Summary
holding that local agent's diversion of insurance premiums constituted direct loss within coverage of insurer's fidelity bond
Summary of this case from Mass. Mut. Life Ins. v. Certain UnderwritersOpinion
33707.
DECIDED NOVEMBER 9, 1951. REHEARING DENIED DECEMBER 12, 1951.
Complaint on bond; from Fulton Superior Court — Judge Shaw. May 23, 1951.
MacDougald, Troutman, Sams Schroder, Dan MacDougald Jr., for plaintiff.
Powell, Goldstein, Frazer Murphy, Elliott Goldstein, for defendant.
The petition, in an action on a fidelity bond, alleging that the loss complained of was a direct loss of money belonging to the insured, or for which the insured was legally liable, and that such loss was caused by a diversion of the funds by the local agent in handling his insured principal's money, shows a loss or defalcation within the terms and coverage of the fidelity bond and sets out a cause of action; and the court erred in sustaining the general demurrers and in dismissing the petition.
DECIDED NOVEMBER 9, 1951. REHEARING DENIED DECEMBER 12, 1951.
This suit was brought by Hurt Quin Inc. against Bryan St. Malyon to recover $40,000 and other damages on a fidelity bond issued through Lloyd's of London by the defendant and other underwriters, giving Hurt Quin Inc., a general insurance agent, coverage for defalcations of its employees or local agents up to $40,000 in excess of that afforded by the fidelity bond of the National Surety Corporation, and on the same employees or local agents covered thereby. This case is similar to that of Hurt Quin Inc. v. National Surety Corp., 81 Ga. App. 683 ( 59 S.E.2d 722), and both cases deal with the same loss of money alleged to have been caused by Whitner Company, a local agent, in 1943. The decision in the case referred to affirmed the court's order sustaining a general demurrer to the petition in that case, and the present case is here on exceptions to an order sustaining a general demurrer to the petition in this case.
The Lloyd's fidelity bond sued on was attached to the petition, and it was stated therein that it was given to indemnify the plaintiff against direct loss by reason of the dishonesty of the plaintiff's employees, and that it was made subject to all the terms and conditions of the National Surety Corporation's bond not in conflict with the terms of the Lloyd's bond. In other words, the indemnity bond sued on gave excess coverage of $40,000 in addition to the $10,000 covered by the National Surety Corporation's bond, and upon the same terms and conditions as specified in the National Surety Corporation's bond. The bonds involved are thus substantially the same in both cases.
The National Surety Corporation's bond, which was also attached to the petition in this case as an exhibit, was to indemnify Hurt Quin Inc. "to the extent and upon the terms and conditions specified by this bond against any direct loss of money or other personal property, belonging to the insured or for which the insured is legally liable, caused by larceny, embezzlement, forgery, misappropriation, wrongful abstraction or any other fraudulent or dishonest act or acts committed by any of the insured's employees while covered under this bond." By a rider attached to the bond, the following agreement was added thereto: "The [National Surety] Corporation shall not be liable under the attached bond for losses sustained by the employer (a) through failure of any employee to repay moneys advanced by the employer; or (b) through failure of the employee to collect insurance premiums, or (c) through failure of the employee to collect notes or other evidences of debt, taken in settlement or in payment of insurance premiums, whether taken with or without authority and whether or not, if taken in his own name, he discounts the same; or (d) in consequence of premiums unpaid on policies issued, although such premiums may have been reported and assumed by the employee as chargeable to his account; or (e) as to any premiums, for more than the amount actually collected and retained by the employee, less his commission."
