Lundberg v. Interstate Business Men's Accident Ass'n

| Wis. | Feb 22, 1916

BaRetes, J.

Appellant argues that the court err.ed (1) in refusing to receive expert evidence tending to show that the eye-witness provision of .the policy in question was not printed in bold-face type; (2) in holding that such provision was printed in bold-face type and with greater prominence than any other portion^of the text of the policy; (3) in holding that the eye-witness clause was not contrary to public policy; and (4) in holding that the plaintiff’s evidence was insufficient to meet the requirements of this clause. In order to get our true bearings in the case it is necessary to refer to a number of statutory provisions that were in force when the policy was issued.

Sub. 1 of sec. 1960, Stats. 1913, reads:

“On and after the first day of January, 1914, no policy of insurance against loss or damage, from the sickness, or the bodily injury or death of the insured by accident shall be issued or delivered to any person in this state until a copy of the form thereof and of the classification of risks and the premium rates pertaining thereto have been filed with the commissioner of insurance; nor shall it be so- issued or deliv-•erod until the expiration of thirty days after it has been so filed unless the said commissioner shall sooner give his written approval thereto. If the said commissioner shall notify, in writing, the company, corporation, association, society or other insurer which has filed such form that it does not comply with the requirements of law, specifying the reasons for his opinion, it shall be unlawful thereafter for any such insurer to issue any policy in such form.”

Sub. 2 of the same section, among other things, provides-that no policy shall he issued or delivered

“unless the exceptions of the policy he printed with the same prominence as the benefits to which they apply, provided, however, that any portion of such policy which purports, by reason of the circumstances under which a loss is incurred, to reduce any indemnity promised therein to an amount less, than that provided for the same loss occurring under ordinary circumstances, shall be printed in bold-face type and with'greater prominence than any other portion of the text of the policy.”

This subsection also provides for the style of type that must he used in printing certain portions of a policy. Sub. 3 contains a list of provisions which must be incorporated in an accident policy.

Sub. 14 of said sec. 1960 (p. 1486, Stats. 1913) provides:

“Any policy covered by this act, the form of which has received the approval of the commissioner of insurance may be issued or delivered in this state on and after the first day of October, 1913.”

Sub. 13 of the same section provides:

“Any company, corporation, association, society or other insurer or any officer or agent thereof, which or who issues or delivers to any person in this state any policy in wilful violation of the provisions of this act shall be punished by a fine of not more than one hundred dollars for each offense, and the commissioner of insurance may revoke the license of, any company, corporation, association, society or other insurer of another state or country, or of the agent thereof, which or who wilfully violates any provision of this act.”

Suh. 9 of said sec. 1960 (p. 1486, Stats. 1913) reads:

“A policy issued in violation of this act shall he held valid but shall be construed as provided in this act and when any provision in such policy is in conflict with any provision of this act the rights, duties and obligations of the insurer, the policy-holder and the beneficiary shall he governed by the provisions of this act.”

The statutes referred to required the respondent to submit its form of policy to the insurance commissioner. Such officer had thirty days in which to approve or disapprove of the form submitted. If no objection was made within that time, then the form ipso facto stood approved without further official action. During this interim it was declared to be unlawful to issue a policy. If the commissioner was dissatisfied with the form submitted, it was necessary to provide n form that would meet his approval. Until this was done a policy could not lawfully be issued, and for violation of the law the insurance company was not only subject to a fine but the commissioner might revoke its license to do business in ■the state. It is perfectly obvious that the provisions of law referred to required the commissioner to pass upon the typographical make-up of the policy as well as upon the reading matter therein contained. It is just as apparent that the legislature vested in the commission'er the power to determine a question of fact, to wit: Did the form submitted comply with the requirements of law ? Whether or not there is .any way in which to review such a decision is not before us, because we are entirely satisfied that it cannot be collaterally attacked in a suit under a policy by a beneficiary named therein. Where it is made unlawful to issue a policy in a form not approved by the commissioner, it would be an incongruity to say that after an approved form had been issued the insurer could not claim the benefits of provisions •contained in the policy because forsooth some printer could be found who was willing to swear that the commissioner did not know what “bold-face” or “prominent” type was when he saw it. The office of insurance commissioner is an almighty important one. This fact has been judicially determined by this court. Ekern v. McGovern, 154 Wis. 157" court="Wis." date_filed="1913-05-31" href="https://app.midpage.ai/document/ekern-v-mcgovern-8191011?utm_source=webapp" opinion_id="8191011">154 Wis. 157, 142 N. W. 595. It is not supposable that the legislature intended for a moment that his official determinations should be upset by the ■opinion of any and every person who was able to qualify as an expert. It would, be surprising if be bimself would be able to prepare a form wbicb some expert would not endeavor -to pick to pieces.

