164 Mo. 675 | Mo. | 1900
— I. I concurred in the opinion, in this case, in Division One of this court, upon the theory that the proviso, in section 5869, Eevised Statutes 1889, was only intended to exempt assessment companies from the operation of all laws relating to the Insurance Department of,the State except such requirements thereof as were especially enumerated in the foregoing part of that section 5869, and that it was. not intended by that proviso‘to exempt assessment companies from the Act of 1874 (Laws 1874, p. 89), which required a misrepresentation in obtaining a policy to relate to a matter which “actually contributed to the contingency or event on which the policy is to become due and payable,” or in other words, that the misrepresentation was material to the risk and death. Since so concurring, the case has been reargued and exhaustively briefed by counsel, and in consequence, I have made a personal investigation of the question, with the result that I am now of opinion that section 5869, Eevised Statutes 1889 (which is section 10 of the Act of 1887, carried literally into the Eevised Statutes of 1889), intended to bring assessment companies, domestic and foreign, under the supervision of the Insurance Department of the State only so far as that section specifies, but that the proviso was intended to leave assessment companies liable only as the Act of 1887 provided they should be liable, and not to subject such assessment companies “to any other provisions or requirements of the general insurance laws of the State except as distinctly herein set forth
Prior to 1871 the statutes of Missouri recognized three kinds of insurance companies, stock companies, mutual companies, and stock and mutual companies, the general nature of which is well understood, but one purpose of which was to make a profit for the promoters, and one feature of which was the payment of fixed premiums, at stated times, by the insured, and the payment o'f a sum certain by the company to the beneficiary named in the policy, upon the death of the insured. Eor the purposes of this case it is not necessary to refer to fraternal beneficial organizations, where the insurance feature is a mere incident to the fraternal purpose. This being the condition of the law, the Act of 1871 was passed, by which it was provided that no misrepresentation in obtaining a policy of insurance should be deemed material or render the policy void, unless the matter misrepresented actually contributed to the death, and that no defense based upon such misrepresentation should be valid unless the defendant deposited the premiums received on the policy, with six per cent interest thereon, in court, before the trial.
Ever since the adoption of the Constitution of 1865, it has been the organic law of Missouri that all private corporations must be organized under the general laws enacted by the General Assembly. The Act of 1887 is a general law. It is entitled: “An Act to provide for the incorporation and regulation of associations, societies and companies doing a life or casualty insurance business on the assessment plan.” It is intended to define assessment insurance companies, prescribe their duties and powers and fix their responsibilities. By section 10 of the act it brings such companies under the power of the Insurance Department so far as it relates to “visitation and ex-
In Hanford v. Ins. Co., 122 Mo. 50; Haynie v. Ins. Co., 139 Mo. 416; and Jacobs v. Ins. Co., 142 Mo. 49, this proviso was construed' to exempt such companies from the provisions and requirements of all the general insurance laws of the State, not distinctly set forth in the act (not limited to section 10 of the act), and this view was followed in Aloe v. Ins. Co., 147 Mo. 561, and in all those cases the Act of 1887 was treated as a complete code of laws by which the powers, rights, duties and liabilities of assessment insurance companies were to be measured. And I now think, for the reasons stated, that those cases put the proper construction upon the Act of 1881, and particularly upon the proviso in section 10 of that act. I reach the conclusion reluctantly, for I have very little patience with an insurance company that accepts premiums as long as a man lives and tries to avoid paying the policy to those he died thinking he had left fully provided for, for reasons which never increased the risk or caused the death. Such conduct offends my sense of morality, and wherever it is possible to make the
II. Closer investigation, however, has led me to the conclusion that this defendant can not be considered an insurance company on the assessment plan, in the light of the Act of 1887, and of the later decisions in this State, as to what constitutes an assessment company under our laws, and the fact that it was chartered by the State of Pennsylvania as an assessment company, and was licensed to do business in this State by the Superintendent of the Insurance Department, as an assessment company, does not change its character or status under our law.
