Applebaum v. Empire State Life Assurance Society

166 A. 768, 311 Pa. 221, 1933 Pa. LEXIS 523
CourtSupreme Court of Pennsylvania
DecidedJanuary 4, 1933
DocketAppeal, 3075
StatusPublished
Cited by24 cases

This text of 166 A. 768 (Applebaum v. Empire State Life Assurance Society) is published on Counsel Stack Legal Research, covering Supreme Court of Pennsylvania primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Applebaum v. Empire State Life Assurance Society, 166 A. 768, 311 Pa. 221, 1933 Pa. LEXIS 523 (Pa. 1933).

Opinion

Opinion by

Mr. Justice Linn,

December 1, 1929, defendant issued to Louis Applebaum a $5,000 policy of insurance on his life, naming his wife beneficiary. Less than seven weeks later he died of apoplexy. The company refused payment, alleging breach of warranty. The beneficiary sued and obtained judgment for the face of the policy and interest. Defendant appeals.

*223 By admissions in the pleadings, put in evidence, it is established that prior applications by the insured for other insurance had been rejected, and that he denied the rejection in reply to a question in the application for the policy in suit; that he likewise falsely replied to a request for information about recent treatment by physicians ; and that he had also concealed that he had suffered with headaches and high blood pressure.

The medical examiner’s report, containing the false statements, is signed by the insured. Over his signature he certifies: “I hereby declare that the above questions were asked me by the Medical Examiner and that I fully understand each and all of them. That the answers made to each of them are true and are hereby warranted to be true and I do hereby, in consideration of the premises, agree that the foregoing examination,, and each and every part thereof shall be and become a part of the contract of insurance, and of the beneficiary policy if such be hereafter issued to me......I further agree that all statements, declarations and representations contained in the application for a beneficiary policy subscribed by me herein and that all questions and answers contained in the foregoing shall be the basis upon which a beneficiary policy of said company may hereafter be issued to and held by me.”

In his application, also incorporated in the policy, he repeated the denial of former rejections, and signed the following: “I further agree .....and warrant the statement contained in this application and the Medical examination hereto annexed to be true in every respect, the same being made to induce the issuing of said Policy by said Society, and to become a part of the contract of insurance and the Beneficiary Policy, herein applied fox’, when issued.”

In the policy “it is mutually understood and agreed, ......that the Application and Medical Examination, copies of which are hereto attached and made a part hereof, form the basis of the liability......”

*224 The prior rejections, and the concealed medical attendance were uncontradicted; they were material to the risk (Koppelman v. Com. Cas. Co., 302 Pa. 106, 153 A. 121; Moncur v. Western Life Ind. Co., 269 Pa. 213, 112 A. 476; American U. Life Ins. Co. v. Judge, 191 Pa. 484, 43 A. 374) and constitute breach of warranty barring recovery.

To support her claim, plaintiff was permitted to put in evidence in rebuttal for the purpose of showing that the insured truthfully answered .the questions stated in the medical examination blank, that the examiner did not record the answers made, but filled the blanks with the false denials- appearing in it; also, that the agent who took the application for the policy was truthfully informed of the insured’s prior rejection but, like the medical examiner, also fraudulently recorded a denial of it. If we understand the positions taken by plaintiff in the argument, they are that the wrongful conduct of both the agent, and the medical examiner, in recording-false answers, relieves the plaintiff of the effect of the breach of warranty; that there was no breach of warranty because “there is no limitation of the agent’s authority set forth in the printed application,” and that, in any event, “the applicant’s good faith” was for the jury.

The general rule is that one who signs an application for insurance without reading it, when he might have done so, will be held to have read it. It was applied in Koppelman’s case, supra, and in Rinker v. Ætna Life Ins. Co., 214 Pa. 608, 614, 64 A. 82; it is the law in the federal courts: N. Y. Life Ins. Co. v. Fletcher, 117 U. S. 519; and in England: Biggar v. Rock Life Ins. Co. [1902], 1 K. B. 516; Newsholme v. Road Transport, etc., Ins. Co. [1929], 2 K. B. 356. Koppelman might have but did not read the application signed by him, and, in consequence, contended that he was ignorant of a limitation of the agent’s power expressed in the application, and was, therefore, not bound by what he had signed; we held that he must be treated as knowing what he *225 would have learned by reading the application. The scope of the presumption is not restricted to the mere discovery of the limitation of the agent’s authority; the applicant is presumed to know all that a reading of his application would have revealed. In Sinker’s case, we said: “There is no allegation that the applicant was blind or deaf or that she was unable to read. The statement simply is that she signed the paper without reading it. If she was incorrectly reported therein, it was then her own fault.” In Fletcher’s case the Supreme Court cited with approval Ryan v. World Mutual Ins. Co., 41 Conn. 168, and said: “The application was signed without being read. It was held that the company was not bound by the policy; that the power of the agent would not be extended to an act done by him in fraud of the company and for the benefit of the insured, especially where it was in the power of the assured by reasonable diligence, to defeat the fraudulent intent; that the signing of the application without reading it or hearing it read, was inexcusable negligence; and that a party is bound to know what he signs.” In Newsholme’s case, the Court of Appeals said: “In any case a man who has signed, without reading it, a document which he knows to be a proposal for insurance, and which contains statements in fact untrue and a promise that they are true and are to be the basis of the contract, cannot escape from the consequences of his negligence by saying that the person he asked to fill it up for him was the agent of the Insurance Company.”

In Mutual Life Ins. Co. v. Hilton-Green, 241 U. S. 613, the court rejected the same contention that plaintiff makes here, saying (page'623) : “The general rule which imputes an agent’s knowledge to the principal is well established. The underlying reason for it is that an innocent third party may properly presume the agent will perform his duty and report all facts which affect the principal’s interest. But this general rule does not apply when the third party knows there is no foundation *226 for the ordinary presumption — when he is acquainted with circumstances plainly indicating the agent will not advise his principal. The rule is intended to protect those who exercise good faith and not as a shield for unfair dealing [citing cases].”

Those observations are particularly applicable to this record. The only witnesses called were the widow of the insured, and her brother, one, Bell. She was not present when the application was signed. Bell was manager of decedent’s business and states that he was present.

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Bluebook (online)
166 A. 768, 311 Pa. 221, 1933 Pa. LEXIS 523, Counsel Stack Legal Research, https://law.counselstack.com/opinion/applebaum-v-empire-state-life-assurance-society-pa-1933.