MacArthur v. United States Health & Accident Insurance

151 Ill. App. 507 | Ill. App. Ct. | 1909

Mr. Presiding Justice Chytraus

delivered the opinion of the court.

The theory of contract upon which plaintiff, MacArthur, seeks to recover in this case appears to be that the company was insuring him against accident continuously, from the time the policy was issued, for an indefinite period and that premiums were payable monthly, in advance, but that prompt payment of premiums had been waived. If such contract has been shown it must have arisen by estoppel for no such contract is expressed by or can be implied from the writings between the contracting parties.

Plaintiff’s attorneys contend that in view of the facts of the case and of the terms of the policy “there was either a waiver by the company of the terms of its policy requiring prompt payment of premiums, or, there was not such waiver and the policy was in force March 5, 1907, according to the terms thereof,” and that proposition, having been presented, is argued as if the question of waiver or no waiver were the question which determined whether or not the original policy was in force at the time MacArthur sustained his injury. The proposition appears to us to overlook the real question in the case, that is, the real nature of the contractual relation between the parties.

It is doubtless true that courts do not regard forfeitures with favor and will not enforce forfeitures on account of failure to make payments upon contracts promptly unless the evidence is clear that such was the intention of the parties. _ But is there any question of a failure to promptly make payment upon an existing contract involved here?

It is also true that if the practice and course of conduct of the payee in a contract has been such toward the payor as to induce a belief that so much of the contract as provides for a forfeiture in a certain event will not be insisted upon, or if the payee has given any express assurance that such forfeiture will not be insisted upon, the payee will not be allowed to set up such forfeiture as against one in whom such practice, course of conduct or assurance has induced such belief. But is there any question of a forfeiture involved here?

The principle that enables courts to act and upon which courts do act, when they prevent and refuse to enforce a forfeiture where a payee has induced in the mind of the payor the belief, upon which the payor has acted, that there would be no forfeiture for failure to make payments promptly, is the doctrine of estoppel in pais. This case now before us, however, is not an instance of a policy providing for the payment of premiums from time to time or a premium in instalments.

The contract we have before us in the case at bar does not contain any provision for forfeiture, because of lack-of promptness in payment, which the defendant company can have become estopped from availing itself of by acts, conduct or assurance. Plaintiff, in reality, is seeking to raise or create, by estoppel, in contradiction of the writings between the parties, a contract between the parties covering the period from March 1,1907, to March 12, 1907, so as to cover March 5, 1907, the day he was injured. This case, in our judgment, involves no question of an estoppel of a forfeiture of an existing contract.

The policy involved, itself, does not purport to insure MacArthur against accidents beyond August 1, 1906. The original contract, by its own terms, expired absolutely on August 1, 1906. True, that original contract provided for renewals from time to time for such further periods or lengths of time, as payments of premiums, which the insured might make, would maintain the policy and insurance in force. But all renewals were optional with MacArthur and, also, as expressly stated, with the company. It is most elementary that there can be no contract without a meeting of the minds of parties. When the original contract expired, and, thereafter, at each expiration of a renewal, it became necessary for the minds of the parties to meet; otherwise there was.here no renewal and, according to the expired contract, no insurance. Each renewal was in fact and in legal contemplation a new contract, not very formally made, it is true; but formality was unnecessary. At each renewal a receipt was given for the new premium. These receipts were something more than mere receipts, for they expressed and evidenced the terms of the new contract in so far as not evidenced by the original expired contract. Each renewal involved as a new provision, to be agreed upon, the length of time for the continuance of the new contract. The case of Kearney v. Aetna Life Ins. Co., 109 Ill. App. 609; is a case where an accident policy contained a provision that “There shall be no insurance under this policy unless the premium is actually paid prior to any accident by reason of which claim is made.” In that case plaintiff attempted to prove a custom on the part of the company to receive payments on renewals at any time within three months of the expiration and, further, that the company held out to those dealing with it that the policies were in force in the interval before payment. Speaking of the proposition which arose in that case the court said (p. 613): “The question here is not as to the right to forfeit a policy in existence, but is as to the right to renew a policy which has lapsed.” With reference to the original contract expiring with August 1, 1906, and to the expiration of each renewal at the date specified in the renewals, respectively, there is no less clearness in the writings in the case at bar than there was with reference to the contract involved in the Kearney case.

