Enelow v. New York Life Ins.

83 F.2d 550, 105 A.L.R. 493, 1936 U.S. App. LEXIS 2579
CourtCourt of Appeals for the Third Circuit
DecidedMarch 26, 1936
DocketNo. 5876
StatusPublished
Cited by6 cases

This text of 83 F.2d 550 (Enelow v. New York Life Ins.) 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
Enelow v. New York Life Ins., 83 F.2d 550, 105 A.L.R. 493, 1936 U.S. App. LEXIS 2579 (3d Cir. 1936).

Opinion

BUFFINGTON, Circuit Judge.

In the court below Mrs. Sarah Enelow, the beneficiary in an insurance policy on the life of her husband now deceased, brought suit against the New York Life Insurance Company to recover on its policy. The insurance company’s defense was fraud in the procurement of the policy. After proofs, both sides prayed binding instructions. The court affirmed the defendant’s point, which was that the jury should find for the plaintiff only for the return of premiums paid. On entry of judgment for such sum in its favor, plaintiff took this appeal. Both sides having asked for instructions in their favor, the facts were left to the court to decide and its findings are conclusive. Beuttell v. Magone, 157 U.S. 154, 15 S.Ct. 566, 39 L.Ed. 654.

From the record it appears the policy provided: “This contract is made in consideration of the application therefor and of the payment of the premiums.” It further states:' “The policy and the application therefor, copy of which is attached hereto, constitute the entire contract.” On the sheet to which a photostatic copy of the application is attached is this cautionary notice:

“Note
“This copy should be carefully examined and if any error or omission is found, full particulars, with the number of the policy, should be sent immediately to the Home Office of the Company, No. 51 Madison Avenue, Madison Square, New York, N. Y.”

In his signed application for the policy the following questions and replies are made:

“7. B. Have you ever been under observation or treatment in any hospital, asylum or sanitarium? No.
“8. Have you ever consulted a physician or practicioner for or suffered from any ailment or disease of
“A. The Brain or Nervous System? No.
[551]*551“B. The Heart, Blood Vessels or Lungs ? No.”
“10. Have you ever consulted a physician or practicioner for any ailment _or disease not included in your above answers ? No.
“11. What physicians or practicioners, if any, not named above, have you consulted or been examined or treated by within the past five years ? None.”

These answers were false. The pleadings show: “From July 6, 1930 until July 25, '1930, said Max Enelow was in the' Moutefiore Hospital of Pittsburgh for observation. In September, 1928, and again from November 26, 1928, until December 5, 1928, said Max Enelow consulted and was examined by Dr. Milton Goldsmith. From December 6, 1928, until December 14, 1928, said Max Enelow consulted and was examined by Dr. Clement R. Jones. On February 17, 1930, said Max Enelow consulted and was examined by Dr. Milton Goldsmith. During the months of July, August and September, 1930, said Max Enelow consulted and was examined and treated by Dr. Leo H. Criep. At various times during the year 1931, said Max Enelow consulted and was examined and treated by Dr. W. A. Clark. All of the doctors named in this paragraph are physicians or practicioners.”

In addition, the proofs by Dr. Criep were that he first saw Mr. Enelow at his home July 5, 1930, and took care of him “over a period of two or three months.”

“The final diagnosis was coronary disease accompanied by heart failure of the anginoid type, a right inguinal hernia, and premature beats.
“Q. Doctor, what was the history that you received from Max Enelow when you were called to his home on July 5, 1930? A. At that timé he stated he had pain in the chest; he hadn’t been well for about three months; there were attacks of shortness of breath, usually on walking or on excitement; and he thought he had indigestion.
“Q. Then what did you do with Max Enelow, Doctor? A. There being some doubt as to the exact diagnosis, I advised hospitalization, and the patient was sent to the hospital the following day.
“Q. That would be on July 6, 1930? A. Yes, sir.
“Q. And he continued there until when? A. He was in the Montefiore Hospital from July 6th until July 25th.
“Q. 1930? A. 1930.
“Q. And who had charge of his case there? A. I did.
“Q. And what did you do with him while you had him in the hospital for those nearly three weeks? A. He was thoroughly examined physically, and we X-rayed his heart, had an elcctrocardiagram taken, and the usual urine and the blood examinations were made.
“Q. What did your X-ray of his heart disclose, if anything? A. 'The X-ray disclosed an enlargement of the heart and the great vessels.
“Q. Do you know how often you saw him while he was in the hospital ? A. I saw him daily.
“Q. Daily from July 5th until July— A. From July 6th until July 25th, including those dates.
“Q. And then did you continue to see him at home for some time after that, did you say ? A. Y es, I saw him at intervals at home until September 29, 1930.
“Q. Will you describe to the Court and jury what you mean by coronary disease, please ? A. Coronary disease is an involvement of the blood vessels which supply the heart with nourishment- — with blood — interfering with that blood supply.
“Q. What is the relationship between coronary disease-and cardiac sclerosis? A. One form of coronary disease is sclerosis. By sclerosis we mean a hardening of blood vessels — a hardening of the wall of blood vessels, and a replacement of vital tissues which are present in the wall of blood vessels with fibrous tissue; and as the wall of the artery is thickened the opening is narrowed, and because the opening is narrowed the blood supply is less than what it should be.”

Fie further stated he told Enelow he had a weakness of the heart; that he attended him until his death, May 27, 1933; and that the cause of his death was the same trouble he had found him suffering from for the three preceding years.

From the above and other proofs in the case, the trial judge was justified in giving binding instructions in that regard, or, as stated by him in refusing a new trial: “Under the admitted representations made by the insured, which were material, there was no question as to their falsity to be submitted to the jury.”

But in spite of the fact of the fraud of the insured in falsely misstating material [552]*552facts, it is contended the insurance company is prevented, by noncompliance with a statute of Pennsylvania, from showing such fraud. In that regard the state statute (40 P.S.Pa. § 441) provides: “All insurance policies * * * in which the application of the insured * * * form part of the oolicy or contract * * * shall * * * have attached to said policies, correct copies of the application as signed by the applicant * * * and, unless so attached and accompanying the policy, no such application * * * shall be received jn evidence.” In the present case a photostatic copy of the application to the company and of the answers to the medical examiner was attached to the policy.

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Bluebook (online)
83 F.2d 550, 105 A.L.R. 493, 1936 U.S. App. LEXIS 2579, Counsel Stack Legal Research, https://law.counselstack.com/opinion/enelow-v-new-york-life-ins-ca3-1936.