The allegations in the present petition of the arrangements made to handle industrial fire insurance business may be summarized as follows: The Sentinel Fire Insurance Company and the Agricultural Insurance Company, acting through the plaintiff as their general agent, by means of "master policies" left open as to the amount of insurance, authorized Whitner Company as a local agent to issue individual policies covering such property as Georgia Fire Insurance Service Inc. should agree to cause to be insured under certificates issued by it to the individuals insured. Premiums on individual policies were to be financed by loans from the First National Bank of Atlanta to the Georgia Fire Insurance Service Inc., and as security therefor, Whitner Company and Georgia Fire Insurance Service Inc. were to assign all their rights in the policies to the bank, including their rights to cancel the policies and to receive the unearned premiums on such canceled policies from the insurance companies. Furthermore, the insurance companies gave the bank an absolute right to the unearned premiums on request therefor, regardless of any matters of accounting between the insurance companies and their local agent, Whitner Company. The certificates issued by Georgia Fire Insurance Service Inc. were to contain notice of the fact that they were financed by it and that the unearned premiums on cancellation were payable to it or its assigns. One of the master policies, as summarized above, was attached as an exhibit to the petition.
By a separate agreement, attached to the petition as Exhibit NN and made a part thereof, Whitner Company and Georgia Fire Insurance Service Inc. made the assignment to the bank of their rights under the policies issued pursuant to the authority given to said parties by the master policy. Notes, made by Georgia Fire Insurance Service Inc. and endorsed by Whitner Company, were given to the bank for the full annual premiums due to the plaintiff on the individual policies issued by Whitner Company. It was alleged that these borrowed funds were to be disbursed by the bank directly to Whitner Company as local agent appointed by the plaintiff, and that the funds so borrowed were paid directly to Whitner Company as the local agent of the plaintiff, Hurt Quin Inc.
Whitner Company, according to the custom of local agents in the insurance business, did not remit the money received from the bank to the plaintiff for a period of from 60 to 80 days from the time of its receipt. Whitner Company was directed or allowed to retain a portion of the money borrowed from the bank to pay the bank the unearned premiums on any policies canceled which the insurance companies owed to the bank under the master policies and the assignment by Whitner Company. The premiums on the individual policies issued by Whitner Company or Georgia Fire Insurance Service Inc. to the individuals insured were collected in small weekly instalments from the insured individuals, and were turned over to the bank monthly by said parties to repay the full annual premiums borrowed. The weekly instalments collected on an individual policy over a year's time were about four times the amount of the annual premium borrowed from the bank on each policy issued.
In June of 1943, the bank notified the plaintiff that the unearned premiums due the bank and the collections from the individual policyholders had not been paid that month. It was alleged that "Whitner Company diverted the premium remittance collected [`cash premium funds obtained from the bank,' according to the plaintiff's brief] in March, April, May, and a portion of that collected in February, which premiums were retained in their hands for the aforesaid purpose of paying off the obligations of the [named] insurance companies to the bank for return or unearned premiums on canceled policies. Neither then nor subsequently was the sum so diverted made good. A subsequent audit developed that Whitner Company had failed to deliver to the bank the sum of $373,206.61, which amount Whitner Company had previously retained premium remittances to cover. . . As a result of the aforesaid agreement [the master policy], the said insurance companies had to pay the gross unearned S.E. U. A. [Southeastern Underwriters Association] premium to the bank to cancel their obligation. A subsequent audit showed that salvage operations after August, 1943, reduced the amount due by Whitner Company to petitioner to make up the shortage to $199,680.33, of which amount $125,000 at the least represented cash placed in the hands of Whitner Company and diverted."
It was further alleged that the plaintiff, under its general agency contracts with the Sentinel Fire Insurance Company and the Agricultural Insurance Company, bound and obligated itself to account for and pay over the premiums due the respective companies.
