Kanatas v. Home Life Insurance Co. of America

189 A. 293, 325 Pa. 93, 1937 Pa. LEXIS 341
CourtSupreme Court of Pennsylvania
DecidedDecember 3, 1936
DocketAppeal, 48
StatusPublished
Cited by9 cases

This text of 189 A. 293 (Kanatas v. Home Life Insurance Co. of America) is published on Counsel Stack Legal Research, covering Supreme Court of Pennsylvania primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Kanatas v. Home Life Insurance Co. of America, 189 A. 293, 325 Pa. 93, 1937 Pa. LEXIS 341 (Pa. 1936).

Opinion

Opinion by

Me. Justice Linn,

Appellant complains that a verdict was directed for the defendant in her suit on a policy of insurance on the life of her husband, effective April 12, 1929. Five times between February 12, 1933, and March 12, 1934, the insured permitted the policy to lapse for non-payment of premium, and five times it was reinstated. The learned president judge of the court below held that the re-in-statement was obtained by misrepresentation of facts essential to reinstatement. The insured died of sarcoma of the lungs September 30, 1934.

Appellant’s first proposition is in these words: “Can an insurer avoid liability on a policy of life insurance by wrongfully lapsing same for non-payment of premiums during the period of grace and before the expiration of same, and then on the death of insured defend on the ground that the insured had given false answers for reinstatement after such wrongful lapse?” Obviously the answer would be no. But the question does not state the issue presented. If we understand plaintiff’s argument, it is that the insured paid his premiums quarterly at irregular times and in installments, and, so regarding the time, there was no lapse. We must reject the contention. We infer from the admission of plaintiff’s counsel made at the trial that the premiums were payable monthly. While the policy provided that premiums might be paid quarterly, it also provides as follows: “PAYMENT OF PREMIUMS: Premiums are due and payable annually in advance but (including the first year’s premium) may be paid in semi-annual, quarterly or monthly installments. Except as herein provided the payment of a premium or installment thereof shall not maintain this policy in force beyond the due date of the next premium or installment of premium.” The monthly rate is slightly higher than the quarterly rate and plaintiff’s replication avers that the higher rate was paid, which confirms the conclusion that it was pay *96 able monthly. Plaintiff called a witness, Burke, who testified to the dates of premium payments from the delivery of the policy to the death of the insured. During the introduction of evidence by defendant, plaintiff asked for an offer of proof; whereupon, as the record shows, the following admission was made on behalf of plaintiff. “Mr. Arnold [for defense]: I offer to prove by this witness the payments from the inception of the policy to the date of the death of James Kanatas, the dates of each payment, which is practically the same as Mr. Burke testified. Mr. Smith [representing plaintiff] : It is admitted that the amounts and time of payments as testified to by Mr. Burke are correct. Mr. Arnold: I also propose to prove by this witness that there were no other amounts received from Kanatas or any one on his behalf than those payments. Mr. Smith: It is agreed that that is a fact.”

We cannot reject those facts. The premium was payable monthly; there were lapses and the applications for reinstatement necessarily admitted defaults from time to time; the insured conceded, by his applications, that there had been five defaults or lapses.

The next point is whether the reinstatement was obtained by misrepresentation. Does the evidence show conclusively that the representations, on the faith of which the reinstatement was made, “were false in fact and that the insured knew they were false when he made them, since an answer known by insured to be false when made is presumptively fraudulent”? Evans v. Penn Mutual Life Ins. Co., 322 Pa. 547, 553, 186 A. 133.

