Heikes v. New York Life Ins.

171 F.2d 460, 1948 U.S. App. LEXIS 2861
CourtCourt of Appeals for the Eighth Circuit
DecidedDecember 23, 1948
DocketNo. 13728
StatusPublished
Cited by3 cases

This text of 171 F.2d 460 (Heikes v. New York Life Ins.) is published on Counsel Stack Legal Research, covering Court of Appeals for the Eighth Circuit primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Heikes v. New York Life Ins., 171 F.2d 460, 1948 U.S. App. LEXIS 2861 (8th Cir. 1948).

Opinion

SANBORN, Circuit Judge.

This is an action upon a $2,500 policy of life insurance containing a double indemnity clause. Jurisdiction is based on diversity of citizenship. The policy was issued by the defendant (appellee) to Lambert C. Heikes on January 2, 1941. The insured at that time was a senior student at the University of Minnesota. The policy was a Minnesota contract On the first page or face of the policy, in bold type, in conformity with § 61.25, Minn.St.Ann., appears the following language:

“If the Insured shall die before the Maturity Date, the Company agrees upon receipt of due proof, on forms prescribed by the Company, of such death to pay to said Beneficiary Twenty-Five Hundred Dollars (The Face of This Policy) or Five Thousand Dollars (Double the Face of This Policy) if such death, before the Maturity Date, resulted from accidental means as defined in and subject to the provisions set forth under ‘Double Indemnity.’ ”

The second page, of the policy is headed “Double Indemnity” in large black capital letters. The entire page is devoted to that subj ect and is printed in bold type. It contains the following pertinent language:

“The Double Indemnity Benefit specified on the first page hereof shall be payable [461]*461upon receipt of due proof, on forms prescribed by the Company, that the death of the Insured resulted directly and independently of all other causes from bodily injury effected solely through external, violent and accidental means and occurred within ninety days after such injury and prior to the maturity of this Policy; provided, however, that such Double Indemnity Benefit shall not be payable if the Insured’s death resulted, directly or indirectly, from * * * (d) war or any act incident thereto; * * * (f) operating or riding in any kind of aircraft, whether as a passenger or otherwise, other than as a fare-paying passenger in a licensed passenger aircraft provided by an incorporated passenger carrier and operated by a licensed pilot on a regular passenger route between definitely established airports; * *

At the time of his death on July 11, 1943, the insured was a Navy Lieutenant (Junior Grade) stationed at Pensacola, Florida, and was piloting a Navy seaplane on an authorized training flight over the ocean. The plane, the insured, and the men who were with him, disappeared. His body was never found. He was officially reported as having met his death in a plane crash at sea while in the line of duty.

The plaintiff (appellant) was the wife of the insured, having married him after the issuance of the policy, and is entitled to the proceeds of the policy. She brought this action for double the face amount of the policy, upon the theory that, under a proper construction of its terms, the war and aviation restrictions of the double indemnity clause should be disregarded, or the policy should be reformed so as to eliminate such restrictions, on the ground of fraud or mistake. The insurer denied liability for double indemnity, but, after the commencement of the action, paid th.e plaintiff the face amount of the policy, without prejudice to whatever further rights, if any, she might have thereunder. The issues were submitted to the District Court without a jury.

The court found, in substance, that the death of the insured resulted directly from war and from operation of an aircraft as a pilot; that the policy was not subject to change,.alteration or reformation; that the insurer was not precluded from asserting that the insured’s death was not within the coverage of the double indemnity clause of the policy; and that the limitations with respect to the payment of double indemnity were clear and unambiguous and not inconsistent with any other provisions of the policy. A judgment of dismissal was entered.

It is the plaintiff’s contention that, under the undisputed evidence and the applicable law, which is that of Minnesota, the District Court was required to enter a judgment in her favor, for the following reasons:

(1) That there was printed upon the cover and in the margin of the first page of the policy the words “Double Indemnity Benefit,” which should be taken to imply an unconditional promise of the insurer to pay double indemnity for accidental death.1

(2) That the inclusion of the pertinent limitations in the double indemnity clause of the policy resulted from fraud or mistake, and that the policy should therefore be reformed so as to permit the plaintiff to recover double indemnity.

[462]*462(3) That in a letter written to the insured on J anuary 12, 1942, the agent of the insurer, in urging the insured to keep his policy in force stated: “Your policy has no war restrictions and it affords you full coverage under any circumstances.” That this statement was a misrepresentation which induced the insured to keep the policy in force, and that the plaintiff is therefore entitled to have the policy reformed to conform to the misrepresentation.

(4) That the agent in making this misrepresentation violated a penal statute of the State, enacted for the protection of the plaintiff, and that the insurer is therefore liable to the plaintiff for double indemnity.

Assuming, without deciding, that the words “Double Indemnity Benefit” on the cover and in the margin of the first page of the policy are to be regarded as a part of the insurance contract, it is our opinion that the words are not inconsistent with the limitations in the double indemnity clause, and create no ambiguity.' This was a life policy providing for a double indemnity benefit. The meaning of the words “Double Indemnity Benefit” in what was obviously intended as a mere description of the type or form of policy issued, reasonably may not be distorted into an implied promise to pay double indemnity for accidental death not within the terms of the double indemnity clause.

In Bergholm v. Peoria Life Ins. Co., 284 U.S. 489, 492, 52 S.Ct. 230, 231, 76 L.Ed. 416, the Supreme Court of the United States said:

“ * * * It is true that where the terms of a policy are of doubtful meaning, that construction most favorable to the insured will be adopted. * * * This canon of construction is both reasonable and just, since the words of the policy are chosen by the insurance company; but it furnishes no warrant for avoiding hard consequences by importing into a contract an ambiguity which otherwise would not exist, or, under the guise of construction, by forcing from plain words unusual and unnatural meanings.”

The Bergholm case has been frequently cited with approval by the Supreme Court of Minnesota. Moreover, that court, in Rein v. New York Life Ins. Co., 210 Minn, 435, 299 N.W. 335, at page 389, said:

“ * * * It is of course important that ambiguous language should not be permitted ‘to serve as traps for policyholders,’ yet it is equally important, ‘to the insured as well as to the insurer, that the provisions of insurance policies which are clearly and definitely set forth in appropriate language, and upon which the calculations of the company are based, should be maintained unimpaired by loose and ill-considered interpretations.’ Williams v. Union Central Life Ins. Co., 291 U.S. 170, 180, 54 S.Ct. 348, 352, 78 L.Ed. 711, 718, 92 A.L.R. 693. Cf. Juster v. John Hancock Mut. Life Ins. Co., 194 Minn. 382, 385, 260 N.W.

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Bluebook (online)
171 F.2d 460, 1948 U.S. App. LEXIS 2861, Counsel Stack Legal Research, https://law.counselstack.com/opinion/heikes-v-new-york-life-ins-ca8-1948.