Hyperlawhypertext legal database O'Connell v. Fidelity & Casualty Co. 87 A.D. 306

← Cases

O'Connell v. Fidelity & Casualty Co.

87 A.D. 306 Court N.Y. App. Div. English

Delivered by Laughlin, J.:

Contents

Majority

p. 306
Annie O’Connell, Respondent, v. The Fidelity and Casualty Company of New York, Appellant.

Headnote

Accident insurance—proof that it was the custom, to send, renewal receipts to policyholders before the premium was paid,—it does not impose on the policyholder the burden of showing payment—nor estop the company from showing, by direct proof, non-payment — effect of pi-oof of notice of cancellation, reciting non-payment and of no reply—erroneous charge as to the burden of proof—proof that the beneficiary relied upon the renewal receipts sent, as evidence of payment of the premium.
In an action to recover upon a policy of accident insurance issued September 7, 1894, to the plaintiff’s husband, who was accidentally killed February 22, 1898, and payable to the plaintiff, it appeared that the policy provided that it should not take effect unless the premium was paid in advance, and that the insurance company might cancel it at ahy time by a written notice mailed to the insured, inclosing the company’s check for the unearned portion of the premium.
The defendant put in issue the question whether the yearly premium, due ■ September 7, 1897, had been paid.
The plaintiff introduced in evidence a renewal receipt, issued by the defendant’s general agents, bearing date September 1, 1897, reciting the receipt of the premium in question.
The defendant, with a view of meeting this prima facie case, showed that the clerk in the office of its general agents who had charge of issuing the receipt and collecting the premium had died; it then showed by the sole cashier of the . general agents, who had charge.of all moneys and checks for premiums received by them and kept their books, that no check or money for this premium came into his hands or was turned over to him. The defendant also showed, under objection and exception, that it was the general custom of its agents to issue and mail to the policyholders renewal receipts two weeks prior to the expiration of the policy whether the premium was paid or not, and this evidence was subsequently stricken out and defendant excepted.
Held, that the evidence produced by the defendant was properly stricken out, a.s, if an insurance company sees fit to forward renewal receipts to policyholders and give them credit for the premium, it cannot, by mere proof of this cus
p. 307
tom, cast upon the representatives or beneficiaries of a decedent .the burden of showing that the premium mentioned in the receipt has actually been paid;
That, as between the insurance company and the holder of a policy to whom a receipt had been issued in advance of the payment of the premium, the insurance company would not be estopped from showing that the premium had not been paid, but that, in case of the death of the policyholder, the insurance company, if it wished to impeach the receipt, should be required to produce evidence directly tending to show that it did not receive the money;
That proof that some six weeks prior to the insured’s death the insurance company sent to the decedent a notice canceling the policy and requesting him to remit the premium for the time the policy was in force, tended (it not appearing that the decedent made any claim in answer thereto that he had paid the premium) to impeach the receipt and presented a question of fact for the consideration of the jury;.
That it was error for the court to charge, at the request of the plaintiff, that the burden was upon the defendant of proving by a preponderance of evidence that neither it, nor any one authorized in its behalf, received the money recited in the renewal receipt to have been received by it, and, further, that if the defendant had not so satisfied them they should render a verdict for the plaintiff;
That proof of payment of the premium was an essential part of the plaintiff’s case, and that the burden of establishing such payment by a preponderance of evidence rested upon the plaintiff throughout the trial and never shifted to the defendant;
That when a plaintiff establishes a prima facie case he has presented sufficient ■ evidence to authorize a recovery or to require the submission of the case to the jury, in the absence of any evidence tending to rebut it, but that when the defendant gives evidence tending to rebut the plaintiff’s prima facie case, a question of fact is presented upon which the plaintiff has the burden of presenting. a preponderance of proof in his favor to authorize a recovery;
That evidence given by the plaintiff to the effect that the policy and all renewal receipts were handed by her to her husband at about the time he received them; that she read the last renewal receipt and believed that the premium had been paid; that she was able to pay it herself and that she relied upon the statements contained in the receipt to the effect that the money had been paid, was incompetent, as the receipts, having been sent to the plaintiff’s husband and not to the plaintiff, the insurance company was not estopped as against the plaintiff from asserting that'the last premium had not been paid;
That as the notice of cancellation sent to the decedent by the insurance company did not purport to have been issued because of the non-payment of the premium, the company was not estopped from claiming that it had canceled the policy in pursuance of the general power of cancellation conferred upon it, and from showing that it was not obliged to inclose with the notice of cancellation a check for the unearned portion of the premium because the premium had not been paid.
p. 308
Appeal by the defendant, The Fidelity and Casualty Company of New York, from a judgment of the Supreme Court in favor of the plaintiff, entered in the office of the clerk of the county of New York on the 3d day of June, 1902, upon the verdict of a jury, and also from, an order entered in said clerk’s office on the 6th day of June, 1902, denying the defendant’s motion for a new trial made upon the minutes.
L. Sidney Carrere, for the appellant.
Edward W. S. Johnston, for the respondent.

