Summary
In Bayer v. Lutheran Mut. Life Ins. Co., 184 Neb. 826, 172 N.W.2d 400 (1969), this court imposed liability when an insured relied upon an insurance company's general agent's misrepresentation. It is well established that an insurance agent or broker may be held liable for a negligent misrepresentation made to an insured.
Summary of this case from Flamme v. Wolf Ins. AgencyOpinion
No. 37329.
Filed November 28, 1969.
1. Insurance: Principal and Agent. Section 44-362, R.R.S. 1943, prohibits an agent of an insurance company from issuing any estimate, statement, or circular misrepresenting benefits promised under any policy issued by the company. 2. ___: ___. An insured has no right to rely on an agent's patently absurd interpretation of his policy. 3. ___: ___. An insured ordinarily may rightfully rely on an agent's interpretation that is plausible and not in patent conflict with the printed policy although legally untenable. 4. ___: ___. An insurer treating general agents' correspondence as its records is ordinarily charged with knowledge of the general agents' letters that promise policyholders future dividends.
Appeal from the district court for Dodge County: ROBERT L. FLORY, Judge. Reversed and remanded with directions.
Ray C. Simmons, for appellant.
F. W. Carstens, for appellee.
Heard before WHITE, C.J., CARTER, SPENCER, BOSLAUGH, SMITH, McCOWN, and NEWTON, JJ.
Plaintiff claimed accumulated dividends, interest, and other benefits of $1,867.38 under a 30-year endowment insurance policy on completion of the 30-year term. A general agent of defendant insurer had misrepresented the amount of benefits in a letter to plaintiff's mother during plaintiff's minority and shortly after issuance of the policy. Defendant's tender of $1,415.69 due without reference to the letter was refused. After a hearing on motion of each party for summary judgment the district court rendered summary judgment for defendant, and plaintiff has appealed. Defendant denies (1) any agreement by the agent respecting benefits of $1,867.38, (2) any right of the policyholders to rely on the letter, and (3) any vicarious liability on the transaction.
Defendant, a mutual company, had issued the policy on July 14, 1938, on the life of plaintiff, age 17. The face amount, $1,000, was based on an annual premium of $32.60. On the front fold and at the top of the first page of the policy appear the words "Dividends Payable Annually." Other headings are "THIRTY YEAR SAVINGS REFUND," "THIRTY Year Endowment," "Face Amount Payable at Maturity Date," and "Increased Death Benefit Payable Prior to Maturity Date." Inside the policy a table of nonforfeiture options lists values at completion of the 16th and 30th years respectively as follows: Death benefits, $1,289, $1,702; cash values, $411.99, $1,000; and paid-up life insurance and cash, $1,000 and $6.41, $1,000 and $475.77.
Respecting dividends, the printed policy reads: "At the end of the second policy year and annually thereafter, this policy while in full force, except as extended insurance, shall participate annually in the divisible surplus as apportioned by the Board of Directors of the Company. Dividends . . . may be . . . . Left to accumulate to the credit of the policy with compound interest at such rate as may be determined by the Company, but never less than three per cent per annum . . . ."
On August 19, 1938, plaintiff's mother sent a letter inquiring about the policy to Paul B. Hellbusch, solicitor of the application and general agent of defendant. The letter was not preserved. On August 22 Hellbusch in reply wrote on his letterhead disclosing his general agency for defendant: "I will see you within . . . ten days and we can examine your daughter's policy at that time and also discuss other forms issued by our company . . . However, I want to say that the figures shown on the policy do not include any dividends and that the $6.41 shown after the 16th year is cash in addition to a $1000 paid-up participating policy. The cash value at that time is $418.40 or $528.21 if the dividends have not been drawn . . . . After 30 years Dorothy can take a $1,000.00 paid-up policy and receive . . . $867.61 in cash if the dividends have been left with the company. If she does not want . . . the protection after 30 years, she can draw $1867.38 in cash providing she has left the dividends with the company each year. If the dividends are not left . . ., she will still have $1457.77 at the end of 30 years . . . ."
