The Missing Insured and The Life
Insurance Death Claim†
C. Edgar Sentell
I.
Introduction
Life insurance policies invariably require that the
beneficiary provide “due proof” of death when a claim is made for a death benefit. Obviously, this is difficult when the person
whose life is insured has disappeared without a trace. In most situations, when the claimant can
produce the body of the insured complete with a certification of the death by
the civil authorities, the claimant has no difficulty proving the death. The difficulty occurs when the insured has
disappeared and there is no direct evidence of the manner or fact of the
insured’s death. Typically, the
disappearance is reported to the insurer by the beneficiary shortly after the
insured leaves home and the insurer refuses to recognize the evidence submitted
as “due proof” of death. Here, the basic
question does not relate to how the death occurred but rather to whether it did
occur. A number of cases involving insureds
who have disappeared include dramatic allegations and an unusual set of
facts. For example, an insured was
involved in criminal activities and was either killed by criminals or went into
hiding to avoid being killed.[1] There are cases involving the alleged death
of a pilot in combat,[2]
of a driver in an alligator-inhabited bayou,[3]
of a swimmer by drowning,[4]
and of a boatsman who apparently fell off his boat and drowned.[5] Frequently, the facts may suggest death by
murder or suicide, as well as intentional disappearance.[6]
II.
The Presumption of Death
People often disappear without explanation. This results in questions relating to property rights and responsibilities, including insurance problems, to be worked out as satisfactorily as possible. Because this is not unusual, the law has developed some basic principles and presumptions in connection with the clarification of these problems. Some of these are used in connection with the life insurance contract. One of the most important of these principles is the presumption of death after absence of seven years.
An important point is that in many cases it is not necessary
to resort to “presumptions” to prove a person’s death, or death at a particular
time. There is a virtual unanimity in
modern cases, at least implicitly, that proof may be made that a person is dead
at any time.[7] In the face of evidence indicating that a
person probably died, it is not necessary for a prescribed period of time to
elapse. Although a presumption of death
may arise under certain circumstances, it is universally recognized that death
may be proved by circumstantial evidence before the maturation of any
presumptive period; the existence of a presumption does not preclude proof of
death before the presumption applies.[8] Courts disagree from jurisdiction to
jurisdiction concerning what circumstantial evidence may be used to prove the
insured’s death. The following are
situations where courts frequently allow the use of circumstantial evidence: 1)
where the age of the insured would be beyond human expectation; 2) where the
insured’s health was seriously impaired when he or she disappeared; 3) where
the insured was exposed to danger or peril; 4) where the insured’s absence is
unexplained and the evidence shows that the insured’s character and habits are
inconsistent with the voluntary absence for the period involved.
The presumption of death after the unexplained absence of
seven years developed after 1800. Prior
to that date, in the absence of evidence to the contrary, an absent person was
presumed to be living even though he might have been ninety or one hundred
years old at the time a question arose.
As generally stated today, however, the person will be presumed to have
died if (a) he has been missing from his home or usual residence for a period
of seven years; (b) such absence has been continuous and without an
explanation; (c) persons most likely to hear from him have heard nothing; and
(d) he cannot be located by diligent search and inquiry.[9] At the present time, this presumption is
recognized in almost all the states, either by statute or judicial recognition
of the common law rule.[10] More recently, however, a number of states
have amended their statutes to lower the seven-year period to five consecutive
years. In other states, the presumption
has been lowered to even less than five years.
Two examples are Minnesota and Georgia whose legislatures lowered their
presumptive period to four years.[11]
There is no fundamental difference between the common-law
presumption and various statutory presumptions.[12] As noted above, one of the elements on which
the presumption is based is the requirement for a diligent search. The degree of diligence of the search varies
from jurisdiction to jurisdiction and depends upon the individual situations of
the missing insureds and the claimants.[13]
The Uniform Probate Code, adopted in a number of states,
contains provisions as to presumption of death.
The Uniform Probate Code provides that a person who is absent for a
continuous period of five years, during which he has not been heard from and
whose absence is not satisfactorily explained after a diligent search or
inquiry is presumed to be dead.[14] His death is presumed to have occurred at the
end of the period unless there is sufficient evidence that death occurred
earlier.
III.
Nature of the Presumption of
Death
There have been many philosophical discussions among scholars
as to the nature of the presumption of death from unexplained absence.[15] The basic question is whether presumption
rises to the dignity of evidence or disappears completely from the case when
evidence of some good reason for the disappearance of the insured is produced.[16] The usual net effect of the presumption is to
place upon the insurer the burden of going forward with testimony to overcome
the presumption.
