74 Neb. 399 | Neb. | 1905
This was an action on a fraternal benefit certificate issued by the grand lodge of the Order of the Sons of
“Art. 17. Par. 1. Members who have failed to pay their lodge dues, insurance assessments and .fines within 30 days, figured from the date of making the assessment, shall be suspended ipso facto, and shall lose all rights to*401 which they would otherwise be entitled, and it shall need no special order or notice on the part of the order.
“Par. 2. Such suspended members, whether such suspension is on account of failure to pay lodge dues or insurance assessments, shall lose all rights to which they, would otherwise be entitled, and the certificate of insurance shall be null and void. * * *
“Par. 3. A suspended member can be reinstated if he pays all arrearages within 30 days from date of suspension. He can also be reinstated if he makes written application for reinstatement to the local lodge within three months of the date of suspension and pays all lodge dues, insurance assessments and fines. To be reinstated at this time, however, requires a two-thirds of all the votes cast by ballot in favor of such reinstatement at a meeting of the local lodge.
“Par. 4. Former members who have been suspended more than three months can be reinstated to their rights only when they follow the same proceedings as for the taking in of new members, yet there must be an examination by a physician. In such cases, however, the initiation can be dispensed with, provided he applies within six months from the date of the suspension.”
The ansAver further alleges that assessment numbered 4, payable during the month of April, had not been paid by the deceased or anyone for him, nor have assessments numbered 5, 6, 7, 8 and 9 of the series of 1902 been paid, the same being the assessments for the months of May, June, July, August and September; that according to the laws and obligations above set forth Jacob Soehner thereby forfeited his certificate of insurance, and such forfeiture Avas entered on the records of the grand lodge of said Order of Sons of Herman by the secretary thereof on the 1st day of May, 1902; and that the deceased had failed to make any application- or a request for reinstatement, and never has been reinstated, and this defendant is relieved of said lodge certificate of insurance. A reply was filed to this answer in the nature of a general denial;
In addition to the by-laws set up in the answer of defendant the following provisions of the benefit certificate were offered and admitted. “Art. 2. Membership. (1) All the members of all the lodges of the Order of the Sons of Herman in the state of Nebraska are firmly bound in the case of death of a brother who is entitled according to the constitution and by-laws to the sum of $500 'to pay the same to such person or persons as was designated in his application by the deceased member as the recipient of the insurance money. (2) The assessment for the making up of this sum shall be made from all the members of the order in the state in the following manner: Members from 18 to 30 years of age, 30 cents; 30 to 38 years of age 40 cents; 38 to 40 years of age 50 cents. (3) By the first of each month each member of the order shall pay to the secretary of his lodge his assessment to the mortuary fund, which assessments are to be sent not later and within the 10th of the same month by him to the grand secretary,” etc., “and the grand secretary is required to forward receipt, which receipt must be laid before the lodge at the next meeting. * * * (5) If a member has not paid his assessments 30 days after the calling in day, he shall be suspended for 30 days; if he pays within this time, he is reinstated into his rights; if he does not pay, he is to be stricken off the membership list. (6) If the mortuary fund amounts to more than $3,000 through the monthly assessments of the members, the executive committee is empowered to postpone the next following assessment for an indefinite time.”
The by-laws pleaded in defendant’s answer were adopted, after the benefit certificate was issued. The last provisions set out were in force and embodied in the certificate at the time it was issued. The material evidence
We have set out- the material conditions of the policy, the application and the constitution and by-laws of the of the association, because they, when not in conflict with the statute authorizing such organization, constitute the contract betAveen the member and the association. While in the early days of the existence of fraternal benefit associations a different view of their relation to their mem
In tbe instant case it is contended on tbe part of tbe insurance company that Jacob Soehner was suspended by tbe affirmative action of tbe grand lodge on the 1st day of July for bis arrearages. But there is no evidence that tbe local lodge was ever notified of this suspension, if it were actually made at that time. Section 3 of tbe bylaws pleaded in defendant’s answer provides that tbe suspended member can be reinstated by paying all arrearages 30- days from date of suspension. Under this section of tbe by-laws all be bas to do is to pay bis arrearages. It is also provided that after bis suspension for three months be may by a two-thirds vote of tbe society be reinstated on payment of arrearages. Now, assuming that Soehner was suspended on July 1 by tbe grand lodge, be bad not been out of tbe order three months at the time he paid all arrears to tbe local secretary. While there is no specific provision for reinstatement between 30 days and three months, yet, fairly and liberally construed, any member of this order in arrears may within three months of bis suspension be reinstated by paying his arrearages, when tbe money is accepted without a vote of tbe lodge.