In Roberts v. Aetna Life Ins. Co., 212 Ill. 382, a policy was involved which was issued to cover an aggregate' term of one year. The year was divided, however, into four periods of unequal length. The policy was dated March 14, 1899, and after a provision that the insured was insured, for the premium first paid, for a period of two months, contained the following language: “atad in consideration of the further cash payment on or before the expiration of two calendar months from date hereof, of a certain note for six 25-100 dollars, the insurance hereunder shall be in force for four calendar months from date of this policy; and in consideration of the further cash payment, on or before the expiration of three calendar months from date hereof, of a certain note for six 25-100 dollars, the the insurance hereunder shall be in force for seven calendar months from date of this policy” and similar verbiage with reference to the last period of five months. Roberts, the insured, failed to pay the notes for the second and following periods. He was injured July 10, 1899, and died on the 26th of that month. In that case it was held that the contract of insurance expired with each period and that the payment of the note for the second period was a prerequisite “to the existence of any insurance for the second period. ’ ’ The case stood, the court said (p. 393): “on a footing different from one in which failure to pay the premium merely gives the insurer the option to forfeit the policy and terminate the insurance. Here the insurance would not come into existence unless the payment was made, and to bring it into existence required some act on the part of the insured equivalent to the satisfaction of the note or an extension of the time of payment.” This case in the Supreme Court affirmed Roberts v. Aetna Life Ins. Co., 101 Ill. App: 313, where the court said the contract provided for separate insurance covering separate periods of time and that there was no contract of insurance for the period following any date when a premium was due unless the premium then due were paid. The language of the original contract and of the several renewals that appear in the case at bar express expiration and total termination of the several contracts at the specified points of time much more clearly than the contract in the Roberts case. In Hartford Fire Ins. Co. v. Walsh, 54 Ill. 164, 167, it is held that “a renewal of a policy is, in effect, a new contract of assurance, and, unless otherwise expressed, on the same terms and conditions as were contained in the original policy.” To the same effect as the Roberts and the Kearney eases we find Brady v. Northwestern Ins. Co., 11 Mich. 425, where the subject is well considered.

By such plan of insurance as that here involved the insured pays for his insurance from time to time in advance. He makes no promise to pay premiums to become due in the future. Certainly, under such plan, there is in no correct sense any “terms of its [the company’s] policy requiring prompt payment of premiums” of which it must be assumed that there either has been or has not been a waiver as has been assumed by attorneys for plaintiff in their proposition above stated.

To evidence, or as tending to show, a waiver of any provision in the contract between the parties, the plaintiff cannot avail himself of what was said by Wyatt, prior to the delivery of the original policy here involved, for, as said by the Supreme Court in Continental Ins. Co. v. Ruckman, 127 Ill. 364, 373, “A waiver is the voluntary yielding up by a party of some existing right, but until the contract is consummated, the company has no rights which are susceptible of waiver, nor can any condition be properly said to be modified or stricken from a policy until there is a policy, that is, until after the terms of the contract have been agreed upon and the policy issued.” Furthermore, whatever was said in the negotiations previous to the contract cannot be considered for the purpose of varying or changing the express terms of the contract. What Wyatt, the agent, is shown to have said when soliciting the policy must, undef the law, be excluded and disregarded, in so far as it is at variance with the written contract or tends to show a waiver of any of the terms or provisions of the contract. The learned trial judge erred in not so excluding it.

Each renewal being a new and independent contract of insurance and plaintiff, when, on March 5, 1907, he was injured not having renewed his contract for insurance so as to cover that date, was then without any insurance. Twice before had plaintiff, according to the record herein, allowed periods of time to intervene when he did not carry accident insurance under the original contract herein because he failed to renew his contract, namely, during August and during January. Even if this were an instance where the doctrine of estoppel could be applied' against defendant company the plaintiff totally failed, either upon the evidence in his behalf or upon all the evidence, to make out a case whereupon there could be a recovery against defendant. The trial court erred in refusing to direct a verdict for the defendant.

The judgment must be reversed and the cause will not be remanded.

Reversed.