirosian v. Lincoln Nat. Life Ins. Co., 739 F.2d 474 *1374 (9th Cir.1984). Waiver occurs when there is an existing right, a knowledge of its existence and an actual intention to relinquish it, or conduct so inconsistent with the intent to enforce the right as to induce a reasonable belief that it has been relinquished. Id.

Waiver has been extensively applied by the common law courts in the field of insurance law. However, these courts have disagreed over whether waiver is available to broaden the coverage of a policy so as to protect the insured against risks not included or expressly excluded. A majority agree that waiver cannot be invoked for this purpose. Allstate Ins. Co. v. Walsh, 115 Misc.2d 907, 454 N.Y.S.2d 774 (Sup.Ct. 1982);

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

Related

Matt v. Safeway Ins. Co. of La.
269 So. 3d 1011 (Louisiana Court of Appeal, 2019)
Eagle Water, LLC v. Arch Ins. Co.
360 F. Supp. 3d 426 (W.D. Louisiana, 2018)
Brandon Forvendel v. State Farm Mutual Automobile Insurance Company
251 So. 3d 362 (Supreme Court of Louisiana, 2018)
Fie, LLC v. New Jax Condo Ass'n, Inc.
241 So. 3d 372 (Louisiana Court of Appeal, 2018)
Forvendel v. State Farm Mutual Automobile Insurance Co.
230 So. 3d 687 (Louisiana Court of Appeal, 2017)
Green v. Brown
212 So. 3d 718 (Louisiana Court of Appeal, 2017)

Cite This Page — Counsel Stack

Bluebook (online)
508 So. 2d 1371, Counsel Stack Legal Research, https://law.counselstack.com/opinion/tate-v-charles-aguillard-ins-real-est-la-1987.