Formosa v. Equitable Life Assurance Society of US

398 A.2d 1301, 166 N.J. Super. 8
CourtNew Jersey Superior Court Appellate Division
DecidedJanuary 31, 1979
StatusPublished
Cited by38 cases

This text of 398 A.2d 1301 (Formosa v. Equitable Life Assurance Society of US) is published on Counsel Stack Legal Research, covering New Jersey Superior Court Appellate Division primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Formosa v. Equitable Life Assurance Society of US, 398 A.2d 1301, 166 N.J. Super. 8 (N.J. Ct. App. 1979).

Opinion

166 N.J. Super. 8 (1979)
398 A.2d 1301

CLAIRE FORMOSA, PLAINTIFF-RESPONDENT,
v.
THE EQUITABLE LIFE ASSURANCE SOCIETY OF THE UNITED STATES, DEFENDANT-APPELLANT.

Superior Court of New Jersey, Appellate Division.

Argued September 26, 1978.
Decided January 31, 1979.

*10 Before Judges LORA, MICHELS and LARNER.

Mr. Charles W. Hutchinson argued the cause for appellant (Messrs. Lamb, Hutchinson, Chappell, Ryan & Hartung, attorneys; Mr. Hutchinson on the brief).

Mr. Paul A. Dykstra argued the cause for respondent (Messrs. Breslin & Breslin, attorneys; Mr. Dykstra on the brief).

The opinion of the court was delivered by MICHELS, J.A.D.

Defendant The Equitable Life Assurance Society of the United States (Equitable) appeals from a judgment of the Law Division awarding plaintiff Claire Formosa $72,187 under a life insurance policy issued on the life of her husband Daniel J. Formosa (Dr. Formosa), and dismissing its counterclaim for rescission of the policy.

On April 17, 1973 Equitable issued a life insurance policy to Dr. Formosa on the basis of his signed application. The application, which was attached to and formed part of the policy, consisted of two parts. Part 1 of the application was signed by Dr. Formosa on April 2, 1973 and contained the following pertinent statement above his signature:

Agreement
It is hereby agreed by the undersigned that:
1. The statements and answers in all parts of this application are represented by the undersigned to be true and complete and are made to induce the Equitable to enter into this Agreement and to issue any policy or contract which may be issued upon this application.

Part 2 of the application was signed by Dr. Formosa on February 8, 1973, prior to his signing Part 1, and also contained a clause above his signature, reading:

I represent that the above statements and answers are true and complete. I agree that such statements and answers shall be part of the application for insurance or request for policy change *11 or reinstatement, as the case may be, and are made to induce the Equitable to issue any policy which may be issued upon the application or to make the policy change or reinstatement.

Part 2 also contained questions and answers concerning Dr. Formosa's health and medical history, of which the following are pertinent to the resolution of this appeal:

6. a. Print name and address of your personal physician: (If none, so state). [Ans.] V. D'Agati, Teaneck, N.J.
b. Date and reason last consulted: [Ans.] 1972 Routine check-up.
c. What treatment was given or recommended? [Blank].
7. Have you ever been treated for or ever had any known indication of: (Circle the applicable item). YES NO * * * * * * * * g. Diabetes; thyroid or other endocrine disease or disorder? X * * * * * * * * 8. Are you now under observation or taking treatment? X * * * * * * * * 10. Other than as stated in answers to questions 6-9, have you within the past 5 years: a. Consulted or been examined or treated by any physician or practioner? X b. Had any illness, injury or surgery? X * * * * * * * * d. Had electrocardiogram, X-ray or other diagnostic test? X
* * * * * * * *
DETAILS
For each yes answer to the questions on this page, enter the question number and full details below. Include diagnosis, treatment and result, dates, duration and names and addresses of all attending physicians and medical facilities:
10 — 10 a. — d — see 6b.

Actually, Dr. Formosa, who was an oral surgeon on the staff of Holy Name Hospital in Teaneck, New Jersey, was suffering from diabetes when he signed the application for life insurance on February 8, 1973, and had been suffering *12 from the disease for several years prior to that time. In fact, as the result of laboratory tests, Dr. Formosa knew sometime in the mid-to late 1960s that he had diabetes. He prescribed Diabinese[1] for himself, taking this medication for several years until he entered Holy Name Hospital on October 6, 1974 with an illness which, on October 18, 1974, proved fatal.

