Brown v. United States

29 F.2d 856, 1928 U.S. Dist. LEXIS 1658
CourtDistrict Court, W.D. New York
DecidedDecember 31, 1928
StatusPublished
Cited by2 cases

This text of 29 F.2d 856 (Brown v. United States) is published on Counsel Stack Legal Research, covering District Court, W.D. New York primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Brown v. United States, 29 F.2d 856, 1928 U.S. Dist. LEXIS 1658 (W.D.N.Y. 1928).

Opinion

ADLER, District Judge.

The plaintiff sues for the permanent and total benefits of an alleged reinstated war risk term insurance contract. The insurance contract granted plaintiff lapsed immediately after his discharge on October 6,1919, because of the nonpayment of the premium. On December 27, 1926, he applied to the United States Veterans’ Bureau to have his term insurance contract reinstated, and submitted with his application a medical examiner’s report, made by a medical officer at Rochester, N. Y. On March 21,1927, the Director of the United States Veterans’ Bureau caused a letter to be sent to the plaintiff, reinstating his policy to be effective as of January 1, 1927, being the first day of the month following the month in which he made his application for reinstatement. Prior to March 21, 1927, to wit, on March 11, 1927, a rating of plaintiff was made by the bureau’s regional office at Buffalo, N. Y., finding that plaintiff was on February 5, 1927, permanently and totally disabled. This rating was based on the clinical report of plaintiff, dated February 25, 1927. The claimant was not present, and no re-examination was had. For the purposes of this action, the permanent and total disability of the plaintiff is fixed as of February 5, 1927.

The plaintiff made the required monthly payments on the reinstated policy, until on November 20, 1927, he was notified by the Director of the Veterans’ Bureau that his application for reinstatement, made on December 27, 1926, was erroneously approved on March 16, 1927, and the insurance was considered as though a valid reinstatement had been effected. The letter of the Director'stated further:

“That since the reinstatement of insurance is conditioned upon the submission of evidence showing that the insured is not permanently and totally disabled, however, and since a rating was made in the ease by the regional office at Buffalo, on March 11,1927, in pursuance to the request of this office, v/hieh indicated that you were permanently and totally disabled from February 5, 1927, the acceptance of this application is canceled under date of October 18, 1927.”

The situation then was that the plaintiff’s insurance contract was reinstated as of Janu- . ary 1,1927; that the plaintiff became perma^ nently disabled on February 5, 1927; that the Veterans’ Bureau canceled the reinstatement on October 18,1927. 1

The position taken by the government is that the plaintiff’s right to reinstate his war risk term insurance contract is by virtue of section 304 of the World War Veterans’ Act, [857]*857(38 USCA § 515 as amended), which requires three things of the insured.

(1) That he submit proof satisfactory to the Director of the service origin of the disability.

(2) That he submit proof satisfactory to the Director that he is not totally-and permanently disabled.

(3) That he shall pay all back premiums with interest thereon and compounded annually on each premium from the date the premium is due.

It is conceded by the government that the first and third requirements have been met by the plaintiff. The second requirement, that he submit proof satisfactory to the Director that he is not totally and permanently disabled, the government insists was not met by the plaintiff, for the reason that he became permanently and totally disabled on February 5, 1927, which was prior to March 21, 1927, the date on which the letter of reinstatement was forwarded by the bureau to the plaintiff. It does not appear in the record when the rating of plaintiff, made by the bureau’s regional office at Buffalo, N. Y., on March 11, 1927, was forwarded to the bureau at Washington, D. C. The fact of the plaintiff’s rating as permanently and totally disabled ap-„ parently was not brought to the attention of the Director at Washington until some months after it was made. In the meantime he had reinstated the plaintiff’s insurance. On .account of these facts the department says that the reinstatement was in error and that they have a right to cancel it. The right to cancellation is asserted on two grounds :

(1) That the permanent and total disability of plaintiff was determined prior to the date'when the letter of reinstatement was written, March 21, 1927, although the reinstatement itself was fixed as of January 1, 1927.

(2) That if it is conceded that the plaintiff’s policy was reinstated as of January 1, 1927, and he became totally and permanently disabled on February 5, 1927, the plaintiff’s contract of insurance matured on that date and ceased to constitute insurance. February 5, 1927, being less than six months from January 1, 1927, the insurance had not been in force six months, and hence the action of the bureau on October 18,1927, canceling the reinstatement. The government contends that section 307 of the World War Veterans’ Act, 43 Stat. 627 (38 USCA § 518), does not apply.

Section 307 is as follows:

“All such policies of insurance heretofore or hereafter issued shall be incontestable after the insurance has been in force six months from the date of issuance or reinstatement, except for fraud or nonpayment of premiums and subject to the provisions of section 23: Provided, that a letter mailed by the bureau to the insured at his last known address informing him of the invalidity of his insurance shall be deemed a contest within the meaning of this section: Provided further, that this section shall be deemed to be in effect as of April 6, 1917.”

I find that there was a valid reinstatement of plaintiff’s policy as of January 1, 1927. Whether or not the bureau could legally cancel the reinstatement and invalidate it at a subsequent date, as they sought to do, I will later consider. In any event, from January 1, 1927, until October 18, 1927, the contract between the plaintiff and the government was in existence. During that period the plaintiff paid premiums upon it, which premiums were accepted by the government.

It was within this period, while the contract was in force, that the plaintiff was found to be permanently and totally disabled. The plaintiff thereupon became entitled to the payments due him on account of permanent and total disability, unless the government had the right to cancel the reinstatement of the policy and make it void from the date of the reinstatement, January 1,1927.

I will now consider the two grounds on which the government claims it can cancel the reinstatement of the policy. I will take up the second ground first. It is that the six months incontestability clause set forth in section 307 of the World War Veterans’ Act does not apply to this case. The government bases its contention on an opinion of the Attorney General, reported in 32 Op. Attys. Gen. 379, at page 386. He there says: “The term policy having matured into a claim by the happening of the event insured against it ceases to constitute ‘insurance’.”

It is then argued that the plaintiff’s policy, reinstated January 1, 1927, matured February 5, 1927, when plaintiff was found to be permanently and totally disabled, and therefore from that date it ceased to be insurance. Plaintiff’s insurance was therefore not in force six months from the date of reinstatement. It could therefore be contested by the government at any time, and the government did contest it by its act of October 18, 1927, rejecting the application and canceling the reinstatement.

I do not agree with this reasoning.

Free access — add to your briefcase to read the full text and ask questions with AI

Related

Karas v. United States
118 F. Supp. 446 (M.D. Pennsylvania, 1954)
Bainbridge v. United States
55 F.2d 244 (W.D. Oklahoma, 1931)

Cite This Page — Counsel Stack

Bluebook (online)
29 F.2d 856, 1928 U.S. Dist. LEXIS 1658, Counsel Stack Legal Research, https://law.counselstack.com/opinion/brown-v-united-states-nywd-1928.