Dikowski v. Metropolitan Life Insurance

24 A.2d 173, 128 N.J.L. 124, 1942 N.J. LEXIS 238
CourtSupreme Court of New Jersey
DecidedJanuary 29, 1942
StatusPublished
Cited by11 cases

This text of 24 A.2d 173 (Dikowski v. Metropolitan Life Insurance) is published on Counsel Stack Legal Research, covering Supreme Court of New Jersey primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Dikowski v. Metropolitan Life Insurance, 24 A.2d 173, 128 N.J.L. 124, 1942 N.J. LEXIS 238 (N.J. 1942).

Opinion

*125 The opinion of the court was delivered by

Wells, J.

This is an appeal from a judgment of nonsuit entered in the Essex County Circuit Court in favor of the defendant, Metropolitan Life Insurance Company, hereinafter called the Insurance Company, and against the plaintiff, Sophie Dikowski.

On December 7th, 1931, the Insurance Company issued a policy of insurance on the life of one Zigmund Tishkavich in the face value of $600. The policy further provided that “upon receipt of due proof that the insured, after attaining age 15 and prior to attaining age 70, has sustained, after the date of this policy, bodily injuries, solely through external, violent and accidental means, resulting, directly and independently of all other causes, in the death of the Insured within ninety days from the date of such bodily injuries * * * the Company will pay in addition to any other sums due under this Policy and subject to the provisions of this Policy an accidental death benefit equal to the face amount of insurance then payable at death.”

On May 9th, 1935, the plaintiff, a cousin of the insured, was duly designated the beneficiary under this policy.

On April 9th, 1937, a badly mangled body of a man was found along the right-of-way of the Pennsylvania Railroad Company, about one mile and a half toward Elizabeth from the Market Street station in Newark. This body was identified as that of the insured, Tishkavich, and the plaintiff thereupon made claim for the benefits payable under the policy above mentioned.

Payment was subsequently made by the Insurance Company of the value of the policy, but further payment of benefits for accidental death was refused. It is to recover under the clause providing for the “Accidental Death Benefit” that this action was brought.

At the trial the plaintiff introduced testimony by one William Gf. Tillou, who, on April 9th, 1937, had been an engineer for the Pennsylvania Railroad Company. He stated that on that day he had been operating an express train from New York to Philadelphia, stopping at Newark and Trenton. *126 Upon stopping at the station in Newark, he noticed, a man wearing a light colored coat and a painter’s cap standing on the platform. Before his attention was attracted elsewhere, Tillou noticed this man, as he walked along the platform, pull doAvn his cap as if to make a dash toward the train to steal a ride. He did not see him again.

Upon arrival in Philadelphia a light colored coat was found hanging on the brake rigging at the front of the first Pullman car, immediately back of the locomotive. Tillou stated that this coat was similar to that worn by the man he had seen on the platform at Newark.

It was further shown by this witness that there was a space at the front of the Pullman car where a man might stand “flatwise” against the door. However, the witness said, “you would have to hold on pretty tight the way we run.”

By other witnesses the plaintiff offered proof that the coat found on the train was owned by the insured. It was also shown that he had been a painter living in Elizabeth at the time of his death.

At the close of the plaintiff’s case a motion for nonsuit Avas made. It is from the judgment entered on the granting of this motion that this appeal is taken.

Most of the legal argument in the court below and before this court deals with the question of whether or not the plaintiff had established a prima, facie case of death bjr “accidental means” within the terms of the policy. This argument raises the distinction between “accidental death” and “death by accidental means” as enunciated in the leading case of United States Mutual Accident Association v. Barry, 131 U. S. 100; 33 L. Ed. 60, 67.

There can be no doubt that this distinction is recognized in New Jersey. Lawrence v. Massachusetts Bonding Co., 113 N. J. L. 265; 174 Atl. Rep. 226; Kennedy v. United States Fidelity, &c., Co., 113 N. J. L. 431; 174 Atl. Rep. 531; Walters v. Prudential Insurance Co., 116 N. J. L. 304; 183 Atl. Rep. 897. However, this is an action involving contractual obligations and a further question is raised Avhich relates to the plaintiff’s right to have started this suit under the insurance contract.

*127 In support of the judgment below the Insurance Company contends that the nonsuit was proper, not only for the reason that the insured’s death was not the result of accidental means, but also because it had not received “due proof that the insured * * * sustained * * * bodily injuries solely through external, violent and accidental means, resulting, directly and independently of all other causes, in the death of the insured.” The receipt of this “due proof,” says the Insurance Company, is a condition precedent to its liability for, and to the plaintiff’s rights to recover the double indemnity under the policy.

If the legal proposition advanced by the Insurance Company is correct, then there is no question but it should prevail on this appeal. A review of the record fails to disclose anything in the pleadings or proof which indicates that the plaintiff had submitted any proof to the Insurance Company that the insured had met bodily injury through accidental means. In the argument on motion for nonsuit counsel for the plaintiff stated that proof was filed with the company upon surrender of the policy. However, this is a statement of counsel only, and cannot be considered as evidence of compliance with the terms of the contract.

There appears to be no reported case in this state passing upon the question of submitting proof of death by accidental means as a condition to recovery under a double indemnity clause in a life insurance policy. There are several cases, however, involving other types of insurance contracts, which recognize with favor the obligation of the insured or the beneficiary to submit to the insurer proofs as required by the policy.

In the case of Kustor v. Metropolitan Life Insurance Co., 12 N. J. Mis. R. 565, the Supreme Court (opinion by Mr. Justice Swayze) recognized the necessity of filing proof of death before recovery on a life insurance policy. In the case of Lehrhof v. Continental Casualty Insurance Co., 101 N. J. L. 375, proof of an oral notice to the company was not permitted since the policy required that a written notice be given. In Goldman v. New York Life Insurance Co., 115 N. J. Eq. 535; 171 Atl. Rep. 541, the advantages of a pro *128 vision in the policy for waiver of premiums in case of disability were denied because proof of the disability "was not submitted to the insurer.

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Bluebook (online)
24 A.2d 173, 128 N.J.L. 124, 1942 N.J. LEXIS 238, Counsel Stack Legal Research, https://law.counselstack.com/opinion/dikowski-v-metropolitan-life-insurance-nj-1942.