People's Mutual Assurance Fund v. Boesse

92 Ky. 290 | Ky. Ct. App. | 1891

CHIEF JUSTICE HOLT

delivered the opinion oe the court.

In 1880 three thousand dollars of insurance was taken out in the Presbyterian Mutual Assurance Fund, of Louisville, Ky., upon the life of Anna K. Boesse, payable to her husband, the appellee, John Boesse, at her death.

The policy was kept in force by the regular payment of the premiums, and on January 25, 1888, the company desired to quit business. A contract was therefore then made between it and the appellant, the People’s Mutual Assurance Fund of the same city, by which, in consideration of the first-named company turning over its risks to the appellant, the latter agreed “to reinsure all the present existing certificates, now in full force, which have been issued by the first party to certificate-holders now in good standing, and to deliver to each of said 'certificate-holders a policy of insurance in the party of the second part, the said certificate-holders first agreeing to accept said policies and. to pay the party of the second part for insurance at the following rates: * * * The party of the second part hereby binds itself to cause to be executed and issued its policy, immediately, to each holder of a certificate in the party of the first part, who may be in good standing in said first party, accompanied by a written or printed statement or agreement, to be signed by said certificate-holder accepting said policy so sent him, her or them, but in no case shall the party of the second part be liable upon the policy so issued until the person or persons to whom the same may be sent shall have signed the agreement or acceptance aforesaid, and delivered the same to the party of the second part at its office in Louisville, Ky., or mailed the same addressed to said second party at Louisville, Ky., within one week from the receipt of said policy.

“ The party of the first part binds itself to pay over to the party of the second part all money received by it upon its outstanding certificates from and after this date in all cases where the policies of the second party shall be accepted, the said money to be used by the second party in protecting the risks incurred in issuing the policies aforesaid.”

February 16, 1888, the appellant, at the instance of Anna K. Boesse, issued a policy upon her life for three thousand .dollars, payable at her death to her husband. She died November 14, 1888. This action is to recover the three thousand dollars, and an unearned premium, which the insured paid before it fell due, and which was not due at her death.

A demurrer was sustained to the answer, and judgment rendered for the appellee upon the pleadings. The orders in the case show that two amended answers were tendered and rejected by the court. They can not be considered, however, as they have not been copied into this record. Indeed they do not Appear to have been made a part of the record, either, by agreement or bill of exceptions. The defense which the appellant’s counsel claim is presented is, that the risk taken by it was not a transferred one from the other company; that an executed policy and a written acceptance of the insurance, to be signed by the assured, were sent to and received by her, but the latter was not returned to the company; that thirteen days thereafter, and when she had forfeited all right under the contract between the two companies to transferred insurance, she made personal application to the appellant for insurance; that she was then rejected as a transferred risk, but received as a member upou the faith of her written statement, denominated a “ health certificate,” then made, that she was in good health and free from disease, which was untrue. All this is not, however, by any means set up in the answer. It avers that a blank policy was sent to her, together with a form accepting insurance with the appellant, and which she should have signed and returned within a week, but which she did not do. Under the contract, however, she was entitled to an executed policy. But even if the appellant’s pleadings averred all that is claimed, yet the admitted averments of the petition, and the facts shown by the undenied exhibits filed with it, as well as those filed with the answer, show as an admitted fact that the policy was issued under and by virtue of the contract between the two companies, by which the appellant had no right to exact any statement as to the health of the insured, but was bound to take the risk if the assured was in good standing in the old company and her certificate in force at the time of the making of the contract between the two companies. The policy issued by the appellant shows it was a transferred risk. It recites : “ For and in consideration of, and upon the faith of the statements and warranties contained in the application for insurance to the Presbyterian Mutual Assurance Fund, * * * which is hereby referred to and made part of this contract,” etc. No reference whatever is made in it to the statement then made by the assured called the “ health certificate,” which is filed with the answer, and which also shows the risk was a transferred one, because it contains a request by the assured to transfer her insurance in the original company to that of the appellant. It shows upon its face that it was not an application for new insurance. The undenied exhibits show that after the policy of the appellant had been delivered it notified the assured upon several occasions .when the premium would be due, and that it received three quarterly premiums from her and receipted to her for them. This is also averred in the petition, and not denied by the answer. As it was clearly a transferred risk, this would have operated as a waiver of the right of the company to a written acceptance by the assured of the insurance within a week after the receipt of an executed policy, even if such a one, together with a form of acceptance, had been sent to her. The conduct of both parties shows that it was accepted, transferred .insurance.

The written statement of the assured to the appellant, in what is called the “ health certificate,” that she desired a transfer of the insurance, was an acceptance by her in advance of insurance with the appellant.

In addition to all this it is an admitted fact by the pleadings, that in an action settling_ the affairs of the Presbyterian Mutual Assurance Fund, the appellant claimed and recovered from it so much 'of the insurance premiums as the first-named company had received, but which it had not earned by reason of the transfer of its insurance to the appellant, and this claim embraced the insurance now in contest. This shows beyond all doubt that it was merely transferred insurance, otherwise the appellant would not have been entitled to this fund, but would have been compelled to look to the insured for the premium. It is said, although the policy recites it is issued upon the faith of the statements of the insured in her application for insurance in the old company, and no reference made to the “ health certificate ” then signed by her, yet that an additional consideration for its issual may be shown. We have, however, an undenied contract by which the appellant was to assume the risk upon this life; the policy recites in substance that it is issued by virtue of this contract; it- was the foundation for it; it is, more properly speaking, a representation than the-statement of a consideration; it is recited in particular as the reason for the issual of the policy ; the claim that it issued upon the faith of the health certificate is inconsistent with it, and the expression of it in the policy precludes the party from now saying that it was issued for a different reason. The denial in the answer that it was-transferred insurance is unavailing, because it is inconsistent with the appellant’s statement in its policy to-which the answer refers, and which it is not averred was made by mistake or through fraud.

The averments of the petition show the insured was embraced by the contract between the two companies. This was the material matter presented by it for issue. The answer when analyzed makes none. It does not deny the existence of the contract, or state facts, such as. the non-payment of premiums, showing she was not in-good standing in the old company when it was made. It does deny that she then had such standing, but this is merely the opinion or conclusion of the pleader, and is insufficient. The admitted facts under the pleadings and exhibits filed with them show-that it was transferred insurance by virtue of the contract between the two companies ;• that the insured had incurred no forfeiture, and the demurrer to the answer was, therefore, properly sustained.

Judgment affirmed.