Maud H. Gilley v. Missouri State Life Insurance Company, 116 Tex. 43

Mr. Presiding Judge GERMAN This case is before the court on certificate from the Court of Civil Appeals at Fort Worth. On May 11,1912, the Hartford Life Insurance Company issued to George W. Gilley a life insurance policy in the sum of $5,000, said policy being what is termed a twenty-year pay policy, and the annual premium being $65.80. At the date of issuance Gilley was 35 years of age. By endorsement and in the face of the policy it was denominated as a “Twenty-Year Term, NonParticipating” policy.

Gilley paid the annual premiums on this policy up to and including the premium due May 11, 1920, but did not pay the premium due May 11, 1921, and died September 24, 1921, without the policy being reinstated. This policy did not contain the provisions required by Secs. 6, 7, 8, and 9, of Art. 4741, of Rev. Stats, of 1911.

It contained an express forfeiture clause as follows: “If any premium is not paid when due the company’s liability hereunder shall cease.” The policy was assumed by the Missouri State Life Insurance Company, and its liability is exactly the same as the liability of the Hartford Life Insurance Company would have been if there had been no assumption. delivered the .opinion of the Commission of Appeals,

Section A. This suit was brought by Mrs. Maud H. Gilley, who was named as beneficiary in the policy, to recover the sum of $5,000, with interest. Her contention is that this was such a policy as under the law should contain the provisions required by Secs. 6, 7, 8, and 9, of Art. 4741, and that by operation of law these provisions were read into the policy and liability of the company would be the same as if they were actually a part of the contract.

By Art. 4741 it is provided that no policy of life insurance shall be issued or delivered in this State unless it contains (as set out under Sec. 7) : “A provision which, in event of default in premium payments, after premiums shall have been paid for three full years, shall secure to the owner of the policy a stipulated form of insurance, the net value of which shall be at least equal to the reserve at the date of default on the policy and on any dividend additions thereto, specifying the mortality table and rate of interest adopted for computing such reserves, less a sum not more than 2% per cent of the amount insured by the policy and of any existing dividend additions thereto, and less any existing indebtedness to the company on the policy.

Such provision shall stipulate that the policy may be surrendered to the company at its home office within one month from date of default for a specified cash value at least equal to the sum which would otherwise be available for the purchase of insurance, as aforesaid, and may stipulate that the company may defer payment for not more than six months after the application therefor is made.

This provision shall not be required in term insurances.” At the time of the issuance of this policy the Hartford Life Insurance Company was using the American Experience Table of Mortality and the 3y% per cent interest method, and on this basis the policy on the 11th day of May, 1921, had a reserve value of $86.45, subject to such deductions as were allowable under the law: Assuming that there were no deductions which could be made from this reserve value it would have purchased on May 11, 1921, $38.74 paid-up insurance on the assured, and this amount applied as premium on the policy would have extended it one year and two hundred and forty-one days from May 11, 1921.

It is provided by Sec. 8, of Art. 4741, that the policy shall also include a table showing the loan values and the options available under the policy in case of default in payment of premiums.

Sec. 9, requires: “A provision that if, in event of default in premium payments, the value of the policy shall be applied to the purchase of other insurance, and if such insurance shall be in force and the original policy shall not have been surrendered to the company and canceled, the policy may be reinstated within three years from such default, upon evidence of insurability satisfactory to the company and payments of arrears of premiums with interest.” It is the contention of Mrs.

Gilley, who will be referred to as plaintiff, that by virtue of the requirements of Sec. 7 of the law, the insurance company having failed to incorporate in the policy a table showing the options available to the insured, or to designate by the contract what particular benefit should accrue to the insured, in the event of default, the beneficiary was entitled to elect the option most beneficial, and therefore she chose to claim an extension of the policy; and the insured having died before the expiration of the period the policy was extended by reason of the reserve, she was entitled to recover the full amount of the insurance.

She also contended that Sec. 9, quoted above, requires that the reserve shall be applied to the purchase of extended insurance. There was a further contention that the company had waived its right to claim a forfeiture, basing this claim upon certain acts which will be hereafter noticed. Sec. 6 of the

article referred to has reference to the loan value of the policy, and as no contention is made that the loan privilege has anything to do with the right of plaintiff to recover, that

section need not be further considered. The first question by the Court of Civil Appeals is intended to ascertain-whether or not Sec. 7 of the

article of the statute has application to a policy such as was issued in this case, which (without deductions being considered) had a reserve at the date of default, and which provided for insurance during a fixed term of years at a designated rate.

The defendant company asserts that as the law itself provided that as to Sec. 7 “this provision shall not be required in term insurance,” it had no application to the policy issued to Gilley, which was, in contemplation of the law, and as understood by all actuaries, “term insurance.” Whether or not insurance for a fixed term of years at a fixed rate is technically “term insurance” it is needless for us to say, as it is apparent from a careful reading of Sec. 7 that it has no application to the policy in question, and it is clear that it was intended that such a policy would fall in the class of “term insurances.” The provision of the law which requires that the policy shall secure to the owner a stipulated form of insurance, whether paid-up or extended insurance, designates that such insurance shall be of a net value equal to the reserve at the date of default, less a sum not more than 214 per cent of the amount insured by the policy.

