Federal Life Ins. v. Zebec

82 F.2d 961, 1936 U.S. App. LEXIS 3161
CourtCourt of Appeals for the Seventh Circuit
DecidedMarch 30, 1936
DocketNo. 5601
StatusPublished
Cited by1 cases

This text of 82 F.2d 961 (Federal Life Ins. v. Zebec) is published on Counsel Stack Legal Research, covering Court of Appeals for the Seventh Circuit primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Federal Life Ins. v. Zebec, 82 F.2d 961, 1936 U.S. App. LEXIS 3161 (7th Cir. 1936).

Opinion

SPARKS, Circuit Judge.

On January 27, 1930, appellant delivered to Mike Zebec its life insurance policy for $10,000, in which appellee, his wife, was named as beneficiary. At the time of delivery appellant received from decedent a quarterly payment of $55 which retained the policy in force for three months from the date of issuance. It contained a double indemnity benefit clause by the terms of which appellant agreed to pay to appellee the sum of $20,000 in the event of accidental death, subject, however, to the proviso that there was excluded from the risk “suicide, sane or insane, or any attempt thereat, sane or insane.”

The policy further provided that should death occur as a result of any illegal act or from suicide, sane or insane, intentional or unintentional, within two years from the date of the policy, the liability of appellant should be limited to the premiums actually paid. The statutes of Indiana, at the time the policy was issued and delivered, required that no policy of life insurance should be issued or delivered in that state without containing a two-year incontestability clause. Burns’ Indiana Statutes (1933) § 39-801 (3).

Decedent was killed by a train on February 13, 1930, while walking on a railroad right of way in the city of Gary, Indiana. This action was instituted on January 15, 1932; appellant filed its answer in three paragraphs. The first was a general denial; the second alleged that death resulted from decedent’s illegal act of trespassing upon the railroad tracks in violation of the terms of the policy; and the third paragraph alleged suicide on the part of decedent, and consented that judgment might be rendered against appellant for the premium paid by decedent.

On October 30, 1933, appellant, by permission of court, filed its fourth paragraph of answer in which it charged fraud on the part of decedent in falsely and fraudulently answering in his application the following question: “What Insurance have you in this or any other Companies, Associations, or Societies?” His answer was that he then had a policy in the Metropolitan Life for $5000, issued in 1929, and one in the Croatian Society for $1000, issued in 1912, when, in fact, he had two additional life insurance policies aggregating $6000, with double indemnity clauses in case of accidental death; and two accident policies each for $5000.

A reply of general denial was filed to the affirmative answers. The issues were submitted to a jury, and a verdict was rendered for appellee for the double liability, with interest from the date of the proof of death. Judgment was thereupon rendered upon the verdict and from that judgment this appeal is prosecuted.

The contested issues are: (1) Whether the failure of decedent to disclose the existence of all other insurance on his life was a misrepresentation material to the risk which rendered the policy void; (2)' whether the death resulted from accidental means or from an intentional act on the part of decedent; and (3) whether decedent’s act in walking on the railroad right of way was such a trespass as would amount to an illegal act within the terms of the policy.

With respect to the first contested issue, Burns’ Indiana Statutes (1933) § 39-801 provides: “ * * * No policy of life insurance shall be issued or delivered in this state * * * unless the same shall provide the following: * * * (5) That all statements made by the insured in the application shall, in the absence of fraud, be deemed representations and not warranties.” Pursuant to this statute, the policy in suit contained that provision.

The fourth paragraph of the answer charged decedent with a fraudulent failure to disclose his full insurance. Thus, a question of fact was raised which was properly submitted to the jury.

In Federal Life Insurance Co. v. Relias, 99 Ind.App. 115, 185 N.E. 319, 323 (rehearing and transfer denied by the Indiana Supreme Court) the court said, “The jury, under the issues, were the sole judges of the facts that would constitute fraud of the insured, and they were also the sole judges as to whether or not the representations made by the insured were representations material to the risk.” See, also, Missouri [963]*963State Life Insurance Co. v. Pater (C.C.A.) 15 F.(2d) 737; O’Keefe v. Zurich General Accident & Liability Insurance Co. (C.C.A.) 43 F.(2d) 809, 73 A.L.R. 298; United States Fidelity & Guaranty Co. v. Leong Dung Dye (C.C.A.) 52 F.(2d) 567. Clearly we must follow the construction of the Indiana statute as interpreted by the highest courts of that state. See Chicago, Milwaukee, St. Paul & P. R. Co. v. Risty, 276 U.S. 567, 48 S.Ct. 396, 72 L.Ed. 703; Northwestern Mutual Life Insurance Co. v. Johnson, 254 U.S. 96, 41 S.Ct. 47, 65 L.Ed. 155; Mutual Life Insurance Co. v. Johnson, 293 U.S. 335, 55 S.Ct. 154, 79 L.Ed. 398.

It is true that this policy contains an agreement that each and all of the statements and answers contained in the application are material. This, however, was but an effort to evade and nullify the clearly worded statute and has been held to be ineffectual for that purpose. Equitable Life Assurance Society v. Clements, 140 U.S. 226, 11 S.Ct. 822, 35 L.Ed. 497; Continental Life Insurance Co. v. Chamberlain, 132 U.S. 304, 10 S.Ct. 87, 33 L.Ed. 341; Fidelity Mutual Life Ass’n v. Miller (C.C.A.) 92 F. 63. In none of the cases decided by the United States Supreme Court, relied upon by appellant, was there a state statute involved such as we have here. In Hesselberg v. Ætna Life Insurance Co. (C.C.A.) 75 F.(2d) 490, there was such a statute but it was inapplicable because the action was in equity for cancellation of the policy during the life of the insured.

The questions of fraud and materiality, under Indiana’s construction of its statute, were purely questions of fact and were quite properly submitted to the jury. The jury, by its verdict, found that decedent’s failure to disclose all of his insurance was neither fraudulent nor material. Those findings were based upon substantial and ample evidence and we are not permitted to disturb the verdict in this respect.

Appellee contended that the question of fraud under the fourth paragraph of answer was not timely presented under the incontestability clause. In view of what we have said, it is not necessary to pass on that question. It is contended, however, by appellant that the limitations in the policy pursuant to the requirements of the statute, apply only to life insurance and do not apply to the “double indemnity rider.” In other words, it is contended that the double indemnity feature for accidental death is not life insurance within the meaning of the statute. We think there is no merit in this contention. The rider is “attached to and made a part of” the life insurance policy and because it contains no disability benefits, but insures only against accidental death, it is a policy of life insurance, hence governed by the provisions of the Indiana statute as to incontestability and misrepresentation. See Whitfield v. Ætna Life Insurance Co., 205 U.S. 489

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Bluebook (online)
82 F.2d 961, 1936 U.S. App. LEXIS 3161, Counsel Stack Legal Research, https://law.counselstack.com/opinion/federal-life-ins-v-zebec-ca7-1936.