180 N.Y. 389 | NY | 1905
Lead Opinion
This action was brought by two fire insurance companies against a third upon a contract of reinsurance in the standard form, made under the following circumstances: On the 13th of June, 1895, the plaintiffs, "each acting and contracting for itself and not one for the other," by a policy otherwise joint in form, insured one Heilner for the *392 term of one year to an amount not exceeding $10,000 against loss by fire to a quantity of wool. On the 16th of July, 1895, the defendant reinsured the plaintiffs against all loss, except as otherwise provided, under their said policy to Heilner to an amount not exceeding $5,000, "subject to the same risks, conditions, valuations, endorsements and assignments as are or may be assumed or adopted by the Home Insurance Company of New York and the Phœnix Insurance Company of Hartford, Connecticut." It was also provided that "the loss, if any," should be "payablepro rata at the same time and in the same manner as by said companies. Other reinsurance permitted if desired." These provisions appeared in what is called a rider attached to the standard form of policy in order to convert it into a contract of reinsurance. It was provided in the body of the policy that the defendant should not be liable "for a greater proportion of any loss on the described property * * * than the amount hereby insured shall bear to the whole insurance, whether valid or not * * *. Liability for reinsurance shall be as specifically agreed hereon."
Prior to August 12th, 1895, the plaintiffs, at the request of Heilner and without notice to the defendant, reduced his insurance to the sum of $2,000 and on that day the property covered by their policy was injured by fire to an amount exceeding $3,000. They paid Heilner $2,000, the amount of their policy as reduced, and they also paid $14.10 for the necessary expense of adjusting the loss. They served proofs of loss on the defendant, claiming that they were entitled to $2,014.10, the whole amount paid by them, and more than sixty days thereafter commenced this action to recover that sum. Upon the first trial they were awarded the whole amount claimed, but the judgment was reversed by the Appellate Division. (Home Insurance Co. v.Continental Insurance Co.,
The plaintiffs claim that the defendant under its policy of reinsurance is liable for the whole loss which they sustained under their policy of insurance. The defendant claims that it is liable for only one-half that amount, upon the theory that its contract is limited to such proportion of the loss as the amount of reinsurance bears to the amount of insurance.
The controversy turns upon the meaning of the following sentence as used in the policy of reinsurance: "The loss, if any, payable pro rata at the same time and in the same manner as by said companies." The mooted words are "pro rata," which mean, literally, "according to the rate," or, as ordinarily understood, "in proportion." The loss, therefore, is payable according to some proportion and must be apportioned in some way. Obviously the apportionment, as to parties, is to be made either between the plaintiffs alone or between the plaintiffs and the defendant; and as to amount, on the basis of facts existing at the date of the policy, or at the date of the loss. If it is between the plaintiffs simply, the provision is unnecessary, and is of slight concern to one and of no concern to the other party to the contract; but if between the contracting parties, it relates to the amount of reinsurance to be paid and has a function to perform of importance to both. We agree with the Appellate Division that the parties intended to divide the loss between themselves according to the proportion which the amount of the defendant's policy of reinsurance bears to the amount of the plaintiffs' policy of insurance.
The promise of the reinsurer was to indemnify the insurers to an amount not exceeding $5,000 against their liability under the policy for $10,000 to Heilner, by paying pro rata any loss sustained by them, that is, by paying any such loss in proportion to the sums covered by the respective policies. There was no promise to pay the full amount of insurance, but a certain proportion thereof. The defendant did not say to the plaintiffs, "I will pay your loss, not exceeding $5,000," *394 but "I will pay my proportion of your loss not exceeding $5,000." The proportion was fixed by the contract in accordance with the amount of insurance furnished by either party as stated in the policy of reinsurance, or at the ratio of 5,000 to 10,000, which is one-half. After the contract was made the proportion could not be changed without the consent of both parties. It could not be affected by any act of the plaintiffs in modifying their contract with Heilner. The right to change their contract with him was unrestricted, but any change could not affect the ratio of 5,000 to 10,000, which was agreed upon as the basis of division. The amount of insurance might be changed, but not the proportion which the reinsurer was to pay if a loss occurred. The plaintiffs, by agreement with the owner of the property, might reduce the amount of his policy to $2,000 or increase it to $20,000, but the promise of the defendant to pay in accordance with the proportion originally fixed would remain unchanged. That promise was to pay upon the ratio settled by the facts existing at the date of the contract, and which were stated therein. It was agreed that the amount of insurance was $10,000 and that the amount of reinsurance should be $5,000, payable pro rata in case of loss. There is no agreement to pay the whole loss, but apro rata share thereof, in proportion to the amounts of the policies as they stood when issued. The premium paid to the defendant is presumed to have been arranged with reference to those amounts. The plaintiffs received a premium of $230 and they paid $115, or one-half thereof, to the defendant, which assumed a like proportion of the loss.