“The duties of an officer determine the question of his agency, and not what he may be called. He is the agent of the supreme tribe for doing what its by-laws require him to do as between the members of the order and the supreme tribe” — citing Supreme Council of the Catholic Benevolent Legion v. Boyle, 10 Ind. App. 301; Germania Life Ins. Co. v. Lunkenheimer, 127 Ind. 536.
If, then, the local secretary of the lodge was the agent of the grand lodge in the receipt of dues and assessments from the members of the local organization, the question arises as to whether the receipt by him to Jacob Soehner for all past due assessments and per capita tax amounted to a waiver of the conditions of the by-laws providing for the suspension of a member in arrears more than 30 days. In the very recent case of Hunt v. State Ins. Co., 66 Neb. 125, it was said by this court: “If with knowledge of the facts by reason whereof it is entitled to claim a forfeiture, the insurer continues to treat the policy as in force, or does any act inconsistent with an intention to insist upon the forfeiture, the forfeiture is waived” — citing in support of this proposition, Hughes v. Insurance Company of North America, 40 Neb. 626; Rochester Loan & Banking Co. v. Liberty Ins. Co., 44 Neb. 537; Home Fire Ins. Co. v. Kuhlman, 58 Neb. 488.
In Richards, Insurance, sec. 76, the author says: “Universally it is held that the acceptance of an assessment or premium by the home office is a waiver by the company of all former grounds of forfeiture known by it.” To the same effect is the holding in Supreme Tribe of
In Queen Ins. Co. v. Young, 86 Ala. 424, 5 So. 116, it is said: “Conditions in a policy of insurance, limiting or avoiding liabilty, are strictly construed against the insurer, and liberally in favor of the assured. Though a waiver may be in the nature of an estoppel, and maintained on similar principles, they are not convertible terms. The courts, not favoring forfeitures, are usually inclined to talce hold of any circumstances which indicate an election to waive a forfeiture. * * * If the company, after knowledge of the breach, enters into negotiations or transactions with the assured, which recognize and treat the policy as still in force, or induces the assured to incur trouble or expense, it will be regarded as having waived the right to claim the forfeiture”—citing Titus v. Glen Falls Ins. Co., 81 N. Y. 410.
A fraternal benefit association, as defined by section 91, chapter 43, Compiled Statutes 1903 (Ann. St. 6483), is “a corporation, society or voluntary association, formed or organized and carried on for the sole benefit of its members and their beneficiaries, and not for profit.” Section 92 requires such association to make provision for the payment of benefits in case of death, and permits provisions to be made for the payment of benefits in case of sickness, etc. Section 93 provides that the funds from which benefits shall be paid and the expenses of the society defrayed shall be derived from beneficiary calls, assessments or dues collected from the members. Under the by-laws and constitution of the Sons of Herman, as before set out in this opinion, assessments for the mortuary fund were made monthly, according to the age at which the member was admitted, until the fund reached a certain stipulated amount, when the calls might be suspended by the grand secretary. In other words, both under the statute and the by-laws of the order these assessments were levied under the direction of the grand lodge. While there is some question interposed about the legality of
“Every time the company makes an assessment against the assured after he has failed to‘pay a previous assessment within the time prescribed by the rules, it waives the forfeiture of the policy for such failure to pay and admits him to be a member of the company nothwithstanding such failure.”
It is urged by counsel for defendant in error that’ under the rule laid down by this court in Adams v. Grand Lodge A. O. U. W., 66 Neb. 389, the receipt of the money by the local secretary was not sufficient to show a Avaiver of other conditions for the reinstatement of a member, especially Avhen the receipt is accompanied by an express requirement of compliance with other conditions. In the case just cited, the member of the order had been suspended and so entered on the books of the local as well as the grand lodge. When he applied for reinstatement, the rules of the order required, in addition to the payment of dues, the production of a health certificate from a physician. The finance officer notified him of this condition, and furnished him a health certificate to return properly executed by a physician. This the member neglected to do. The evidence in this case also shows that the member himself Avas fully familiar with the. rules, and
We are therefore of opinion that the district court erred in directing a verdict for the defendant, and we recommend that the judgment of the district court be reversed and the cause remanded for further proceedings.
By the Court: For the reasons stated in the foregoing opinion, the judgment of the district court is reversed and the cause remanded for further proceedings.
Reversed.