The Germania Fire Insurance Co. v. Pitcher

Decision Date14 October 1902
Docket Number19,863
Citation64 N.E. 921,160 Ind. 392
PartiesThe Germania Fire Insurance Company v. Pitcher
CourtIndiana Supreme Court

Rehearing Denied April 8, 1903, Reported at: 160 Ind. 392 at 407.

From the Superior Court of Vanderburgh County; J. H. Foster Judge.

Action by Caroline C. Pitcher against the Germania Fire Insurance Company. From a judgment for plaintiff, defendant appeals. Transferred from Appellate Court, under § 1337u Burns 1901.

Affirmed.

S. N Chambers, S. O. Pickens, C. W. Moores, A. Gilchrist and C. A. De Bruler, for appellant.

G. A. Cunningham, for appellee.

OPINION

Gillett, J.

This action is based on a fire insurance policy executed by appellant to appellee. There was a judgment below in favor of appellee. Appellant assigns as error the overruling of its separate demurrer to the second and third paragraphs of complaint, and the overruling of its motion for a new trial.

The second and third paragraphs of complaint disclose the fact that proofs of loss were not made within sixty days after the fire, as required by the policy, but, in lieu thereof, the appellee seeks in said paragraphs to charge a waiver of such requirement. Appellant's counsel contend that said pleadings are in this respect insufficient. In the second paragraph of complaint it is alleged that when the fire occurred the appellee gave oral notice thereof to appellant's local agents who had issued said policy; that said agents gave notice to appellant; that the latter sent its adjuster to adjust the loss on appellee's said building; that said adjuster and an agent of appellee examined said building with a view to the adjustment of said loss; that said adjuster and the appellee's said agent entered into negotiations concerning said loss, and continued said negotiations from time to time until after the time within which, by the terms of said policy, the appellee was required to furnish formal proofs of loss; that appellee and appellant were unable to agree as to the amount of said loss; that the same has never been adjusted or settled; that the appellant refused and still refuses to pay the same, but that the appellant did not base its said refusal on the failure of appellee to furnish proofs of loss, but on other grounds altogether. By way of showing the theory of the pleader, there is added to the averments upon this subject the averment or statement, "that by its said conduct the defendant waived notice in writing from the plaintiff and the formal proofs of loss required by the terms of said policy." The third paragraph of complaint contains the same allegations in substance, except that it does not allege that the negotiations continued until after the time for furnishing formal proofs of loss expired, and it states explicitly that appellant made no objection to appellee's claim because of her failure to furnish proofs of loss.

An adjuster who had been sent for the express purpose of adjusting a loss has authority to waive a provision of the policy concerning proofs of loss. Aetna Ins. Co. v. Shryer, 85 Ind. 362; Indiana Ins. Co. v. Capehart, 108 Ind. 270, 8 N.E. 285; McCollum v. Liverpool, etc., Ins. Co., 67 Mo.App. 66, and cases there cited.

It must be confessed that the second paragraph of complaint is wanting in the allegation of facts sufficient to constitute a technical estoppel, although the paragraph goes some length in that direction. We think, however, that it can be affirmed from the facts alleged that if there has not been a waiver that can be declared as a matter of law, the appellee was at least entitled to take the verdict of a jury upon the mixed question of law and fact as to whether there was a waiver.

