The Prudential Insurance Company of America v. William D. (Bill) Clark and Margaret Clark

456 F.2d 932, 1972 U.S. App. LEXIS 11374
CourtCourt of Appeals for the Fifth Circuit
DecidedFebruary 9, 1972
Docket71-2406
StatusPublished
Cited by8 cases

This text of 456 F.2d 932 (The Prudential Insurance Company of America v. William D. (Bill) Clark and Margaret Clark) is published on Counsel Stack Legal Research, covering Court of Appeals for the Fifth Circuit primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
The Prudential Insurance Company of America v. William D. (Bill) Clark and Margaret Clark, 456 F.2d 932, 1972 U.S. App. LEXIS 11374 (5th Cir. 1972).

Opinion

CLARK, Circuit Judge:

This appeal requires that we review a case tried to a jury on disputed evidence. The court refused to enter judgment in accordance with the jury’s answers to specific issues under Fed.R. Civ.P. 49(a), because it analyzed the effect of Florida’s legislative repeal of the doctrine of voluntary payment to equal the abolition of the defense of waiver. However, we find in other legal fictions more compelling support for the verdict and reverse. We will consider the facts in the light most favorable to the jury’s findings.

Steve Clark (Steve), a young single man residing with his parents, who are the defendants and appellants here, enlisted in the Marine Corps in January 1966 and thereafter purchased a 10,000 dollar life insurance policy with the World Service Life Insurance Company (World Life). This policy had no war risk and aviation exclusion clauses. In late 1966, Steve was contacted by Robert Brumell, an agent employed by Prudential Insurance Company of America (Prudential) to sell its insurance policies, who urged Steve to drop the World Life policy and to permit Prudential to replace it with one of its life insurance policies. Brumell advised Steve that he could obtain a 10,000 dollar policy similar to the World Life policy without any limiting war risk or aviation exclusion clause. An application was completed and mailed to Prudential for approval. Steve, meanwhile, in reliance upon Bru-mell’s representation, dropped his World Life policy. Subsequently, Prudential mailed the application back to Brumell in order to secure some additional, minor information. The jury found that Prudential issued this initial 10,000 dollar policy when the application was returned to Brumell. The policy, however, was never delivered to Steve because when Brumell received the policy and the request for additional information Steve had already left for Marine training in California. Brumell contacted a Prudential agent in California and asked him to go out to the Marine base and secure the requested information from Steve. The California agent balked because he wanted to share in the commission which would be paid to the writing agent. It took six weeks before Brumell and Prudential’s California agent could reach an agreement as to how they would divide these funds. By this time, Steve had been shipped to Viet Nam. We have no way of knowing the contents of that first Prudential policy. Presumably it was destroyed pursuant to Prudential’s internal procedure of eliminating all records over thirteen months old.

A year later, in early May 1968, Steve returned from Viet Nam and was again contacted by Brumell. Brumell told Steve what had happened and requested that he submit another application. This second application also sought a 10,000 dollar policy without the war risk and aviation exclusion clauses. Brumell explained that he thought it would be possible to obtain such a policy in view of the prior events. Another application was completed and, along with Steve’s prepaid premium, mailed to Prudential. The jury found that Brumell wrote an accompanying letter asking that the policy be issued without the exclusion clauses. On May 20, 1968, Steve returned to Viet Nam. Thereafter the policy issued effective June 1, but unfortunately, Prudential did not comply with Brumell’s letter request. However, Steve never had a chance to protest. The policy was not delivered to him, and no one told him that it contained war risk and aviation exclusion clauses. Brumell either had no chance to communicate this information, or remained silent in the *935 hope that these exclusions would not become material; but this was not to be.

On July 28, Steve was killed in Viet Nam when his helicopter crashed and burned. Thereafter, Brumell assisted the defendants in preparing a claim against Prudential. He also wrote an accompanying letter asking Prudential to pay the claim despite the fact that the current policy contained the exclusion clauses. He urged this course of action in view of the above described circumstances, the position of the defendants in the community, the impairment of Prudential’s image, and the possibility of legal action being taken against Prudential.

The claim was submitted to Raymond Thomas, the Chief Claims Consultant, who had the ultimate authority for approving or rejecting claims. Thomas approved the claim, and 10,000 dollars was disbursed to the defendants. The policy was then sent to the home office of Prudential in New Jersey for actuarial studies and statistical analyses but not for further review. An employee in the actuarial office noticed the exclusion clauses and Thomas was notified that the claim should not have been paid. Demand was then made upon the defendants for the return of the money. When they refused, this suit ensued.

Thomas testified that he paid this claim through oversight and mistake. The jury, however, refused to credit this testimony because it found that Prudential, by paying the face amount of the policy, intentionally waived the exclusionary clauses. Since the instructions to the jury correctly defined waiver as the voluntary, intentional relinquishment of a known right, and since Thomas was the ultimate authority for approving claims, it follows that the jury must have found that Thomas was cognizant of the exclusion clauses and Steve’s war death, but deliberately and knowingly relinquished Prudential’s right to rely upon those clauses and paid the claim, not under the policy, but to honor the commitments made to the deceased by the company’s representative. There is abundant evidence to support this finding of the jury. First of all, Prudential knew what Brumell knew. He was the company’s representative. His “twisting” to further Prudential’s business caused Steve to drop the other policy and to prepay a premium to Prudential. Second, the claims department had Brumell’s letter detailing all of the circumstances. Their correspondence discloses that they in fact knowingly dealt with this claim as one resulting from the operation of a military aircraft, because they would not accept the burial permit tendered by Steve’s parents but insisted on the Marine Corps’ Official Casualty Report listing the death. This report showed he met his death as a crew member of a helicopter on a Marine combat supply mission in Viet Nam. Third, Thomas testified that he personally knew a war death was involved when he reviewed the claim. Fourth, a notice that the policy contained the exclusion clauses is conspicuously stamped across the face of the policy.

The district judge refused to credit the jury finding of intentional waiver because he reasoned that this defense was precluded by Fla.Stat.Ann. § 725.04 (1969). 1 This statute negates the common law defense of voluntary payment. The district court believed that the defenses of intentional waiver and voluntary payment were one and the same, and thus that the statute proscribed the waiver defense as well. Apparently, the judge applied the rationale that the defendant’s position was based upon nothing more than a waiver of an *936 unenforceable obligation.

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Bluebook (online)
456 F.2d 932, 1972 U.S. App. LEXIS 11374, Counsel Stack Legal Research, https://law.counselstack.com/opinion/the-prudential-insurance-company-of-america-v-william-d-bill-clark-and-ca5-1972.