Axelroad v. Metropolitan Life Insurance

242 A.D. 400, 275 N.Y.S. 268, 1934 N.Y. App. Div. LEXIS 6077
CourtAppellate Division of the Supreme Court of the State of New York
DecidedNovember 16, 1934
StatusPublished
Cited by1 cases

This text of 242 A.D. 400 (Axelroad v. Metropolitan Life Insurance) is published on Counsel Stack Legal Research, covering Appellate Division of the Supreme Court of the State of New York primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Axelroad v. Metropolitan Life Insurance, 242 A.D. 400, 275 N.Y.S. 268, 1934 N.Y. App. Div. LEXIS 6077 (N.Y. Ct. App. 1934).

Opinion

Kapper, J.

The plaintiff appeals from a judgment awarding her the sum of $492.68, in an action upon a life insurance policy [401]*401which the defendant issued on the life of her testator, Charles Axelroad, in the sum of $20,000, payable to his estate. Axelroad died April 30, 1933, at which time the premium obligations had been fulfilled, but the contention of the respondent insurance company is that the decedent had been guilty of fraud and misrepresentation in his application to reinstate the policy, which had lapsed for non-payment of premium. There is no question that representations in the application that the insured's state of health was sound and that he had consulted no physicians were untrue. The issue of fact on the trial, and of law on this appeal, is whether the responsibility for the making of these untrue representations was upon the insured or the insurer. Briefly, a sharp question of fact was presented — on the one hand, between defendant's employee, Albert M. Smith, who was the assistant manager of a branch office, and, on the other hand, the appellant and her witnesses — whether the insured made the untrue representations or whether Smith himself made them, It is conceded that the signature to this application for reinstatement is that of the insured and that the answers to the various questions contained in the body of the application are in the handwriting of Smith. Smith testified that he inserted these answers in response to the insured’s dictation as he, Smith, put each question to him. The testimony of the appellant and her witnesses would lead to the conclusion that Smith had handed the insured the application form entirely in blank, for his signature only, requiring nothing more of him and taking the blank form away after it had been signed by the insured and thereafter filling in the answers at his convenience in a manner to suit himself and regardless of their truth.

Specific questions of fact were submitted to the jury, who answered them in favor of the plaintiff, namely, that the insured did not state to Smith that he had not suffered from any illness since January, 1924 (the date of the issuance of the policy); that he did not state to Smith that he had not consulted any physician since January, 1924; that when he signed the application for reinstatement of his insurance the words No and “ No ” had not been written in the space opposite the questions under the numeral 6; that he signed the application for reinstatement in blank at the request of Smith; and that he so signed in reliance upon a representation by Smith that he, Smith, would complete the document in a proper manner.

Three of the questions and answers contained in this application are as follows: “4. Are you now in sound health? A. Yes. * * * 6. Have you since date of issue of the above policy (a) Had any illness or injury? If yes, give date and particulars. No. [402]*402(b) Consulted any physician or physicians? If yes, give date, and name and address of physician or physicians, and state for what illness or ailment. No.”

Thus, on the question of responsibility for the answers to the application form questions, the jury consistently decided in favor of the appellant. If the facts thus established warranted a judgment in favor of appellant, it is conceded that the amount recoverable by her would be $15,253.50.

The learned trial justice set the jury’s findings aside and directed a verdict for the plaintiff in the sum of $475.30 and interest, representing the value of a paid-up policy on the slight amount of premium paid prior to the reinstatement and the refund of premiums paid since that time.

The deceased died of “ Coronary occlusions,” and the defendant’s medical examiner stated that this is a very serious ailment wherein the walls of the two coronary arteries become thickened and tend to close, in which event instant death results; and that it is a very slow, progressive affliction requiring several years to culminate.

The jury were charged, without exception, that the statements in the application for reinstatement were untrue and “ if they were made with the knowledge or consent of Axelroad, he must accept the consequences of having deceived or imposed upon the Company, or furnished it with inaccurate information.” The appellant makes the point that the trial court erred in setting aside the verdict, and she contends that after the jury answered the questions favorably to her there was no power in the trial court “ except to direct the general verdict to which, upon the law, one party or the other was entitled to upon the facts so found by the jury.” As we are prepared to accept the jury’s findings as based upon sufficient evidence to reach the conclusion that plaintiff and her witnesses told the truth as to what actually occurred, the appellant’s argument in this particular respect is of no force. Rather, it is immaterial whether the verdict was set aside or not for the reason that on the law of the case there was no power given to Smith to falsify and to defraud his company.

The legal question confronting us is, assuming a state of facts most favorable to the appellant, was a cause of action established? In other words, is the defendant liable for the wrongful act .of its employee, Smith, in permitting the insured to sign an application in blank, despite the plain purport of the instrument calling upon the insured to fill in the designated answers to the questions therein contained. The policy itself contains the provision that “ it may be reinstated at any time upon the production of evidence of [403]*403insurability satisfactory to the Company.” The determination by the defendant of this insurability was upon the basis of the answers to the questions propounded in the defendant’s reinstatement application furnished to the insured for that purpose. This application for reinstatement contains this provision: “ Application is hereby made for the reinstatement of the above stated policy which lapsed for non-payment of premium due as stated above. I hereby certify that the foregoing statements and answers are correct and wholly true and have been made by me to induce the Metropolitan Life Insurance Company to reinstate the above policy, and I agree that if said Company shall grant such reinstatement the same shall be deemed to be based exclusively upon' the representations contained in this request and upon the express condition that if the foregoing statements be in any respect untrue said Company shall, for a period of two years from the date of such reinstatement, be under no liability by reason of the attempted reinstatement of the policy, except that the Company shall return to the insured or his personal representative all premiums paid since the date of said reinstatement.”

In Schrader v. John Hancock Mutual Life Insurance Co. (232 App. Div. 644, 645) it was said “ that a material false statement in an application for reinstatement will as effectually void a policy of insurance as a similar statement in the original application itself.” (See, also, New York Life Insurance Co. v. Rosen, 227 App. Div. 79.)

In McCormack v. Securi y Mut. Life Ins. Co. (220 N. Y. 447) the insured, ill with a fatal malady which had made him helpless for years, received notice on November 12, 1910, of a premium due on December 12, 1910. The premium was not paid in time, but on February 13, 1911, the company wrote suggesting that the lapsed policy be reinstated if there was satisfactory evidence of good health.

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Bluebook (online)
242 A.D. 400, 275 N.Y.S. 268, 1934 N.Y. App. Div. LEXIS 6077, Counsel Stack Legal Research, https://law.counselstack.com/opinion/axelroad-v-metropolitan-life-insurance-nyappdiv-1934.