Court Opinion

ID: 6279578
Source: CourtListenerOpinion
Date Created: 2022-02-18 16:11:41.960315+00
Date Added: 2024-06-11T09:00:09.800826
License: Public Domain

Opinion by
Trexler, J.,
The court below found that the proofs of loss submitted were not in compliance with the terms of the policy, but told the jury that if certain facts were believed they might find a waiver. It appears that the insured prepared a very complete list of the articles injured or destroyed with their value. This was done at the request of the local agent. The list was submitted to the local agent who retained it. Shortly thereafter the adjuster of the company who had full power to act in the premises came with the local agent to plaintiff’s place where the loss had occurred and with the list that plaintiff had fur*184nished went over the figures, demurred at the prices fixed as being too high and offered a smaller sum in settlement. No suggestion was made that the proof fur-, nished was not satisfactory. A few days afterwards the local agent sent for the insured and renewed the offer of settlement and it being declined the agent asked him to call again. The objection urged to the claim was that it was too high. The adjuster stated that the only matter in dispute at the time was that the claim was for a larger amount than he thought it should have been. Later on plaintiff met the adjuster of the company who told him he had lost his list and that plaintiff should furnish another one, which was done. These are the principal facts on plaintiff’s side as they appear upon the record and we think they were sufficient to show a waiver of the furnishing of proofs of loss. The company apparently gained by its conversation with -the plaintiff and its inspection of the loss substantially all the information which should have been contained in the proof of loss if made strictly in compliance with the policy. The insured at the request of the agent in good faith made an effort to comply with the conditions of the policy as stated before. No objection was urged except as to the amount of the claim. The silence of the representatives of the company when fair dealing required speech, caused the plaintiff to proceed and incur costs in bringing suit. We have a number of authorities that hold that a course of conduct such as is outlined above constitutes a waiver of the failure to present formal proofs: Weisberger v. Western R. Ins. Co., 250 Pa. 155. The remarks of Justice Mitchell in Gould v. Ins. Co., 134 Pa. 570, an oft quoted case, apply to that before us. “That a statement was furnished within the stipulated time is admitted but that it was not such as the policy required we must assume as the learned judge so charged the jury. There is however nothing to show that it was not in good faith intended by the plaintiff as a compliance with the requirement of the policy. Under *185such circumstances it has often been declared by this court that it is the duty of the insurance company, if it means to rely upon failure to comply with this stipulation, to give immediate notice of its objection pointing out the defects, etc.”
The sufficiency of the evidence to support a waiver is for the court. Whether such a waiver is proved, is for the jury: Brumbaugh v. Home Mut. Fire Ins. Co., 20 Pa. Superior Ct. 144; Stewart v. General Acc. Ins. Co., 39 Pa. Superior Ct. 396, and cases therein cited. The complaint is made that the learned trial judge did not submit the question of waiver to the jury. It is stated that at one point of the charge the judge uses language which would seem to definitely declare that there was a waiver. We think the charge as a whole does not bear out this idea. We quote a part of the charge referring to certain acts of the company. “That is a recognition of liability on the part of the company, and the failure of the company, through Mr. Stuart, to demand additional proofs of loss or different proofs of loss, if you believe the facts, constituted a waiver and therefore that question is out of the case, and the only question left then is, how much was Mr. Kearney’s damage in this case? That, I apprehend, is the real question in this case, how much has the plaintiff suffered?” This considered alone might create some confusion but later on in the charge we find the following: “Now, gentlemen, exercise the best judgment that you can, deal fairly on both sides, and if you find that the facts which I first referred to as constituting a waiver, if you find them in favor of the plaintiff, then it will be your duty to return a verdict for this plaintiff for such sum as will compensate him for his actual loss according to the rule and standard that I have laid down to you.” This last instruction cured any ambiguity in the first.
Plaintiff’s statement alleges compliance with the terms of the policy. At the trial he failed to prove that he complied with the policy as to furnishing proofs, but *186relied upon a waiver of the conditions of the policy. Defendant claims that there is a variance between the statement and the proof and that testimony as to the waiver therefore should not have been admitted. It has been held in Hess v. Hartford Fire Ins. Co., 38 Pa. Superior Ct. 158, that in an action upon'a fire insurance policy it is not necessary that plaintiff in order to plead a valid contract of insurance should aver in his statement that the defendant had waived the right to demand proof of loss. The averment not being an essential part of plaintiff’s statement, we do not think that he is barred from offering evidence of it at the trial although no reference is made to it in his statement. “The assertion in the narr that regular proofs of loss were duly furnished by the company becomes immaterial and may be treated as surplusage hence the question of a variance between the allegata and probata does not arise”: Pennsylvania Fire Co. v. Dougherty, 102 Pa. 568. See also Ben Franklin Fire Ins. Co. v. Flynn, 98 Pa. 627 (636).
Objection is made to the fact that the court refused to affirm without qualification a point submitted by the appellant that two of the articles contained in plaintiff’s list of articles that had been destroyed were not destroyed but were afterwards used by plaintiff. The court stated that if plaintiff committed intentional fraud he could not recover. We think this was a correct statement of the law. We will not hold that a claimant against an insurance company who through a misapprehension of the identity of the articles or through some other mistake includes such articles in his proofs cannot recover. In Franklin Fire Ins. Co. v. Updegraff, 43 Pa. 350, it was held that to create a forfeiture under a clause in the policy declaring that false swearing or fraud shall cause a forfeiture of all claims against the insurer, the false swearing must be done wilfully and knowingly with a view to defraud the company. We followed this case in Post v. Amer. Central Ins. Co., 51 Pa. Superior *187Ct. 352, and Robson v. Penna. Mut. L. S. Ins. Co., 57 Pa. Superior Ct. 491.
The defendant complains that the court under a misapprehension of the testimony, stated that defendant was derelict in failing to call certain persons who could testify upon a point in the case which was obscure.' This did not harm the defendant. The court did make the remark complained of but attributed the want of diligence or whatever it may be to both parties to the suit and characterized their action as “weak” in this regard. There was no justification for the remark as far as. we can find from an examination of the testimony but it was harmless.
The court admitted the imperfect proofs of loss and afterwards held that they were not in compliance with the policy but refused to strike them from the record. We find no error in this. Plaintiffs proof was that the adjuster of the company used the list furnished by the plaintiff in checking up the loss. The paper furnished some evidence toward the conclusion that although the formal proofs had not been furnished that the company by means of the- paper and the visit to the premises obtained substantially the same information that it would have had if formal proofs had been furnished. All this bore upon the question of waiver and we think the paper was properly allowed to remain part of the record.
All the assignments of error are overruled and the judgment is affirmed.