Plaintiff, who is the named beneficiary in the policy, made claim for payment of the death benefit provided thereunder. Equitable refused to pay the claim, notified plaintiff that it was rescinding the policy, and tendered to her the premiums paid, together with interest. Thereafter, plaintiff instituted this action to recover the face amount of the policy — $72,187. Equitable filed an answer denying liability and a counterclaim seeking dismissal of the complaint and rescission of the policy on the ground of equitable fraud. It claimed that Dr. Formosa's answers to Questions 7(g), 8 and 10(b) and (d) of Part 2 of the application were either false or incomplete in that Dr. Formosa had a history of diabetes for a period of approximately nine years prior to February 8, 1973, and that he had been treating himself during that time with Diabinese. Equitable further claimed that Dr. Formosa's false and incomplete statements materially affected its acceptance of the risk and the hazard assumed thereby.

The counterclaim for rescission based on equitable fraud was tried by the judge without a jury. At the conclusion of the evidence he found that Dr. Formosa had diabetes when he entered Holy Name Hospital in October 1974, had known indications of the disease as of September 24, 1974 from the hospital's out-patient blood test, and that he must have had diabetes for some period before. However, the judge refused to rescind the policy, holding Equitable had *13 failed to prove that as of February-April 1973 Dr. Formosa had any known indication of diabetes and, even assuming that he did, his false answer to Question 7(g) was immaterial since his diabetic condition did not either render him uninsurable or cause his death. We disagree and reverse.

It is firmly embedded in the jurisprudence of this State that life insurance policies may be rescinded based upon equitable fraud, as well as legal fraud, even after the death of the insured. Equitable Life Assur. Soc. v. New Horizons, Inc., 28 N.J. 307, 312-313 (1958); Gallagher v. New England Mut. Life Ins. Co. of Boston, 19 N.J. 14, 20 (1955); Metropolitan Life Ins. Co. v. Tarnowski, 130 N.J. Eq. 1, 3 (E. & A. 1941); Metropolitan Life Ins. Co. v. Lodzinski, 124 N.J. Eq. 357, 359 (E. & A. 1938); Russ v. Metropolitan Life Ins. Co., 112 N.J. Super. 265, 274 (Law Div. 1970). See also Redler v. New York Life Ins. Co., 437 F.2d 41 (3 Cir.1971); Parker Precision Products Co. v. Metropolitan Life Ins. Co., 407 F. 2d 1070, 1073 (3 Cir.1969); Garman v. Metropolitan Life Ins. Co., 175 F.2d 24, 26 (3 Cir.1949); Ettelson v. Metropolitan Life Ins. Co., 164 F.2d 660, 663, 664-665 (3 Cir.1947).

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

Related

Hawkins v. Globe Life Insurance
105 F. Supp. 3d 430 (D. New Jersey, 2015)
Div. of Youth and Fam. v. Ihc
2 A.3d 1138 (New Jersey Superior Court App Division, 2010)
Harris v. BOARD OF TRUSTEES OF PERS.
876 A.2d 305 (New Jersey Superior Court App Division, 2005)
New Jersey Div. of Youth v. Cs
842 A.2d 215 (New Jersey Superior Court App Division, 2004)
State v. Nasir
809 A.2d 796 (New Jersey Superior Court App Division, 2002)
Centorino v. Tewksbury Twp.
789 A.2d 655 (New Jersey Superior Court App Division, 2001)
Liebling v. Garden State Indem.
767 A.2d 515 (New Jersey Superior Court App Division, 2001)
Aviation Charters, Inc. v. Avemco Ins. Co.
763 A.2d 312 (New Jersey Superior Court App Division, 2000)
Yueh v. Yueh
748 A.2d 150 (New Jersey Superior Court App Division, 2000)
Jones v. United States Life Insurance
12 F. Supp. 2d 383 (D. New Jersey, 1998)
Cesare v. Cesare
694 A.2d 603 (New Jersey Superior Court App Division, 1997)
Federal Deposit Insurance v. Moskowitz
946 F. Supp. 322 (D. New Jersey, 1996)
Executive Commission on Ethical Standards v. Salmon
684 A.2d 930 (New Jersey Superior Court App Division, 1996)
Booker v. Blackburn
942 F. Supp. 1005 (D. New Jersey, 1996)
Ledley v. William Penn Life Insurance
651 A.2d 92 (Supreme Court of New Jersey, 1995)
Matter of Guardianship of JT
634 A.2d 1361 (New Jersey Superior Court App Division, 1993)
Estate of Rivera v. North American Co. for Life & Health Ins.
635 A.2d 598 (New Jersey Superior Court App Division, 1993)
Manzella v. Indianapolis Life Insurance
814 F. Supp. 428 (E.D. Pennsylvania, 1993)

Cite This Page — Counsel Stack

Bluebook (online)
398 A.2d 1301, 166 N.J. Super. 8, Counsel Stack Legal Research, https://law.counselstack.com/opinion/formosa-v-equitable-life-assurance-society-of-us-njsuperctappdiv-1979.