The action is brought to recover $1,000 on a policy of accident insurance issued to the plaintiff’s husband and payable tq her. The policy provided, among other things, that if the decedent should receive bodily injuries sustained through “ external, violent and accidental means,” resulting in death within ninety days thereafter, independently of all other causes, the company would pay the plaintiff the sum of $1,000. The conditions attached to the policy provided, among other things, that proofs of death should be furnished within two months and that legal proceedings should not be brought to recover under the policy within three months thereafter.

Evidence was introduced on the part of plaintiff tending to show that her husband accidentally fell upon the sidewalk in the vicinity of his home during the early morning of February 22, 1898, striking his head upon the edge of a displaced flagstone, causing concussion of the brain, from which he died on the same day, and that-proofs of death were duly presented within the time required and more than three months prior to the commencement of the action.

The conditions on the back of the policy and subject to which it was issued provided, among other things, that the policy should not take effect unless the premium was paid in advance, and that the company might cancel at any time by written notice mailed to the assured at the address given in his application and inclosing there-' with the company’s check for the unearned portion of the premium. The complaint alleged the payment of the premium and this allegation was put in issue. The policy was issued on the 7th day of September, 1894, for one year from noon of that date. It was

p. 309
renewed for another year by a renewal receipt dated the 1st of August, 1895, which recited payment of the premium; and it was renewed for another year by a similar receipt dated the 1st of September, 1896. As proof that the policy was in force at the time of her husband’s death and that the premium had been paid, the plaintiff introduced in evidence a renewal receipt bearing date the 1st day of September, 1897, which recited the receipt of the premium and that the original policy was continued in force thereby for one year from the 7th day of September, 1897. It was conceded that this receipt was issued by the defendant’s general agents. The receipt was presumptive evidence of the payment of the premium and made a prima facie case for the plaintiff on this issue. The defendant, with a view of meeting this prima facie case, showed that the clerk in the office of its general agents who had charge of issuing the receipt and collecting the premium had died; and then it showed by the sole cashier of the general agents, who had charge of all moneys and checks for premiums received by them and kept their books, that no check or money for this premium came into his hands or was turned over to him. The defendant also showed that it was the general custom of its agents to issue and mail to the policyholders renewal receipts two weeks prior to the expiration of the policy whether the premium was paid or not. This evidence was subsequently stricken out as incompetent on motion of the plaintiff’s counsel and defendant excepted. We are of opinion that the evidence was properly stricken out. If an insurance company sees fit to forward renewal receipts to policyholders and give them credit for the premium it will not do, by mere proof of this custom, to cast the burden upon the representatives or beneficiaries of a decedent to show that a premium, for payment of which the company has issued its formal receipt, has been actually paid. This would be placing upon the representatives or beneficiaries of a decedent a burden that ordinarily it would be impossible for them to bear. Of course there is and should be no estoppel between the insurance company and the holder of a policy to whom the receipt is issued if the premium has not been in fact paid, but in case of his death a company issuing receipts in this manner should be required to produce, if it wishes to impeach the receipt, evidence tending directly to show that it did not in fact receive the money.
p. 310
