Summary
finding no waiver because no communication by the insurer to the insured was inconsistent with the proof of loss requirement; insurer wrote letter to insured denying claim 25 days after the proof of loss period expired
Summary of this case from Salmo v. MemberSelect Ins. Co.Opinion
Docket No. 33, Calendar No. 43,990.
Decided June 14, 1948.
Appeal from Oceana; Pugsley (Earl C.), J. Submitted April 7, 1948. (Docket No. 33, Calendar No. 43,990.) Decided June 14, 1948.
Assumpsit by Robert M. Dailey and another against Mid-States Insurance Company on an automobile insurance policy. Verdict and judgment for plaintiff. Defendant appeals. Reversed and remanded for entry of judgment non obstante veredicto.
Harold Van Domelen and Donald G. Slawson, for plaintiff.
Mitts Smith, for defendant.
This is a suit on an insurance policy to recover for the complete loss of an automobile by fire. On trial by jury plaintiffs had verdict and a judgment for $1,200. Defendant's motions for a directed verdict and for judgment non obstante veredicto were denied. It has appealed.
On May 10, 1946, plaintiff Dailey purchased the automobile from plaintiff Brink on a time-purchase plan or conditional sales contract. Only part of the purchase price had been paid at the time of the fire, in consequence of which Brink has joined as a plaintiff. The sale of the car to Dailey was negotiated by a Mr. Weaver, as agent or salesman for Brink. When the sale was consummated Weaver called the Grand Rapids agency of defendant and requested insurance on the car. The policy was issued on Weaver's application, May 11, 1946. It was delivered shortly thereafter by mail to Dailey at his home, and remained in force until the fire occurred, August 14 or 15, 1946. Dailey testified that when he received the policy he "looked it over," and knew he had fire coverage on the automobile.
Under the circumstances of this case involving a fire loss, liability on the policy was by its terms made subject to numerous "Conditions," including the following:
"Named insured's duties when loss occurs — * * * When loss occurs, the named insured shall: * * * (c) File proof of loss with the company within 60 days after the occurrence of loss, unless such time is extended in writing by the company, in the form of a sworn statement of the named insured setting forth the interest of the named insured and of all others in the property affected, any encumbrances thereon, the actual cash value thereof at time of loss, the amount, place, time and cause of such loss, the amount of rental or other expense for which reimbursement is provided under this policy, together with original receipts therefor, and the description and amounts of all other insurance covering such property. * * *
"Payment for loss; action against company — * * * Payment for loss may not be required nor shall action lie against the company unless, as a condition precedent thereto, the named insured shall have fully complied with all the terms of this policy nor until 30 days after proof of loss is filed and the amount of loss is determined as provided in this policy."
Among other grounds asserted by defendant in support of its motions for a directed verdict, for judgment non obstante veredicto, and also in support of its claim of reversal on this appeal, is that the undisputed testimony discloses proof of loss was not filed as required in the policy. As against defendant's claim in this particular, plaintiffs say in their brief:
"The plaintiff filed a sworn statement in regard to the loss which was prepared by defendant's agent and the defendant's agent investigated the loss completely and led plaintiff to believe no further proof was necessary."
While it is true that a representative of the defendant insurance company took a sworn statement from plaintiff a few days after the fire, such statement by no means complied with the requirements of the policy for proof of loss. Instead it fairly appears from the record that the statement which concludes with the following words, "I swear I did not set fire to the car myself," was taken incident to the defendant's investigation as to whether the fire was accidental or otherwise. Nothing in the record justifies the above assertion that defendant's agent "led plaintiff to believe no further proof was necessary."
Plaintiffs further assert a waiver by defendant of the policy requirement as to filing with the insurer proof of loss within 60 days after it occurred. Such waiver is claimed to arise from the following. Eighty-five days after the fire attorneys for defendant wrote a letter to Dailey as follows:
"Dear Sir:
"Our investigation of your total fire loss has been completely investigated and after checking into all of the facts and circumstances surrounding the fire and the resulting damages to your car, and after completely examining the report submitted to this office by Sergeant Quentin Dean of the State Police; and after lengthy correspondence and conferences with your insurance company, we are hereby respectfully denying liability on this claim."
As above noted, this letter to plaintiff from defendant's lawyers was written a considerable time after the expiration of the 60-day period within which the policy required proof of loss, and further there is nothing in the communication inconsistent with the defense that because plaintiff failed to file proof of loss as required in the policy he may not recover thereon. The undisputed testimony discloses that plaintiff did not file proof of loss, which is required in the policy as a condition precedent to recover thereon; and further the record discloses without controversy that there was no waiver by defendant of the policy requirement as to proof of loss. Under such circumstances decision herein is clearly controlled by Gould v. Dwelling-House Insurance Co., 90 Mich. 302; Peck v. National Liberty Insurance Co., 224 Mich. 385; Fenton v. National Fire Insurance Co., 235 Mich. 147; and Helmer v. Dearborn National Insurance Co., 319 Mich. 696. In each of the above cases recovery on the policy by the insured was denied. The pertinent provisions of the policy involved in the Peck Case, in their legal effect, were quite identical with those in the policy in the instant case. They were:
"`The insured shall, within 60 days after the fire, unless such time is extended in writing by this company, render to this company a proof of loss, signed and sworn to by the insured, stating the knowledge and belief of the insured as to the following; * * *
"`No suit or action on this policy, for the recovery of any claim, shall be sustainable in any court of law or equity unless all the requirements of this policy shall have been complied with, nor unless commenced within twelve months next after the liability shall have accrued.'"
Because the foregoing is conclusive of decision herein, discussion of other phases of matters of defense urged by appellant is not required. The judgment entered in the circuit court is vacated and the case remanded for judgment in favor of defendant non obstante veredicto. Defendant will have costs of both courts.
BUSHNELL, C.J., and SHARPE, REID, DETHMERS, BUTZEL, and CARR, JJ., concurred.
BOYLES, J., concurred in the result.