The law clearly recognizes the rule adopted by insurance companies, in arriving at the value of the reserve of policies, to first deduct from the excess in current premiums 214 per cent of the amount of the policy in the nature of a carrying charge; and if there be an amount left it represents the real reserve, which may be used for the purpose of obtaining a loan, paid-up insurance, or extended insurance as the insured may elect.

In other words, regardless of the nature of the insurance, unless the rates are such, and the policy has run a- sufficient length of time, that at the date of default, the accumulated excess in premiums is sufficient that, after deducting therefrom an amount equal to 21/4 per cent of the amount of the policy, there is a balance left, then the policy in reality has no reserve value.

In this case all of the actuaries agree that in arriving at the sum of $86.45 which they designate as reserve they made no allowance for the deduction of 21/4 per cent of the amount of the policy; and that if this 21/4 per cent be deducted, as the law contemplates, and as it must have actually been done by the company, the policy in fact had no reserve value at all. And it is further shown that under the rates designated by the policy at no time in the twenty-year period would it have had an actual reserve, taking into consideration the deduction allowable under the law.

We understand that it is the universal rule among insurance companies in cases of term policies (that is policies for a designated term of years), where the rate is as it was in this instance, to regard such policies as in reality having no reserve. We are also advised that it has been the uniform practice of the Department of Insurance in such cases and with reference to such policies not to require the provisions of Secs. 6, 7, and 8 to be inserted in the policies.

While such policies may not be technically “term insurances,” yet they are regarded as in that class, because the law recognizes that they have in reality no reserve value, such as is necessary to secure to the insured paid-up or extended insurance. Of course there is nothing to prevent the parties contracting for the usual options in a policy for a term of years, and when this is done, the policy would be expected to contain the necessary provisions as indicated in the law. We answer the first question by saying that Secs. 6, 7, and 9 had no application to the policy of insurance involved in this suit.

Plaintiff insists that the clause in Sec. 9 which reads that “in event of default in premium payments, the value of the policy shall be applied to the purchase of other insurance,” should be treated as an independent provision of the law and as if it stood alone. A casual reading of the entire

section reveals that this contention is unfounded. We have copied this

section as it appears in the original Act, being Chap. 108 of the General Laws of 1909, and it will be observed that this is merely a subjunctive clause, preceded by an' “if” and comma, and also followed by a comma. It shows one of the conditions which must obtain before the policy may be reinstated. The thought is exactly the same as if the language read as followsThe policy may be reinstated within three years after default, if the value of the policy has been applied to the purchase of other insurance, and if such insurance be in force and the policy has not been surrendered.

As this policy had no value to be applied to the purchase of other insurance, and no controversy exists as to reinstatement, we answer the second question by saying that the beneficiary was not entitled to recover under Sec. 9, of Art. 4741. On June 21, 1921/ the insurance company wrote George W. Gilley a letter, calling attention to the fact that his policy of insurance had lapsed because he had not paid the premium. He was requested by the company to take up • the matter of reinstatement.

Blank application was enclosed, with request that it be filled out and returned with remittance to cover the unpaid premium with interest. On July 6, 1921, the company wrote Gilley another letter, stating that the policy had lapsed because of failure to pay the premium due May 11, 1921, and again requested that the application blank be filled out and sent in with remittance, and agreeing that if necessary the company would wait on him for a part of the amount due. Gilley replied to this letter, saying, among other things, that he regretted that he had let his policy lapse.

He also stated that if he could get the amount of insurance cut down to $2,500 or $3,000 he might consider the matter of reinstatement; but he also stated that he preferred insurance in some home company. On July 26, 1921, the company replied to this letter, stating that it would be satisfactory to reduce the insurance to $3,000. The letter also contained this statement: “It would simply be necessary that you complete the enclosed release and request form and return it to us along with the policy itself and a remittance of $11.90.

This cost would represent the annual premium of $39.48 on the new policy of $3,000, due May 11, 1921, after allowing you a credit for the cancellation of $2,000 of your present policy. Premiums under the new policy would be paid to May 11, 1922. However, before we could consider this change, it would be necessary that the present policy be reinstated. Nothing further was done about reinstatement, and Gilley died September 24, 1921.

We are unable to see anything in this correspondence which would amount to a waiver of forfeiture, or an acknowledgment of liability, and as there was no reinstatement, we answer the third question by saying that under all the facts plaintiff was not entitled to recover any sum. The opinion of the Commission of Appeals answering certified questions is adopted, and ordered certified to the Court of Civil Appeals. Associate Justice Pierson not sitting. C. M. Cureiton, Chief Justice.