Courts seldom accord conclusive effect to the presumption of
death. As one court has written:
The
difference between proving a person dead who has been missing less than 7 years
rather than more than 7 years lies in the degree of proof required to establish
the death. In the latter case there is a
presumption of death which shifts the burden of proof to the party claiming
life, though even here the presumption has to be applied with care.[17]
Only one
case was found in which the presumption of death was applied conclusively to
determine the question of death, in the face of substantial evidence casting
serious doubt on the insured’s death.[18]
The following can be used as rebuttal to the presumption of
death from absence: (a) proof that the missing person is a fugitive from
justice; (b) proof that the missing person had unhappy domestic relations; (c)
proof that the insured was suffering economic difficulty; and (d) proof that
the missing person had no local attachment or little regard for family ties.
IV.
Presumption of Death from
Imminent Peril
Another presumption that sometimes comes into play is a
presumption of death when a person disappears under circumstances of imminent
peril. Again, this presumption is in no
way conclusive, and amounts to little more than a finding that certain
circumstances raise a natural inference of death. Where the presumption of death from imminent
peril is applied, it may be said that one who has been missing for less than
seven years is presumed to be alive, unless imminent peril can be shown, in
which case the person is presumed to be dead.
To put it another way, the element of peril accelerates the
presumption of death.[19]
For example, in Rodriguez
Diaz v. Mutual of Omaha Insurance Co.,[20]
an insured who, with his fishing companion, disappeared at sea under conditions
of peril was found to be dead even though the statutory seven-year presumption
of death period had not expired. The
wife and beneficiary were held to be entitled to the death proceeds. However, in Stepp v. Stepp,[21]
there was evidence that a three-year old child dressed only in a lightweight
nylon warmup outfit disappeared in twenty-eight degree weather while playing in
a backyard adjacent to his home. This
was found to be insufficient to establish exposure to specific peril at the
beginning of his absence and thus did not support a presumption of death under
the exception to five-year waiting period.
In 2003, two states adopted the Specific Peril Doctrine by
amending their presumption of death statute.
Virginia amended its Will and Decedents Estate Code to provide that a
person who was exposed to a specific peril of death may be presumed, at any
time after exposure, to have died less than seven years after he was last heard
from.[22] Georgia amended its probate code to provide
that when any domiciliary of that state has been exposed to a specific peril or
tragedy resulting in probable death, the death of the individual may be proved
by clear and convincing evidence at any time after such exposure.[23]
V.
Presumption of Continued Life
In actual practice, most people (including jurors) will presume that life continues until there is a clear showing that a person is probably dead. This reluctance to presume death probably has arisen because of the drastic effect the presumption of death will have on the family and property of the missing person. On a finding of death, the missing person’s property will be dissipated by distribution to heirs and family. The missing person’s spouse will be able to marry again and his or her children will be placed with a new family.
At common law it is presumed that one last seen alive remains
alive.[24] This is the flip side of the presumption of
death. It remains in effect until such
time as the presumption of death matures.
The presumption of continued life often serves, in effect, to discourage
claims until such time as the claimant can at least attempt to invoke the
presumption of death. The claimant’s
“awkward position” has been described:
[S]he could have insisted that [her proof of death]
was satisfactory and that the company absolutely refuse to accept her proof of
death, and, if finally refused, then she could have instituted suit, in which
event the burden of proof would have rested upon the plaintiff to prove the
fact of the death of her husband, or [she could] wait either until she could
make more satisfactory proof of death or until the expiration of seven years.[25]
VI.
Presumption of Death Under
the Uniform Absence Act
The common law rule presuming death after seven years of
unexplained absence had its critics.
Perhaps the most prominent was Professor Wigmore.[26] He advocated a statute, which was adopted by
the National Conference of Commissioners on Uniform State Laws in 1939.[27]
As stated in Armstrong v. Pilot Life Insurance Co.,[28]
only Maryland, Wisconsin and Tennessee adopted the Uniform Act. Maryland has since repealed it, replacing it
with one containing similar provisions and the same general purpose.[29] Wisconsin adopted the Act with substantial
modifications, and continues to recognize the presumption of death after an
absence of seven years.[30]
In its full form, the Uniform Act abolishes the common law
doctrine that the death may be presumed from an unexplained absence of seven
years.[31] The issue goes to the court or jury as one of
fact to be determined upon the evidence.
