Eastern District Piece Dye Works, Inc. v. Travelers Insurance

198 A.D. 610, 190 N.Y.S. 822, 1921 N.Y. App. Div. LEXIS 8150
Appellate Division of the Supreme Court of the State of New York·Decided November 25, 1921·Published·Cited by 6 cases

Opinion

Blackmar, P. J.:

The action is upon a policy of insurance for $25,000 upon the life of Leontine Klein, payable to the plaintiff corporation, of which she was president. The application, dated June 24, 1919, was signed by Mrs. Klein. The first premium was paid July 14, 1919, and the policy was dated and issued September 4, 1919. On November nineteenth following she was admitted to St. Mark’s Hospital, where, following an operation, she died on the 26th of November, 1919.

The answer, after some denials not material to the question before the court, set up two defenses: First, that the contract of insurance was issued and accepted on the condition that it should not take effect unless the first premium should be paid when the assured was in good health; that when the first premium was paid the assured was- not in good health, and that the company had tendered to the plaintiff the sum of $729.25 (being the amount of the first premium paid), and that the tender is kept good; second, that the policy was issued in consideration -of the declarations, made in the application, to the effect that the applicant was in sound condition mentally and physically; that she had never had any bodily or mental infirmity or deformity and that she had not been disabled nor had she received any medical or surgical atten[613] tion for five years prior to the date of her application, which declarations she warranted to be true; that said declarations were false in that when she made the application she was suffering from bodily infirmity and from a lack of sound physical condition, and that she had within five years been disabled and had received medical or surgical attention.

A bill of particulars was ordered of the defenses set forth in the answer, and the bill as served alleged that the respects wherein the assured’s representations were' false and the assured was not in good health were that she is said to have had chronic intestinal obstructions with disease causing adhesions.”

The evidence showed that Mrs. Klein was fifty-four years of age, and until a few days before entering the hospital had been engaged in active business. An interne in the hospital who had not been licensed to practice as a physician, but took the patient’s history, testified that Mrs. Klein stated that she had a falling of the womb and had had for thirty years a perineal tear extending to the rectum, which, however, had caused but little trouble until three years ago. The interne gave in his own words the substance of Mrs. Klein’s statement as follows: “ Three years ago patient began to notice a mass protruding from the vagina the size of a hazel nut, which gave no pain or discomfort, and no urinary or rectal symptoms. The condition has remained practically the same. Three weeks ago patient suddenly began to feel a sensation of pressure on bladder and rectum, also as if something was giving way in the pelvis. This caused a frequency in micturition and painful defecation. The symptoms were not very severe, but the patient felt that the time had at last arrived when an operation should be performed. Previous history: Marital, two children; no miscarriages. Gynecological history: Perineal tear 30 years ago, never repaired. * * * Personal: Excellent bowels, fine appetite. Urination: No nocturia or no polyuria.” He further testified that she told him that until about three weeks before she came to the hospital she felt perfect.

The operating surgeon, discovering a congenital abnormal condition of the intestines, which was puzzling to him and [614] such as he had never seen in twenty-six or twenty-seven years’ practice, passed beyond the minor operation for which she had come to the hospital and performed a serious major operation to correct or at least alter the condition, and the resulting shock caused her death.

The answer contains two defenses. Reversing their order for convenience of consideration, they are: (a) Breach of warranty, and (b) rescission on the ground that the assured was not in good health when the first premium was paid.

To establish the defense of breach of warranty in a fife insurance policy, two things must be proved: First, that the representations are false, and second, if false, that they are fraudulent. (Insurance Law, § 58.) Since the enactment of this section, or since January 1,1907, an immaterial representation cannot be a warranty, for fraud cannot be predicated upon an immaterial representation. (See Insurance Law [Gen. Laws, chap. 38; Laws of 1892, chap. 690], § 58, as added by Laws of 1906, chap. 326; now Insurance Law [Consol. Laws, chap. 28; Laws of 1909, chap. 33], § 58.) We, therefore, reach the conclusion that the representation must be material, that it must be false, and that it must be accompanied by a fraudulent intent, or it is not a warranty.

. The representations contained in the application for the policy in this case, namely, that the applicant was in sound condition mentally and physically, that she had never had any bodily or mental infirmity or deformity, and that she had not been disabled nor had she received any medical or surgical attention for five years prior to the date of the application, were, as matter of law, material. Whether they were false or not was at the very least a "question of fact. The representations were meant to describe the normal condition of an ordinary healthy person. They were intended to be the inducement for the issuance of a fife insurance policy and, therefore, to exclude a condition of disease, abnormality or disability which might affect or have some bearing upon the duration of life. A reasonable interpretation must be placed upon the representations in view of the purpose for which they were made. (Cushman v. U. S. Life Ins. Co., 70 N. Y. 72; Peacock v. New York Life Ins. Co., 20 id. 293; Schmitt v. Michigan Mutual Life Ins. Co., 101 App. Div. 12; [615] Packard v. Metropolitan Life Ins. Co., 72 N. H. 1; Grattan v. Metropolitan Life Ins. Co., 92 N. Y. 274.)

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

Eastern District Piece Dye Works, Inc. v. Travelers Insurance, 198 A.D. 610, 190 N.Y.S. 822, 1921 N.Y. App. Div. LEXIS 8150 (N.Y. Ct. App. 1921).

198 A.D. 610 (Eastern District Piece Dye Works, Inc. v. Travelers Insurance) — published by Counsel Stack Legal Research, free access to 12M+ legal documents.

Related

Ettman v. Equitable Life Assurance Society of United States
7 Misc. 2d 1023 (City of New York Municipal Court, 1957)
Bronx Savings Bank v. Weigandt
286 A.D. 748 (Appellate Division of the Supreme Court of New York, 1955)
Bronx Savings Bank v. Weigandt
207 Misc. 820 (New York Supreme Court, 1955)
Combs v. Equitable Life Ins. Co. of Iowa
120 F.2d 432 (Fourth Circuit, 1941)
Combs v. Equitable Life Ins.
34 F. Supp. 1002 (W.D. Virginia, 1940)
Fay v. Metropolitan Life Insurance
119 Misc. 715 (New York Supreme Court, 1922)