Majority
Headnote
Benefit associations — insurance — when rate of assessment and amount of benefit not vested or fixed — when member surrenders benefit certificate, unalterable without his consent, and accepts another providing that it shall be governed by amendments to constitution or laws, his rights are determinable by terms of new certificate — when amendment providing for increased assessment and that amount of deficiency in payment shall be lien on insurance enforcible — member chargeable, as matter of law, with notice of constitution, laws and amendments thereto.The question herein presented is as to the power of defendant, a New York fraternal assessment society, so to amend its constitution and laws as to charge against a member’s benefit certificate a hen for failure to contribute to a reserve fund created for the benefit of members who should join the order after the creation of such fund, as required by an amendment to such constitution and laws enacted after deceased became a member of the society.
The familiar history is here repeated of such an organization giving insurance at inadequate, flat, uniform rates in the early years of its existence, and thereafter, when the experience tables of mortality had triumphed over hope and benevolence had proved unequal to the pecuniary demands upon it, attempting to provide more equitably for the cost of such insurance by imposing new and increased levies and demands on its members, old and new. The theory advanced by such organizations is that they are a body of self-insurers united not for profit, to pay to one another an amount not exceeding the sum specified in their benefit certificates, to be raised by assessments on the members under an elastic constitution which permits them to adjust from time to time their levies and their payments to their ability to meet their obligations. This theory has been adopted by the courts of New York with qualifications for the protection of the holders of benefit certificates which are asserted by the plaintiff herein and the question is whether, under our decisions, amendments to the constitution and laws of the order adopted after the member joined, which reduced the amount of the benefit, were binding on him.
On May 31, 1886, the father of plaintiff, under the name of Pierce Everard, at the age of 45 years, made written application for membership in the defendant, in his application directed that the benefit to which his
On the 7th day of July, 1886, the defendant executed and delivered to the member a certificate of membership in writing, whereby it was certified that Pierce Everard had been accepted as a fourth grade member; that he was a fourth grade contributor to the Benefit Fund of the Legion and that the certificate was issued upon condition that the statements contained in his application for membership, and medical examination, were true and that he would strictly comply with the laws, rules and regulations of the Legion. Then appears the following: “ These conditions being complied with, the Supreme
This court has held that a subsequent amendment to the constitution and laws of a fraternal assessment society, without the member’s consent, does not operate to raise the rate of assessment or reduce the amount of benefit as fixed by the certificate, unless the consent of the member to such changes is plainly evidenced by the language of the certificate itself, and that the beneficiary can recover the full amount stated in the original certificate although the member has refused to pay the increased rate. It was pointed out by Cullen, J., in Beach v. Supreme Tent of K. of M. ( 177 N. Y. 100 , 105) that it is quite easy for fraternal organizations to provide on the face of the certificate that “ the payments therein specified should be subject to such modification as to amount, terms and conditions of payment and contingencies in which the same were payable as the endowment laws of the order from time to time might provide.” (Green v. Supreme Council, R. A., 206 N. Y. 591 .) When they failed pointedly to direct the attention of their members on the face of the benefit certificate to the ambulatory nature of the contract, they were not permitted to avail themselves of their reserved rights as set forth in the application for membership. Thus a tender regard for the welfare of the beneficiary prevailed over the formal expression of the contract and the future welfare of the society. But the Supreme Court of the
The New York decisions are based upon the construction of the contract made by the beneficiary society with its members. Where the reservation of authority to amend a charter or the constitution and by-laws of a society is clear, the right to have the rate of assessment and amount of benefit continued as originally provided is not vested or fixed beyond the possibility of reasonable changes to meet new conditions. (McClement v. Supreme Court, Order of Foresters, 222 N. Y. 470 , 478.)