The proofs of death, produced by defendant on plaintiff’s call, were offered in evidence by plaintiff for the “purpose of showing compliance with the terms of the policy”; .defendant objected to the limited character of the offer; the objection was overruled, the learned president judge received them saying, “The question of their sufficiency is reserved but they will be received as part of the plaintiff’s ease.” They consisted of four parts, *97 one filled out by the beneficiary and three by various physicians. Defendant again offered them in evidence in its case and was met by objection on behalf of the plaintiff. In the part of the proofs of death executed by plaintiff herself, she stated that the insured first complained of, or gave other indications of, his last illness, on January 7,1933, and upon that date consulted a physician for this illness. These statements were made under oath. In response to a request for the names and addresses of all physicians who had attended the insured during his last illness and for three years prior thereto, she gave the names of two, after each name, adding “see Dr. Certificate”, which was attached. In examining the attached certificate, we find in the first one that the insured died of recurrent sarcoma of the lungs; that the physician operated on January 7, 1933, and removed the sarcoma, with the result, as he reported, that there was an “operative recovery for several months then recurrence.” The plaintiff cannot now require the truth of her sworn statements, uncontradicted and unexplained, 1 to be submitted to the jury to ascertain whether they are true or not; she is bound by them: Evans v. Penn Mutual Life Ins. Co., 322 Pa. 547, 556, 186 A. 133, and cases there cited.

The insured’s representations on which reinstatement was obtained were false. The illness of January 7,1933, involving the removal of a malignant tumor was material to the risk: New York Life Insurance Co. v. Brandwene, 316 Pa. 218, 223, 172 A. 669. The insured must have known that his representation was false for the operation of January 7th was so recent and so serious that he could not have forgotten it: Evans v. Penn Mutual Life Ins. Co., 322 Pa. 547, 554, 186 A. 133; Kzyszton v. John Hancock Mutual Life, 320 Pa. 65, 181 A. 587; New York Life Ins. Co. v. Brandwene, 316 Pa. *98 218, 172 A. 669; Baxter v. New York Life Ins. Co., 115 Pa. Superior Ct. 287, 294, 175 A. 899.

Appellant also contends that the defense is barred by the provision in the policy providing that “except for nonpayment of premiums, [it] shall be incontestible during the lifetime of the Insured, two years from its date of issue.” The subject was referred to in Smith v. State Mutual Life Assurance Co. of Worcester, 321 Pa. 17, 184 A. 45, in which it was decided that when a policy lapsed for nonpayment of premium, it was no longer a contract, and when reinstated it was reinstated in its entirety. We said of the incontestability provision that where there is reinstatement after lapse for nonpayment of premiums the insurer has two years from the reinstatement within which to investigate the condition of the insured. The assignment raising this point is overruled.

We need not discuss the 5th assignment beyond saying that the brief does not call attention to any error. It violates Rule 22 which prohibits including more than one point in a single assignment. Apparently, as the learned trial judge said “The answer of the witness is only a mathematical calculation and just exactly what is pi’ovided under the non-forfeiture clause of the policy.”

Appellant also complains of the admission of hospital records.

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

Related

Goldberg v. Altman
154 A.2d 279 (Superior Court of Pennsylvania, 1959)
Schwartz Estate
87 A.2d 270 (Supreme Court of Pennsylvania, 1952)
Culver v. Commonwealth
29 A.2d 531 (Supreme Court of Pennsylvania, 1942)
Freedman v. Mutual Life Insurance Co. of New York
21 A.2d 81 (Supreme Court of Pennsylvania, 1941)
Glaser v. Metropolitan Life Insurance
11 A.2d 558 (Superior Court of Pennsylvania, 1939)
Datesman v. Federal Life Ins.
35 Pa. D. & C. 251 (Philadelphia County Court of Common Pleas, 1939)
Siegfried v. Lehigh Valley Transit Co.
6 A.2d 97 (Supreme Court of Pennsylvania, 1939)
Indovina v. Metropolitan Life Insurance
5 A.2d 556 (Supreme Court of Pennsylvania, 1939)
Smith v. State Mut. L. A. Co. of Worcester
199 A. 358 (Supreme Court of Pennsylvania, 1938)

Cite This Page — Counsel Stack

Bluebook (online)
189 A. 293, 325 Pa. 93, 1937 Pa. LEXIS 341, Counsel Stack Legal Research, https://law.counselstack.com/opinion/kanatas-v-home-life-insurance-co-of-america-pa-1936.