The Royal Exchange Assurance v. Joseph M. Fraylon and Wife, Imedeow Fraylon

228 F.2d 351, 1955 U.S. App. LEXIS 3682
CourtCourt of Appeals for the Fourth Circuit
DecidedDecember 16, 1955
Docket7093
StatusPublished
Cited by5 cases

This text of 228 F.2d 351 (The Royal Exchange Assurance v. Joseph M. Fraylon and Wife, Imedeow Fraylon) is published on Counsel Stack Legal Research, covering Court of Appeals for the Fourth Circuit primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
The Royal Exchange Assurance v. Joseph M. Fraylon and Wife, Imedeow Fraylon, 228 F.2d 351, 1955 U.S. App. LEXIS 3682 (4th Cir. 1955).

Opinion

*352 SOPER, Circuit Judge.

This appeal was taken from a judgment of the District Court wherein it was found that the Reverend Joseph M. Fraylon was entitled to recover the sum of $6,432.45 from The Royal Exchange Assurance on a policy of fire insurance issued on January 8, 1953 covering a house at 1303 Willow Road, Greensboro, North Carolina, which was so badly damaged by fire on March 11, 1953 as to be worthless. The insurance company resisted the payment of the loss on the grounds that the insured had misrepresented and concealed material facts in his application for the policy in suit, and that after the fire he wilfully and fraudulently misrepresented that the house was worth $23,000 when he well knew it was worth much less. The case was tried by the District Judge sitting without a jury, who rejected these defenses and having determined the value of the property to be $14,000 at the time of the fire, found for the plaintiff in an amount proportionate to the amount of total insurance on the property. We are of opinion that the judgment should be sustained insofar as it relates to the defenses of false misrepresentation and concealment, but. that the property was not worth the sum of $14,000 and hence the amount of the verdict for the plaintiff'should be reduced.

It was provided in the contract of insurance that the entire policy should be void,if, before or after a loss, the insured wilfully concealed or misrepresented any material fact or circumstance concerning the insurance or the subject thereof, or the interest of the insured therein. There was substantial evidence on behalf of the company that in applying for the policy the insured stated that the building was new and that there were no mortgages on the property. The facts were that the building was not new but was remodeled, and that there were several mortgages outstanding in the aggregate sum of $6,757.50. The court concluded, however, that the company had not borne the burden resting upon it under the law of North Carolina to prove that material misrepresentations were actually made or that there was intentional concealment of a material fact which the insured had reason to believe under the circumstances would be likely to influence the.company to reject the insurance. See Gibson v. Central Manufacturers’ Mut. Ins. Co., 232 N.C. 712, 62 S.E.2d 320; Wells v. Jefferson Standard Life Ins. Co., 211 N.C. 427, 190 S.E. 744; Thomas-Yelverton Co. v. State Capital Life Insurance Co.,. 238 N.C. 278, 77 S.E.2d 692.

Although the property, when the insured acquired it, was a four-room wooden structure with a shed in the rear in such bad condition that it had been condemned by the city, the judge found that the insured secured a permit from the city and remodeled it so extensively that it was virtually a new structure containing fifteen rooms. The agent did not comply with the North Carolina statute, G.S. § 58-175.1, which requires every agent of a fire insurance company, before issuing a policy of insurance- on property situated in any city or town, to inspect the same and inform himself as to its value and insurable condition. As to the mortgages the District Judge found that the insured did not make a statement in a telephone conversation, attributed to him by the policy-writing agent, that there were no mortgages on the property. The written application for the policy contained the statement that there were no mortgages, but this paper was prepared by the agent and not submitted to or signed by the insured. The judge also held that the absence of wilful or intentional misrepresentation by the insured in this respect was shown by the fact that later in the same month he applied for additional insurance on the property in another company, as permitted by the policy in suit, arid gave the names of the mortgages to the insurance agent telling him that he needed insurance because the mortgagees were pressing him to secure it. The judge further found that the plaintiff was a minister of the gospel, inexperienced in fire insurance, and did not know that the existence of mortgages on the property was material. It is ob *353 vious from the record in the case that the judge gave careful consideration to the controverted issues in the case, and we are unable to say that his findings with respect to these questions were erroneous. The critical finding, however, is that the misrepresentations were not made, for it is the law of the state that the making of an untruthful statement by the insured, material to the risk and relied on by the insurer, will avoid a policy of fire insurance, even if the statement is made innocently and in good faith. See Thomas-Yelverton Co. v. State Capital Life Insurance Co., supra. 1

The insurance company makes the point in the course of its argument that the proof of loss filed by the insured did not conform with the requirements of the policy in certain important parts, and hence the insurance was invalidated. The contention is hardly worth mentioning since the representative of the insurance company had evidently made up his mind to recommend the rejection of the claim when he sent the proofs to the insured to be executed, and it would have been as vain and useless a thing to file the proofs under the circumstances as if liability under the policy had been expressly denied by the company. See Williams v. Greensboro Fire Insurance Co., 209 N.C. 765, 185 S.E. 21. The judge in his conclusions of law held that the filing of the proof of loss was waived by the company.

The circumstances, however, should be outlined because of their bearing on the defense that the policy was avoided by fraudulent misrepresentations in the proof of loss as to the value of the property. The judge reached the conclusion of fact based on substantial testimony that proof of loss was obtained from the insured as the result of an understanding between the adjuster of the company and city and state officials who suspected that the fire was incendiary, but were unable to secure evidence to warrant a criminal prosecution. In this situation, the adjuster, having inspected the damaged building and conferred with the insured, and having learned that he was claiming that the building was worth the sum of $25,000, sent him the forms for the proof of loss and 'warned him that it must be filed under the terms of the policy, expecting that he would make an extravagant claim as to the value of the property, and thus lay himself open to criminal prosecution for fraud. In response the insured did file the proof and asserted therein that the value of the house was $23,000. Thereupon he was indicted under the state statutes and convicted of the crime of wilfully and knowingly presenting a false and fraudulent claim to the insurance company. The conviction, however, was reversed in State v. Fraylon, 240 N.C. 365, 82 S.E.2d 400, on the ground that the evidence, which was substantially the same as that in the pending case, was insufficient to sustain the charge; and the District Judge below in discussing the evidence presented to him quoted from the decision of the North Carolina court.

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Cite This Page — Counsel Stack

Bluebook (online)
228 F.2d 351, 1955 U.S. App. LEXIS 3682, Counsel Stack Legal Research, https://law.counselstack.com/opinion/the-royal-exchange-assurance-v-joseph-m-fraylon-and-wife-imedeow-fraylon-ca4-1955.