Howe v. Provident Fund Society

34 N.E. 830, 7 Ind. App. 586, 1893 Ind. App. LEXIS 296
CourtIndiana Court of Appeals
DecidedSeptember 22, 1893
DocketNo. 827
StatusPublished
Cited by9 cases

This text of 34 N.E. 830 (Howe v. Provident Fund Society) is published on Counsel Stack Legal Research, covering Indiana Court of Appeals primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Howe v. Provident Fund Society, 34 N.E. 830, 7 Ind. App. 586, 1893 Ind. App. LEXIS 296 (Ind. Ct. App. 1893).

Opinion

Reinhakd, J.

We take the following statement, which we find substantially accurate, from the brief of appellee’s counsel:

This was an action brought by the appellant, against the appellee, upon a policy of accident insurance, to recover for eight weeks’ disability, at the rate of twenty-five dollars ($25) per week. The questions to be discussed arise under the fifth and sixth paragraphs of answer, and the replies of appellant to the said paragraphs of answer.

The fifth paragraph of answer alleges that the appel[588]*588lee is “a corporation oí the State of New York, organized .for the purpose of collecting and accumulating a fund to be held and used for the mutual benefit and protection of its members (or their beneficiaries), the business of the society being divided into life, sick benefits, and accident departments, its accident department being for the purpose of furnishing to its members indemnity to amount of actual loss suffered by them by reason of accidental injuries, within the terms of the certificate of membership, and the application made therefor; that it is purely mutual, and derives its funds to meet claims of members solely by assessments made on members; that applicants for membership are admitted upon written applications for membership; * * * that said James Howe, plaintiff, in said application for membership, stated as follows: T hereby apply for membership, to be based on the following statements of facts, which I warrant to be true.’ And that said plaintiff further stated in said application: ‘My weekly income exceeds the amount of weekly indemnity herein applied for.’ Defendant says that the statement of said plaintiff as to his weekly income was false and untrue, and a breach of the warranty contained in the application and policy, in this, to wit: That whereas in the application for membership in the defendant society, the plaintiff applied for membership in ‘class A,’ with weekly indemnity of twenty-five dollars per week, the weekly income of plaintiff did not exceed fifteen dollars per week.”

The sixth paragraph of answer alleged the same facts as to the mutuality of the society, and further: ‘ ‘That it is provided in said application as follows: ‘And I agree that the benefits to which I shall be entitled shall be governed and paid in the same ratio that my weekly income bears to the amount of weekly indemnity insured for.’ * * * Defendant says that the weekly indemnity ap[589]*589plied for by plaintiff, and insured to him by said policy, was twenty-five dollars ($25) per week; and that the weekly income of plaintiff at the time of his injury complained of was fifteen dollars ($15). Wherefore defendant says that if plaintiff be entitled to recover anything by reason of said alleged accidental injury, plaintiff is only entitled to recover, under the terms of said agreement, the sum of fifteen dollars ($15) per week, weekly indemnity, for the time he may have been disabled by reason of said alleged injuries.”

To the said- fifth and sixth paragraphs of answer, the appellant filed special replies, alleging that he had told the agent that his weekly income was but fifteen dollars per week, and that the agent, without his knowledge or consent, had inserted the false answer in the application, and that the application was wholly written and filled out by the agent of the appellee, and that he had no knowledge of any false answers in said application.

• To these replies, a demurrer was filed, and sustained by the court. The appellant then withdrew his general denial, and judgment was rendered on the pleadings in favor of appellee.

The errors assigned for argument here, by the appellant, are:

First. The court erred in sustaining defendant’s (appellee’s) demurrer to plaintiff’s second paragraph of reply to defendant’s fifth paragraph of answer to plaintiff’s (appellant’s) complaint.
Second. The court erred ' in sustaining defendant’s demurrer to plaintiff’s second paragraph of replyto defendant’s sixth paragraph of answer to plaintiff’s complaint.

The first question we are to decide, and which is involved in the ruling of the court upon the demurrers to the reply, relates to the alleged misrepresentation re[590]*590specting the appellant’s weekly income. The statement in the application concerning this is a warranty, and it is not controverted in appellant’s brief that the averment contained in the fifth and sixth paragraphs of the answer upon this subject will work a forfeiture, unless they are overcome by the allegations in the reply.

The fifth paragraph of the answer makes the application an exhibit, and'in it the following provision is contained:

“Inclosing fee of $5, I hereby apply for membership, to be based upon the following statements of facts, which I warrant to be true; and I agree to accept a certificate of membership, subject to all its conditions and provisions, and also agree that said society shall not be bound by any statement made to, or knowledge possessed by, any agent or broker not written in this application, hereby appointing such person my agent to enter my answers to the following statements.”

Is .the appellant concluded by this statement in his application, so that he may not show that the person who wrote the same, was in fact the agent of the company and not his agent, and that the language ascribed to him was in fact not his, but that of the agent? This question, we do not hesitate to say, must be answered in the negative. Whether the writer of the instrument is the agent of the applicant or of the company, must depend not solely upon the stipulation of the parties, either in the application, or in the policy, or in both, but upon the facts and circumstances surrounding the transaction and disclosing the actual relations the parties sustained to each other when the application was made. The mere fact that the representative of an insurance company writes in an 'application the words, “this man is my agent,” and causes the applicant to sign the same without disclosing to him the contents of such ap[591]*591plication, does not necessarily constitute him the applicant’s agent, if he be not such in fact. It is, at most, but an admission, and admissions are never conclusive. If the facts constituting the agency are in dispute, so as to leave the question as to whose agent he is in doubt, then an admission may serve to assist in solving the doubt and bind the party making it. But when the facts are established, the law determines whether or not there is an agency, and no admission can change it. If A. says he stole B.’s horse, but the facts show that he did not steal it, the admission does not make him a thief in the eyes of the law. The stipulation is but an attempt to evade the law of agency, and can not be given a controlling force when it is shown that, in fact, there was no such agency. Indiana Ins. Co. v. Hartwell, 100 Ind. 566; North British, etc., Ins. Co. v. Crutchfield, 108 Ind. 518; Phenix Ins. Co. v. Allen, 109 Ind. 273; Commercial Union Assurance Co. v. State, ex rel., 113 Ind. 331; Geiss v. Franklin Ins. Co., 123 Ind. 172; Phenix Ins. Co. v. Golden, 121 Ind. 524; Rogers v. Phenix Ins. Co., 121 Ind. 570; Phœnix Ins. Co. v. Stark, 120 Ind. 444; Phenix Ins. Co. v. Pickel, 119 Ind. 155; Pickel v. Phenix Ins. Co., 119 Ind.

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Bluebook (online)
34 N.E. 830, 7 Ind. App. 586, 1893 Ind. App. LEXIS 296, Counsel Stack Legal Research, https://law.counselstack.com/opinion/howe-v-provident-fund-society-indctapp-1893.