Further, the Act provides that exposure to specific peril is to be
considered in every case.[32]
Tennessee rewrote its Uniform Absence as Evidence of Death
Law by providing that one is presumed dead if they have been absent from their
residence, unheard of for seven years, and such absence is not explained
satisfactorily. This presumption can be
rebutted by proof.[33]
VII.
Response to September 11,
2001
The unprecedented and tragic events of September 11, 2001, brought legislative changes to the presumption of death statutes in a number of states.
For example, New Jersey amended its statute dealing with the
presumption of death by providing that a resident or nonresident of the State
of New Jersey is presumed to be dead if exposed to a specific event certified
by the Governor as a catastrophic event that has resulted in a loss of life to
persons known or unknown and whose absence following that event is not
satisfactorily explained after diligent search or inquiry. The death is presumed to have occurred at the
time of the catastrophic event. This
statute, passed and approved on October 4, 2001, was made retroactive to
September 11, 2001.[34] Pennsylvania amended its statute to provide
that the terrorist attacks of September 11, 2001 constituted specific perils
within the meaning of the presumption of death statute which would justify a
court to immediately determine that the presumed decedent died on September 11,
2001.[35] Virginia amended its presumption of death
statute to create an exception that 1) any person who has been documented to
have been in that portion of the Pentagon damaged by the terrorist attack of
September 11, 2001 or American Airlines Flight No. 77 on September 11, 2001
when it was flown into the Pentagon; and 2) who has disappeared as a result of
this terrorist attack and has not been heard from in three or more months since
such terrorist attacks; and 3) whose body has not been found or whose remains
have not been identified through scientific testing shall be presumed dead in
any incidence or cause of which his death shall be in question.[36] Kansas, in 2002, amended its statute to provide that individuals are
presumed dead if they are missing as a result of a catastrophic event or a
disaster.[37]
A New York court has held that the unprecedented terrorist
attacks on American soil on September 11, 2001 qualified as a disaster of
national magnitude as would allow for proof of death of an absent person less
than three years after the date absence commenced, on grounds that the absentee
was exposed to a specific peril of death.[38]
VIII.
Date of Death – When is it?
In life insurance cases, the actual date of death is of critical importance. Many life insurance policies on the lives of persons missing for extended periods of time lapse for non-payment of premiums prior to the expiration of the presumption period. A beneficiary would be well advised to keep up premium payments. The claimant beneficiary may, in some cases, obtain a refund of these premiums if there is a recovery of the death benefit based on the date the insured presumably died. Obviously, the actual date of death is also of considerable importance because of the accrual of interest from the date of death and the possible imposition of attorney fees and penalties on the insurer for failure to pay on a timely basis. On procedural matters, such as statute of limitation cases, the issue of date of death has also arisen.
The prevailing view is that there is no presumption that the
insured died at any particular time within the seven-year period, only that he
is dead at the end of the period. Under
the minority view, it is assumed that the insured died on the last day of the
seven-year period. Thus, the presumption
of death may establish the fact of death, but not the time of death. Typically, a presumption-of-death statute
will provide that death may be proven to have occurred at some earlier time.[39] The beneficiary may prove the likelihood of
earlier death by competent evidence of many types, even though the insured was
not in position of peril at the time he was last seen. In most jurisdictions, a claimant may wait
for the expiration of the presumptive period to prove the fact of death and
then introduce direct or circumstantial evidence to the jury for a
determination of the time of death within the presumptive period. The factors that can be used as
circumstantial evidence to show death without regard for the presumption may
also be used to show the death of the absent insured at a time earlier than the
expiration of the statutory or common law presumptive period. The factors include (1) if the missing
insured were still alive, his age would be beyond human expectation or
experience; (2) if the missing insured had a considerable impediment to his
health when he disappeared; (3) if the insured was exposed to a specific peril
when last heard from; and (4) if the missing insured’s absence is not explained
and the evidence shows his character and habits are not consistent with a
voluntary absence for the period involved.
On procedural matters such as the statute of limitations, a
universal rule has emerged among courts considering the time of death
issue. The rule provides that “the
statute of limitations commences to run on the date that the presumptive death
period expires.”[40]
IX.