In Insurance Co. v. Norton, 96 U.S. 234, 24 L.Ed. 689, where the fact was that an agreement has been made by an insurance company to extend the time of payment of a premium note, it was said by the Supreme Court of the United States: "Forfeitures are not favored in the law. They are often the means of great oppression and injustice. And, where adequate compensation can be made, the law in many cases, and equity in all cases, discharges the forfeiture, upon such compensation being made. It is true, we held in Statham's Case, 93 U.S. 24, 23 L.Ed. 789, that, in life insurance, time of payment is material, and can not be extended by the courts against the assent of the company. But where such assent is given, the courts should be liberal in construing the transaction in favor of avoiding a forfeiture. The case of leases is not without analogy to the present. It is familiar law, that, when a lease has become forfeited, any act of the landlord indicating a recognition of its continuance, such as distraining for rent, or accepting rent which accrued after the forfeiture, is deemed a waiver of the condition. * * * In Ward v. Day, 4 Best & Sm. 335, after a forfeiture of a license to gather minerals off of a manor had been incurred, the landlord entered into negotiations with the licensee and his son, to grant to the latter a renewal of the license when it should expire; and terms were agreed on, which the landlord afterwards refused to carry out. It was held that by entering into those negotiations, he waived the forfeiture of the original license. The negotiations assumed that the original license was to continue to its termination. The exaction of the forfeiture was in the landlord's election; and he evinced his election not to enforce it by entering into the negotiations. Justice Blackburn says: 'Most of the cases in which the doctrine of election has been discussed have been cases of landlord and tenant under a regular lease, in which has been reserved a right of reentry for a forfeiture; that is, an option to determine the lease for a forfeiture; but this doctrine is not, as Mr. Russell seems to think, confined to such cases. So far from that being so, the doctrine is but a branch of the general law, that, where a man has an election or option to enter into an estate vested in another, or to deprive another of some existing right, before he acts he must elect, once for all, whether he will do the act or not. He is allowed time to make up his mind; but when once he has determined that he will not consider the estate or lease, whichever it may be, void, he has not any further option to change his mind.' And then the learned judge cites authorities, going back to the Year Books, to show that a determination of a man's election in such cases may be made by express words, or by act; and that if, by word or by act, he determines that the lease shall continue in existence, and communicates that determination to the other party, he has elected that the other shall go on as tenant. These cases show the readiness with which courts seize hold of any circumstances that indicate an election or intent to waive a forfeiture. We think that the present case is within the reason of these authorities; and that the objection, that the note was already past due when the agreement to extend it was made, is not sufficient to prevent said agreement from operating as a waiver of the forfeiture."

In the opinion of the court in Queen Ins. Co. v. Young, 86 Ala. 424, 5 So. 116, 11 Am. St. 51, we find the following language: "Conditions in a policy of insurance, limiting or avoiding liability, are strictly construed against the insurer, and liberally in favor of the assured. Though a waiver may be in the nature of an estoppel, and maintained on similar principles, they are not convertible terms. The courts, not favoring forfeitures, are usually inclined to take hold of any circumstances which indicate an election to waive a forfeiture. A waiver may be created by acts, conduct, or declarations, insufficient to create a technical estoppel. If the company, after knowledge of the breach, enters into negotiations or transactions with the assured, which recognize and treat the policy as still in force, or induce the assured to incur trouble or expense, it will be regarded as having waived the right to claim the forfeiture."

In Kiernan v. Dutchess, etc., Co., 150 N.Y. 190, 44 N.E. 698, it was said by the New York court of appeals: "There may be a waiver by express agreement or through estoppel, but neither is required to effect that result, as words or acts from which an intention to waive may reasonably be inferred are sufficient, at least when acted upon. Titus v. Glens Falls Ins. Co., 81 N.Y. 410, 419; Roby v. American Central Ins. Co., 120 N.Y. 510, 24 N.E. 808; Armstrong v. Agricultural Ins. Co., 130 N.Y. 560, 29 N.E. 991. The distinction between waiver and estoppel, as applied to the law of insurance, is not in all respects clearly defined. An express waiver is in the nature of a new contract, modifying to some extent the old one. It does not require a new consideration unless it is by inducing a change of position, for the law of waiver seems to be a 'technical doctrine, introduced and applied by courts for the purpose of defeating forfeitures.' People v. Manhattan Co., 9 Wend. 351, 381; Insurance Co. v. Norton, 96 U.S. 234, 24 L.Ed. 689. An estoppel forbids the assertion of the truth by one who has knowingly induced another to believe what is untrue and to act accordingly. While express waiver rests upon intention, and estoppel upon misleading conduct, implied waiver may rest upon either, for it exists when there is an intention to waive unexpressed, but clearly to be inferred from circumstances, or when there is no such intention in fact, but the conduct of the insurer has misled the insured into acting on a reasonable belief that the company has waived some provision of the policy."

Cases in this State, as well as elsewhere, justify the conclusion that there are some acts that the courts will treat as a waiver per se. In the...

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