Case Name: Nellie A. Dobson, Respondent, v. The Hartford Fire Insurance Company, Appellant
Court: New York Supreme Court, Appellate Division
Jurisdiction: New York
Decision Date: 1903
Citations: 86 A.D. 115
Docket Number: 
Parties: Nellie A. Dobson, Respondent, v. The Hartford Fire Insurance Company, Appellant.
Judges: 
Reporter: Appellate Division Reports
Volume: 86
Pages: 115–121

Head Matter:
Nellie A. Dobson, Respondent, v. The Hartford Fire Insurance Company, Appellant.
Insurance — neglect of the insured, to serve proof of loss within sixty days —waiver thereof— an insurance adjuster to whom, the company ref&'s the matter may waive the defect.
A waiver of a condition contained in a policy of fire insurance, that proofs of loss shall he served within sixty days after the fire, may be established by proof of acts or conduct on the part of the insurance company occurring subsequent to the breach of the condition, which fairly indicate an intention to waive the same.
The waiver need not be made in express terms; it may be inferred from circumstances.
No new consideration is necessary to support such a waiver, and, when once established, it cannot be recalled and a forfeiture insisted upon.
When determining the question whether there was a waiver of this condition, the jury may take into consideration the fact that the insurance company, with full knowledge of the insured’s failure to serve the proofs of loss within the prescribed time, based its refusal to pay solely on another ground, and that, without objection; it retained, for a period of nine or ten days, proofs of loss served by the insured after the prescribed time had expired.
An insurance adjuster, in whose hands the insurance company places the claim for settlement and to whom it refers the insured as the proper person with whom he is to negotiate, has power to waive the furnishing of proofs of loss within the prescribed time.
Appeal by the defendant, The Hartford Fire Insurance Company, from a judgment of the Supreme Court in favor of the plaintiff, entered in the office of the clerk of the county of Lewis on the 9th day of December, 1902, upon the verdict of a jury, and also from an order entered in said clerk’s office on the 29tli day of December, 1902, denying the defendant’s motion for a new trial made upon the minutes.
Irving G. Ilubbs, for the appellant.
Kilby & Norris, for the respondent.

Opinion:
Adams, P. J. :
The plaintiff was the owner of a building situate at a place called Inlet, in the county of Lewis, in this State, which was occupied as a summer cottage, and was usually unoccupied during the winter season. On or about September 18,1900, she applied,to and obtained from the Queens and Suffolk Mutual Fire Insurance Company, through its local agent, one Copley, a policy of insurance upon this building and its contents for the sum of $700, and on the 11th day of May, 1901, the building, together with its contents, was destroyed by fire. Soon thereafter the plaintiff applied to Copley for a settlement'of her loss, and on the 3d day of September, 1901, learned for the first time that the Queens and Suffolk Company had closed up its affairs; that.Copley was no longer its agent, and that, by some arrangement, the particulars of which were to her unknown, her property had been reinsured by the defendant. Copley, notwithstanding the fact that he no longer represented the original insurer, recognized the plaintiff's claim as a just one and undertook to obtain an adjustment thereof by the defendant, but in this he failed and the plaintiff was compelled to bring this action for its enforcement.
The defendant in its answer sets up four defenses to the plaintiff's claim, viz.:
1. The forfeiture of the policy by reason of the vacancy of the insured building;
2. The fact that the building was insured as a dwelling instead of a summer cottage;
3. The failure of the plaintiff to give immediate notice of the fire as required by the policy, and
4. The plaintiff's failure to serve proofs of loss within sixty days after the fire.
The questions raised by these several defenses were litigated with more or less tenacity upon the trial, but practically the only issue' which was deemed worthy of submission to the jury, excepting perhaps the issue first above mentioned, was the one relating to the plaintiff's failure to serve proofs of loss, and the defendant now expressly abandons all other objections to her recovery.
That the plaintiff did not serve any proofs of loss until some time after the expiration of the sixty days within which she was required by the terms of her policy to serve the same is a fact in the case concerning which there is no dispute ; but it was insisted that nevertheless the defendant, with full knowledge of such default, waived this requirement, and the learned trial justice permitted the jury tosa/ upon all the circumstances of the case whether or not such was the fact. After a careful examination of the evidence we are persuaded that the course pursued by the trial court was correct and that the verdict of the jury, which was for the full amount of the plaintiff's claim, should not be disturbed.