Issue of Settlement and
Reappearance
The most difficult and complicating aspect of the problem of
a missing insured as it relates to a life insurance contract is presented when
the insured reappears after having been declared dead and after settlement of
the death benefit has been made. The
temptation for the insured and beneficiary to defraud the insurer by feigning
the death of the insured is ever present.
This is especially true when the amount of insurance is large.[41] The prevailing view is that the policy
proceeds paid in full may be recovered by the insurer upon proof that
the insured was still living.[42] In Kansas
Farm Bureau Life Insurance Co. v. Farmway Credit Union,[43]
the Kansas Supreme Court, reversing the lower court, reached a different
result. It held that the insurer had
assumed the risk that the insured might still be alive when it paid the
proceeds in full. The insurer had failed
to implement the Kansas Estate of Absentees Act requirement that a bond be
obtained from all beneficiaries of the funds to cover the contingency that the
insured might still be alive. The court
held that since the insurer chose not to proceed under the Act, but paid the
proceeds directly to the credit union without requiring any restitution or
indemnity agreement, the insurer assumed the risk that the insured might not be
dead.
However, the prevailing view, as illustrated in Southern Farm Bureau Life Insurance Co. v.
Burney,[44]
is that there can be no recovery if the insurer pays in compromise settlement
less than the full amount. The defendant
John Burney was a well-respected citizen of Helena, Arkansas. He was married with two children and
president of Helena Rice Drier, Inc.
Things begin to change when, because of trouble with his business,
Burney told the local farmers he had sold their grain and had no money left to
pay them. The farmers became upset with
Burney. Several of them sued him and one
threatened to kill him.
On June 11, 1976, as Burney was driving across a bridge over
the Mississippi River, an oncoming car ran his truck into the wall of the
bridge. By the time Burney got out of
his truck, the other car had stopped, and the driver had begun to lambaste
Burney. Fearing for his life, Burney
jumped off the bridge into the river. He
survived the jump, and after a couple of months of wandering, he settled in
Florida. For the next six years, Burney,
under the assumed name of John Bruce, kept his true identity hidden from the
world. He worked as a farm hand, married
again, and even had another child.
Back in Arkansas, when all efforts to locate him proved
unsuccessful, Burney was presumed dead.
His family conducted a memorial service and placed a gravestone in the
cemetery in his memory.
John Burney had five life insurance policies with Southern
Farm Bureau Life Insurance Company. Bonnie Burney, Burney’s first wife, was the
beneficiary of two of these policies, and Helena Rice Drier, Inc. was the
beneficiary of the remaining three. Claims were filed on all five of these
policies and all five claims were disputed due to the uncertainty of Burney’s
condition. Arkansas had a five-year
presumption of death statute. Over the
five-year presumptive period, Bonnie Burney continued to make policy premium
payments amounting to $14,190. She had a
$99,753 claim ($85,563 face value plus $14,190 in premiums) which was settled
for $90,000 on January 26, 1982. As
consideration she agreed to waive her right, in the event John Burney was not
dead, to the additional premiums, attorney’s fees, and prejudgment interest.[45]
Helena Rice Drier, Inc. settled its claims for the face amount of the policies,
$380,000. In arriving at this amount
Southern Farm Bureau forgave outstanding loans against the policies[46]
in exchange for Helena Rice Drier’s agreement to abandon any claim for double
indemnity, prejudgment interest, penalties, or attorney’s fees. Southern Farm Bureau, Bonnie Burney, and
Helena Rice Drier all signed identical releases containing specific language to
the effect that the parties were settling doubtful and disputed claims.[47]
Southern Farm Bureau learned John Burney was alive. It sued him and all of the policy
beneficiaries in federal district court to set aside the settlement agreements
under theories of fraud, mutual mistake, and unjust enrichment.
In describing the case as unusual and rather bizarre, the
court held that the settlement agreements that had been entered into by the
company and the beneficiaries were compromises of disputed and controverted
claims and the agreements were valid and binding. The court applied the widely accepted rule
that settlement contracts should be upheld unless there is fraud or mutual
mistake of fact.[48] On the fraud issue the court found for the
beneficiaries, finding that they were innocent of fraud. The court did not accept Southern Farm
Bureau’s argument that John Burney’s fraud may reach the beneficiaries so as to
set aside the settlement agreement. The
court also relied heavily on the agreement language which referred to a
“compromise settlement of doubtful and disputed claims.”[49]
On the issue of mistake, the court decided there was no
mutual mistake of fact because Southern Farm Bureau in its answers to Bonnie
Burney’s complaint in 1976 insisted that John Burney was not dead.[50] Seeking rescission, Southern Farm Bureau
argued that, at the time of settlement, it settled because it then presumed
Burney was dead. Nevertheless, the court
found this argument unconvincing, eliminating Southern Farm Bureau’s foundation
for a mutual mistake of fact defense.[51] The court found that the beneficiaries had no
knowledge of the whereabouts of John Burney following his disappearance on June
11, 1976 in that he had had no contact with any of them until he returned to
Arkansas in December of 1982. The court
found John Burney liable to the insurer for the $470,000 because of his fraud
and deception which had permeated the relationships of all the parties. John Burney was the wrongdoing party;
therefore, the court held that he was the one who should be held liable.