The certificate issued in 1886 is to be construed as providing unconditionally for the payment of $3,000 to the beneficiary named therein unless the member subsequently assented to changes in the constitution and laws which raised the rate of assessment or lowered the sum payable at death. The insured died on October 5, 1920, a member in good standing of the order, at the age of 79 years, having been a member for 34 years, and it is claimed by plaintiff that he is entitled to recover the full sum of $3,000 less a small deduction which is not in dispute. Before the member’s death, two important changes took place: First, in 1900 the assessment was raised from $2.16 bi-weekly, or less than $20 a thousand, to $3.15 bi-weekly, or less than $30 a thousand. In 1904, under an amendment to the by-laws, the amount of the assessment was again increased to $7.86 an assessment. The member then took advantage of a provision of the amended by-laws which permitted him to pay 55% of such increased assessment and to have 45% thereof
In 1904 the constitution and by-laws had been further amended by providing in lieu of a further increase in the rate of assessment, which could not satisfactorily be made without making the cost prohibitive to the older members, a reserve fund and a reserve deficiency hen on each certificate then in force, in order to keep rates level and equalize the cost of insurance for new and old members. This change was made and finally put into operation with the approval of the state insurance department and to meet the very heavy mortality which defendant was suffering. Each member was required to maintain to his credit a net balance at least equal to the reserve on his certificate, any deficiency to be a hen upon a member’s insurance. At the time of this readjustment, then, the members were given the option of continuing to pay the assessments at the rate then in force, provided a hen were charged on their certificate representing the difference between an assessment at their attained ages and the old assessment. ‘ They could pay the increased cost in cash or by the more easy terms whereby the difference was made a charge on their benefit certificates. The alternative was to make the cost of carrying new members large enough to pay the reserve, and let the old members reap the advantage. One or the other plan was essential to preserve the association from complete collapse, and the former seemed more equitable and better calculated to enable the association to recruit new members. The hen on insured’s benefit certificate has been computed at $1,676.71 and defendant seeks to deduct this sum from the face of the certificate under the terms expressed in the reissued certificate. Plaintiff asserts that the rights of the parties were fixed by the original certificate and that the member was not bound by this amendment.
In Kennedy v. Supreme Council, C. B. L. ( 188 App.
We are of the opinion that the rights of the members are to be determined by the terms of the reissued certificate. Everett was a member in good standing at the time of his death. For many years the defendant carried him at less than the cost of his insurance. Death would have brought to his beneficiary the payment of the full sum specified. As he continued to five, it was not inequitable that he should be called on to bear the burdens of a brother laid on him by his brothers with his consent. (Case v. Supreme Tribe of Ben Hur, 106 Neb. 220 ; 18 A. L. R. 1172 .) The sorrows of the old are often multiplied and the expectancies of their heirs disappointed. When the assessments were increased Everett paid whatever was required of him and did whatever was necessary for him to do under the constitution and by-laws. He knew that his rights as a member were defined by the constitution and by-laws and he accepted the new certificate without inquiry or protest. He knew, or was chargeable with notice, of the government, constitution and laws of the defendant. By local legal interpretation he had originally a benefit certificate which could not be altered without his consent, although in his application he had agreed to conform in all respects to future amendments of the laws of the order. He surrendered it and accepted another bearing the same date, which by verbal changes conformed to the original intention of at least the insurer to issue
It is urged that this result is grossly unfair; that after the member had paid assessments for many years the entire insurance might in time be eaten up by the lien against it and nothing might be left for the beneficiary. If the member has the protection which he contracts for at its fair value, the beneficiary cannot complain when the society offers him the reduced remainder, in lieu of that undiminished principal which he hoped for. If the assessment had been raised according to cost, year by year, according to actuarial experience, the member’s burdens might well have increased beyond his ability or disposition to pay.
• The trial judge found as a fact that no notice of the change in the constitution and the laws and of the lien was received by the member. As matter of law he was chargeable with notice as a member of the order of its constitution and laws, and the amendments thereto, and' it was not necessary to establish actual receipt of such notice by him. (McClement v. Supreme Court Order of Foresters, supra.)
The judgment should be modified by reducing the amount of the principal recovery to $951.45, and as so modified affirmed, with costs to appellant in all courts.
Hogan, Cardozo, McLaughlin, Crane and Andrews, JJ., concur; Hiscock, Ch. J., absent.
Judgment accordingly.
Cases cited
- McClement v. Supreme Court of Independent Order of Foresters 222 N. Y. 470 at 478 p. 63, p. 68
- Shipman v. Protected Home Circle 174 N. Y. 398 p. 63
- Supreme Lodge Knights of Pythias v. Smyth 245 U. S. 594 p. 63, p. 68
- Mock v. Supreme Council of Royal Arcanum 121 App. Div. 474 p. 64
- Supreme Council of the Royal Arcanum v. Green 237 U. S. 531 p. 64, p. 68
- Evans v. Supreme Council of Royal Arcanum 223 N. Y. 497 p. 64
- Beach v. Supreme Tent of Knights of Maccabees 177 N. Y. 100 at 105 p. 67
- Green v. Supreme Council of Royal Arcanum 206 N. Y. 591 p. 67
- Supreme Lodge, Knights of Pythias v. Mims 241 U. S. 574 p. 68