As has already been stated, the plaintiff was unaware until some four months after the fire occurred that 'the defendant had reinsured her property. In the meantime she had applied to Copley for an adjustment of her loss and he voluntarily notified the defendant by letter of the fire and advised a settlement. The receipt of this notification was acknowledged by the- defendant on the thirty-first day of May and Copley was informed that the matter would be placed in the hands of the defendant's special agent, one Smith, of Syracuse, for adjustment.
In about ten days Copley again wrote the defendant reminding it of its promise to place the matter in the hands of its adjuster and requested a speedy adjustment, in order that the plaintiff might proceed to rebuild' her cottage. In response to this letter Smith went to see Copley and made some inquiries of him concerning the plaintiff's loss and about the propriety of his having a personal interview with the plaintiff. It seems, however, that nothing further in the way of adjustment was done, and on the thirtieth day of JUne Copley again wrote Smith, saying that he supposed " the matter had been fixed up before this," but had just been informed by the plaintiff that such was not the case and requested a speedy settlement. To this letter Smith replied under date of August fifth (more than a month after his receipt of Copley's letter) and suggested to the latter that as the " agent who issued the policy, it will be proper for you to refer her (the plaintiff) to the printed conditions of policy and thereby relieve her mind."
It is to be observed that when this letter was written the sixty days had expired and the plaintiff, lulled into security by the assurance that her loss would certainly be adjusted by the defendant's adjuster, had omitted to comply with the requirements of the policy :respecting the furnishing of proofs of loss. The purpose of the -defendant's delay was thus made so obvious that Copley on the sixth, -day of August wrote Smith a sharp letter asking what he meant by suggesting that he (Copley) refer the plaintiff to the printed conditions of the policy, adding: "Tou certainly would not refuse to pay the claim after telling me that you would look after it. I think the honorable and cheapest way is to see her and I believe you will get a fair settlement. You could hardly take the advantage of a woman simply because she failed to send in the regular proof, when you knew all about it. If this is your meaning, Mr. Smith, I think you are doing wrong. This is an honest fire and you must deal with her in an honest manner."
This appeal apparently had its desired effect, for Copley testified that he thereafter either saw Smith or received a letter from him, and that the only condition to which the latter called his attention or insisted upon was the one relating to the vacancy of the building insured. However, no further attempt was made to adjust the loss until the twenty-seventh day of September following, when the plaintiff's attorneys wrote the defendant and they were likewise referred to Smith and requested to addre'ss further communications to him. On. the seventh day of October Smith replied to this letter stating that the defendant denied all liability under its policy upon the ground that the insured property was unoccupied at the time of the fire in violation of the conditions of the policy, and upon the further ground that proofs of loss had not been served within the required time, which was the first information the plaintiff had received that the latter ground was to be urged. Upon the same day that this letter was dated the plaintiff's attorneys wrote Smith requesting him to furnish them with blank proofs of loss, and it is conceded that such proofs were mailed to the defendant on the ninth day of November following; that they were received by the defendant on the eleventh and immediately forwarded to Smith, who retained them until the eighteenth, when he returned them with a statement to the effect that the defendant declined to receive them and denied all liability for the same reasons stated in his letter of October seventh.
These facts, together with others of somewhat less importance which have not been specifically mentioned, are in our opinion sufficient to support the conclusion reached by the jury that the defendant waived the performance of the only condition which it is now insisted was essential to the plaintiff's recovery upon her policy.
It is the established law of this State, as we understand it, that a waiver of such condition may be established by proof of acts or conduct occurring subsequent to the breach of the condition which fairly indicate an intention to waive the same, and that no new consideration is necessary to support such a waiver (Prentice v. Knickerbocker L. Ins. Co., 77 N. Y. 483) ; also that such a waiver when once established cannot be recalled and a forfeiture insisted upon. (Brink v. Hanover Fire Ins. Co., 80 N. Y. 108.)
It is perhaps needless to add that such waiver need not be made in express terms, but may be inferred from circumstances.