In Jacobs v. Omaha Life Ins. Co., 142 Mo. 49, Macfarlane, J., following what was said by Black, J., in Hanford v. Ins. Co., 122 Mo. 50, as to what constitutes an assessment company, said: “An examination of the contract itself, and of the application which is made a part of it, fails entirely to show that the benefit is in any manner or degree, dependent upon the collection of an assessment upon persons holding similar contracts/ ” but as all the policy was not then before the court, the case was remanded for it to be ascertained whether the defendant was an assessment company or not. Upon second appeal of the case (146 Mo. 523), Brace, J., held, when the whole facts were before the court, that the defendant was not an assessment company because the payment of the policy or benefit was not in any manner or degree dependent upon the collection of an assessment upon persons holding similar policies, but that it was a old-line insurance company, because the payment of the policy was made dependent solely upon funds raised by fixed premiums to be paid at stated periods by the insured. The same tests were applied in Toomey v. Knights of Pythias, 147 Mo. 129, and the distinctions under our statute between
Tested by the statute and these cases, the defendant company is not an assessment company, but a regular or old-line company, for the policy it issued in this case is for a fixed sum of five thousand dollars, and the payment thereon is in no manner or degree dependent upon the collection of an assessment upon persons holding similar policies, but is expressly, made payable in consideration of the payment by the assured of the fixed sum of “sixty-nine and ten one-hundredths dollars for the mortality fund, sixteen and thirty-five one-hundredths dollars for the equation fund, and twenty dollars for the expense fund, on or before the twenty-fourth day of November in each year, or,- in lieu thereof, of the payment of twenty-seven and ninety-five one-hundredths dollars upon the twenty-fourth day of the months of November, February, May and August in each year during the continuance of this contract.” That is, the insured agreed to pay an annual premium of $105.45 or a quarterly premium of $27.95, and the company agreed to pay his beneficiary the sum of five thousand dollars. Here there are fixed premiums, to be paid at stated intervals, and a fixed amount to be paid by the company, and the payment of that amount is in no way dependent upon the collection of an assessment upon persons holding similar policies. This places the company in the class of a regular life insurance company.
The character of the defendant is not altered by the conditions of the policy as to the mortality fund or the equation fund. These conditions are as follows:
*688 "mortality fund.
“Eighth. The amount to be paid by the member into the mortality fund, as specified in the body of this policy, is based on the adjusted mortality experience of life insurance companies for age of entry, and during the first five years from the date hereof, any saving between the mortality assumed and that actually experienced, shall belong to the general fund of the association, and thereafter it shall belong to the member, and shall be paid to him as provided in the body of this policy. Any deficiency in the mortality fund due to the advantage of the member shall be made good out of the equation fund.
' “equation fund.
“Ninth. The member shall pay into the equation fund (which shall be deemed and regarded as a surplus of the association) an amount sufficient to cover his share of the increasing mortality cost due to advancing age, and if the amount specified in the body of this policy for said purpose, based on the tabulated experience of life insurance companies, shall be found by the actuary to be .insufficient; or, if the mortality among the members of the State in which, the insured resides exceed that of the American Table of Mortality experience, thus causing a deficiency in his contributions to the mortality fund, said members being liable for such excess; or, if the State in which the member resides shall impose any tax or license, not contemplated in the construction of the association’s rates, then, in either event, the actuary shall determine the amount of deficiency properly chargeable to the member, which amount in either event, the member shall pay to the treasurer of the association within thirty days from the date of notice thereof.”
The condition as to the mortality fund expressly states that the premiums to be paid are based upon the mortality ex
separate opinion.
(Filed as a majority opinion in Division One, and after-wards as a separate opinion In Banc.)
VALLIANT, J. — This is a suit on a life insurance policy issued by defendant on the life of plaintiff’s husband. The issues made by the pleadings are thus stated in appellant’s brief:
“The petition alleged the issuance of the policy to Albert S. Aloe, the performance of all the conditions incumbent on insured, the insured’s death, the presentment of proofs of death and defendant’s refusal to pay and prayed for judgment.
“The answer admitted the plaintiff’s case, and then pleaded affirmatively, that Aloe made false answers in the application for the insurance, that said false answers constituted a breach of warranty, a material misrepresentation, a concealment and a fraud upon 'defendant, inducing the issue of the certificate. The false answers set up by defendant related to prior .rejections of insured for life insurance; unfavorable opinions of physicians in connection therewith; medical advice and consultation and attendance by physicians within ten years prior to the application to defendant, and other insurance not disclosed by Aloe in his application.
“Plaintiff’s reply denied the new matter in defendant’s answer and especially set up that Aloe’s answers were made in*691 good faith, and were not material to the risk; that the contract was controlled by the laws of Pennsylvania, and that by the statutes of that State the answers pleaded by defendant were misrepresentations as contradistinguished from warranties and did not, by reason of the statute, avoid the policy unless the answers were material to the risk or were made in bad faith.”
The defendant moved the court to strike out that part of the reply which set up the laws of Pennsylvania as controlling the contract; which motion was overruled and defendant excepted. The ease came on for trial before the court and jury, defendants assumed the burden of proof and was accorded the opening and closing of the case.