X.
Insured’s
Disappearance Raises an Inference of Accidental Death
It is possible to prove not only that one who has disappeared
is dead, but also that he or she suffered an accidental death. In Englehart
v. General Electric Co.,[52]
the insured’s last known communications were with friends whom he told he was
going fishing. Later, the insured’s boat
was found adrift, his car was found parked at a yacht club. The appeals court held that the inference of
death and the inference of how the death occurred are “radial” inferences. The jury’s conclusion that the insured was
dead did not by itself support an inference that he died by accidental means,
rather the circumstantial evidence surrounding the insured’s disappearance
radiated both inferences.[53]
However, in the case of Houchens v. American Home
Assurance Co.,[54]
the disappearance of an insured without evidence that he died by accident, or
that he was even dead, was held not to require payment of accidental death
benefits under two life policies. There
was no bizarre circumstance surrounding his disappearance. There was no evidence that he was in a
position of peril when he disappeared.
The statutory presumption of death was held insufficient to obligate the
insurer to pay benefits.
XI.
Summary
The burden placed upon an insurer defending an action for life insurance benefits, in a case based on the disappearance of the insured, will vary depending on whether the claimant has the benefit of a presumption of death. In many cases, it is not necessary to resort to a presumption to prove a person’s death or to prove death at a particular time. Many cases will fall within a broad gray area where the facts are suggestive of death or intentional disappearance.
The presumption of death that arises from a seven-year
absence (or a shorter period of time that may be prescribed by a particular
state statute) does not usually carry a lot of evidentiary weight. However, at a minimum, when the presumption
applies, the insurer must go forward with evidence to prove the insured is
alive. There is also a presumption,
which may be relied on by an insurer, that a person alive when last seen is
presumed to still be alive. Another
presumption that sometimes comes into play is a presumption of death when a
person disappears under circumstances of imminent peril.
The unprecedented and tragic events of September 11, 2001
have caused a number of state legislatures 1) to create presumption of death
exceptions; or 2) to define terrorist attacks as specific perils which would
justify a court to immediately determine that a presumed decedent died on
September 11, 2001; or 3) to provide that death is presumed to have occurred at
the time of a catastrophic event certified by the governor.
In life insurance cases involving a disappearance of an
insured, the actual date of death can be of critical importance because of the
amount of interest that will run, the possible imposition of penalties and
attorney fees, and the payment of premiums during the running of the
presumptive period. Generally, the
beneficiary would be well advised to keep up premium payments. This will avoid any problem of insurance
having expired at the time of the presumptive death. The claimant will be able, in some cases, to
obtain a refund of these premiums if there is a recovery of the death benefit,
based on the date when the insured presumably died.
The most difficult aspect of the problem of a missing insured
is when the insurance company pays the amount of money due under the policy and
the insured reappears. If the company
pays the full death benefit and the insured thereafter reappears, the company
will generally have a claim against the beneficiary usually on the grounds of
mutual mistake of fact. When a
compromise settlement has been made, however, the company may have much more
difficulty in recovering the policy proceeds.
To avoid any questions on this score, the company could obtain from the
payee a repayment agreement at the time of making settlement, or attempt to
have such a provision incorporated in the decree if there is litigation to
establish the claim. A bond with
adequate surety is even more desirable from the insurance company’s standpoint.
ENDNOTES
† Submitted by the author on behalf of
the FDCC Life, Health and Disability Section.
[1] See
Cappo v. Allstate Life Ins. Co., 809 S.W.2d 131 (Mo. Ct. App. 1991); Cohen v.
U.S. Life Ins. Co., 531 N.Y.S.2d 273 (App. Div. 1988); Armstrong v. Pilot Life
Ins. Co., 656 S.W.2d 18 (Tenn. Ct. App. 1983).