In Goodwin v. Mass. Mut. Life Ins. Co. (73 N. Y. 480), which was an action upon a policy of life insurance, the plaintiff informed the defendant's agent of the death of the insured, who in turn notified his principal of the fact. Ten days thereafter the plaintiff called upon the agent and asked what was to be done. The agent replied that nothing could be done as the policy had lapsed and was void. No blanks were furnished and the defendant refused to pay on the ground stated. After the expiration of the time within which proofs of death should have been furnished, the plaintiff's; counsel wrote the defendant stating that the plaintiff had been misled by the information of the defendant's agent in not furnishing-proofs of death, to which the defendant answered that the counsel had mistaken the grounds of the defendant's refusal to pay, and placed its objection upon the ground of the expiration of the policy - Proofs of death were thereupon made out and sent to the defendant and retained by it without objection. It was held that' these-facts established a waiver of the objection that proofs of death were, not furnished in due time.
If the witness Copley is to be believed, and the jury certainly had a right to believe him, the defendant placed its refusal to pay solely upon the ground of the vacancy, with full knowledge that: the plaintiff's time to serve proofs of loss had expired, and this fact brings the case directly within the principle of the one above cited..
In Walker v. Phoenix Ins.. Co. (156 N. Y. 628, 633) it was said : " It is well established that if the words and acts of the insurer reasonably justify the conclusion that with full knowledge of all the facts, it intended to ' abandon or not to insist upon the particular defense afterward relied upon,' a verdict or finding to that effect establishes a waiver, which, if it once exists, can never be revoked." Which was practically a reiteration of the same principle enunciated! in Goodwin v. Mass. Mut. Life Ins. Co. (supra) in the explicit language ivhich follows : " When an insurance company, by means-of its officers or agents, in response to a claim for a loss, fails to say anything about the time of presenting the proofs after it has expired,, but claims some other defense, the presumption is that it does not. intend to interpose any other besides that named, and it is a fair-inference to be derived from the fact that it was silent on the subject that it, designed to waive the violation of such a condition."
But the Circumstance above adverted to is by no means the only one m the case which tends to establish a waiver. The retention by the defendant. of the proofs of loss without objection for a, period of nine or ten days after they had been served was a circumstance which the jury had the right to take into consideration in disposing of this, question.
Owen v. Farmers Joint Stock Ins. Co. (57 Barb. 518) was a case where, with full knowledge of- the forfeiture, the proofs were kept for this precise length of time. This was held t.o be some evidence of a waiver, and the decision of the General Term to thatefiect was subsequently affirmed in the Court of Appeals. (See Baggerly v. Farmers' Joint Stock Ins. Co., 72 N. Y. 601 ; Van Allen v. Farmers' Joint Stock Ins, Co., 10 Hun, 397 ; affd., 72 N,. Y. 604 ; Goodwin v. Mass. Mut. Life Ins. Co., supra.)
The defendant places much reliance upon the case of Brink v. Hanover Fire Ins. Co. (70 N. Y. 593), which apparently enunciates a different principle from the one asserted in the cases-to which we have adverted; but upon a careful reading of that case it will be discovered that the principle there declared is simply the - opinion of one member of the court, and that it was speedily repudiated by the court itself. (Brink v. Hanover Fire Ins. Co., 80 N. Y. 108.)
There is but one other question in the case which requires our • attention, and that relates to the right of Smith to waive the fuiv nisliing of proofs of loss within the specified time; and all that we = deem it necessary to say upon this subject is that he was the defend- ant's adjuster; that the claim was placed in his hands by the - defendant for settlement; that the plaintiff was referred to him as the proper person with whom to negotiate, and that he was, consequently, clothed with as much authority to adjust and settle the - plaintiff's claim as was the defendant itself.
Under these circumstances there can be no doubt as to his power to waive any condition of the policy. (McGuire v. H. F. Ins. Co., 7 App. Div. 575 ; affd., 158 N. Y. 680 ; Sergent v. L. & L. & G. Ins. Co., 155 id. 349 ; Smaldone v. Ins. Co. of N. Am., 162 id,. 580.)
We think the judgment and order appealed from should be® affirmed.
All concurred.
Judgment and order affirmed, with costs.