Boruszweski v. Middlesex Mutual Assurance Co.

186 Mass. 589 | Mass. | 1904

Loring, J.

This is an action on a policy insuring the plaintiffs against loss by fire upon a dwelling house and barn and certain personal property contained therein. The defence is that the plaintiffs never have rendered the sworn statement in writing called for by the policy, which is in the form prescribed by R. L. c. 118, § 60. The plaintiffs’ contention is that this has been waived by the defendant, and that they proved a custom making it unnecessary. The case is here on a report by the presiding judge, who directed the jury to return a verdict for the defendant.

The facts relied on by the plaintiffs as constituting a waiver are that the defendant on receiving an informal notice of the fire sent an adjuster to Webster, where the property insured was situated. The adjuster notified the broker who placed the insurance that he was coming. The broker met him at the station and had a talk with him there about the loss. The broker then told him that he had just driven the adjuster of another company to the locus, and that the other adjuster had just left. The defendant adjuster asked why he had not waited for him. The broker then asked him to go to his office, where he said he had a “ proof of loss,” but the adjuster refused ; he also refused to visit the place of the fire, although the broker offered to “ carry him out.” He said that he did not want to attend to it that day, as he was anxious to go to Hartford, but told the broker that he would see him or communicate with him in a short time. He left on a train a few minutes later. Nothing was done on the part of either party until nearly five months later, when the plaintiffs retained counsel. In answer to a letter from counsel nqt put in evidence the president of the defendant company wrote, stating that their adjuster learned facts when he visited the scene immediately after the fire, indicating that the fire was not an honest one; that the fire marshal had written to the same effect after making an investigation; and insisting that the plain provisions of the policy had not been complied with since the fire. The letter ended with a statement that the company supposed the plaintiffs had failed to comply with the essential conditions through consciousness of wrong doing.

The question is whether there is anything in this which amounts to a waiver of performance of the clause of the policy requiring the insured, in case of a fire, to render forthwith a sworn statement in writing giving (1) the value of the property insured, (2) the interest of the insured in that property, (3) all other insurance on it, (4) the purposes for which and the person by whom the buildings in question were used, and (5) the time and manner in which the fire • originated so far as known. By the terms of the policy the insurance money due is payable sixty days after this statement is rendered.

The performance of this clause is a condition precedent to the defendant’s liability. Cook v. North British Mercantile Ins. Co. 183 Mass. 50. Parker v. Middlesex Mutual Assur. Co. 179 Mass. 528. See also Audette v. L’Union St. Joseph, 178 Mass. 113; Smith & Dove Manuf. Co. v. Travellers' Ins. Co. 171 Mass. 357; Johnson v. Phœnix Ins. Co. 112 Mass. 49; Smith v. Haverhill Ins. Co. 1 Allen, 297; Shawmut Sugar Refining Co. v. People's Ins. Co. 12 Gray, 535.

The rendering of this statement is the first step called for by the policy, to be taken by the insured in case of a loss. On such a sworn statement being made and delivered to the company, it is its duty to decide whether it will pay the loss, and to determine the amount due. If the amount of damage done is not agreed upon, it is fixed by arbitration. In either event the amoúnt due becomes payable sixty days after the sworn statement is rendered to the company.

The nearest case in this Commonwealth is the case of Searle v. Dwelling House Ins. Co. 152 Mass. 263. In that case, on receiving informal notice that there had been a fire, the company sent an adjuster to agree on the amount of the loss, understanding that he carried with him blanks on which a proof of loss was to be made in accordance with the adjustment reached. The agent agreed with the insured upon the amount of the loss, item by item, and that was written down. He then told the insured that he would write it out on a proper blank and send it to her to be signed and sworn to. The insured heard nothing from the adjuster or the company for some three or four weeks. She then went to the local agent who issued the policy, and he wrote to the company in her behalf. In answer the company refused to pay the loss on another ground. This was held to justify a finding that the presentation of the sworn statement had been waived. In that case the fire took place on October 11, 1885. On May 27, 1886, a sworn statement was rendered. The court ruled that this sworn statement was rendered too late to be a compliance with the policy, and left the case to the jury on the question of waiver. The ground on which the case goes is that the action of the company was inconsistent with an intention to insist on a sworn statement being rendered. For another case where the rendering of a sworn statement was waived altogether, see Eastern Railroad v. Relief Ins. Co. 105 Mass. 570.