In view of the death of its employee, who had charge of the collection of this premium and issuing the receipt, the defendant offered the best evidence it could, which was testimony tending to show that the money was not turned over to the cashier in the due course of business by tlie deceased employee. (See Mayor, etc., of N. Y. v. Second Ave. R. R. Co., 102 N. Y. 572 ; State Bank of Pike v. Brown, 165 id. 216.) The notice of cancellation sent to the decedent apprised him that the company claimed that the premium had not been paid, .for by it he was requested to remit two dollars and fifty cents, the premium for the time the renewal was in force. It does not appear that' he made any claim that this was a mistake. This evidence tended to impeach the receipt and presented a question of fact for the consideration of the jury. In submitting this issue to the jury the court, at the request of counsel for the plaintiff, charged that the burden was upon the defendant of proving by a preponderance of evidence that neither it, nor any one authorized in its behalf, received the money recited in the renewal receipt to have been received by it, and, further, that if the defendant had not so satisfied them they should render a verdict for the plaintiff. Counsel for the defendant excepted to each of these instructions. Technically, the instructions were erroneous. Payment of the premium was a material allegation of the complaint, and the burden of establishing the fact by a preponderance of evidence rested upon the plaintiff throughout the case and never shifted to the defendant. When the plaintiff has established a prima facie case, he has presented sufficient evidence to. authorize a recovery or require the submission of the case to the jury in the absence of any evidence .tending to rebut it; but when the defendant gives evidence tending to rebut the plaintiff’s prima facie case, then a question of fact is presented upon which the plaintiff has the burden _ of presenting a preponderance of evidence in his favor to authorize a recovery. (Farmers' Loan & Trust Co. v. Siefke, 144 N. Y. 354 ; Loudoun v. Eighth, Ave. R. R. Co., 162 id. 380, 387 ; Doheny v. Lacy, 42 App. Div. 231 .) It may be that, in view of the nature of the evidence in this case, the jury were not' misled by this charge and that they understood the court merely as drawing attention to the probative force of the evidence introduced by the" respective parties, the plaintiff’s case resting on the defendant’s writ
p. 311
ten admission of the receipt of the money and the defendant’s evidence being weak and negative in character. The verdict, however, could not be sustained if we were to decide that these instructions did not constitute prejudicial error. The defendant gave evidence tending to show, and sufficient to warrant a finding, that this insurance policy was canceled by a notice duly mailed to the address of the decedent on the 7th day of January, 1898, some six weeks prior to his death. By virtue of the reserved right in .the policy the company was at liberty at any time to cancel the policy upon giving such notice; but if the premium had been paid the notice of cancellation given would be ineffectual, for the reason that the unearned premium was not returned. If, however, the premium had not been paid nothing was required but the notice of cancellation.

Counsel for the plaintiff claimed that the defendant was estopped, as against the plaintiff, from contending that the premium was not paid, and, under the defendant’s objection and exception that the evidence was incompetent, irrelevant and immaterial, he was permitted to show that the policy and all renewal receipts were delivered to her by her husband at about the time that he received them; that she read the last renewal receipt and believed that the premium had been paid; that she was able to pay it herself, and that she relied upon the statements contained in the receipt, to the effect that the money had been paid. It does not appear that the policy was canceled for the non-payment of the premium. It was canceled generally, and this the defendant had the right to do under the policy, regardless of whether the premium had been paid or not. It is difficult to see how the company could be estopped as against the plaintiff when there could be no estoppel between her and her husband, who was the holder of the policy. The receipts were sent to him, not to her, and it made no representation to her concerning the payment of the premium. (Baker v. Union Mutual Life Ins. Co., 43 N. Y. 283 .) But even if it were estopped from denying its liability on account of the non-payment of the premium, it was still at liberty to interpose the defense that the policy had been canceled, and having shown its cancellation, which legally terminated the liability of the defendant, provided the premium had not been paid so that it was not required to return the unearned part, the quesr tion of estoppel could not arise on that issue. We are of opinion,

p. 312
therefore, that there was error both in the instructions to the jury excepted to and in the reception of this evidence which requires a. new trial.

It follows, therefore, that the judgment and order should be reversed and a new trial granted, with costs to the appellant to abide the. event.

Van Brunt, P. J., Patterson, Ingraham and Hatch, JJ., concurred.

Judgment and order reversed and new trial granted, with costs to-appellant to abide event.

Cases cited