Hodges v. New York Life Ins.

78 F. Supp. 244, 1948 U.S. Dist. LEXIS 2457
CourtDistrict Court, E.D. Virginia
DecidedMarch 2, 1948
DocketCiv. A. No. 255
StatusPublished
Cited by1 cases

This text of 78 F. Supp. 244 (Hodges v. New York Life Ins.) is published on Counsel Stack Legal Research, covering District Court, E.D. Virginia primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Hodges v. New York Life Ins., 78 F. Supp. 244, 1948 U.S. Dist. LEXIS 2457 (E.D. Va. 1948).

Opinion

PAUL, District Judge.

This action is upon a policy of insurance issued by defendant upon the life of George Dewey Hodges in favor of his wife, Edna G. Hodges, as beneficiary. The policy was in the face value of $10,000.00 with the so-called “double indemnity” benefits, providing for the payment of an ad[245]*245ditional $10,000.00 upon proof that the death of the insured resulted from injury effected through “external, violent and accidental means”; with a further provision making certain exceptions from the operation of the double indemnity clause. Among these was death resulting directly or indirectly from “war or any act incident thereto”. The provisions as to double indemnity, along with the exceptions thereto, are those usually found in policies of this sort and are more or less standard.

The insured was the master of the steamship Onondago and lost his life when his ship was sunk around 4:00 or 4:30 o’clock on the afternoon of July 23, 1942, some four or five miles off the northern coast of Cuba. The Onondago was owned by the Ford Motor Company but was apparently being operated by, or under the direction of the War Shipping Administration. It appears that at the time of her sinking she was bound for Mobile, Alabama, with a cargo of ore of some sort which she had loaded a day or two previously at Neuvitas, Cuba. As the result of the sinking eighteen of the ship’s personnel were lost, including the insured; there were fourteen survivors.

In submitting proof of death to the defendant company to obtain payment of the policy, the plaintiff did so on the form provided by the company for that purpose in which she stated the cause of death as “accidental drowning”. In lieu of the certificate of the attending physician which is customarily required by the insurer, the plaintiff submitted to defendant as proof of the fact of death certain communications which she had received shortly after the sinking from her husband’s employer, Ford Motor Company, and from the United States Coast Guard. The first of these was a telegram from the Commandant of the Coast Guard expressing the regret of the Navy Department in being compelled to inform her that her husband was missing “following action in the performance of his duty and in the service of his country” and that further information would be furnished, when received. About ten or twelve days later Mrs. Hodges received a letter from Coast Guard Headquarters in which it was stated that her husband’s ship had been “lost through enemy action” and that her husband had been seen to go down with his ship and was renorted missing. The later letter from Ford Motor Company to plaintiff expresses regret at the death of her husband but does not recite the circumstances thereof. The defendant accepted the telegram and the letters as sufficient proof of the death of the insured and paid the $10,000.00 face value of the policy. It, however, denied liability under the double indemnity clause on the ground that it plainly appeared that the death resulted from “war or an act incident thereto”.

Thereafter this action was brought to collect the $10,000.00 double indemnity. It does not appear, and it is not contended, that the plaintiff has ever submitted any amended or additional proof of death, or any statement or information in addition to that above referred to.

The parties entered into a stipulation of the facts upon which they were agreed and which includes substantially every pertinent fact, except the cause of the sinking of the Onondago. In this stipulation they reserved the right to introduce further evidence at the trial, which has now been had before a jury. At the conclusion of plaintiff’s evidence, the defendant moved for a directed verdict in its favor. This motion the court declined to grant at the time but took under consideration and reserved action thereon. Thereafter the defendant introduced certain evidence in its behalf and at the conclusion of all the evidence renewed its motion for a directed verdict; upon which the court reserved action. The case was submitted to the jury, resulting in a verdict in favor of the plaintiff in amount of the double indemnity. Thereupon the defendant moved to set the verdict aside and for entry of judgment in its favor on the grounds asserted in its motion for a directed verdict and upon the further grounds of misdirection of the jury and that the verdict was plainly contrary to the evidence.

Discussion

The policy in the instant case, as is customary in all such policies, conditions payment under it upon receipt of due [246]*246proof of death of the insured. In making the proof of death necessary the defendant, as do all insurance companies, customarily required a statement from the attending physician of the deceased, setting forth the fact of death and the cause and the circumstances thereof; and, in case of a coroner’s inquest, a copy of the findings of such inquest. This statement is an essential part of the proof of death, the submission of which is necessary to impose any liability upon the insurer. And proof that due proof of death has been made is necessary in order to maintain an action on the policy.

In the circumstances of this case there could, of course, be no certificate of an attending physician or other similar means of proving the death or the causes of it. In lieu of this the claimant submitted the communications from the Coast Guard as showing the fact of death and its cause. These the insurer accepted as sufficient. But it seems clear that without them, or without similar statements from some source setting forth the fact and the cause of death, no obligation arose to make payment under the policy. The matter contained in the proofs of death was that upon which the beneficiary based her claim for payment. This matter was not separable, to be accepted in part and rejected in part. It was upon the full circumstances disclosed that she asked the defendant to accept it as a fact that the insured was dead.

The defendant bases its motion for a directed verdict upon the principle that a proof of loss submitted for the purpose of obtaining payment of an insurance policy constitutes prima facie evidence of the facts stated therein in favor of the insurer and that the claimant under the policy is bound by the statements made in the proofs of loss in the absence of a showing by the claimant that the statements were made under a misapprehension or mistake or in ignorance of material facts subsequently ascertained.

A number of cases are cited in support of this proposition. Among these is Metropolitan Ins. Co. v. Rutherford, 98 Va. 195, 35 S.E. 361, 362, where the principle is thus stated:

"By the express terms of the contracts of insurance, these proofs were declared to be evidence in favor of the company, but not against it. But, independent of any agreement to that effect, the preliminary proofs presented to an insurance company, in compliance with the condition of its policy of insurance, are admissible as prima facie evidence of the facts stated therein in favor of the company. They were intended for the action of the company, and upon their truth it had a right to rely, and, unless corrected for mistake, the plaintiff was bound by them. Good faith required that she be held to answers and statements made in the proofs of loss until it was shown that she was under a misapprehension of the facts, or ignorant of material matters subsequently ascertained.”

Another case involving the question here-involved is that of Hassencamp v. Mutual Benefit Life Ins. Co., 4 Cir., 120 F. 475.

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

Related

Wharton v. Lincoln National Life Insurance
134 F. Supp. 558 (E.D. Virginia, 1955)

Cite This Page — Counsel Stack

Bluebook (online)
78 F. Supp. 244, 1948 U.S. Dist. LEXIS 2457, Counsel Stack Legal Research, https://law.counselstack.com/opinion/hodges-v-new-york-life-ins-vaed-1948.