PENINSULAR LIFE INS. CO.
v.
HOWARD

Fla. | 1954-05-04
ROBERTS, C.. J., .and . DREW and BUFORD, JJ., concur. .
72 So. 2d 389 Florida Supreme Court (1954) Caution
Cited by 18 cases

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Synopsis

Peninsular Life Insurance Company appealed a judgment awarding the beneficiary of a deceased policyholder the full amount of a double indemnity supplement despite the policy providing the benefit should expire when the insured reached age sixty. The court affirmed, holding that the insurer's continued acceptance of premiums covering the expired benefit for 42 months after expiration constituted a waiver, preventing the insurer from escaping liability.


Holding

The court held that the beneficiary was entitled to the full double indemnity benefit. The insurer's acceptance of premiums for 42 months after the policy provision's expiration date constituted a waiver of the expiration condition, preventing the insurer from later escaping liability by tendering only the premiums paid rather than the benefit owed.


Key Quotes

“The significant fact is that for forty-two months the appellant accepted payment of the premiums covering the insurance in the original contract as well as the supplement, although appellant knew that the insured had reached the age when the double indemnity provision was to be terminated.”

Establishes the factual basis for finding waiver—the insurer's knowing acceptance of premiums for an expired benefit over an extended period

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Facts & Procedural History

The insured obtained a $1,000 ordinary life insurance policy with a double indemnity supplement providing an additional $1,000 if death occurred by ac…

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Opinion of the Court
THOMAS, Justice.

THOMAS, Justice.

In a summary final decree, and an order supplementing it, the chancellor awarded the appellee a specified sum and her attorneys a fee for their services. We are asked to review the decree and the order. The facts are simple. The appellee’s husband entered into a contract for ordinary life insurance benefits of $1000. Attached to the policy was a “double indemnity supplement” providing for the payment to the beneficiary of an additional $1000 if the insured should meet his death “through * * * accidental means * * The benefit secured in the supplement was to expire “upon the anniversary of the policy nearest the sixtieth birthday of the Insured.” He was killed in a fall from a stepladder when he .was sixty-four years old. After the insured had reached the age when the benefit of the supplement was to cease the appellant, due to an error in its own bookkeeping department, continued to accept from the insured the premiums both on the main policy and on the supplement. The appellant paid the appellee-beneficiary the amount due on the original policy; it tendered the-sum of the premiums paid on the double indemnity supplement from the time it was to expire until the insured’s death hut this wás refused by the appellee.

The question is as simple as the facts: In .the circumstances just related, was the appellee .entitled to the amount named in the double indemnity supplement? There can be no doubt that the obligation under the policy for double indemnity had ceased, but the appellee insists, in effect, that the expiration date was suspended because' her husband continued to pay and the appellant to accept a premium that included the ampunt required under the supplement" to. thé policy. To support her position the appellee contends that there.was a waiver on the part of the appellant and that the doc-triné óf estoppel applies.' We" cannot .be sure which,.if either; of these theories the chancellor adopted because his only finding Was:''“Acceptance of'the added premiums for the double indemnity,' for'th'e period and under the circumstances, after the assured was sixty entitle the. beneficiary to payment.”

h. As appellant contends, the conditions of the contract were quite clear and the appellee',,'who-was herself not a party to the agreement,, accepted it.as she found-it." But this does not mean that the appellant could not have got itself in' the position of 'waiving tlie conditions relative to expiration by its dealing with the insured. It is apparent that someone in appellant’s organization ftoted' on the ‘books that the double indemnity provision would expire in 1969 instead of 19⅜9. This, of course, wasmot an error chargeable to.the appellee’s húsbánd.

The significant fact is that for forty-tsvb months the appellant accepted payment of the premiums -covering the insurance in the original contract as well as the supplement, although appellant knew that the insured had reached the age when the double indemnity provision was to be terminated. Cf. Johnson v. Life Ins. Co. of Georgia, Fla., 52 So. 2d 813. And during all this timé the insured might have obtained similar protection from appellant or another company had the appellant refused the amounts covering the double indemnity provision. Appellant’s statement that', there'had been “no showing * * * that the insured could have obtained double indemnity insurance from any other company at his age” does not negative this thought. After all this suit was instituted by appellant and in the bill was a prayer that the court declare “that plaintiff is not liable under the said double indemnity supplement to defendant.” It appears that it was appellant’s burden to show that a policy for double indemnity was not procurable by one appellee’s husband’s age.

