Thomas v. John Hancock Mutual Life Insurance

741 P.2d 734, 113 Idaho 98, 1987 Ida. App. LEXIS 427
CourtIdaho Court of Appeals
DecidedJuly 30, 1987
DocketNo. 16555
StatusPublished
Cited by2 cases

This text of 741 P.2d 734 (Thomas v. John Hancock Mutual Life Insurance) is published on Counsel Stack Legal Research, covering Idaho Court of Appeals primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Thomas v. John Hancock Mutual Life Insurance, 741 P.2d 734, 113 Idaho 98, 1987 Ida. App. LEXIS 427 (Idaho Ct. App. 1987).

Opinion

SWANSTROM, Judge.

Sandra Thomas, the beneficiary under a life insurance policy issued to her former husband, brought a declaratory judgment action to have her former spouse declared legally dead after he had been missing for several years. John Hancock Mutual Life Insurance Company intervened in the action. Sandra then amended her complaint to ask that John Hancock be required to pay her the policy proceeds, interest, certain unearned premiums, costs and attorney fees. The district court generally granted all requested relief but refused to award attorney fees. Sandra has appealed, contending that the court erred in failing to award fees under I.C. § 41-1839 because John Hancock delayed paying the policy proceeds for more than thirty days after proof of loss was furnished. We reverse.

In 1976, James and Sandra Cole were living in Boise, Idaho. One night, while at work, James Cole disappeared. Two days later he reappeared contending that he had been kidnapped by two men. A ransom demand had been made to Cole’s employer. As a result of the investigation criminal charges were filed against Cole. He later pled guilty to one of the charges which the record describes only as “extortion.”

On February 4, 1978, John Hancock issued a $25,000 life insurance policy on James Cole naming Sandra as beneficiary. [99]*99On March 13,1978, James Cole disappeared again. His employers reported that Cole had said he had been contacted by an unidentified person that morning who offered to meet Cole with information concerning his prior kidnapping. Cole was last seen by his employers waiting at the meeting place. His pickup truck was later found at the Boise airport but no trace of him was ever found. Sandra filed a claim with John Hancock shortly thereafter to collect on the insurance policy. The claim was refused due to insufficient proof of death.

Sandra continued paying the policy premiums for seven years before she again made claim to the company. In the interim she obtained a divorce, remarried and moved to the state of Washington. On May 7, 1985, she filed a form entitled “Statement of Disappearance” given her by John Hancock. She was later informed that John Hancock required a judicial declaration of death before payment would be made. See I.C. § 10-1217, infra. After Sandra commenced the action, John Hancock intervened, filing its “answer” requesting that Sandra’s “complaint be dismissed and that a declaration of death of James Thomas Cole not be entered.” As an affirmative defense, John Hancock alleged that Sandra had failed to provide adequate proof of loss. Four months later John Hancock took Sandra’s deposition. Three more months passed. Sandra then amended her complaint to name John Hancock as a defendant; she claimed entitlement to the policy proceeds and other relief. The case proceeded to trial.

Sandra testified briefly. Her deposition, taken by John Hancock, was also offered and received in evidence. The deposition represented a detailed probe of Sandra’s knowledge of the circumstances surrounding Cole’s two disappearances. Additionally, Sandra introduced the policy and the “Statement of Disappearance” she had given to John Hancock. After Sandra rested her case, John Hancock announced, “We have no evidence that James Thomas Cole is still living and we do not seek to offer any proof in that regard.” Accordingly, the court declared that Cole was legally dead and that Sandra was entitled to the policy proceeds. The question of whether she was also entitled to an award of attorney fees against John Hancock was reserved for later submission to the court. That is the question to which we now turn.

Idaho Code § 41-1839 outlines the circumstances under which attorney fees will be allowed in suits against insurers. The relevant section reads as follows:

(1) Any insurer issuing any policy ... of insurance ... which shall fail for aperiod of thirty (30) days after proof of loss has been furnished as provided in such policy ... to pay to the person entitled thereto the amount justly due under such policy ... shall in any action thereafter brought against the insurer in any court in this state for recovery under the terms of the policy ... pay such further amount as the court shall adjudge reasonable as attorney’s fees in such action.

The policy in question is silent as to how proof of loss is to be furnished. The only provision in the policy relating to this requirement simply states: “Payment will be made upon receipt at the Home Office ... of due proof of the insured’s death.”

Before we discuss what constitutes “due proof of the insured’s death” or “proof of loss” within the meaning of I.C. § 41-1839, we will first discuss one other requirement of this statute. Our Supreme Court most recently addressed I.C. § 41-1839 in Hansen v. State Farm Mutual Automobile Insurance Company, 112 Idaho 663, 735 P.2d 974 (1987). In Hansen the Court held:

The language of this section is clear and unambiguous. An insured is entitled to an award of attorney fees only if (1) he has provided proof of loss as required by the insurance policy; (2) the insurance company fails to pay an amount justly due under the policy within thirty days of such proof of loss; and (3) the insured “thereafter” is compelled to bring suit to recover for his loss.
... The proof of loss under the statute must be furnished thirty days prior to bringing the action. [Emphasis added.]

[100]*100112 Idaho at 671, 735 P.2d at 982. Accordingly, we must determine whether Sandra submitted a “proof of loss,” sufficient to establish her entitlement to the policy proceeds, more than thirty days before bringing suit. If so, then John Hancock’s failure to pay over the proceeds within thirty days exposes the insurer to liability for attorney fees under the statute. For this purpose we will deem the date of November 8, 1985, when Sandra was granted permission to file an amended complaint naming John Hancock as a defendant in the declaratory judgment action, as the date when an action was “brought against the insurer.”

Although Sandra filed an unsuccessful claim shortly after Cole’s second disappearance, our determination concerning an adequate “proof of loss” need only focus on the “Statement of Disappearance” which John Hancock acknowledges receiving in May, 1985. Sandra contends this was a sufficient “proof of loss” within the meaning of I.C. § 41-1839. As noted, John Hancock took the position that only a court declaration of death or production of a body would be sufficient under the circumstances to trigger its liability on the policy.

Sandra brought the declaratory judgment action under I.C. § 10-1217:

The court has the authority through a declaratory judgment to determine that a person who is absent, and who has not been heard from, is legally dead. In making such determination, the court may, at any time, consider all evidence available, and may rule, based on clear and convincing evidence before it, that the person is dead, or that there is insufficient evidence to so rule.

Apparently, this section allows the court “at any time” to determine that a missing person is legally dead, upon proof of certain facts, if the evidence of death is clear and convincing.

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741 P.2d 734, 113 Idaho 98, 1987 Ida. App. LEXIS 427, Counsel Stack Legal Research, https://law.counselstack.com/opinion/thomas-v-john-hancock-mutual-life-insurance-idahoctapp-1987.