Court Opinion

ID: 6280120
Source: CourtListenerOpinion
Date Created: 2022-02-18 16:13:22.93904+00
Date Added: 2024-06-11T09:00:10.512694
License: Public Domain

Opinion by
Kephart, J.,
The deceased was a member of a fraternal benefit association. His widow brings action against this associ*614ation to recover on a death benefit certificate called a policy of insurance. Payment is resisted on the ground ! that the insured was suspended for failure to pay premiums due on this policy and thereby forfeited his right . to insurance. The insured, in addition to death benefit insurance, carried sick benefits. He reported sick May 1, 1916. It became the duty of the officer receiving this information to report it to the supreme secretary of the order. Sick benefits began to run from May 8,1916, payable monthly. On June 15,1916, when the deceased was suspended, the association owed to him sick benefits for , one month. These benefits were sufficient in amouht to pay all premiums due up to the date of death, July 8,. 1916. The trial court directed a judgment for the defendant and the Court of Common Pleas of Allegheny • County refused an appeal. This refusal is here assigned as error.
We said in Holyland v. The Protected Home Circle that the “policy of the law is against a forfeiture of rights where there is a substantial equity in favor of the party against whom the forfeiture is declared.” Where an insurance company, or beneficial society, has in its possession funds due to an insured sufficient to pay premiums or assessments on account of insurance or benefits accruing up to the date of the death of the insured, the company may, and it is its duty, unless otherwise directed by the by-laws, to appropriate such funds to the payment of the premiums or assessments. Forfeiture cannot then be declared: Girard Life Ins. Co. v. Mutual Life Ins. Co., 97 Pa. 15; Matlack v. Mut. Life Ins. Co. of New York, 180 Pa. 360; Farmers & Breeders Mutual Reserve Fund Live Stock Ins. Co. v. Miller, 65 Pa. Superior Ct. 347; Farmers & Breeders Mutual Reserve Fund Live Stock Ins. Co. v. Curran, 65 Pa. Superior Ct. 352. The rights of the insured and of the beneficiary named in the policy are fixed at the time the insured dies. At that time there was, in. the appellee’s hands enough money to *615have paid the assessments dne on the death benefit insurance. That it was due on account of sickness and from a sick benefit fund does not alter the situation. Though the rules of the society may have required these benefits to be paid from a particular fund, the claim in law was against the society and the money was due from the society as such. It would be unjust and inequitable to declare the death benefit insurance forfeited while the company retained in its possession money due to the insured sufficient to pay all premiums due on account of this insurance. There is nothing in the by-laws that prohibited an appropriation of the money due to the payment of these‘claims. Section 164 was intended to prevent sick benefit claims from being paid out of the death benefit insurance fund, and vice versa, but when the money was due from any particular fund there was nothing to prevent that money from being used in paying the dues owed to the other fund or insurance. Moreover, the secretary of the association, who under the by-laws was authorized to receive money from the members, and as such officer did receive dues on account of death benefit insurance and sick benefit insurance, agreed that he would use the money due on account of sick benefits for the payment of the dues on the death benefit insurance.
The order of the Common Pleas is reversed and it is directed that the appeal be allowed as prayed for.