BOARD OF INSURANCE COMMISSIONERS OF TEXAS (HOUSTON BANK & TRUST COMPANY ET AL) V. GREAT SOUTHERN LIFE INSURANCE COMPANY ET AL.
No. A-2886
Supreme Court of Texas
Decided May 2, 1951
Rehearing overruled June 13, 1951
239 S.W.2d 803
Opinion delivered April 18, 1951.
Associate Justice Brewster and Garwood joined in this dissent.
Rehearing overruled June 13, 1951.
:
The Court of Civil Appeals erred in holding that the life insurance features of the Texas Bankers Association Retirement System do not constitute group life insurance and
In rebuttal to petitioners proposition. Cox v. Payne, 107 Texas 115, 174 S.W. 817; Houston E. W. T. Ry. Co. v. Campbell, 91 Texas 551, 45 S.W. 2; Gulf, C. & S. F. Ry. Co. v. Dwyer, 84 Texas 194, 19 S.W. 470.
MR. JUSTICE CALVERT delivered the opinion of the Court.
On July 28, 1948, Texas Bankers Association—hereafter referred to as “Association” or “Bankers Association“—entered into a written trust agreement with Houston Bank & Trust Company, hereafter referred to as “Trustee“. Under the terms of the agreement a retirement plan and pension trust to become effective November 1, 1948, was created for the benefit of the employees of member banks of Association desiring to participate and Houston Bank & Trust Company was appointed trustee to administer the plan. Contributions to the trust fund were to be made by each participating bank from its own funds or, at the option of the bank, from funds jointly provided by the participating bank and its participating employees. If the contribution by a participating bank was entirely from its own funds, all of its employees were required to participate in the plan. If the participating bank required that its employees provide a part of the contribution it was mandatory that at least 80% of those then employed and that all those subsequently employed should participate.
From the funds contributed the trustee was directed to purchase upon the life of each participant, and to pay all premiums thereon, life insurance in the fact amount of $1000.00 for each $15.00 of monthly life income which the formula of the plan prescribed for such participant to receive from the issuing company at his normal retirement date. All life insurance purchased was required to “be in the form of individual ordinary life insurance policies” and each policy was required to contain a clause permitting “the legal owner thereof” to convert the policy to a retirement income endowment or a retirement income annuity basis. Title to every such contract was vested in the trustee and the trustee was given broad powers to exercise any of the rights, options or privileges of the absolute power, subject only to such limitations as were contained in the trust instru
After the trust agreement had been put in final form, Thomas E. Hand, Pension Trust Consultant of the Association, made an effort to secure an insurance company to underwrite the necessary insurance. Great Southern Life Insurance Company—hereafter called “Great Southern“—was invited to bid and was asked to make its bid on a “no selection” or waiver of all medical consideration basis. In order to enable Great Southern to determine whether it wished to underwrite the insurance on a no selection basis, Hand furnished the actuary of that company a work sheet of actuarial data on the employees of 100 banks.
On August 5, 1948, A. F. Mitchell, Vice President and Actuary of Great Southern wrote the Association a letter of commitment in which Great Southern agreed “to accept without selection” those employees eligible to be in the plan subject to certain conditions which may be briefly stated as follows: 1. The plan of insurance was to be Great Southern‘s regular Ordinary Life policy with conversion privileges at age 65 and no employee over age 60 years and six months would be accepted. 2. The effective date of the plan was to be November 1, 1948, and the policies dated as of that date. 3. Great Southern would furnish forms of application which were to be completed and mailed to Great Southern by December 31, 1948. 4. Issuance of insurance without selection was conditioned on receipt by Great Southern of applications on at least 500 lives or at least $1,000,000 of insurance by December 31, 1948. 5. Receipt of applications from at least 80% of the employees of each bank was required before any employee of that bank was eligible. 6. To be eligible for insurance without selection each employee must have been at work engaged in his regular duties for at least 30 days prior to the effective date of the plan; or, if an employee was not at work on the effective date on account of illness, he would be made eligible by his return to work able to perform his regular duties. 7. New eligible employees of participating banks would be added, without selection, each year as of November 1st. Consideration would be given to acceptance of employees of banks which elected after 1948 to participate. 8. A maximum amount of $10,000 would be accepted on one life without selection; a greater amount would be accepted only on evidence of insurability. 9. Applications would be received until December 31, 1948, but no insurance was to go into effect until at least 500 applications or applications for at least $1,000,000
The offer of Great Southern was accepted by the Association and the trust agreement was thereafter amended to conform to the requirements contained in the letter of commitment. Pursuant to the agreement Great Southern prepared a special form of application to be used by eligible and participating employees, and, applications having reached more than $1,000,000 in insurance, issued and delivered to Trustee a separate policy of ordinary life insurance for each applicant. The policies were held by Trustee and certificates of beneficial interest were delivered to the employees. Each of the policies was identical in form with that approved by the Board of Insurance Commissioners—hereafter referred to as “Board“—and used by Great Southern for insuring the lives of individuals, except that attached to the policies and forming a part thereof was a supplemental provision reading as follows:
“CONTROL
“In accordance with the request of the Insured, who is a qualified participant in Texas Bankers Association Retirement System, it is understood and agreed that the right to receive all cash values, loan and other benefits accruing under this policy, the right to change the Beneficiary, to assign this policy, to exercise all privileges and options contained herein, and to agree with the Great Southern Life Insurance Company for any release, modification of, or amendment to this policy, shall belong, and be available without the consent of any other person, to Houston Bank & Trust Company, Trustee, its successors or successor in Trust, under all of the terms and conditions of that certain pension trust agreement entered into by and between the said Houston Bank & Trust Company and Texas Bankers Association as of November 1, 1948, as the same may hereafter be amended.”
