The Order of United Commercial Travelers of America v. Hazel Marie Duncan

221 F.2d 703
CourtCourt of Appeals for the Sixth Circuit
DecidedApril 28, 1955
Docket12213_1
StatusPublished
Cited by6 cases

This text of 221 F.2d 703 (The Order of United Commercial Travelers of America v. Hazel Marie Duncan) is published on Counsel Stack Legal Research, covering Court of Appeals for the Sixth Circuit primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
The Order of United Commercial Travelers of America v. Hazel Marie Duncan, 221 F.2d 703 (6th Cir. 1955).

Opinion

PER CURIAM.

This is an appeal from a judgment of the District Court rendered upon a jury verdict in favor of the beneficiary under a life insurance policy issued by defendant, 1 a fraternal beneficiary society incorporated under the laws of Ohio. The life insurance certificate issued to the insured, a resident of Michigan, within the state of Michigan, provided that the constitution, bylaws, articles of incorporation and insurance application, together with the certificate, should constitute the contract. The claim of the beneficiary was disallowed December 14, 1951, and suit was brought November 12,1952. Under defendant’s constitution no suit to recover benefits could be brought after six months from the date of disallowance of the claim.

Under Ohio law a fraternal benefit society may contract for a limitation upon the time for suit, but the limitation must be reasonable. 22 Ohio Jurisprudence 764. This is the general rule. 14 R.C.L. §§ 580, 1417; 121 A.L.R. 773-777.

The rule of Ohio is stated as early as 1858. In William C. Fellowes v. The Madison Insurance Company, 2 Cincinnati Superior Court Reports, 128, 135, the court declared: “What shall be regarded as a reasonable time in any particular case, or class of cases, will depend upon circumstances. It should in any event allow sufficient opportunity to a party to investigate his claim, and prepare for the controversy.” See also Appel v. Cooper Insurance Company, 76 Ohio St. 52, 80 N.E. 955, 10 L.R.A., N.S., 674. In this fire insurance case, the six-months limitation provided in the policy was held to be reasonable. Bartley v. The National Business Men’s Association, 109 Ohio St. 585, 143 N.E. 386, a life insurance case, held in effect that a time limitation of two years was reasonable. In Oster v. Columbian National Fire Insurance Company, 7 Ohio Abst. 570, a suit upon a fire insurance policy, a limitation of one year from date of loss was held reasonable. Counsel for defendant concedes that there is no decision of the Supreme Court of Ohio holding the limitation of six months in a life insurance case to be reasonable. Moreover, we find no Ohio case which does not carry the precise time limitation in the policy certificate. 121 A.L.R. 773-777.

The instant case arose in the State of Michigan, in which defendant had been authorized to do business. A condition of its being admitted to the state to carry on its business was that it should abide by the law of the state. M.S.A. § 21.95, Comp.Laws 1948, § 450.-94. The effect of the statutes regulating the transaction of local business in Michigan by foreign corporations is to make such corporations, as to such business, domestic corporations entitled to and subject to the same remedies as such corporations in the courts of Michigan. Showen v. J. L. Owens Company, 158 Mich. 321, 122 N.E. 640. It is the established law of Michigan, as it is in Ohio, that the validity of bylaws and regulations relating to the management of the property, affairs, and business of mutual insurance societies depends upon *706 their being reasonable. All such bylaws must be reasonable and, if not so, are void. Allen v. Gleaner Life Insurance Society, 274 Mich. 171, 264 N.W. 332. Cf. R. E. Townsend Corporation v. Gleaner Life Insurance Society, 298 Mich. 10, 298 N.W. 385, in which a summary judgment for the insurance company was reversed.

Under Michigan law it is a question of fact for the jury whether the bylaws and regulations of a mutual benefit association are reasonable or unreasonable. Allen v. Gleaner Life Insurance Society, supra, 274 Mich. 171, 174, 264 N.W. 333. Here the jury found that the provision requiring the plaintiff to start action within six months from the time the claim had been denied was unreasonable. , Since. the suit was brought within the six-year period set by the statate of-Michigan, the court held that the suit had been timely brought. The court did.not err in submitting this question to the. jury. It was a procedural questipn governed by the law of the forum. Restatement Conflict of Laws,'§ 585. The law of the forum determines whether an issue of fact shall be tried by the court or by a jury. Restatement Conflict of Laws, § 594'.

Defendant relies upon Order of United Commercial Travelers of America v. Wolfe, 331 U.S. 586, 67 S.Ct. 1355, 91 L.Ed. 1687. But that case is sharply-differentiated from this by the fact that the provision as to the six-months limitation was stamped upon the face of the insurance certificate. In all Ohio cases cited herein the limitation was on the face of the certificate or policy. Here defendant proved no knowledge on the part of the insured or the beneficiary as to the time limitation. The certificate of insu ranee does not state nor even réf er to the period of limitation for instituting suit on the policy. No evidence was adduced to the effect that defendant ever sent the constitution to the insured or to the beneficiary and the court so found. The bmeficiary 'testified that she had searched the effects of the deceased and found the policy but no copy of the constitution or bylaws. While the insured is presumed to know the provisions of the constitution and bylaws, The Springfield Township Mutual Fire Insurance Association v. Foster, 40 Ohio App. 351, 178 N.E. 427, this presumption does not come into force against the beneficiary who did not execute the application nor contract with defendant. Cf. McGhee v. Casualty Company of America, 15 Ohio App. 457, 464, 465. This case holds in the syllabus that a subrogated employee who had obtained judgment against an insured employer was not barred by a special limitation in the policy of insurance applying to the insured and limiting his right of action to 90 days after judgment against such insured.

The judgment of the District Court is affirmed.

On Petition for Rehearing

Defendant has filed a petition for rehearing, contending that - the judgment herein was erroneous under the doctrine of Order of United Commercial Travelers of America v. Wolfe, 331 U.S. 586, 67 S.Ct. 1355, 91 L.Ed. 1687. This point was raised at the hearing, but we have re-examined the question and adhere to our original conclusion.

The principal question discussed in the Wolfe case was the effect of the full faith and credit clause of the Federal Constitution upon recovery in an action brought in South Dakota upon an insurance certificate issued by a fraternal benefit society organized in the State of Ohio. The facts of the Wolfe case are dissimilar to those here presented, where recovery on the certificate has been awarded in accordance with the law of Ohio, as well as with the law of Michigan. It is the law of Ohio that a limitation of the time to file suit on a fraternal benefit insurance certificate is valid if reasonable. This is the law of Michigan. The question whether such a limitation is reasonable is a question of fact for the jury under Michigan law. Allen v. Gleaner Life Ins. Co., 274 Mich. 171, 173, 174, 264 N.W. 332. De *707 fendant claims that in Ohio the reasonableness of the limitation is a question of law for the court. This is true if reasonableness is not contested. In Appel v. Cooper Ins. Co., 76 Ohio St. 52, 80 N.E.

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221 F.2d 703, Counsel Stack Legal Research, https://law.counselstack.com/opinion/the-order-of-united-commercial-travelers-of-america-v-hazel-marie-duncan-ca6-1955.