1. In determining on demurrer whether the alleged loss to the insured plaintiff was covered by the fidelity bond sued upon, two questions arise: first, whether the loss was a direct loss of money "belonging to the insured or for which the insured is legally liable," or was of "premiums, . . collected and retained by the employee," according to clause (e) of the rider attached to the National Surety Corporation's bond referred to; and second, whether the loss is alleged to have been caused by reason of the dishonesty of the employee or by larceny, embezzlement, forgery, misappropriation, wrongful abstraction or any other fraudulent or dishonest act or acts. In the case of Hurt Quin Inc. v. National Surety Corp., 81 Ga. App. 683 ( 59 S.E.2d 722), supra, it was held that the petition showed that the loss was of money belonging to Whitner Company, which it had borrowed from the bank on its own credit, and that Whitner Company was only indebted to the plaintiff in the amount of the loss alleged; and, on the second question, that the alleged failure and neglect of Whitner Company to pay this debt did not amount to a defalcation under the terms of the National Surety Corporation's fidelity bond. In that case, it was not alleged that the money borrowed from the bank by Whitner Company to pay the annual premiums in question was paid to Whitner Company as agent, and under the allegations of the petition in that case, it was held that the money obtained from the bank on the loans referred to belonged to Whitner Company. This case differs, however, in that here it is alleged in substance that the plaintiffs were the general agents of the insurance companies with authority vested in them to appoint local agents for the insurance companies, and that pursuant to this authority the plaintiffs appointed Whitner Company as such local agent. Also, this relationship is further borne out by Exhibit NN attached to the petition here, whereas this agreement is not contained in the record in the National Surety Corporation case, supra. Therefore, construing these allegations together with the copy of the master policy, it appears that the plaintiff, Hurt Quin Inc., and its insurance companies had a definite interest in the money which was borrowed from the bank to pay the premiums and disbursed to Whitner Company as agent by the bank. Accordingly, while the allegations of the petition in the National Surety Corporation case, supra, demanded a conclusion that Whitner Company were acting independently in their negotiations with the bank, here by reason of the allegations in the petition and its exhibits showing the relationship of agency on their part, it appears that Whitner Company received the money from the bank as agent of the insurance companies; that the money belonged to the insurance companies, and that the plaintiff herein became liable for its loss. While Georgia Fire Insurance Service Inc. and Whitner Company are alleged to have signed the notes given for the money as maker and endorser, respectively, it could hardly be said that they borrowed solely on their own credit, for, by the terms of the master policy, the bank could at any time request and obtain from the insurance companies the amount of unearned premiums on all policies in force and assigned to the bank, regardless of whether the full premiums loaned thereon to Whitner Company had been paid to the insurance companies. The insurance companies were obligated to the bank for the unearned premiums on the policies written by Whitner Company, and the master policy shows that the insurance companies' unqualified promise to pay the unearned premiums to the bank on demand was given for the bank's "disbursing the amount of such loan to this [insurance] company's agent, Whitner Company." Since Whitner Company received the money from the bank as the agent of the insurance companies, the money belonged to the insurance companies, and the fact that the agent was also personally liable therefor to the bank makes it none the less the principal's money, as between the principal and the agent, and as between the plaintiff and the defendant insurer of the agent's fidelity.
Considering the alleged transactions as a whole, including the allegations of agency contained in this petition but which were omitted from the petition in Hurt Quin Inc. v. National Surety Corp., supra, it may be seen that the moneys in Whitner Company's hands were premiums belonging to the insurance companies just as much as if they were the actual moneys collected from the individuals insured. The premiums were collected in small amounts weekly from the many individuals insured and were paid to the bank. The bank had previously advanced the full annual premium, on each policy issued, to Whitner Company as agent, thereby financing the truncations. Whitner Company remitted the funds received from the bank, less commissions, to the plaintiff, and the plaintiff in turn sent the money to the insurance companies. There was also a flow of the unearned premiums in the opposite direction. As individual policies were canceled, presumably for non-payment by the individuals insured of their weekly instalments on the full premium, so that no further amounts were coming to the bank through the local agent in payment of the full premium advanced by the bank, then the bank was to receive so much of the full premium advanced as had not been earned by the insurance companies. This reverse flow of funds was accomplished by directing Whitner Company to turn a portion of the premiums borrowed from the bank back to the bank, instead of sending the funds to the plaintiff and the insurance companies. What the parties did indirectly in the financing plan is the same in effect as what they might have done directly: to collect premiums in full from the individuals insured and transmit them to the insurance companies; and the funds in either instance are premiums belonging to the insurance companies, not to the agent who transmits them.