Delivered to each employee-participant was a certificate of beneficial interest certifying that a policy of given number and in a given amount had been delivered to Trustee for his benefit “under all of the terms and conditions of that certain Pension Trust Agreement entered into as of November 1, 1948, by and between the said Trustee and Texas Bankers’ Association, as the same may hereafter be amended.”
This suit was instituted by Trustee against Great Southern and the Board, Trustee seeking in its suit a declaratory judgment defining its powers, responsibilities, duties and liability in its purchase of the insurance policies, and, more particularly, that the applicability of
It is the position of the Board—petitioner here—that
If the policy be one issued to an employer or to a trustee for an employer to insure the employees of the employer, all employees or all of any class of employees determined by conditions pertaining to their employment are mandatorily eligible; the premium is required to be paid by the employer either wholly from his own funds, in which event the policy must insure all insurable eligible employees, or from funds jointly contributed by the employer and his employees, in which event at least 75% of the insurable employees must contribute and participate; no policy may be issued on which the entire premium is to be derived from funds contributed by the employees; the amounts of insurance under the policy “must be based upon a plan precluding individual selection either by the employees or by the employer or trustee“, and the amount of insurance on any employee is limited. The policy must cover at least 25 employees at date of issue.
Section 2 of the article is entitled “Group Life Insurance Standard Provisions.” It is there provided that no policy of group life insurance shall be issued or delivered in this state until the form thereof has been approved by Board and that no such policy shall be issued and delivered unless it contains certain stipulated provisions, or provisions which in the opinion of the Board “are more favorable to the persons insured, or at least as favorable to the persons insured and more favorable to the policyholder.” It is further declared that “the standard provisions required for individual life insurance policies shall not apply to group life insurance policies.”
Section 4 is headed “Group policies unlawful except as authorized” and reads: “Except as provided in this Act, it shall be unlawful to make a contract of life insurance covering a group in this state, and the license to do business in Texas of any company making a contract of life insurance covering a
The employees for whose benefit the retirement plan and system was conceived and upon whose lives the policies of insurance were issued by Great Southern were not employees of Bankers Association but were employees of the participating banks holding membership in the Association. Bankers Association is a trade association and group insurance on the lives of the employees of participating banks could not be effected through such association or through a trustee appointed by it because it did not come within one of the four categories or agencies made eligible by Section 1 of
We do not agree that the provision for forfeiture of license to do business in Texas contained in Section 4 of the act requires in this proceeding such a strict construction of
We do not agree with respondents that we may look alone to the provisions of the individual policies to determine the nature of the insurance involved or the validity of the policies. These policies do not contain the entire contract between the parties
Having concluded that all of the instruments involved in the transaction may be considered in determining the nature of the contract between the parties and that we are not limited by the rule of strict construction in our interpretation of
Section 1 of
The real point of departure from the requirements of the statute is that whereas the statute prohibits the writing of group insurance for employers with fewer than 25 employees an effort is here made through a trade association to write group insurance for a number of employers with fewer than 25 employees.
That the insurance here involved is in fact group insurance we have no doubt. The parties themselves recognized that they were invading the field of group insurance. A member of the pension trust committee, a lawyer by education, testified that in setting up the plan the committee had considered group insurance and “sought to side-step it, or attempted to.” Mr. Hand, the Pension Trust Consultant, sent out a brochure to banks in which he referred to the plan as a “group underwriting commitment” and expressed the hope that “a group underwriting commitment” might be obtained for banks which deferred entrance into the plan until 1949.