The testimony on the part of defendant tended to show that defendant was chartered under the laws of Pennsylvania to do life insurance business on the assessment plan, and was duly licensed by the Insurance Department of Missouri to do life insurance business in this State on the assessment plan; that in his application for the policy Aloe agreed that every statement therein was material to the risk and warranted every statement and answer “to be full, complete and true” and that if found to be in any respect untrue the policy issued upon it was to be null and void; the policy referred to the application as a part of the consideration for the contract and made it a part of itself. The testimony for defendant also tended to show that in several particulars mentioned in the answer, as above epitomized, the answers to questions in the application were untrue.
• There was no averment in defendant’s answer, nor was there any proof tending to show, that the alleged false answers in the application related to anything that caused or contributed to cause the death of the insured. The position of the defendant at the trial was, and now here is, that the statements
The petition and answer agree that the application was made and the policy delivered in Missouri. It is therefore a Missouri contract, and governed by our laws. Section 5849, Revised Statutes 1889: “No misrepresentations made in obtaining or securing a policy of insurance on the life or lives of any person or persons shall be deemed material, or render the policy void, unless the matter misrepresented shall have actually contributed to the contingency or event on which the policy
When the Insurance Department was created by act of the Legislature in 1869, there were three kinds of domestic life insurance companies then recognized and authorized by our law — stock companies, mutual companies, and 'stock and mutual companies. These companies were placed under the .supervision of the Superintendent of Insurance, who was required to see that they complied with the law in all respects as to their organization and conduct of their business, and it was one of the requirements of the law that they should have at least $100,000 invested under that supervision before they could do business. Foreign companies were admitted on similar terms. At that time there was provision in our statute for the organization and incorporation of fraternal and benevolent societies, but no power was then given them to conduct
There was at the time this Act of 1887 was passed a separate article in the chapter on “Insurance” in the Revised Statutes of 1879, entitled “Article 4 — General Provisions.” That article contained many provisions applicable in terms to all classes of insurance companies — fire, marine, and life— regulating them in the general conduct of their corporate business, and directing how, should they become unworthy, they might be dissolved and wound up. It is to one of the sections in that article (section 6013) that reference is made in the section to which the proviso now under discussion is added. The effect of section 5869, with this proviso, is to say that those assessment companies shall make their reports to the superintendent and be subject to his visitation, as the general law provides in case of other life insurance companies; that foreign assessment companies shall have their resident agents, etc., as section 6013 requires; but that, except as in the act itself provided, those other general provisions shall not apply. It is provided elsewhere in the act not only for supervision and control by the superintendent in certain particulars, but also that the companies, when they become unworthy, may be proceeded against by quo warranto, and wound up, as provided in the general insurance law for other insurance com
The object of the statute is plain and the evil it was intended to correct is also apparent. The General Assembly of this State has never enacted a law for the purpose of enabling a man to perpetrate a fraud and reap the benefit of it, nor was this act passed for such a purpose. But in its enactment the
The mischief that the Act of 1874 was intended to remove lurks as well in an application for a policy in the assessment
Taking these statutes all together and reading them in their historical order we see that there is no justification in concluding that the General Assembly ever intended ft) impair the effect of the Act of 1874. To construe the proviso to section 5869 as we have hereinabove construed it, that is, as relating to the organization of the corporations, the extent to which they shall be subject to the supervision of the Department of Insurance and under the superintendent’s control, is a reasonable and natural construction and leaves it in harmony with the Act of 1874, which for twenty-five years has been the policy of our law on that subject.
Having reached this conclusion it follows that the decisions in Hanford v. Mass. Ben. Ass’n., 122 Mo. 50; Haynie v. Knights Tem. Indem. Co., 139 Mo. 416; Jacobs v. Omaha Life Ass’n, 142 Mo. 49; and Aloe v. Mut. Reserve Ass’n, 147 Mo. 561, in so far as they hold that the provisions of sections 5849 and 5850, Revised Statutes 1889, are inapplicable to life insurance policies on the assessment plan, ought to be overruled.
The defendant’s answer having admitted the case stated in plaintiff’s petition, and pleaded in avoidance only facts which, because of sections 5849 and 5850, Revised Statutes 1889, are not sufficient to preclude a recovery, the plaintiff is entitled to a judgment on the pleadings.
The circuit court did not take the view that we have herein expressed, but through a trial on a different theory reached the same result, therefore, regardless of the questions arising out
The judgment of the circuit court should be affirmed.