Crosse v. Supreme Lodge Knights & Ladies of Honor

98 N.E. 261, 254 Ill. 80
CourtIllinois Supreme Court
DecidedApril 18, 1912
StatusPublished
Cited by37 cases

This text of 98 N.E. 261 (Crosse v. Supreme Lodge Knights & Ladies of Honor) is published on Counsel Stack Legal Research, covering Illinois Supreme Court primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Crosse v. Supreme Lodge Knights & Ladies of Honor, 98 N.E. 261, 254 Ill. 80 (Ill. 1912).

Opinion

Mr. Justice Cartwright

delivered the opinion of the court:

The Appellate Court for the First District affirmed a judgment for $1000 recovered by the appellee in the county court of Cook county against appellant, a fraternal beneficiary society, upon a benefit certificate issued by it to Mary Ellen Crosse, the wife of appellee, payable to him upon her death while a member of the society in good standing, and granted a certificate of importance and an appeal to this court.

The declaration contained one count, and set out the certificate and alleged the death of Mary Ellen Crosse while a member of the society in good standing. The defendant pleaded the general issue and several special pleas, the third of which alleged that the certificate was issued upon condition that the answers made to a medical examiner, upon the faith of which it was issued, were true and should be treated as warranties; that the insured agreed that she warranted such answers to be true and any untrue statement or answer should forfeit all rights under the certificate, and that she made a false answer as to her having been attended by a physician or having professionally consulted one within five years prior to the examination. There was a general replication to this plea denying that the answer was false or untrue, and a trial by jury resulted in a verdict for the amount of the certificate. The jury returned with the general verdict a special finding upon an interrogatory submitted to them, as follows: “Did the said Mary Ellen Crosse, at any time within five years before the signing of the medical examination in evidence, professionally consult a physician?—Answer, Yes.” The defaidant moved for judgment on the special finding, but the court overruled the motion, and also a motion for a new trial, and entered judgment on the verdict.

Mary Ellen Crosse, in her application for the certificate, warranted her answers to the questions in the medical examination to be correct and true, and contracted and agreed that any untrue statement or answer should forfeit the rights of herself and family to all benefits under the certificate. . Among other questions propounded and answers given in the medical examination were the following:

Q. “How long since you were attended by a physician or professionally consulted one?

A. “Seven years.

Q. “For what disease?

A. “Confinement.
Q. “Give name and residence of physician.
A. “Dr. Quine, city.
Q. “Are you in good health?
A. “Yes.
Q. “Do you usually have good health?
A. “Yes.”

It was proved and not denied that a child was born to Mrs. Crosse in 1896,—seven years prior to her application,—but that Dr. Quine did not attend her at that time nor in that year. He attended her as her physician in 1897, and upon examination found that she had congenital malformation of the heart and great enlargement of that organ, and great enlargement of the liver resulting from the imperfection of the heart, and difficulty of breathing. He attended her six days in April, 1897, and six days in May, 1900, and again five days in October and November, 1901. He also attended her in the year 1903,—the year the examination was made,—=and each year thereafter up to her death, and was her physician at the time of her death. During all this time she had the same malformation of the heart, with varying degrees of the disorder, and difficulty of breathing, and with occasional long intervals of comfort and freedom from distress. Dropsy resulted from the malformation and gradual failure of the heart, and the immediate cause of her death, which occurred in 1907, was dropsy and congestion of the lungs, the remote cause being the congenital malfonnation of the heart. A number of witnesses testified that they observed her from time to time and saw her at work; that her breathing seemed natural and that they never saw anything of any heart difficulty, but there was no dispute of the fact that she had consulted Dr. Quine and been attended by him as a physician as above stated.