Inherent in most, if not all, ventures of group underwriting of life insurance is the willingness of the insurer, being first assured of a sufficient spread of risks to enable it to secure a reasonable cross section of normally healthy lives, to make concessions it would not make to the individual applicant for insurance. The volume of business and the consequent minimizing of expense will justify the concessions. Usually the major concession is the waiver of the insurer‘s right to require evidence of insurability. That was the concession made here by Great Southern. The test here then is this: Would Great Southern have been willing to place in effect, without evidence of insurability, and continue in force the so-called policies of ordinary life insurance if it had not been assured of a spread of risks among a group. The record here commands a negative answer. Great Southern did not submit an underwriting bid until it had made a study of the actuarial data on the employees of 100 banks. Before placing the policies in effect it assured itself of a spread of risks by requiring participation by at least 80% of the employees of each bank, by providing that no insurance was to go into effect until at least 500 applications or applications for $1,000,000 in insurance were received and by providing that all policies were to become effective at the same
Respondents attack the constitutionality of
In determining the questions presented it is well to bear in mind a few of the rules, long since established by the courts of this state, by which we must be guided. It will be presumed that classifications made by the legislature are reasonable and one challenging the reasonableness thereof must assume the burden of clearly establishing the arbitrary nature of the classifications. Supreme Lodge United Benev. Ass‘n. v. Johnson, 98 Texas 1, 81 S.W. 18; Watts et al v. Mann et al., 187 S.W. 2d 917,924 (writ refused); Auto Transit Co. et al v. City of Ft. Worth et al, 182 S.W. 685,691 (writ refused). If there exists a reasonable basis for the classifications made, the validity of the law will be upheld. Friedman v. American Surety Co. of New York et al, 137 Texas 149, 151 S.W. 2d 570; Heath v. Lewis et al, 32 S.W. 2d 249 (writ refused); Gerard et al v. Smith et al, 52 S.W. 2d 347 (writ refused).
Legislation regulating the writing of life insurance is in the public interest. It safeguards the rights of the policyholder not alone by prescribing the form and contents of his policy but by undertaking as well to insure the solvency of the company with which he contracts. According to respondents’ own witness, A. F. Mitchell, sound group underwriting, particularly where the insurer waives evidence of insurability, requires that there be a sufficient number of persons in the group to assure a normal
Nor do we believe that the inclusion of labor unions and their members as beneficiaries of the act and the exclusion of trade associations was so arbitrary as to render the act unconstitutional. The members of a labor union have with their union a close relationship and an affinity of interests that does not necessarily exist in a trade association, a more loosely knit type of organization. It is a matter of common knowledge that the bond that ties the laborer to his union is sometimes much stronger than that which ties him to his employer. Not so with the trade association. One of the purposes of the legislature in limiting the types of agencies eligible to procure insurance for a group of persons may well and reasonably have been to make certain that the agency purchasing the insurance bore such a close relationship and kinship of interests with the individual insureds that the agency could and would know the insurance needs of the individuals in the group and would use his money (if he contributed) to see that those needs were served. A classification having some reasonable basis does not offend against that clause (the equal protection clause of the Fourteenth Amendment of the United States Constitution) merely because it is not made with mathematical nicety or because in practice it results in some inequality.” Lindsley v. Natural Carbonic Gas Co., 220 U.S. 61, 31 Sup. Ct. 337, 55 L. Ed. 369. If trade associations were included in the act no doubt some other group agency could feel aggrieved, with equally good reasons, because it had not also been included. We are not to be understood as saying that trade associations could not be included in the act as an agency eligible to purchase group insurance. They have been included as eligible agencies in group insurance laws enacted in many of the states. That they might properly have
The judgment of the Court of Civil Appeals is reversed and the judgment of the trial court is reformed so as to declare invalid as prohibited by
Opinion delivered May 2, 1951.
ON REHEARING
MR. JUSTICE CALVERT delivered the opinion of the Court.
In the last paragraph of our opinion on original submission we declared “invalid” all policies of insurance issued by Great Southern under its agreement with Trustee. The language there used is subject to the criticism now urged that to declare these policies “invalid” would be to destroy the rights of those protected by the policies contrary to the rule established by the decision of this court in the case of American National Insurance Company v. Tabor, 111 Texas 155, 230 S.W. 397. We had no intention of abandoning the rule there announced. Accordingly, the last paragraph of the opinion is rewritten so as to read as follows:
The judgment of the Court of Civil Appeals is reversed and the judgment of the trial court is reformed so as to declare that all policies of insurance issued by Great Southern under its agreement with Trustee are issued in violation of
The motions for rehearing have been carefully examined and except as above indicatetd they are overruled.
Opinion delivered June 13, 1951.
