25 S.E.2d 103 | Ga. Ct. App. | 1943
Lead Opinion
1. The limitation of authority of an insurance agent, which is contained in the policy only, refers to matters which occur subsequently to the issuance and delivery of the policy.
2. The test for the payment of damages and attorney's fees, under the Code, § 56-706, is whether the refusal is frivolous and unfounded.
Boiled down, the allegations of the petition are in essence as follows: An agent of the insurer solicited and procured from the deceased, Oris M. Jordan, an application for a life-insurance policy of $1000, generally known as "travelers and pedestrians" insurance. At the time of the application the agent obtained ten cents as a binder to put the policy in force. A few days afterward, on May 13, 1941, the agent returned and requested an additional sixty-six cents, which the wife paid. The agent stated that this additional amount was necessary to be paid, and a receipt for seventy-six cents was signed by the agent, made out to the insured. A few days thereafter the agent returned with the policy and handed it to the wife; whereupon she went to get the money to pay the remainder of the first premium. She stated to the agent that she had the money and would get it and pay him. The agent replied that she need not do that; that he would go and return within a week, on Saturday, and collect the balance of the premium. He delivered the policy to the wife, who in turn delivered it to her husband on his return from work that evening. On Friday before the Saturday night when the agent was to return, the insured received *288 an injury from which he died on the following Monday. The cause of the death was within the provisions of the policy. The petition does not allege the payment of the first premium in cash, but relies on part payment and a tender of the balance. Recovery is sought for the face of the policy, attorney's fees, and penalty for bad faith. To the petition was attached only the "face" of the policy.
The amended answer denied the material allegations of the petition as to the right of recovery, and set up the following provisions of the policy as to payment of premium: "This policy shall not take effect until the first premium shall have been paid in cash and this contract delivered and accepted during the lifetime and good health of the insured. All premiums are payable in advance at the said home office or to an agent of the company, upon delivery, on or before the date due, of a receipt signed by the president, secretary or treasurer of the company and countersigned by said agent. The payment of a premium or installment thereof shall not maintain this policy in force beyond the date when the next installment of premium is payable." The amended answer further alleged that on May 13, 1941, the agent of the insurer took the application on the life of Oris M. Jordan, in which his wife was named as beneficiary. Thereafter, the insurer executed and forwarded to its agent in Savannah a policy to be delivered to the insured on payment in cash, as provided in said policy, of the premium of $2.50 on or before the delivery of the policy to Oris M. Jordan; the payment of said premium being a condition precedent to said policy becoming effective. Neither the Savannah office of the defendant nor the agent of defendant had any right or authority to deliver the policy before payment in full, in cash, of the premium of $2.50. The agent carried said policy to the residence of the insured in Savannah for the purpose of delivering it to the insured on the payment in cash of the premium, the consideration of the policy. The beneficiary was then at home. She stated that her husband was not at home, and that she could not pay the premium. The agent stated to the beneficiary that he would bring the policy back later, but she requested him to leave it with her so that her husband could examine it. The agent left the policy with Mrs. Jordan so that the insured could examine it, but for no other purpose. He did this although he knew it was contrary to the rules of the defendant, *289 and that he had no authority to do so. He retained the official premium receipt which was to be given the insured on payment of the premium. A few days thereafter the insured died without having paid the premium specified in the policy. The premium never was paid to the defendant. Although the agent left the policy with Mrs. Jordan so that the insured might examine it, and for no other purpose, the insurer was not notified that said policy was acceptable to the said insured.
The evidence for the plaintiff substantiated the allegations of the petition. The evidence for the defendant sustained the answer. The insurer submitted further testimony to the effect that the payment of the seventy-six cents was for another policy, on the life of the father of the beneficiary, and that this last policy was a different kind of policy, the premium on which was thirty-eight cents per week. This policy on the life of the father of the beneficiary was applied for by the insured, the seventy-six cents paid for two weeks, and the policy was issued by the insurer and forwarded to the soliciting agent, who failed to deliver it. 1. The demurrers general and special, the objections to evidence, the alleged errors of omission and commission regarding the charge of the court, and the assignments of error in the general grounds of the motion for new trial, all crystallize in two issues: (a) Under the pleadings and the facts, was the verdict authorized under the law? (b) If so, under the pleadings and the evidence was that portion of the verdict for the penalty and attorney's fees warranted as a matter of law?
