Kwiatkowski v. Brotherhood of American Yeomen

216 A.D. 647, 216 N.Y.S. 102, 1926 N.Y. App. Div. LEXIS 9294
CourtAppellate Division of the Supreme Court of the State of New York
DecidedMay 5, 1926
StatusPublished
Cited by1 cases

This text of 216 A.D. 647 (Kwiatkowski v. Brotherhood of American Yeomen) is published on Counsel Stack Legal Research, covering Appellate Division of the Supreme Court of the State of New York primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Kwiatkowski v. Brotherhood of American Yeomen, 216 A.D. 647, 216 N.Y.S. 102, 1926 N.Y. App. Div. LEXIS 9294 (N.Y. Ct. App. 1926).

Opinions

Crouch, J.

The action is on a membership certificate in a fraternal benefit society. The defense is a breach of warranty. In the written application, signed by the insured, in reply to a question as to how many children she had had, the answer “ three ” appears. The insured in fact had had seven children.

On the trial evidence was given over defendant’s objection and exception tending to show that the medical examiner never in J fact asked the question, consequently that the insured did not make the false answer, and that the answer as it appears in the application Was solely the act of the medical examiner.

A copy of the application was annexed to the certificate physically, and was made a part thereof by appropriate reference. Section 232 of the Insurance Law (as added by Laws of 1911, chap. 198) also provides that the application for membership and medical examination signed by the applicant shall constitute part of the agreement between the society and member. The application contains the following provision: “ I further agree that the statements and answers made herein, the pen or photographic copy of which being attached to my certificate, shall be held to be my statements, and I agree that any untrue answer * * * shall immediately, whether material to this risk or otherwise, without process, render the certificate issued null and void, and in such event I. agree to forfeit both such certificate and all payments that" shall have been made thereon.”

[649]*649At the close of the whole case each party moved for the direction of a verdict. The court thereupon directed a verdict in favor of the plaintiffs.

The contention of the appellant is, in substance, that since the application Was signed by the insured, and a copy thereof physically attached to the certificate and delivered therewith to the insured, the retention of the certificate and application, with the false statement therein, serves as matter of law to estop the plaintiffs from claiming that the falsity of the answer was the act of defendant’s agent.

In the case of Sternaman v. Metropolitan Life Ins. Co. (170 N. Y. 13), followed by Butler v. Michigan Mutual Life Ins. Co. (184 id. 337), it was held that when an applicant for insurance made truthful answers to questions propounded by the medical examiner, who recorded them erroneously or falsely, such falsity would not avoid the policy. That decision was placed upon the broad ground that an insurance company could not take the money of the insured while he lived and, when he was dead, claim a forfeiture on account of what it knew at the time it made the contract of insurance, for that Would be a fraud.” (P. 23.) That Was a principle well established in the State by many decisions from the time of Van Schoick v. Niagara Fire Ins. Co. (68 N. Y. 434). Whether it be said to rest on estoppel or waiver or both is immaterial. It was in fact an arbitrary rule adopted for equitable ends to meet recognized and inevitable conditions existing in the gwasi-public I business of insurance. (See 26 Columbia L. Rev. 203.)

No consideration was given, so far as the opinion shows, to the effect of the presence or absence of the application as a physical part of the policy.

The Sternaman case was decided in 1902. In 1904 the case of Hook v. Michigan Mutual Life Ins. Co. (44 Misc. 478; affd., 139 App. Div. 922) distinguished the Sternaman case by saying that there it did not appear that copies of the application and medical examination were delivered with the policy.” It was held that where such copies were delivered with the policy, the usual rule applicable to contracts generally (See Miller v. Phoenix Mutual Life Ins. Co., 107 N. Y. 292, 296) prevailed; and that it was incumbent upon the insured to examine them, and that he could not escape the consequences by failing to do so. ,

To the same effect Was Carmichael v. John Hancock Mutual Life Ins. Co. (116 App. Div. 291, 294), decided in December, 1906.

By the Laws of 1906, chapter 326, what is now section 58 of the Insurance Law of 1909 was added to the Insurance Law of 1892. It is said in Archer v. Equitable Life Assur. Soc. (218 N. Y. 18) [650]*650that this statute was intended to cure certain conditions existing at the time of its enactment, one of which was that the warranties and representations made by the insured in the process of issuing the policy might be and frequently were retained, exclusively by the insurers; so that the persons insured had not incentive or opportunity * * * to examine and correct any errors in them arising through mistake, carelessness, ignorance or fraud, or to terminate the policy.”

Among other cases dealing with the effect of section 58 of the Insurance Law was Bollard v. New York Life Ins. Co. (98 Misc. 286; affd., 182 App. Div. 915; affd., 228 N. Y. 521), decided by the Appellate Term in the First Department in 1917, with an opinion by Judge Lehman. As in the Hook case, the Sternaman case was distinguished by saying that “ there is no evidence that the insured or the beneficiary ever received the application or saw it after it Was signed.”

The result reached Was the same as in the Hook and Carmichael cases. But just what additional effect section 58 had on the rule of law stated in those cases was not distinctly pointed out, although it was said that “ it Was the evident purpose of the Legislature that each party to the contract was to receive complete copies of the contract so that there might be no dispute as to what the contract contained or what it was intended to contain. It would certainly seem anomalous if under such circumstances a defendant who has complied with the statute were estopped from using the contract or relying on its contents, merely because the other side had not examined or read the contract and relied upon the expectation that its contents Would conform to oral statements.”

The Bollard case went on its way to the Court of Appeals, and along with it went Stanulevich v. St. Lawrence Life Assn. (183 App. Div. 111), which had taken the contrary view, and adhered to the rule in the Sternaman case. Both appeals were decided at nearly the same time. The Bollard Case (228 N. Y. 521) was affirmed without opinion. The Stanulevich Case (228 N. Y. 586) was reversed on the authority of the Bollard case, and of Baumann v. Preferred Accident Ins. Co. (225 N. Y. 480), the brief per curiam opinion saying that “ the application being a part of the policy, the insured and assured are bound by its terms, as it is part of the contract of insurance. The application in question was signed by the plaintiff. The plaintiff cannot maintain his present action.”

The effect of that decision is not clear. While the Bollard case was an action on a policy of life insurance to which section 58 plainly applied, the Sianulevich case was an action to recover sick benefits under an accident and health policy. In the Appellate [651]*651Division it seems to have been treated as falling within section 58. Before it was reached in the Court of Appeals, that court had decided in Baumann v. Preferred Accident Ins. Co. (225 N. Y. 480) that section 58 Was applicable only to life insurance policies.

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Bluebook (online)
216 A.D. 647, 216 N.Y.S. 102, 1926 N.Y. App. Div. LEXIS 9294, Counsel Stack Legal Research, https://law.counselstack.com/opinion/kwiatkowski-v-brotherhood-of-american-yeomen-nyappdiv-1926.