While the "risks, conditions, valuations, endorsements and assignments" of the policy of insurance might be changed by the plaintiffs for their own convenience after the policy of reinsurance was issued, it could have no effect on the defendant's promise which was founded upon the amount of original insurance existing when it was made. The plaintiffs by altering their risk with the insured could not alter the proportion of any loss which the defendant had agreed to pay. That proportion was determined by the defendant's policy in accordance *395 with the facts as they stood at its date and as they were therein recited, and while they might subsequently be changed the proportion would remain the same, because it was agreed upon as the basis of the contract to reinsure. The defendant took upon itself one-half of the plaintiffs' risk under a certain policy, specifically identified by number, not one-half of all risks outstanding. If the plaintiffs at the same time had had other policies on the same property not referred to in the defendant's policy, the proportion would not have been changed, for it depended upon the ratio between the amount of the particular policy specified and that of the policy of reinsurance as issued.
The paragraph quoted from the body of the policy in suit is an apportionment clause which relates simply to policies of reinsurance as between themselves. (Farmers' Feed Co. v.Scottish Union Ins. Co.,
In an early case the words "pro rata" formed no part of the promise of the reinsurer, which was absolute in form. The agreement was "to make good unto the reinsured all such loss or damage, not exceeding" $10,000, "as should happen *396
by fire to the property described." The original insurance was $22,000, the reinsurance $10,000 and the loss $14,373.76. A recovery of the whole amount of the reinsurance was sustained, although the reinsurer was insolvent and could not meet its contract with the insured. (Hone v. Mutual Safety Ins. Co., 1 Sandf. 137;
Twenty-five years later a case was presented where the policy of reinsurance contained this clause: "loss, if any, payable prorata at the same time with the reinsured." The insurance was $5,000, the reinsurance $2,500 and the loss $4,407.62. This court, after quoting the pro rata clause, said that it did not occur in the case last cited and then continued as follows: "By virtue of the first part of this clause the defendant is not bound to pay the full amount reinsured by its policy, but only such a proportion of the amount of the loss as is in the ratio of the amount of the reinsurance to the amount originally insured. Thus the defendant's reinsurance being for half the amount of the original insurance, the defendant is to pay half the loss." (Blackstone v. Alemannia Fire Ins. Co.,
The Blackstone case has pointed the way to judgment in various courts of high standing. (Imperial Fire Ins. Co. v.Home Ins. Co., 68 Fed. Rep. 698; Consolidated Real Estate Fire Ins. Co. v. Cashow,
Upon the trial the testimony of experts as to the usage and object of underwriters in inserting the pro rata clause in policies of reinsurance, although received by the referee, was *397
finally struck out upon motion of the defendant, against the objection and exception of the plaintiffs. The motion was properly granted for the evidence was incompetent. It did not tend to show the meaning of technical terms, nor place the referee in the situation of the parties so that he could construe their agreement from their standpoint when it was made. The effect of the evidence was to contradict the plain language of the policy, after its meaning had been settled by the construction of the courts. Usage cannot control law, nor change the legal meaning of a contract. (Hone v. Mutual Safety Ins.Co., 1 Sandf. 137, 149;
The judgment should be affirmed, with costs.
Dissenting Opinion
I am of opinion that the pro rata clause in the contract of reinsurance is properly construed by plaintiffs' counsel, and if it is desired to hold the original company to any fixed amount of insurance, the retainer clause must be used.
This practice has long prevailed in the insurance world, and to hold otherwise will greatly disturb the due course of business and possibly necessitate a change in the form of policies that have been long in use.
CULLEN, Ch. J., GRAY, O'BRIEN, HAIGHT and WERNER, JJ., concur with VANN, J.; BARTLETT, J., reads dissenting memorandum.
Judgment affirmed.