See also In re Death of Cole,
741 P.2d 734 (Idaho Ct. App. 1987) (insured disappeared under circumstances
indicating a criminal conspiracy, although it was unclear whether the insured
was a victim or a conspirator, or perhaps both); Hopper v. Dependable Life Ins.
Co., 615 So. 2d 263, 263-64 (Fla. Dist. Ct. App. 1993) (insured, “a cropduster
by trade, disappeared while piloting a flight between Florida and Columbia,
South America”).
[2] Valley Forge Life Ins. Co. v.
Republic Nat. Life Ins. Co., 579 S.W.2d 271 (Tex. Civ. App. 1978).
[3] White v. White, 876 S.W.2d 837 (Tenn.
1994).
[4] Roberson v. Gulf Life Ins. Co., 655
So. 2d 953 (Ala. 1995).
[5] Englehart v. General Elec. Co., 527
P.2d 685 (Wash. Ct. App. 1974).
[6] See
Cappo, 809 S.W.2d at 131; Cohen, 531 N.Y.S.2d at 273; Armstrong, 656 S.W.2d at 18.
[7] See
45 Am Jur. Proof of Facts 3d
307-42 (1998) (discussion of the presumption or inference of death from
unexplained disappearance).
[8] For cases involving claims brought
before the maturation of a presumption of death see Woods v. Estate of Woods,
681 So. 2d 903 (Fla. Dist. Ct. App. 1996); In
re Kerstetter, 582 A.2d 1122 (Pa. Super. Ct. 1990); White, 876 S.W.2d at 837; Englehart,
527 P.2d at 685.
[9] See
generally 9 Wigmore on Evidence
§ 2531(a)(1), at 605 (Chadbourn 1981):
(1) There is a genuine presumption, of universal acceptance .
. . , to aid proof of death. It
is generally said to arise from the fact of the person’s continuous absence
from home, traditionally for seven years, modernly for five years, unheard
of by the persons who would naturally have received news from the
absentee. The phrasings differ,
however. Sometimes the absence is
stated to be from the jurisdiction.
Sometimes the element of nonreceipt of news is not noticed. Moreover, the practice is not uniform in
defining the precise point or combination of facts at which the burden of
producing evidence shifts to the opponent; one view is that the presumption may
arise before the end of seven years, if the disappeared person has been exposed
to a “specific peril” of death. But the
general presumption is unquestioned.
[10] See
9 Wigmore on Evidence § 2531(a)
n.1, at 604-09 for a state-by-state listing of the statues and cases as of
1981. At that time only a few of the
statues had reduced the seven-year presumption period. Cf.
N.Y. Est. Powers & Tr. Law
§2-1.7(a) (McKinney 1988) (amended in 1993 to provide a three-year presumption
of death):
A person who is absent for a continuous period of three
years, during which, after diligent search, he or she has not been seen or
heard of or from, and whose absence is not satisfactorily explained shall be
presumed, in any action or proceeding involving the property of such person,
contractual or property rights contingent upon his death or the administration
of his estate, to have died three years after the date such unexplained absence
commenced, subject to the following:
(1) The fact that such person was exposed to a specific peril
of death may be a sufficient basis for determining that he died less than three
years after the date his absence commenced.
(2) The three-year period provided herein shall not apply in
any case in which a different period has been prescribed by statute.
See also Kutner v.
New England Mut. Life Ins. Co., 395 N.Y.S.2d 540 (App. Div. 1977) (construing
the previous statute and holding as a matter of law that on the basis of the
facts presented, the presumption of death could not be invoked despite
continuous absence for more than five years and evidence of diligent
search. See also Caporino v. Travelers Ins. Co., 465 N.E.2d 26 (N.Y. 1984)
(surrogate fixed the date of death as five years after the disappearance, which
was followed by intensive search. All
four insurers paid the single indemnity benefits, but all four refused to pay
the additional indemnity benefits.
Policies of two of the companies required as to such benefits that there
be visible contusion or wound on the exterior of the body. These two companies, Travelers and
Prudential, appealed from adverse judgments in the Appellate Division and the
Court of Appeals reversed. The Court of
Appeals also held that in the absence of proof of specific peril the date of
death as fixed by the surrogate was binding.
Also, Travelers was not liable for supplemental benefits, the coverage
of which terminated prior to that date).