It is alleged that, under the general agency contracts which the plaintiff, Hurt Quin Inc., had with the fire insurance companies, the plaintiff was bound to account for and pay over the premiums due the respective companies. So, it seems that the alleged loss was of money belonging to the plaintiff or for which the plaintiff was liable, and was not merely an indebtedness of the local agent, Whitner Company, to the plaintiff.
2. As to whether the loss was caused by the dishonesty of Whitner Company, the petition alleges that Whitner Company "diverted" the premium funds, and that the shortage was later discovered by an audit; whereas in Hurt Quin Inc. v. National Surety Corp., supra, the allegation was that Whitner Company "failed and neglected" to pay over the funds. In the case of Massachusetts Bonding c. Co. v. Raskin, 43 Ga. App. 582 ( 159 S.E. 778), the contract covered losses arising "by any act or acts of fraud, dishonesty, forgery, theft, larceny, embezzlement, wrongful abstraction or wilful misapplication on the part of the employee," and it was there said, "The offenses mentioned involve moral turpitude. Dishonesty certainly carries with it the idea of a wilful wrong, and, in our opinion, the same is true of `wrongful abstraction' and `wilful misapplication.' In short, any act or conduct which makes the company liable under the contract connotes wilful wrong, and not merely an innocent mistake, or negligence." In that case it was alleged that the loss "arose by reason of the failure of the said Rosenthal to return to petitioners monies, goods, and merchandise sold or withdrawn by him from the stock while it was in his possession, custody, and control." [Emphasis added.] The court there held that no wilful, wrongful conduct on the part of the employee was alleged, and that the alternative allegation in the petition as quoted above was insufficient to state a cause of action. But we think the purport of that ruling is that an allegation that the loss was caused by the failure of the employee to return goods Withdrawn by him would have set out a cause of action on the bond sued on.
The bond in the present case is substantially similar to the bond in Massachusetts Bonding c. Co. v. Raskin, supra. The Lloyd's excess bond covered loss by reason of the dishonesty of the plaintiff's employees, and by reference incorporated the indemnity clause of the National Surety Corporation's primary bond, insofar as not in conflict therewith, covering losses caused by larceny, embezzlement, forgery, misappropriation, wrongful abstraction or any other fraudulent or dishonest acts of the insured's employees. To allege a loss under the terms of the bond, it must appear that the employee or local agent caused the loss by his own wilful wrong, rather than by an innocent mistake or negligence.
The allegation that Whitner Company "diverted" the premium remittances which it had received from the bank shows that Whitner Company intentionally turned the flow of the plaintiff's money into other channels from that of its proper transmission to the plaintiff or to the bank as directed by the plaintiff. Such conduct by an agent under the facts as here alleged indicates a wilful wrong in the nature of a misappropriation. In the National Surety Corporation case, supra, it was alleged that Whitner Company "failed and neglected to pay over such sums," which was equally consonant with mere negligence and inability to pay due to other causes, as it was with fraud and dishonesty. In the present case it is alleged that Whitner Company "diverted" the money, causing the loss complained of. The difference between the two allegations is that the latter connotes a wilful act, which, when done by an agent in handling his principal's money, amounts to a wilful wrong or a fraudulent or dishonest act, and such act as here alleged would come within the terms and coverage of the fidelity bond sued on in this case. Therefore, the petition set out a cause of action, and the trial judge erred in sustaining the general demurrers of the defendant thereto.
Pursuant to the act of 1945 (Ga. L. 1945, p. 232, Code, Ann. Supp., § 24-3501), this case was considered and passed upon by the court as a whole.
Judgment reversed. MacIntyre, P. J., Gardner, Townsend and Worrill, JJ., concur. Felton, J., dissents.
