Joseph v. New York Life Insurance

219 Ill. App. 452, 1920 Ill. App. LEXIS 169
CourtAppellate Court of Illinois
DecidedNovember 4, 1920
DocketGen. No. 25,300
StatusPublished
Cited by19 cases

This text of 219 Ill. App. 452 (Joseph v. New York Life Insurance) is published on Counsel Stack Legal Research, covering Appellate Court of Illinois primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Joseph v. New York Life Insurance, 219 Ill. App. 452, 1920 Ill. App. LEXIS 169 (Ill. Ct. App. 1920).

Opinion

Mr. Justice O’Connor

delivered the opinion of the court.

On March 1, 1913, the New York Life Insurance Company issued its two policies to Simon Joseph, one for $1,000 and the other for $2,000, in which his wife, Dora Joseph, was named as beneficiary. March 30, 1913, Simon Joseph died. Liability under the policies was denied and Dora Joseph brought this suit. The case was decided on the pleadings. There was a finding and judgment in favor of plaintiff for $3,861.67, being the full amount of her claim, to reverse which defendant prosecutes this appeal.

The declaration consisted of two counts, one on each policy. The policies, of which the applications were a part, were set out in hose verba and each contained the following provision: “The policy and the application therefor constitute the entire contract between the parties. All statements made by the insured shall, in absence of fraud, be deemed representations and not warranties, and no such statements shall avoid this policy or be used in defense to a claim hereunder unless it be contained in said written application, a copy of which was attached to this policy when delivered. ’ ’ The applications were attached to the policies and set out questions put to Joseph, and answers made by him. The application also set out “Answers made to the Medical Examiner,” and contained the following: “I warrant and declare, on behalf of myself and of every person who shall have or claim any interest in any insurance made hereunder, that I have carefully read each and all of the above answers, that they are each written as made by me, that each of them is full, complete and true, and that to the best of my knowledge and belief I am a proper subject for life insurance. Each and all of my said answers are made by me to obtain said insurance, and I understand and agree that they are each material to the risk and that the Company believing them to be true will rely and act upon them.” To each count defendant filed a special plea which set up that Simon Joseph had misrepresented and concealed material matters concerning the state of his health; that upon discovery of these facts (after Joseph’s death) the company elected to rescind the policies and tendered back the premiums; that the tender was refused.

It was averred in the pleas that Joseph applied for insurance and submitted himself to defendant’s physician for examination both orally and physically so that it could determine whether or not to issue a policy to him; that the following questions were put to Joseph and that he made the. following answers:

“Q. Have you ever raised or spat blood? A. No.
‘ ‘ Q. Have you ever had or suffered from any of the following diseases:
(A) Of the brain or nervous system? A. No.
(B) Of the heart or lungs ? A. No.
(C) Of the stomach, intestines, liver, kidneys or bladder? A. No.
(D) Of the skin, middle ear or eyes? A. No.
(E) Rheumatism, gout or syphilis? A. No.
“Q. Have you consulted any physician for any ailment or illness not mentioned above? A. No.”

Thereupon the Medical Examiner asked Joseph the following question:

“Q. -Has the applicant recently lost weight, and if so, how much, and to what is it due?”

And that Joseph answered that he had not. The plea then avers that each of the answers was false and untrue and that Joseph “knew them to be false arid untrue” and knew that they were to be relied and acted upon by the defendant in determining whether a policy should issue; that Joseph made them “with such knowledge for the purpose of defrauding and deceiving the defendant” and inducing it to issue a policy. The plea further averred that for 6 months prior to the examination Joseph had been passing blood and lost in weight approximately 30 pounds; that he was under the care of a physician for enteritis caused by carcinoma or cancer of the intestines; that he was then preparing for an operation for the removal of the cancer; that he was operated on and died shortly thereafter as a result thereof; that Joseph had been under the care of a physician for such disease long prior to the examination, “all of which said Joseph well knew and concealed from said examiner” for the purpose of defrauding the defendant and inducing it to issue a policy; that the answers were taken to be true and the company issued its policies on the strength of them, and upon discovery of the fraud after Joseph’s death it tendered back the premium and claimed the policies were void. Afterward defendant filed additional pleas which were substantially like the special plea first filed except that a copy of the questions put to and the answers made by Joseph were set out in hcec verba in these pleas. It was also averred that Joseph knew his answers were false and untrue, and that he purposely, and with intent to deceive, concealed the true facts and that he knew that the policies would be issued in reliance .upon the truthfulness of his answers. To these pleas plaintiff filed several replications, among other things setting up that if the answers made by Joseph were untrue he did not know that they were untrue; that he did not know he had suffered from any of the diseases mentioned in the questions put to him. Defendant demurred to these replications and the demurrer was overruled. The first special plea was held bad on demurrer and defendant refusing to plead further, judgment was entered against it for the amount claimed. '

Defendant first contends that its special plea set up a good defense of rescission by it of the policies on the ground that they were obtained by misrepresentation and concealment of material facts as to the state of health of the assured; that its defense is based not ‘‘ on the contract” but on a rescission of it; that after the death of Joseph the insurance company first learned of the deception practiced upon it and that it then notified plaintiff of the deception, tendered back the premium and denied liability on the policies; that this constituted a rescission of the contract. In any view of the case, we must determine whether this plea set up a good defense. We think it did not, for the reason that it sought to set up the question whether Joseph had recently lost weight and the answers made which were not contained in the application, contrary to the terms of the policy, for it was there expressly provided that the policy and application should constitute the entire contract, and that no representation made by the assured in his application could be interposed as a defense to the policy unless such representation was contained in the written application. Defendant could not be heard to say that other questions were asked the assured and other answers made than those appearing in the written application. This it sought to do and the demurrer was, therefore, properly sustained. In the case of Archer v. Equitable Life Assur. Society, 218 N. Y.

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Cite This Page — Counsel Stack

Bluebook (online)
219 Ill. App. 452, 1920 Ill. App. LEXIS 169, Counsel Stack Legal Research, https://law.counselstack.com/opinion/joseph-v-new-york-life-insurance-illappct-1920.