The appellant argues that there could have been no waiver, or estoppel, in the absence.of a detriment to the insured. We think the facts themselves establish a detriment. Nor are we impressed by the argument that the insured knew from the policy he held that the supplemental policy expired when he reached the age.of sixty. The information was as much appellant’s as the policyholder’s. . '

We conclude: that the acceptance of premiums for forty-two months after the expiration date named in the policy constituted a waiver, and that appellant, after the accidental death, could not escape liability by the simple process of tendering the premiums required under the supplement and claiming that there had been no protection for the period during which the company had accepted and retained them.

Nor do we discover any error in the allowance of a fee for the services of appellee’s attorneys. In Section 625.08, Florida Statutes 1951, and F.S.A., it is provided that' when a decree is rendered “against any insurer in favor of the beneficiary under any policy * * * there shall be * * * decreed against such insurer, and in favor of the beneficiary * * * a reasonable sum” for the services of his attorney. As we understand appellant’s argument the allowance of a fee is not proper here because by a strict construction of the statute such a fee would be recoverable only as a penalty if the insurer refused to pay. It is attempted to make a distinction between a decree resulting from a refusal-to pay-and a-decree en tered. upon, a counterclaim. ⅛. a., suit 'for declaratory decree, the procedure followed in the present controversy. We are unable to discover a logical -basis: for the distinction. Phoenix Indemnity Co. v. Anderson’s Groves, Inc., Fla., 176 F. 2d 246.

We have the view that the allowance of the fee was correct and that the amount fixed was supported by the evidence.

Affirmed.

ROBERTS, C.. J., .and . DREW and BUFORD, JJ., concur. .


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Citator

Cited By

  • James Furniture Mfg. Co., Inc. v. Md. Cas. Co., 114 So. 2d 722 (Fla. 3d DCA 1959)
    …er the policy. Those arguments of the appellee are not supportable under the applicable authorities, and we conclude that the learned' chancellor was in error in his refusal to> allow attorney fees. See Peninsular Life Ins. Co. v. Howard, Fla.1954, 72 So. 2d 389; Continental Casualty Co. v. Giller Concrete Co., 5 Cir., 1940, 116 F. 2d 431; Phoenix Indemnity Co. v. Anderson’s Groves, 5 Cir., 1949, 176 F. 2d 246; American Fidelity & Casualty,Co. v. Greyhound Corp., 5 Cir., 1958, 258 F. 2d 709, 717. According…
  • OLD Republic Ins. Co. v. Monsees, 188 So. 2d 893 (Fla. 4th DCA 1966)
    …r and the judgment is against the unsuccessful plaintiff. The words “prosecuting the suit in which the recovery is had” are not limited to those actions wherein the successful party was the plaintiff. In Peninsular Life Ins. Co. v. Howard, Fla.1954, 72 So. 2d 389, the court approved the allowance of an attorney’s fee on a judgment entered upon a counterclaim by the insured filed in a suit for declaratory decree action by the insurer. The application of the statute is not limited to suits for the recovery of…
  • Pike v. Nat'l Fid. Life Ins. Co., 377 So. 2d 973 (Fla. 3d DCA 1979)
    …ulfillment of the conditions which the company itself imposed would prevent a lapse, it cannot be heard now to say that the policy was not in effect because the September and October payments were not timely made. Peninsular Life Ins. Co. v. Howard, 72 So. 2d 389 (Fla.1954); Interstate Fire Ins. Co. v. Hamilton, 356 So. 2d 1348 (Fla. 1st DCA 1978); Shaw v. Massachusetts Mutual Life Ins. Co., 298 So. 2d 183 (Fla. 1st DCA 1974), cert. denied, 312 So. 2d 759 (Fla.1975); Insurance Co. of State of Pennsylvania v.…

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