Ketchum & Co. v. State Mut. Life Assur. Co. of Worcester

162 F.2d 977, 1947 U.S. App. LEXIS 2216
Court of Appeals for the Second Circuit·Decided July 23, 1947·No. No. 258, Docket 20581·Published·Cited by 4 cases

Opinion

L. HAND, Circuit Judge.

The plaintiff appeals from a judgment, entered upon the verdict of a jury in an action to recover upon a policy of life insurance, taken out upon the life of one of its officers, named Tuffiash. The defense was that Tuffiash in his application for the policy had stated that he had not seen a physician for five years and that he did not suffer from any heart ailment, when in fact both statements were false; and that the insurer would not have issued the policy if it had known the truth. The evidence was that the application, which was made in March, 1944, contained the following questions, to which Tuffiash made the following answers:

“17. Are you in good health? A. Yes.

“18. Have you ever suffered from any ailment or disease of * * * (b) the heart, blood vessels or lungs ? A. No.”

“20. What physician or physicians, or clinic, if any, not named above have you consulted or been treated by, within the last five years, and for what illness or ailment? A. None.”

In February, 1944, Tuffiash had consulted an orthopedic surgeon, named Kruger, who after examining him, sent him to a heart specialist, named Bernstein, because Kruger thought “that lie should have a complete, [978] general medical check-up to see if there was any “general condition that might explain his symptoms. I couldn’t find it on an orthopedic basis.” The chief symptom, which caused Kruger to send him to Bernstein, was that his hands swelled after they had hung down for a long time. Bernstein examined him and reported to Kruger that he found that “there was some sclerosis of the fundal blood vessels. That means in the eye grounds.” The electrocardiogram showed “some suggestion of early coronary insufficiency”; but “no organic cardio vascular disease.” Nevertheless “the cardiogram and the examination, especially the fact that he had some changes in the eye grounds, suggested a sclerosis. That helped me to decide that there may be some coronary insufficiency.” The defendant then put on witnesses who swore that, had it known of Bernstein’s report to Kruger, it would have rejected Tuffiash’s application.

The Court left three questions to the jury:

“(1) Did 1he insured, Charles Tuffiash, consult Dr. Bernstein during the year prior to applying for the policy in suit?

“(2) If you find an affirmative answer to auestion No. 1, would the defendant have issued the policy in suit had it known of such examination, without receiving a report from Dr. Bernstein?

“(3) If you find the answer to question 1 in the affirmative, would the defendant have issued the policy in suit had it received a report from Dr. Bernstein on the history given to him by the insured, his examinations and findings?”

The jury answered the first question, “Yes.”; the second and third questions, “No.” Thereupon the judge directed a judgment for the defendant. The only question is whether the three answers of the jury were adequate under § 149 of the Insurance Law of the State of New York, Consol.Laws, c. 28.1

Until 1909 all answers made by an applicant for life insurance to questions put by the insured were in New York regarded as warranties and invalidated the policy, if they were false.2 In that year however the legislature enacted § 58 of the Insurance Law which provided that in life insurance applications such answers should be treated as “representations,” and not “warranties”; the purpose being not to invalidate policies unless the truth supressed was “material as an inducement for the issue of the policy, and was untrue.” 3 In a series of later dec-sions the Court of Appeals decided that, although § 58 made the materiality of the misrepresentation depend upon whether the insurer would have refused the application, had it known the truth, as matter of law, the misrepresentation was always “material” if a physician had discovered that the applicant was suffering from any ailment, unless it was of an obviously trivial nature, like a cold in the head.4 In the last two of these decisions two judges dissented, on the ground that whether the ailment which the physician discovered was “material” was never a question of law, but always for the jury, subject of course to the same control over the verdict that a court has over any other verdict.

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Ketchum & Co. v. State Mut. Life Assur. Co. of Worcester, 162 F.2d 977, 1947 U.S. App. LEXIS 2216 (2d Cir. 1947).

162 F.2d 977 (Ketchum & Co. v. State Mut. Life Assur. Co. of Worcester) — published by Counsel Stack Legal Research, free access to 12M+ legal documents.

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