It is my opinion that the ruling in the second division of the opinion in Hurt Quin Inc. v. National Surety Corp., 81 Ga. App. 683, is decisive of the issue in this case and until reversed should control this case. The majority opinion bases its rulings on two so-called distinctions between the two cases; the first, that in this case it is alleged that Whitner Company "diverted" the funds, whereas in the above case it was alleged that it "failed and neglected" to pay over the funds. I concede that the instant case differs from the former case in this respect but in the National Surety case, in view of the ruling in the second division of the opinion, it would have been immaterial whether it was alleged that Whitner Company diverted the funds, failed or neglected to pay them over or embezzled them, because one cannot embezzle his own money. Since the court in that case held that the money belonged to Whitner Company, the allegations as to what it did with respect to them added nothing to the statement of the cause of action. The second distinction between the two cases, as relied on by the majority opinion, is that it is alleged in the instant case that the borrowed funds were to be disbursed by the bank and were disbursed directly to Whitner Company as local agent of Hurt Quin. I think the petition and exhibits in the National Surety case showed the fact that the money borrowed was to be paid by the bank to Whitner Company as local agent of Hurt Quin. There was a rider in the National Surety case, attached to the master policy, providing that "it will not be necessary, however, for said bank to wait until said list has been furnished to this company or acknowledged by this company before disbursing the amount of such loan to this Company's agent, Whitner Company." The allegations of both petitions alike show that the bank was to disburse the borrowed money to Whitner Company, and show that Whitner Company was designated as agent of Hurt Quin, but such designation as agent was not done for the purpose, nor did it have the effect, of rendering the borrowed funds the property of Hurt Quin. The parties had long and complicated agreements and it was necessary to state the capacity in which each was acting so that the ultimate rights of all could be ascertained as between any two or more. The statement in the above-referred-to rider, as well as the Exhibit NN, attached to the instant petition, as well as some of the other exhibits, show on their face that the references to payments to "Whitner Company as agents" were description personae and had no other meaning. Certainly they show that the borrowed money did not belong to Hurt Quin or to any insurance company. Thus the allegation that such was true, if it should be so interpreted, falls when the exhibits destroy it. To clearly illustrate that the term "agent" used in the exhibits, is purely description personae, let us take the Exhibit NN, present in the instant case and lacking in the National Surety case. This was the agreement between the First National Bank, Georgia Fire Insurance Service Inc., Florida Life Insurance Service Inc., and Whitner Company. The first paragraph of the agreement provided how each party would be referred to in the agreement. For instance, the Georgia Fire Insurance Service Inc. was to be called "Borrower"; the bank was to be called "Bank"; Whitner Company was to be called "Agent." It follows that when this agreement, Exhibit NN, provides that "said bank is authorized and directed to disburse the net proceeds of said loan to said agent," it simply meant that the bank was authorized to disburse the proceeds to Whitner Company, and it did not mean that the parties agreed that the money belonged to anyone but Whitner Company. The obvious purpose of this specific provision was to authorize the bank to pay the money directly to an indorser on the note given for the loan instead of to the borrower, or principal, Georgia Fire Insurance Service Inc. Insofar as averring that the moneys allegedly diverted belonged to anyone other than Whitner Company, as far as the allegations of agency are concerned in their receipt from the bank, the allegations in the two cases are substantially the same. Now I come to that part of the ruling in the National Surety case which I think controls this case under practically identical allegations. It is substantially alleged in each case that Whitner Company retained from premium remittances sufficient sums to pay the bank to cover unearned premiums. If there is anything in either case to produce liability on the bond, it is the fact that when Whitner Company retained the unearned premium money to pay to the bank, instead of remitting it to its general agent or insurance company, it held the sums, so withheld, in trust for its owners and the bank, and a diversion of such sums would be covered by the bond. However, this court has held in the National Surety case that under these allegations the money belonged to Whitner Company and it was only indebted to Hurt Quin and the insurance company. It is my opinion that before we can now reverse this case, we will first of necessity have to overrule the National Surety case. Until this is done, we are bound to follow the ruling in that case to which I have referred.