Opinion
Opinion filed May 29, 1933.
1. INSURANCE — when reinsurer cannot limit liability on reinsured's certificate pursuant to reinsurance agreement. An insurance company which took over the assets and assumed the liabilities of a mutual benefit association could not, following the death of the holder of a certificate, issued by the reinsured, and always in good standing, limit its liability on the certificate pursuant to a provision of the reinsurance agreement, merely because the certificate holder accepted from the reinsurer a "rider of assumption" which notified the holder that the reinsurer had assumed the reinsured's obligations subject to the limitations contained in the reinsurance agreement and because, as directed, the certificate holder thereafter paid assessments levied on the certificate to the reinsurer, no notice being given the certificate holder, at any time, of any change in the terms of her contract.
2. INSURANCE — what reinsurer, seeking to limit liability on reinsured's certificate, pursuant to reinsurance agreement, is required to show. An insurance company, which took over the assets and assumed the liabilities of a mutual benefit association and which, in an action following the death of the holder of a certificate, issued by the reinsured and always in good standing, seeks to limit its liability on the certificate pursuant to a provision of the reinsurance agreement, has the burden of showing, in establishing the certificate holder's acceptance of a substituted new contract, that the certificate holder, with actual knowledge of the terms of the alleged new contract, paid assessments to the reinsurer with the intention of accepting those terms and not for the purpose of continuing the contract evidenced by her certificate.
3. INSURANCE — what defense in action against reinsurer on reinsured's certificate should be pleaded. Where an insurance company which took over the assets and assumed the liabilities of a mutual benefit association seeks, in an action following the death of the holder of a certificate, issued by the reinsured and always in good standing, to limit its liability on the certificate pursuant to a provision of the reinsurance agreement, the defense of the certificate holder's acceptance of a substituted new contract is affirmative in character and should be pleaded.
Appeal by defendant from the County Court of Williamson county; the Hon. R. R. FOWLER, Judge, presiding. Heard in this court at the February term, 1933. Affirmed. Opinion filed May 29, 1933.
D. L. DUTY, for appellant.
STONE FOWLER and HAL G. GALLIMORE, for appellee.
William S. Wallace, appellee, brought an action of assumpsit against the Commercial Life Insurance Company, appellant, in the county court of Williamson county. The case went to trial on a declaration consisting of three special counts and the common counts. The first two special counts alleged the consolidation of the International Mutual Union with appellant and the third special count set up the contract between the two companies, averring that appellant thereby became liable on the contracts of International Mutual Union, including the contract sued upon. All special counts alleged the sale and transfer of all of the assets of International Mutual Union, together with all benefit certificates then in force, to appellant. Appellant pleaded the general issue. The cause was tried before the court without a jury. The court found the issues for appellee and entered judgment in his favor for the sum of $1,000. The appeal comes to this court from that judgment.
The International Mutual Union was a mutual benefit association, organized under the laws of Illinois, and on November 22, 1927, issued its certificate of membership No. 2,054 in the sum of $1,000 to Lena M. Wallace, with appellee, her husband, designated as beneficiary therein. All dues and assessments were paid to International Mutual Union up to and including the month of December, 1930. On December 31, 1930, appellant entered into what was termed a reinsurance agreement with International Mutual Union, whereby the said Commercial Life Insurance Company agreed to reinsure all certificates of membership of International Mutual Union that were in full force and good standing, subject however to the limitations, restrictions, conditions and provisions contained in the reinsurance agreement.
On January 2, 1931, appellant mailed a letter to Lena M. Wallace, in which was inclosed a "rider of assumption" and in this instrument it was stated that appellant "has assumed, as its own contracts, the certificates of membership of International Mutual Union, agreeing with the holders of said certificates that it will perform the obligation under said certificates in the place and stead of International Mutual Union, subject, however to all the limitations, restrictions, conditions and provisions stipulated by the terms of the reinsurance agreement." In the letter accompanying the rider the appellant assumed all the obligations of the Wallace certificate of membership agreeing that it would perform such obligations in the place and stead of the International Mutual Union, subject to the same limitations of the reinsurance agreement. The letter further instructed the certificate members to make all payments to appellant and not to the old organization. It further stated "Through the reinsurance and consolidation of the International Mutual Union with the Commercial Life Insurance Company, each certificate is backed by the strength of the above combination."
By the reinsurance contract all the books, records, papers, documents of every kind, good will, risks and assets of International Mutual Union were transferred to appellant. Following January 2, 1931, the appellant levied certain assessments on the Wallace certificate and these were all paid up to the death of Lena Wallace on March 3, 1931. Proper proofs of death were furnished appellant. Later appellee was notified that his claim had been allowed in the sum of $134.33, in accordance with the limitation contained in section six of the reinsurance contract.
It was urged that because of the age of Lena Wallace and the amount of the assessments paid by her, she did not come within the class of International Mutual Union beneficiaries entitled to receive payment in full of the face of the policy, but did come within a class entitled to receive a limited amount; that having accepted the rider and having paid assessments to appellant she was held and bound to all the terms of the reinsurance agreement. The certificate of membership issued to Lena Wallace by International Mutual Union was a contract or agreement to pay a certain sum of money at the time of her death, provided she paid the assessments as they became due. Neither the old company nor the new one could take any action which would impair the contract of the certificate holder unless such certificate holder consented to such change. Jones v. Loaleen Mutual Benefit Ass'n, 337 Ill. 431. The Commercial Life Insurance Company having contracted to take over the assets and assume the liabilities of the International Mutual Union, became primarily liable on the original certificate, and we do not believe the record in this case indicates that the certificate holder consented to a modification of her rights or the reduction of the amount due under the certificate of membership.
In the case of York v. Central Illinois Relief Ass'n, 340 Ill. 595, the court said, in a somewhat similar case, "There is no doubt that the parties to a contract may by their mutual agreement accept the substitution of a new contract for the old one with the intent to extinguish the obligation of the old contract, but one party to a contract cannot by his own acts release or alter its obligations. The intention must be mutual." In all of the communications to the policyholder in this case there was no reference to any change in the terms of the certificate. To show an acceptance of a new and changed certificate as a substitute for the old, the burden was on the appellant to show that Lena Wallace, with actual knowledge of the terms of the new certificate, made her payments with the intention of accepting those terms and not in continuation of the original certificate. This in our opinion, was an affirmative defense and should have been pleaded by appellant. There has, however, been no proof of any intention to accept the terms of the new certificate and the judgment of the county court of Williamson county is affirmed.
Affirmed.