[11] Minn. Stat. Ann. § 576.141 (2000); Ga. Code Ann. § 53-9-1 (Supp. 2003).
[12] See
Woods v. Estate of Woods, 681 So. 2d 903, 905 (Fla. Dist. Ct. App. 1996) (“At
common law, upon the expiration of seven years’ unexplained absence, a
presumption of death arose. [Citation omitted.] [Fla. Stat. § ] 731.103(3) provides for that presumption
to arise after only five years’ unexplained absence. The statute is merely a procedure by which
the Legislature has provided a method to judicially establish the presumption
of death which has already arisen by the passage of time.”).
[13] See
C.P. Jhong, Annotation, Necessity and
Sufficiency of Showing of Search and Inquiry by One Relying on Presumption of
Death from 7 Years’ Absence, 99 A.L.R.2d 307 (1965). See
Borzage v. Metro. Life Ins. Co., 270 A.2d 688 (Conn. Cir. Ct. 1970).
[14] Unif. Probate Code § 1-107, 8 U.L.A. 30
(1998).
[15] See,
e.g., James B. Thayer, A Preliminary
Treatise on Evidence at the Common Law 341 (1898); 9 Wigmore on Evidence § 2491, at 304
(Chadbourn 1981).
[16] Professors Thayer and Wigmore both
expressed the view that the presumption of death from unexplained absence for
seven years was not evidence and should disappear from the case if the insurer
provided evidence that the insured had good reasons for leaving. Thayer,
supra note 13, at 337; Wigmore, supra note 13, § 2491. See MacDonald v. Pa. R. Co., 36 A.2d
492, 496-97 (Pa. 1944). See also Haynes v. Metro. Life Ins. Co.,
277 A.2d 251 (Md. 1971) (court denied the beneficiary’s claim for interest from
the date the Army issued a Statement of Casualty to the end of the seven-year
period, after which the insurer paid the claim including premiums paid after
the disappearance. Maryland had
abolished the common law presumption).
[17] Matter of Dawson’s Estate, 346 So. 2d
386 (Ala. 1977) (emphasis added).
[18] In re Death of Cole, 741 P.2d 734 (Idaho Ct. App. 1987).
[19] See
In re Kerstetter, 582 A.2d 1122, 1124
(Pa. Super. Ct. 1990) (quoting Fanning’s Adm’x v. Equitable Life Assur. Soc.
107 A. 715 (Pa. 1919), quoting in turn from Burr v. Sim, 4 Whart. 150, 171 (Pa.
1839) “To accelerate the presumption from time, or more properly to turn it
from an artificial into a natural one, it is necessary to bring the person
within the range of a particular and immediate danger.”).
[20] 803 F. Supp. 575 (D. P. R. 1992).
[21] 729 N.E.2d 836 (Ohio Ct. App.
1999).
[22] 2003 Va. Acts ch. 254.
[23] 2003 Ga. H. B. 32.
[24] Matter of Dawson’s Estate, 346 So. 2d
386 (Ala. 1977).
[25] Haynes v. Metro. Life Ins. Co., 277
A.2d 251, 255 (Md. 1971) (quoting from New York Life Ins. Co. v. Brame, 73 So.
806, 809 (Miss. 1917)).
[26] 9 Wigmore
on Evidence § 2531(b), at 614 (Chadbourn 1981) (Professor Wigmore
states: “In short, the seven-years-absence-unheard-from rule is arbitrary,
unpractical, anachronistic, and obstructive. The circumstances of each case
should be the basis for decision, and
there should be no fixed or uniform rule”).
[27] Handbook
of the National Conference on Uniform State Laws and Proceedings 201
(1939). See also Unif. Absence as
Evidence of Death and Absentees’ Property Act, 8A U.L.A. 1 (2003). (Professor Wigmore participated in its
drafting and adoption by the Conference.
This Act was withdrawn and was superceded in 1981 by the Uniform Probate Code, Handbook, 405,
408 (1981)).
[28] 656 S.W.2d 18 (Tenn. Ct. App. 1983).
[29] Md. Code Ann., Cts. & Jud. Proc. §§
3-101 - 3-110 (2002).
[30] See
Hubbard v. Equitable Life Assur. Soc., 21 N.W.2d 665 (Wis. 1946).
[31] Haynes,
277 A.2d at 251; Armstrong, 656
S.W.2d at 18.
[32] White v. White, 876 S.W.2d 837 (Tenn.
1994).