Defendant's rate book (1938) respecting the printed policy contains this information:
"End of Death Cash or Paid Up Net Dividend Year Benefit Loan Ins. Amount Accumulated Invested 15 $1265 $ 378.43 $949.00 $406.25 $ 97.75 16 1289 411.99 6.41 429.72 109.81 30 1702 1000.00 475.77 697.09 391.61 ------------------------------------------------------------- "Settlement Options at Maturity: First: $1,000 in cash. Second: $1,000 Paid-Up Policy and $475.77 in cash. Third: $1,908 Paid-Up Policy . . . . -------------------------------------------------------------
"Values from here are cash payable immediately in addition to $1,000 Paid-Up whole life insurance."
"Dividend figures and accumulations used in these illustrations are not guaranteed. Based on present dividend schedule.
Defendant had conferred express authority on Hellbusch to appoint agents and to collect premiums, but not to prescribe form or character of policies. Anti-rebate and records provisions of his general agency agreement read in part: "He shall not . . . agree to . . . allow . . . any special . . . advantage in the dividends . . . to accrue, or any valuable consideration . . . whatever not specified in the policy . . . . He shall . . . preserve as the property of the Company all . . . correspondence and records of all kinds which at any time shall come into his possession . . . relating to transactions by or for the Company . . . ."
The printed policy contains language limiting authority of agents: "No agent of the Company . . ., except the President, a Vice President, the Secretary or Assistant Secretary, has power to make, modify, or discharge this or any contract of insurance . . ., or to bind the Company by making any promise respecting any benefits hereunder . . . ."
Defendant admitted the fact of reliance by plaintiff and her mother on Hellbusch's representation. It contends, however, that the policyholders had no right to rely on the letter which simply illustrated without promising future dividends or interest. Defendant cites Kaley v. Northwestern Mutual Life Ins. Co., 102 Neb. 135, 166 N.W. 256 (1918), which applied Wisconsin law to an agent's statement headed "A Conservative Estimate of a Semitontine Policy . . .," a 20-year endowment policy issued in 1899. The case is not controlling.
Section 44-362, R.R.S. 1943, which originated in Laws 1913, c. 154, 141, p. 467, provides: "No insurance company, or any . . . agent . . . thereof . . . shall issue . . . any estimate, statement or circular misrepresenting . . . any policy issued or to be issued by such company, or misrepresenting the benefits . . . promised under any such policy . . . ."
The letter is to be interpreted according to this standard: An insured has no right to rely upon an agent's patently absurd interpretation of a policy. He ordinarily may rightfully rely, however, upon an agent's interpretation that is plausible and not in patent conflict with the printed policy although legally untenable. Mutual Ben. Life Ins. Co. of Newark, N.J. v. Bailey, 55 Del. 215, 190 A.2d 757 (1963). The statement of benefit's in Hellbusch's letter was promissory, not illustrative, and plaintiff and her mother had a right to rely on it. See, generally, Belth, "Life Insurance Price Measurement," 57 Ky. L. J. 687 (1969); Comment, 6 Houston L. Rev. 810 (1969).
On the question of vicarious liability the title "general agent" without more has no fixed meaning in the business world. The general agent of an insurance company is ordinarily one who himself employs agents to carry out the business of the company. Restatement, Agency 2d 3, Comment e, p. 17. An agent with authority to solicit insurance applications and to countersign and issue policies entrusted to him for that purpose is a general agent. He may possess the authority of a corporate officer. Bleicher v. Heeter, 141 Neb. 787, 4 N.W.2d 897 (1942).
An insurer treating general agents' correspondence as its records is ordinarily charged with knowledge of the general agents' letters that promise policyholders future dividends. Keeping silent and receiving premiums sometimes bars the insurer from avoiding liability on the promise notwithstanding an exculpatory clause of the printed policy. See Manhattan Life Ins. Co. v. Stubbs, 234 S.W. 1099 (Tex. Com. App., 1921).
The present case is one of liability. The district court erred in rendering summary judgment for defendant and in failing to render summary judgment for plaintiff in accordance with plaintiff's motion. The judgment is reversed and the cause remanded with directions that judgment be rendered accordingly. Plaintiff is allowed $750 for services of her attorney in this court. See 44-359, R.R.S. 1943.
REVERSED AND REMANDED WITH DIRECTIONS.