But in the case at bar there was nothing in what the defendant did inconsistent with an intention to insist on a full compliance with this clause of the policy. Until a sworn statement containing the information called for is rendered, the company is under no duty to take up the question of adjustment of the loss. Before proceeding with the adjustment of a loss, an insurance company, under the Massachusetts standard form of policy, has the right to have the insured commit himself, in writing and under oath, upon the facts to be set forth in the sworn statement, namely, (1) the property covered by the policy in existence at the time of the fire and the value of it; (2) the plaintiff’s interest in the insurance; (3) the insurance on the property; (4) the purposes for which the buildings in question were used; and (5) the history of the fire so far as known. But the company is not bound to abstain from all investigation until this condition precedent is performed. In the case at bar the defendant’s adjuster went to the town in question and saw the broker who placed the insurance, and asked for information about the loss; he refused to look at the place where the fire was, refused to go to the broker’s office, where, he was told, there was a “proof of loss,” and left. There was nothing in this inconsistent with a determination to insist on the provision of the policy here in question being performed. The only other thing was his statement to the broker on leaving that he would see him or communicate with him again in a short time.. The most that can be claimed for that is that it excused the plaintiffs from rendering the sworn statement until a reasonable time had elapsed, if they or their agents relied on this remark of the adjuster in not rendering the statement forthwith,- and there is no evidence that they did rely on it. This remark is not inconsistent with a determination on the part of the insurance company to insist upon the sworn statement being made out, signed, sworn to and delivered to it, and the plaintiffs could not have been misled by it. For that reason the jury were not warranted in finding that the performance of that condition had been waived. ‘

None of the cases cited by the plaintiffs in which it has been held that there has been a waiver of preliminary proofs of loss goes as far as we are asked to go in this case. See Harrison v. German-American Ins. Co. 67 Fed. Rep. 577; Tillis v. Liverpool & London & Globe Ins. Co. 33 Ins. L. J. 289; Graves v. Merchants & Bankers Ins. Co. 82 Iowa, 637; Brown v. State Ins. Co. 74 Iowa, 428; Hartford Ins. Co. v. Keating, 86 Md. 130. Of the other cases principally relied on by the plaintiffs, it was held in Weidert v. State Ins. Co. 19 Ore. 261, that there was no waiver; and in Gould v. Dwelling-House Ins. Co. 134 Penn. St. 570, and Perry v. Dwelling-House Ins. Co. 67 N. H. 291, there was an attempt to comply with the provision within the time specified.

The argument of the plaintiffs that the letter of the president was in itself a waiver makes it necessary ton state that it was not. It insists that the plain provisions of the policy have not been complied with since the fire.

This brings us to the custom testified to on the part of the plaintiffs, which was in substance as follows: In case of a loss the insured notifies the broker of the fire and he sends notice to the company. The company then either sends a blank form of a “proof of loss” or an adjuster to make an adjustment of the loss on the ground, who carries such a blank with him ; and the failure of the company to send a blank or an adjuster is a waiver of the condition of the policy “ that there be a proof of loss in writing,” and the company settles within sixty days for the amount of the policy.

It is settled that a custom is bad which contradicts a contract the terms of which are plain. A custom is admissible to explain what is doubtful, but when the terms of the contract are plain the right of one party to it cannot be taken away by custom. The last case oh the point is Menage v. Rosenthal, 175 Mass. 358, where some of the cases are collected. To these should be added Benson v. Gray, 154 Mass. 391, (where also a collection is made of the earlier cases,) Macomber v. Howard Ins. Co. 7 Gray, 257, and Stone v. Howard Ins. Co. 153 Mass. 475.

By the terms of the contract no notice is required to be sent by the insured until the sworn statement is made out and rendered, and the defendant is under no obligation to do anything about the matter until the plaintiff has committed himself in writing and under oath on the matters therein to be set forth. The amount due is not payable until sixty days after this has been rendered. A custom which substitutes a mere notice that a fire has occurred for this statement in writing on the five points specified, signed and sworn to by the insured and rendered by him to the company forthwith, and which makes the company liable for the amount of the policy -without regard to the damage done by the fire, in sixty days after informal notice of the fire is given, is bad.

A.. P. Pugg, (J. P. Thayer <f- H. H. Thayer with him,) for the plaintiffs. F. W. Brown, for the defendant.

Some confusion seems to have arisen from calling the sworn statement called for by the Massachusetts standard form a “proof of loss.” This is probably a survival of the practice which had obtained under the policies in use before the standard form was adopted, (Sts. 1873, c. 331, and 1881, c. 166,) which usually, if not universally, called for a sworn statement of the amount of loss eaused to the property insured, by the fire, inter alia. But the amount of the loss is not called for in the sworn statement specified in the Massachusetts standard form.

Judgment on the verdict.