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Fredericks v. Farmers Reliance Insurance Co.

Decided: October 22, 1963.


Conford, Freund and Sullivan. The opinion of the court was delivered by Conford, S.j.a.d.


[80 NJSuper Page 600] Plaintiff sued on a fire policy issued by the defendant for loss by smoke damage to his dwelling. The answer, among other things, set up as a defense the policy condition that action thereon be "commenced within twelve months next after the inception of the loss," the action here

having been instituted some 27 months after the loss. A motion for summary judgment on behalf of defendant was granted by the trial court on the express ground of the limitations clause of the policy.

Although plaintiff did not file a reply asserting the estoppel of the defendant to plead limitations, as proper practice called for, R.R. 4:8-3; 4:7-1, he did resist the motion for summary judgment on the basis of an affidavit and supporting argument before the court to the effect that defendant had, despite demand by him therefor, withheld from him the policy of insurance or a copy thereof, thereby preventing him from knowing of the limitation clause of the policy. The trial court, in effect, held the argument without merit on the ground that the limitation provision is made mandatory by the statutory form of fire policy, N.J.S.A. 17:36-5.20, as to which plaintiff was held chargeable with notice, and the circumstance that plaintiff could have provided himself with a copy of the standard form notwithstanding defendant's alleged refusal to furnish him with the policy he had purchased. Under the circumstances, we do not believe that plaintiff's procedural default in filing a reply should bar our determination of the appeal on the merits of the estoppel argument presented on the motion to the trial court, and raised on this appeal, as pleadings will be liberally amended to subserve a just decision of the controversy on its merits and the interests of substantial justice bespeak that course.

The affidavit plaintiff relied on below asserted that when he purchased the property in question from a prior owner he assumed the policy of fire insurance issued by defendant and then outstanding. At the closing of title he "requested a copy of said policy * * * from the sellers and from the Van den Heuvel and Fountain, Inc. Agency, agents of the defendant." He was informed, inferably by both the sellers and defendant's agent, that he "would receive a copy of said policy." However, defendant sent him only extended coverage indorsement agreements and never the full policy. He never knew of the limitation period specified in the policy.

In January 1960 plaintiff sustained the loss here sued for and made claim thereon the same month, but the defendant denied liability. On January 27, 1960 he retained counsel, but upon the illness of that counsel at some unspecified later date he retained present counsel, presumably after expiration of the limitation period of the policy. There was no denial on the motion below by any affidavit on behalf of the defendant of plaintiff's sworn statement that defendant's agent promised at his request to furnish him a copy of the policy but failed so to do at any time. Although these facts may be contested at trial, they are of course controlling for purposes of determining the correctness of the grant of summary judgment in favor of defendant.

This case obviously does not fall within the familiar pattern of decisions holding a defendant estopped to plead a statute of limitations because of the effect of negotiations between the parties or other conduct by the defendant lulling the plaintiff into a belief that the claim will be settled or paid and causing him thereby to delay suit until after passage of the period of limitations. See Howard v. West Jersey, etc., R. Co. , 102 N.J. Eq. 517 (Ch. 1928), affirmed o.b. 104 N.J. Eq. 201 (E. & A. 1929). And as to estopping conduct of defendant insurance companies in respect of limitations, generally, see 46 C.J.S. Insurance ยง 1264, p. 285 et seq. But the principle of estoppel is not confined to situations involving as strong a showing as that just indicated. As a matter of fairness and logic it should apply to a case where an insurance company invokes against its insured the defense of a limitations condition fixed by the policy to which the insured has not had the opportunity to be alerted because the company has unjustifiably withheld the policy from him. It was so held in Union Fire Ins. Co. of Paris, France v. Stone , 41 Ga. App. 49, 152 S.E. 146 (Ct. App. 1930). In that case the insured had returned a fire insurance policy to the agent of the insurer in order to have a "loss payable" clause attached to it. While the policy was in the possession of the company there was a loss by fire. The company refused a request by

the insured for return of the policy. The insured, ignorant of the 12-month limitation condition of the policy, brought suit thereon after expiration of that period. In affirming a judgment for the plaintiff, the court held the company estopped to invoke the defense of the policy condition. It said:

"Although the relative rights of the insured and the company, existing under the policy, are determinable by the contents of the policy, irrespective of the fact that one of the parties may be actually ignorant of the contents of the policy, the insured's ignorance of the contents of the policy will nevertheless not necessarily operate to prevent him from invoking against the company the doctrine of equitable estoppel against the enforcement by the company of a right which it may have under the policy. Where the necessity for an assertion by either party of a right under the policy does not arise until after the insured has parted with possession of the policy, the company, in equity and good conscience, cannot afterwards, while wrongfully withholding the policy from the insured, assert a right which, under the terms of the policy, would not have accrued to it but for the conduct of the insured after he had parted with the possession of the policy, and the accrual of which right to the company the insured, but for his ignorance of the contents of the policy, could have prevented." (152 S.E. , at p. 147)

Although not stated in the opinion, Georgia law at the time of the foregoing decision required all fire policies to be in such form as prescribed by a state commissioner. L. 1912, pp. 119, 131; L. 1921, p. 208.

The Stone decision by the Georgia court seems to us correct in principle, and applicable here. The fact that the policy was never delivered to the plaintiff in the present case, or that the request for the policy in the Stone case was made after the loss, does not materially distinguish the respective situations. What is material in both is that the insured was ignorant of the policy limitation and could not know it by reading the policy, or even realize that a period of limitations of any nature was contained therein, because ...

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