United States Fire Ins. Co. v. Smith

164 So. 70, 231 Ala. 169, 103 A.L.R. 1468, 1935 Ala. LEXIS 382
CourtSupreme Court of Alabama
DecidedOctober 17, 1935
Docket7 Div. 340.
StatusPublished
Cited by27 cases

This text of 164 So. 70 (United States Fire Ins. Co. v. Smith) is published on Counsel Stack Legal Research, covering Supreme Court of Alabama primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
United States Fire Ins. Co. v. Smith, 164 So. 70, 231 Ala. 169, 103 A.L.R. 1468, 1935 Ala. LEXIS 382 (Ala. 1935).

Opinion

*173 KNIGHT, Justice.

The liability, if any, against the defendant United States Fire Insurance Company rests upon a policy of fire insurance issued by it, covering a certain house owned by the plaintiff, in the city of Gadsden; and the other defendant, the National Liberty Insurance Company, is sought to be held by virtue of a contract of reinsurance, whereby the latter company reinsured the risk, and, in case of loss, agreed to take charge of and adjust and pay the same without expense to the United States Fire Insurance Company.

The contract of reinsurance is attached to, and made a part of each of the counts of the complaint.

It appears from the complaint, as amended, that the insured’s home was destroyed by fire on November 10, 1932, and at that time the policy of insurance sued on was in force, as well as the said contract of reinsurance.

The defendants, each appearing specially for the purpose, filed separate pleas in abatement of the action. By their pleas the defendants sought to abate the action upon the ground that the policy contract provided that within sixty days after the fire, if one should occur, the insured should furnish to the insurer proof of loss, and that the amount for which the insurer might be liable would not become due and payable until sixty days “after due notice, ascertainment, estimate and satisfactory proof of loss had been received by the company”; and in each of the pleas it was averred “that the plaintiff did not before the commencement of this suit file a proof of loss as required by the foregoing provisions of the policy contract.”

There was a demurrer by the plaintiff to each of these pleas, but the court overruled the same.

With his demurrer overruled, the plaintiff filed sworn special replications to the pleas in abatement, along with a general replication. To these special replications the defendants filed their separate demurrer, separately and severally, to each replication. The court overruled the demurrers to replications 2, 3, 4, 5, and 6, but sustained the same to replications numbered 7 and 8. Replications 2, 3, 4, and amended replications 5 and 6-appear in the report of the case.

The defendants each filed separate rejoinders to plaintiff’s replications 2, 3, 4, 5, and 6. Rejoinder No. 1 was a general denial of the allegations of the replications, and rejoinder No. 2 set up “a non-waiver agreement” executed by the plaintiff, and alleged that the investigation of the loss alleged to have been suffered by the plaintiff was entered upon and made under the reservations set up in the nonwaiver agreement, a copy of which is made a part of rejoinder No. 2.

The first insistence made by the appellants against the sufficiency of replica *174 tions 2, 3, and 4 is that the replications “separately use the designation ‘defendant/ ” and that none of the replications contain an allegation that the “so-called adjuster was investigating the loss for the defendants.” That, inasmuch as there are two defendants in the case, it would appear that the adjuster was working for one defendant only, and not for both, and the replications fail to allege for which defendant “the so-called adjuster” was making the investigation.

There is no merit in the contention noted above. The defendants filed separate pleas, and the replications are assigned separately and severally to each of the pleas, and hence they refer to the defendant in the singular number.

It is next insisted by appellants that the plaintiff failed to allege any facts on which to predicate the alleged waiver, and that the “material averments on which a waiver or estoppel is' sought to be established are mere conclusions of the pleader.” A careful reading of these replications will disclose that the supposed vice complained of does not exist.

It must be borne in mind that each of these replications aver that the denial of liability on the part of the defendants, under said policy, was made within sixty days after.the occurrence of the fire, and at a time when the plaintiff was in no default whatsoever in presenting his proofs.

In our recent case of Rhode Island Ins. Co. v. Holley, 226 Ala. 320, 321, 146 So. 817, 819, we quoted with approval the following statement in 26 Corpus Juris pp. 406-408, § 522-k: “If insurer, within the time for presenting proofs of loss, denies liability or refuses to pay the loss, it thereby waives the necessity for proofs; and it is generally held that a denial of liability or .a. refusal to pay not predicated on the failure to furnish proofs is a waiver of any objection on that ground, irrespective of whether the denial precedes or follows the time within which proofs should have been furnished.”

It would seem that the case of Ray v. Fidelity Phoenix Fire Ins. Co., 187 Ala. 91, 65 So. 536, is an authority directly in point sustaining the action of the trial court in overruling the demurrers of defendants to replications 2, 3, and 4.

'We hold that the unqualified denial of liability, or the refusal to pay the loss by the insurer, if made within the time for presenting proofs of loss, is, in either event, a waiver of the necessity .for furnishing proofs.

We also hold that an unqualified promise to pay the insurance made within the time allowed by the policy for presenting proofs of loss, and made by any one authorized to bind the company, is a waiver of the necessity of presenting proofs. 26 Corpus Juris, p. 406, § 521; Commercial Fire Ins. Co. v. Allen et al., 80 Ala. 571, 1 So. 202; Norwich & N. Y. Transp. Co. v. Western, etc., Ins. Co., 34 Conn. 561, Fed. Cas. No. 10,363.

It is also insisted that replication 3 as a plea of estoppel is defective upon the further ground that it does not allege any change in plaintiff’s status as a result of the alleged dénial of liability, “or that he has incurred any expense or inconvenience in connection therewith.” We do not regard plaintiff’s third replication as setting up an estoppel, but rather sis stating a case .of waiver. So regarded, it mfist be held sufficient upon the authority of Travelers’ Ins. Co. v. Plaster, 210 Ala. 607, 98 So. 909. We do not, therefore, think replication 3 was infected with the vice pointed out by defendants’ demurrer on the last-stated point. We hold the replication sufficient against all grounds of demurrer assigned thereto. Authorities supra.

We are fully persuaded also that special replications 5 and 6, after amendment, presented a complete answer to defendants’ pleas in abatement. Commercial Fire Ins. Co. v. Allen, supra.

After the court had overruled the demurrers of defendants to plaintiff’s replications 2, 3, 4, and 5 and 6 as amended, the defendants filed separate rejoinders thereto. The first rejoinder was a general denial of the allegations of the replications, while the second rejoinder brought forward and se.t up as an answer to said replications a nonwaiver agreement, under which it is alleged the investigation of the loss was made. The plaintiff demurred to the several rejoinders, but the demurrer was overruled.

Thereupon, the cause proceeded to trial upon the issues presented by the defendants’ pleas in abatement, the replications thereto, and the defendants’ rejoinders to said replications.

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Bluebook (online)
164 So. 70, 231 Ala. 169, 103 A.L.R. 1468, 1935 Ala. LEXIS 382, Counsel Stack Legal Research, https://law.counselstack.com/opinion/united-states-fire-ins-co-v-smith-ala-1935.