It was stipulated in the case that prior to the issuance of the policy sued on the defendant had been duly authorized to-transact its appropriate business in Wisconsin. This was-equivalent to stipulating that the defendant had filed its policy form with the commissioner and that it had been approved by that officer. It is not to be assumed or presumed, 'in the absence of proof, that a license would have been issued to the defendant if it had failed to comply -with this important provision of law.

Of course there is the very remote possibility that the defendant, after filing a satisfactory form of policy, proceeded to violate the law by issuing policies in a different form. The stipulation is incomplete, in that it fails to cover this contingency. The real question was whether the form of the policy in suit was a facsimile of the one that had been approved.. An affirmative answer to this question would end the attack made on its form. But the plaintiff was entitled to show that the policy sued on was not. of the form approved by the-commissioner, or that no form had ever been submitted for approval. Whether evidence such as was offered here would, be sufficient to throw the burden on the defendant of proving’ that there-was no departure from the approved form, we do-not find it necessary to decide. The trial court held that the-policy on its face showed that it complied with the statute and refused to receive expert evidence to contradict this patent fact. This court concurs in the conclusion reached in this regard by the lower court.

It seems too plain to justify argument that on the facts stipulated the claimant failed to establish the accidental character of the injury by the testimony of “an eye-witness of all the circumstances of the casualty,” as the policy required where death resulted from a gunshot wound.

Neither do we know of any rule of law which would justify the court in holding the provision of the policy in question void as being against public policy. It was obviously inserted to prevent recovery by the beneficiaries of suicides. Presumably the premium charged was fixed with reference to this limitation on liability. The insurance policy sued on is a matter of contract. We see no reason why the defendant might not have provided that it should not he liable at all for injuries resulting from gunshot wounds or poison. Appellant’s counsel cite no authorities to sustain the contention made. The authorities dealing with the precise point before us are not numerous, but they sustain the decision of the trial court. Connell v. Iowa State T. M. Asso. 139 Iowa, 444" court="Iowa" date_filed="1908-06-10" href="https://app.midpage.ai/document/connell-v-iowa-state-traveling-mens-assn-7113081?utm_source=webapp" opinion_id="7113081">139 Iowa, 444, 116 N. W. 820; Roeh v. Business Men’s P. Asso. 164 Iowa, 199" court="Iowa" date_filed="1914-02-19" href="https://app.midpage.ai/document/roeh-v-business-mens-protective-assn-7115804?utm_source=webapp" opinion_id="7115804">164 Iowa, 199, 145 N. W. 479, 37 Eng. & Am. Ann. Cas. 813; Nat. Acc. Soc. v. Ralstin, 101 Ill. App. 192" court="Ill. App. Ct." date_filed="1901-12-10" href="https://app.midpage.ai/document/national-accident-society-v-ralstin-7002958?utm_source=webapp" opinion_id="7002958">101 Ill. App. 192. Many other decisions on kindred questions will be found in the opinion of the court in the Roeh Case. This court in common with many others has held that it is competent for parties to bind themselves by contract to a shorter period o’f limitation than that provided for by statute. Hart v. Citizens’ Ins. Co. 86 Wis. 77" court="Wis." date_filed="1893-09-26" href="https://app.midpage.ai/document/hart-v-citizens-insurance-co-of-pittsburg-8184344?utm_source=webapp" opinion_id="8184344">86 Wis. 77, 56 N. W. 332; Griem v. Fidelity & C. Co. 99 Wis. 530, 75 N. W. 67. If this can be done, parties ought to be competent to agree that recovery could not be had for certain injuries except on condition that the accidental character thereof be established by an eye-witness.

By the Court. — Judgment affirmed.