(a) We should keep in mind that the application was not made a part of the policy. It is also well to note that the application contained no stipulation with reference to the payment of premiums or the kind of receipt to be issued, as was contained in the policy and pleaded as a defense by the insurer. This court said, in Life Casualty Insurance Co. v. Brockett,
The petition alleged that a tender was made. The answer denied it. The answer contended that the policy was left with the insured for his examination only. The jury resolved the issue in favor of the plaintiff. The court, in its charge, fairly and fully presented this issue. Let us next inquire whether there is any authority of law to sustain the validity of such tender. InSouthern Life Insurance Co. v. Kempton,
In Mitchiner v. Union Central Life Insurance Co.,
Counsel for the insurer cite Croghan v. New YorkUnderwriters' Agency,
(b) This brings us to consider whether the judgment for attorney's fees and penalty is sustainable. Under the record, we do not think that such a case was presented as would sustain a verdict for attorney's fees and penalty as prescribed under our law. The test is whether the refusal to pay is frivolous and unfounded. We think the facts presented a situation that is somewhat unusual. The plaintiff contended that the policy was delivered to her without her paying the full amount of the first premium, although she tendered it to the agent. The company contended that the policy was left for examination only. This clearly made a question of fact to be determined by a jury. There was evidence to sustain either contention. We do not think the law ever intended to penalize insurance companies for desiring to have such issues of fact as are contained in this record submitted to a jury for determination. We think that portion of the verdict for the $250 penalty and the $333.33 attorney's fees was without authority of law, under the evidence. If the plaintiff will write off from the judgment the penalty and attorney's fees before or at the time the remittitur is *294 made the judgment of the court below, the judgment is affirmed; otherwise it is reversed.
Judgment affirmed on condition. MacIntyre, J., concurs.
Of course the application is material only to the extent that it shows the insured was not required to demand a particular kind of receipt when the policy was delivered to him (through his wife, who was the beneficiary and undisputed agent of the insured). After he accepted the policy which stipulated the particular kind of "official receipt" to be obtained on payment of a premium, as to subsequent payments the stipulation might be applied. See Jones *300
v. Gilbert,
This court, in Fort Valley Coca-Cola Bottling Co. v.Lumbermen's Mutual Casualty Co.,
Carson v. Jersey City Fire Ins. Co., 14 Vroom, 300 (39 Am.R. 584): "Delivery of a policy to an agent authorized to deliver it to the insured and receive the premium, and his delivery of the policy to the insured and acceptance of a note for the premium and procuring a discount of the same for his own account, without paying the premium to the principal, constitutes a valid insurance, in spite of a provision in the policy that such agent shall be deemed the agent of the insured, and that the insurer shall not be liable until he actually receives the premium. [To same effect, Wooddy v. Old Dominion Ins. Co., 31 Grat. 362, 31 Am. Rep. 732]." 85 A.L.R. 753, 754: "The insurance company recognizes the regularity of an application solicited by an unauthorized person, and does thereby recognize such person as its agent; the payment of the first advance premium to him is payment to the company and estops it from denying the necessity of making said payment to the home office, notwithstanding the provision that the insurance shall not take effect until the first advance quarterly premium shall have been paid to the home office and a receipt given over the name of the president of the company."
We make this further comment and citation of authorities as an addition to our original opinion.
Judgment adhered to. MacIntyre, J., concurs.
Dissenting Opinion
The policy sued upon contained the following provisions: "This policy shall not take effect untilthe first premium shall have been paid in cash and this contractdelivered and accepted during the lifetime and good health of the insured. All premiums are payable in advance at said home office or to an agent of the company, upon delivery, on or before the date due, of a receipt signed by the president,secretary or treasurer, of the company and countersigned by said agent. . . It is expressly agreed that only the president,secretary, or actuary shall have power to alter or change theterms of this contract or waive forfeitures, and that it shallnot be within the scope of the authority of any agent, manager,or superintendent other than the said president, secretary, oractuary, to alter or change the terms of this contract or towaive any of the terms thereof." (Italics mine.)
The evidence is undisputed that the first premium was never paid in cash. However, the plaintiff contends, and there is some evidence to support the contention, that she paid part of the first premium in cash to the soliciting agent before the delivery of the policy to her, and that she tendered the balance of the premium to said agent a few days later when he delivered the policy, but that he declined to accept it then and said he would get it later. And counsel for the plaintiff argue that the tender was equivalent to the payment in cash of the first premium. I can not agree to the contention. The undisputed evidence shows that the agent had no authority to deliver the policy until the entire first premium was paid in cash as stipulated by the terms of the policy, and that he had no power to alter or change said terms or to waive them. The undisputed evidence also shows that when he delivered the policy or when he received part payment of the premium the agent did not present to the plaintiff, or to her husband, a receipt signed by the president, or by the secretary, or by the treasurer of the company, and countersigned by him (the agent), as required by the terms of the policy. Furthermore, there was no evidence to authorize a finding that the unauthorized acts of the agent had been ratified by the insurance company. In Mitchiner v. Union Central Life Insurance Co.,
In Hutson v. Prudential Insurance Co.,
In the McKenzie case, this court said: "That an insurance company can legally make the delivery of a policy and theactual payment of the initial premium, as was done in this case, conditions precedent to the liability of the company admits of no doubt. See New York Life Ins. Co. v. Babcock,
In Southern Life Insurance Co. v. Kempton,
It is true that there were some conflicts in the evidence; but, resolving all such conflicts in favor of the plaintiff, a finding for the defendant was still demanded under the evidence and the law applicable thereto. In my opinion the court erred in denying a new trial.
Dissenting Opinion
For the reasons stated in my dissent *302 from the original opinion of the majority of the court, I think that the evidence demanded a verdict in favor of the defendant, and that the court erred in denying a new trial.