Bernard Lotman and Charles Lotman v. Security Mutual Life Insurance Company of New York

478 F.2d 868, 1973 U.S. App. LEXIS 10265
CourtCourt of Appeals for the Third Circuit
DecidedApril 26, 1973
Docket71-2085
StatusPublished
Cited by20 cases

This text of 478 F.2d 868 (Bernard Lotman and Charles Lotman v. Security Mutual Life Insurance Company of New York) is published on Counsel Stack Legal Research, covering Court of Appeals for the Third Circuit primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Bernard Lotman and Charles Lotman v. Security Mutual Life Insurance Company of New York, 478 F.2d 868, 1973 U.S. App. LEXIS 10265 (3d Cir. 1973).

Opinion

OPINION OF THE COURT

VAN DUSEN, Circuit Judge.

After the district court entered its September 23, 1971 order denying defendant’s motion for judgment n. o. v. and for new trial, 1 2 the defendant, Security Mutual Life Insurance Company of New York (hereafter Security Mutual), filed this appeal from a February, 1971 judgment entered on the verdict of a jury.

The plaintiffs, 2 co-beneficiaries of a life insurance policy issued to the decedent 3 by Security Mutual, brought this action to recover the proceeds under the decedent’s policy. Security Mutual refused payment claiming three separate defenses: (1) the insured obtained her policy by fraud and misrepresentation; (2) her death from barbiturate poisoning was the result of suicide; and (3) the acceptance by the plaintiffs of a tendered check representing a return of the premiums paid under the policy constituted a mutual reeision and waived any claim by the plaintiffs for proceeds under the policy.

A jury found in favor of the plaintiffs on the first two of these defenses. The claim of mutual reeision was reserved by agreement between the parties for separate determination by the court on the basis of the deposition testimony of the plaintiffs. After completion of the trial, the court held that the plaintiffs’ conduct did not constitute mutual reeision and did not amount to a waiver of their claim to the proceeds of the life insurance policy.

The defendant raises three contentions in its appeal. Two contentions deal with the court’s charge to the jury: that it erred in its instructions that the defendant had the burden of proving that the false answers given by the insured in the application for her insurance policy were made in bad faith for the purpose of deceiving it; and that the court erred in its instructions on the presumption of Minnie Glazer’s sanity. Security Mutual also reasserts its claim that the conduct of the plaintiffs consti *870 tuted an agreement of mutual reeision of the policy.

On March 31,' 1966, the insured applied to Security Mutual for a $25,000 life insurance policy. On April 2, 1966, Dr. Kermit Snyder, who performed medical examinations for Security Mutual, went to Minnie Glazer’s apartment and completed the medical application and examination required for insurance. (N.T. 118) 4 It is clear that false and material misstatements were made by insured and that Security Mutual would not have issued the policy had correct information been provided. 5 The most significant of the misrepresentations in the answers given by the insured during the medical examination were as follows:

“Part II.
“2. To the best of your knowledge and belief have you ever had or been treated for:
A. Epilepsy, convulsions, mental or nervous disorder?
“3. Have you:
A. Had one or more electrocardiograms ?
C. Been in a clinic, hospital or sani-torium for treatment, observation or diagnosis ?
“5. Have you within the past 5 years consulted a physician or surgeon for any examination or treatment not already mentioned?”

The insured answered “No” to each of these questions and then signed the application in the presence of Dr. Snyder, who also signed. 6

However, her medical history, as revealed at trial, showed that she was admitted as a mental patient in need of immediate temporary care at Wissahickon Hall 6a a private psychiatric hospital, in October of 1962. (N.T. 35). At that time she was diagnosed as psychotic depressive reaction. Six electro-shock treatments were administered. (N.T. 82-83). After six months at Wissahickon Hall the insured was discharged on an out-patient basis. However, a year later her symptoms were recurring and she continued to take medication. Nevertheless, a policy was issued by Security Mutual to Minnie Glazer in the amount of $25,000 on May 10, 1966 and on April 11, 1967 she died from barbiturate poisoning. (N.T. 11-12).

I.

The first issue is the propriety of the trial judge’s instructions to the jury on whether the insured had (a) knowledge of the falsity of the answers in Part II of the application and (b) an intention to deceive the insurer.

The most recent Pennsylvania appellate court decision, quoting from that court’s earlier decision in Baldwin v. Prudential Insurance Company of America, 215 Pa.Super. 434, 258 A.2d 660 (1969), on the defense to an insurance policy based on false and fraudulent misrepresentations, makes clear that “ ‘ [t] here are three elements that an insurer must establish to void a policy in the case of misrepresentation. These are: (1) the declaration must be false; (2) its subject matter must be material to the risk; and (3) the applicant must have known it to be false or must have made the statement in bad faith.’ ” Bremmer v. Protected Home Mutual *871 Life Insurance Co., 218 Pa.Super. 364, 280 A.2d 664, 665 (1971).

In Bremmer, the court continued, using this language:

“Considering the close proximity of the doctors’ visits to the examination, the applicant certainly knew the statements were false, and the jury could infer the requisite bad faith.” Id.

Contrary to the law as stated in the Bremmer case, the trial judge charged the jury as follows:

“The dispute is as to whether or not those inaccuracies were consciously made by the insured in bad faith. ‘In bad faith,’ is just another way of saying, ‘for the purpose of deceiving the insurance company.’ On this issue, the burden is on the defendant to persuade you that that was the state of mind of Mrs. Glazer at the time she answered these questions and made the statements that appears in the policy.” (Charge, Doc. 17 at 6-7).

Plaintiffs rely on Schleifer v. National Life Insurance Co., 421 Pa. 359, 362, 219 A.2d 692, 694 (1965) to support the above language in the charge. In Schleifer there was a serious factual dispute over whether the insured knowingly gave false answers to a question in the application that he was being treated for a heart condition. The Schleifer court felt that because of the serious dispute as to whether the insured knew at the time of his examination that he might be suffering from a heart condition, the question of whether the insured intended to deceive the insurer was for the jury.

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Bluebook (online)
478 F.2d 868, 1973 U.S. App. LEXIS 10265, Counsel Stack Legal Research, https://law.counselstack.com/opinion/bernard-lotman-and-charles-lotman-v-security-mutual-life-insurance-company-ca3-1973.