Parties competent to contract are at liberty to enter into such agreements with each other as they see fit, and it is the purpose of the law and the function of the courts to enforce their contracts. Accordingly, the rule established in this State is, that where an application for life insurance is expressly declared to be a part of the policy and the statements therein contained are warranted to be true, such statements will be deemed material whether they are so or not, and if shown to be false there can be no recovery on the policy however innocently the statements may have been made. But warranties are not favored in the law, and if there is anything to be found in the application or certificate tending to show that the answers and statements were not intended by the parties to be regarded as warranties, such answers or statements as are not material to the risk and were honestly made in the belief that they were true will not present any obstacle to recovery. If such a construction may be reasonably given to the contract the statements will be considered as mere representations notwithstanding the policy states that they are to be deemed warranties, and if not material will not be available as a defense. (Continental Life Ins. Co. v. Rogers, 119 Ill. 474; Provident Life Society v. Cannon, 201 id. 260; Minnesota Life Ins. Co. v. Link, 230 id. 273.) In this case it was agreed that the answers made to the medical examiner should be warranties and that any false or untrue statement or answer should operate to forfeit the rights of the beneficiary. There is nothing in the contract which would give any room for interpreting it differently from the language employed in it, and counsel seeking to sustain the judgment do not contend that such is the case. In any event, the answers made were material to the risk and did not relate to a matter of opinion or judgment concerning which there might be a mistaken but honest belief.

The argument in support of the rulings of the court is, that the answer was, in fact, true, upon the ground that the question was ambiguous, and Mrs. Crosse might fairly have interpreted it as calling for the first time when she was attended by a physician or professionally consulted one, and as so understood her answer was true. Anything appearing in an insurance contract which is ambiguous or of doubtful meaning is to be interpreted against the insurer, and counsel says that from the language used Mrs. Crosse might reasonably understand that the defendant wanted to know how long it had been since she began to be attended by a physician o'r professionally consulted one, and as a matter of fact the first time was at the birth of her child. Inasmuch as Dr. Quine did not attend her at that time, it is contended that she might understand the second question as calling for the name and residence of the physician who was attending her at the time of her application, and that Dr. Quine was then attending. We are wholly unable to agree with that argument.

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

Related

Britamco Underwriters, Inc. v. J.O.C. Enterprises, Inc.
623 N.E.2d 1036 (Appellate Court of Illinois, 1993)
Scudella v. Illinois Farmers Insurance Co.
528 N.E.2d 218 (Appellate Court of Illinois, 1988)
Wallace v. Blue Cross Hospital Service, Inc.
300 N.E.2d 531 (Appellate Court of Illinois, 1973)
Swift & Co. v. London & Edinburgh Insurance
264 N.E.2d 389 (Appellate Court of Illinois, 1970)
First National Bank v. Fidelity & Casualty Co.
428 F.2d 499 (Seventh Circuit, 1970)
Reiner v. St. Paul Fire & Marine Insurance
245 N.E.2d 655 (Appellate Court of Illinois, 1969)
Dreher v. Aetna Casualty & Surety Co.
226 N.E.2d 287 (Appellate Court of Illinois, 1967)
Borries v. Z. Frank, Inc.
226 N.E.2d 16 (Illinois Supreme Court, 1967)
Schweisthal v. Standard Mutual Insurance
198 N.E.2d 860 (Appellate Court of Illinois, 1964)
North Shore Sanitary District v. Schulik
146 N.E.2d 25 (Illinois Supreme Court, 1957)
McCann for Use of Osterman v. Continental Cas. Co.
128 N.E.2d 624 (Appellate Court of Illinois, 1955)
Stefan v. Elgin, Joliet & Eastern Railway Co.
120 N.E.2d 52 (Appellate Court of Illinois, 1954)
City of Watseka v. Bituminous Casualty Corp.
106 N.E.2d 204 (Appellate Court of Illinois, 1952)
Marshall v. Metropolitan Life Insurance
86 N.E.2d 262 (Appellate Court of Illinois, 1949)
Zitnik v. Burik
69 N.E.2d 888 (Illinois Supreme Court, 1946)
Gesualdi v. Connecticut Co.
41 A.2d 771 (Supreme Court of Connecticut, 1945)
Moscov v. Mutual Life Insurance
56 N.E.2d 399 (Illinois Supreme Court, 1944)
Whitney v. Travelers Insurance
24 N.E.2d 208 (Appellate Court of Illinois, 1939)

Cite This Page — Counsel Stack

Bluebook (online)
98 N.E. 261, 254 Ill. 80, Counsel Stack Legal Research, https://law.counselstack.com/opinion/crosse-v-supreme-lodge-knights-ladies-of-honor-ill-1912.