Horwitz v. New York Life Ins. Co.

80 F.2d 295, 1935 U.S. App. LEXIS 3266
CourtCourt of Appeals for the Ninth Circuit
DecidedNovember 12, 1935
Docket7698
StatusPublished
Cited by27 cases

This text of 80 F.2d 295 (Horwitz v. New York Life Ins. Co.) is published on Counsel Stack Legal Research, covering Court of Appeals for the Ninth Circuit primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Horwitz v. New York Life Ins. Co., 80 F.2d 295, 1935 U.S. App. LEXIS 3266 (9th Cir. 1935).

Opinions

DENMAN, Circuit Judge.

This is an appeal from a decree which for fraudulent statements in the application canceled and required the surrender of (a) an agreement insuring against permanent total disability amending appellee’s life insurance policy No. 11-112-224, hereinafter called the amended policy, and (b) an insurance on appellant’s life and also (c) against such disability, contained in a policy No. 11-330-499, hereinafter called the combined policy. The decree further ordered (d) the return of premiums of the amended policy and (e) of the combined policy. It further decided that the insured take nothing by his counterclaim for unpaid monthly benefits for a claimed total disability under (f) the amended policy and (g) the combined policy.

The provisions of the several insurances differ from each other and the ap[297]*297peal requires the disposition of the seven issues decided, which we consider in the above order.

(a) Disability insurance of the amended policy is incontestable for fraud in application. The question involved is whether the two-year period of the incontestable clause in the amendment had expired prior to' the filing of the bill, and, if so, whether the indemnity insurance of the amendment is contestable for fraud after the expiration of the two years. The incontestable clause of the indemnity amendment to the life policy reads as follows:

“This Agreement shall be subject to the general terms and conditions of said Policy and shall be incontestable after two years from its date of issue except for non-payment of premium and except as to the above conditions under which said disability benefits shall not be effective.
“In Witness Whereof the New York life Insurance Company has caused this Agreement to be signed this 6th day of February, 1931.”

The first question is whether a contest for fraud in the application survives the two-year period along with the contests “as to the above conditions.” Above this paragraph the amendment contains a dozen specific contestable conditions to the right to receive disability benefits, but in this specific enumeration fraud in the application is not mentioned. Such specific express provisions exclude construing into the incontestable clause a contest on the ground of fraud in the application, commenced after two years have elapsed. Mutual Life Insurance Company of N. Y. v. Markowitz (C.C.A.9th) 78 F.(2d) 396; Ness v. Mutual Life Insurance Co. (C.C.A.) 70 F.(2d) 59, 61. We hold that after the two years the period of contest for fraud in the application expired.

The remaining question regarding the cancellation of the disability amendment is whether the bill for its cancellation was filed before the two years from the policy’s “date of issue." In construing the clause, appellee suggests that it was required by the Pennsylvania law to place the clause in the insurance agreement. It claims that since it is there by compulsion and not at the option of the company’s draftsman, the rule of interpretation of ambiguous policy provisions in favor of the insured does not apply. An examination of the statute, however, shows that the Pennsylvania requirement concerning the insertion of certain provisions as to incontestability is confined to “life or endowment insurance,” and does not include insurance against disability. Purdon’s Pa.Stats.Ann. title 40, § 510. The usual rule requiring the construction of ambiguous provisions in favor of the insured applies to the indemnity insurance.

The amendment to the policy described the incontestability period as follows: “This Agreement shall be subject to the general terms and conditions of said Policy and shall be incontestable after two years from its date of issue,” etc. If there is any ambiguity as to whether or not the words “its date of issue” refer to the previous word “Agreement” or to the words “said Policy,” the ambiguity must be resolved in favor of the latter construction, for, so construed, the contestable period expired at the date most favorable to the insured. We therefore hold that the “two years from its date of issue” are from the date of issue of the policy and not from the date of the signing of the amendment.

The policy provides that “The Contract. The Policy and the application therefor, copy of which is attached hereto, constitute the entire contract.” The application portion of the entire contract contains a mutual agreement as to the date of the policy. That agreement reads as follows:

“Application to the New York Life Insurance Company. I, Charles Horwitz * * * Apply to the New York Life Insurance Company for insurance as follows : * * * 3. Plan of Insurance. * * * Date Policy as of date policy is written. * * *
“It is mutually agreed as follows: 1. That the insurance hereby applied for shall not take effect unless and until the policy is delivered to and received by the applicant and the first premium thereon paid in full during his lifetime, * * * then said insurance shall take effect and be in force under and subject to the provisions of the policy applied for from and after the time this application is made, [298]*298whether the policy be delivered to and received by the applicant or not.”

The significant portion of the agreement in the application is as to the policy’s date. The agreement is “Date policy as of date policy is written.”

The pertinent portions of the policy concerning the date it was “written” are as follows:

“This Policy takes effect as of the Twenty-seventh day of May Nineteen Hundred and Thirty, which day is the anniversary of the Policy. * * *
“In Witness Whereof the New York Life Insurance Company has caused this contract to be signed this Twenty-seventh day of May Nineteen Hundred and Thirty.”

Since the contract must have been written before it was signed, it is apparent that the date of the policy must be May 27, 1930, or earlier.

The parties agree, and the lower court found that the appellee executed and issued the policy to the appellant “on or about May 27, 1930.” It thus appears that whether we consider the “date of issue,” which starts the running of the two years, as the date when the policy was delivered to the insured, or the date when it was written, that date, May 27, 1930, is more than two years before January 6, 1933, when the bill for its cancellation was filed. So far as concerns the cancellation of the amended policy No. 11-112-224, the decree must be reversed ánd the bill ordered to be dismissed.

(b) The life insurance of the "Combined Policy” is incontestable for fraud in the application. The incontestable clause was drafted in the policy under a requirement of the law of Pennsylvania as follows:

“Uniform policy provisions. No policy of life or endowment insurance, except * * * shall be issued or delivered by any stock or mutual life insurance company in this Commonwealth unless it contains, in substance, the following provisions : * * *

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Bluebook (online)
80 F.2d 295, 1935 U.S. App. LEXIS 3266, Counsel Stack Legal Research, https://law.counselstack.com/opinion/horwitz-v-new-york-life-ins-co-ca9-1935.