[33] Tenn.
Code Ann. § 30-3-102 (2001).
[34] N.
J. Stat. Ann. § 3B:27-1 (West 2001).
[35] 20 Pa.
Cons. Stat. Ann. § 5706 (West 2002).
[36] Va.
Code Ann. § 64.1-105 (Michie 2002).
[37] Kan.
Stat. Ann. § 59-2704(c) (2002).
[38] In
re LaFuente, 743 N.Y.S.2d 678 (Sur. 2002).
[39] See
Fla. Stat. Ann. § 731.103 (West
2003) (death is presumed to have occurred at the end of the statutory period
unless there is evidence establishing that death occurred earlier); Idaho Code § 15-1-107 (Michie 2003)
(death is presumed to have occurred at the end of the statutory period unless
there is sufficient evidence for determining that death occurred earlier); N.Y. Est. Powers & Trust Law §
2-1.7 (a) (McKinney 1988).
[40] Carman v. Prudential Ins. Co., 748
P.2d 743 (Alaska 1988).
[41] See,
e.g., Roberts v. Wabash Life Ins. Co., 410 N.E.2d 1377 (Ind. Ct. App. 1980)
(insured, with $640,000 of insurance and numerous troubles, placed a body in a
barn to which he set fire. His scheme
was to pretend that the body was his. He
was indicted for murder and kidnapping, and the insurer prevailed in the
litigation). See also Southern Farm Bur. Life Ins. Co. v. Burney, 590 F. Supp.
1016 (E.D. Ark. 1984), aff’d per curiam, 759 F.2d 658 (8th Cir. 1985)
(the insurer had paid $470,000 in compromise settlement of a larger claim).
[42] Alexander Hamilton Life Ins. Co. v.
Lewis, 500 S.W.2d 420 (Ky. Ct. App. 1973), appeal
after remand, 550 S.W.2d 558 (Ky. 1977) (after the disappearance of the
insured for more than seven years, the beneficiary sued and recovered
judgment. Upon discovery within the year
that the insured was alive, the insurer sued to set aside the judgment, which
was ordered. On retrial and later appeal
the Kentucky Supreme Court held that the insurer was entitled to recover the
amount paid plus interest).
[43] 889 P.2d 784 (Kan. 1995).
[44] 590 F. Supp. 1016 (E.D. Ark. 1984).
[45] Id.
at 1020 (“Had a jury determined at trial that Burney was dead and fixed the
date of death as of June 11, 1976, Southern Farm Bureau would have been obliged
to return all premiums paid subsequent to June 11, 1976”).
[46] Id.
at 1022 (the corporation borrowed money on the cash values of the policies to
maintain the premiums after the disappearance of Burney).
[47] Id.
at 1020 (the pertinent language in the settlement contract reads as follows:
It is understood and agreed that this is a compromise
settlement of doubtful and disputed claims, that the payment made shall not be
construed as an admission of liability on the part of the parties released by
whom liability is denied, that payment is made and received in full and
complete satisfaction of the aforesaid action, causes of action, claims and
demands, that this release contains the entire agreement between the parties,
and that the terms of this release are contractual and not a mere recital).
[48] Id.
at 1021.
[49] Id.
at 1020.
[50] Id.
at 1019.
[51] Id. at 1018-20.
[52] 527 P.2d 685 (Wash. Ct. App. 1974).
[53] Id.
at 689 (quoting Martin v. Ins. Co. of N. Am., 460 P.2d 682, 685 (Wash. Ct. App.
1969), “A jury will not be prmitted [sic] to extrapolate conjecturally beyond a
legal conclusion which is itself arrived at circumstantially by inference from
a proven fact . . . . But, a given set of facts may radially project two (or
more) separate inferences. In such
event, one inferential conclusion is not pyramided upon another; each is drawn
independently from the same evidence.”).
[54] 927 F.2d 163 (4th Cir. 1991).
(Author’s bio)
Edgar Sentell is a retired Senior Vice President – General Counsel of Southern Farm Bureau Life Insurance Company in Jackson, Mississippi. He is a graduate of the University of Alabama, where he received his Bachelor’s degree in 1963 and his law degree in 1966. Mr. Sentell has been a member of the Federation of Defense & Corporate Counsel since 1987. He has served as vice-chair of its Life, Health and Disability Section. Mr. Sentell currently serves as a Professor of Business Law and Business Ethics at Mississippi College in Clinton, Mississippi.