Grattan v. . Metropolitan Life Ins. Co.

80 N.Y. 281, 1880 N.Y. LEXIS 98
CourtNew York Court of Appeals
DecidedMarch 9, 1880
StatusPublished
Cited by94 cases

This text of 80 N.Y. 281 (Grattan v. . Metropolitan Life Ins. Co.) is published on Counsel Stack Legal Research, covering New York Court of Appeals primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Grattan v. . Metropolitan Life Ins. Co., 80 N.Y. 281, 1880 N.Y. LEXIS 98 (N.Y. 1880).

Opinion

Daneorth, J.

By the terms of the policy the defendant was required to pay the amount of the insurance “in sixty days after receipt and acceptance of proofs of the death of the insured.” As to the manner aiid form of proof, and the time within which and the person by whom an opportunity should be given to the company to accept and receive the “ proofs,” the policy is silent. It appeared, however, upon the trial, by the .evidence of the defendant’s officers, that the company was provided with blanks for such proof, and that it was its custom, upon the death of an insured person, to send- these blanks to his representative or for his use to the local agent; that the life insured died on the 8th of November, 1876, at Troy, and immediately thereafter the plaintiff applied to the local agent in that, city for the proper blanks, and he, on the eleventh day of that month, after having seen the dead body of the insured, wrote to the defendant informing it of that fact, of the plaintiff’s application to him for blanks, and requesting it to furnish them, in order that the usual proofs of death might be made. A similar application was made by the plaintiff through his attorneys ; but in both instances the defendant declined to furnish the blanks, “on the ground that the policy was' null and void, and that it refused to recognize any claim thereunder.” This is the finding of the referee,'and he further finds that “ the defendant also directed its local agent not to give the usual certifi *289 cate required to be given by him in such cases.” From these facts the referee finds, as a conclusion of law, that there was “ a waiver on the part of the defendant as to, and that it did thereby, and by reason thereof, waive the provision of said policy, requiring the plaintiff to furnish said proofs of loss.” That the insured did in fact die at the time alleged, is admitted by the answer, and I think the referee committed no error in the conclusion referred to. The condition itself was a necessary and proper one; but it was wholly for the benefit of the defendant, and might be waived. When, as in this case, the insurer says “ we have canceled the policy, and will recognize no claim under it,” it must be deemed to have done so. ¡Notice of death had been given, and the defendant had' received it from its own agent, as well as from the representatives of the policy-holder. The proofs of death called for by the terms of the policy must, in view of the custom of the defendant before referred to, be held to relate to proofs according to its instructions and upon blanks to be by it furnished. Its refusal to furnish them after application, was equivalent to saying that they would not accept or receive proofs, and the plaintiff could not be required to perform an idle ceremony : (Shaw v. The Republic Life Ins. Co., 69 N. Y., 286; Goodwin v. The Mass. Mut. Life Ins. Co., 73 id., 489.) It is, however, contended by the learned counsel for the appellant, that the finding upon this question was not within the issue made by the pleadings, and that the referee erred in permitting the plaintiff to amend his complaint. As originally served, it contained an averment that “ on or about the 22d day of ¡November, 1876, the plaintiff furnished the defendant with proof of the death of said Terence Grattan.” Before the close of the plaintiff’s case, but after most of the evidence to which I have adverted, and other evidence had been introduced, and while the plaintiff yet had the case, his counsel asked of the referee leave to amend the complaint by alleging that ‘ the defendant had waived the requirement in its policy that the plaintiff should furnish proof of the death of ” the insured. This was objected *290 to by the defendant’s counsel, on the ground that “it substantially changes the defense, and therefore the referee is without power to grant it.” Leave was given upon terms, and among others, that the plaintiff should pay costs to the defendant. The costs were paid and the amendment made. It was clearly within the power of the referee to allow it. It may be added that by accepting the costs imposed as a condition of the amendment, the defendant is precluded from availing itself of the objection, if it was otherwise good. There is no suggestion that the defendant was prejudiced, and the trial proceeded upon the answer already in.

The remaining questions relate to the merits and are more important.

It is next contended by the defendant that the life insured, in his application for the policy, made false and fraudulent representations. First: In regard to his occupation. Second; In regard to the cause of the death of his mother and sister. The application covers more than two pages of the printed case. It contains questions numbered from one to seven, most of them divided into parts distinguished by letters of the alphabet from A to F inclusive, and sub-clauses characterized by neither figure nor letter, but separated from the context by blank spaces, calling for twenty-eight answers, while the medical examiner’s certificate annexed thereto covers more than three pages and calls for upwards of one hundred answers, to be signed also by the applicant for the insurance, and, as given, purport to be transcripts of his answers to the medical examiner. The declaration of the physician follows, and is simply that he has “ considered the application annexed, and carefully examined Mr. Terence Grattan, and has witnessed his signature as above.” Now what do we learn from these pages of interrogation concerning the occupation of the life insured ? The second question of the application calls for the name at full length of the life proposed for insurance, and in the second subdivision, for his “ occupation.” The answer is “ Soda-water maker.” Then, after more then twenty intervening ques *291 tians upon other subjects irrelevant to the one in hand, is this clause: “ Occupation. Full particulars regarding the applicant's business or trade must be given. If a mechanic, state in detail all the various kinds of work performed.” This does not seem to be a question, but rather a memorandum by Avay of instruction to the agent; but for Avhatever purpose designed, there is no answer to it, or observation Avritten against it, and I think the referee ivas quite right in holding that its position in the application would not warrant the finding, that it was addressed to the life proposed. In the part entitled “ Medical Examiner’s Certificate,” the question first noted above is repeated, and the same ansiver is given ■—• “ Soda-Avater maker.” The seventeenth question is as follows : “ What is your opinion of the influence of the said life’s occupation on the risk ? ” And the ansAver is : “Is out of doors most of the time selling soda-water—in my opinion, healthy occupation.” Now the paper containing these ansAvers is, as I before observed, signed by the life proposed, Terence Grattan, and contains this declaration: “ I hereby declare that I have given true ansivers to all questions put to me by the medical examiner, that they agree .exactly Avith the foregoing, that I am the same person described in the accompanying application, and Avhose signature is appended to declaration and warranty here Avith.” These answers must be taken together ; they state the occupation of the life proposed and his then employment. Both Averc true, and neither inconsistent with the other. By trade a maker of soda-water, he was also vending it.

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Bluebook (online)
80 N.Y. 281, 1880 N.Y. LEXIS 98, Counsel Stack Legal Research, https://law.counselstack.com/opinion/grattan-v-metropolitan-life-ins-co-ny-1880.