Landau v. Equitable Life Assurance Society of United States

166 Misc. 42, 1 N.Y.S.2d 891, 1938 N.Y. Misc. LEXIS 1232
CourtCity of New York Municipal Court
DecidedJanuary 24, 1938
StatusPublished

This text of 166 Misc. 42 (Landau v. Equitable Life Assurance Society of United States) is published on Counsel Stack Legal Research, covering City of New York Municipal Court primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Landau v. Equitable Life Assurance Society of United States, 166 Misc. 42, 1 N.Y.S.2d 891, 1938 N.Y. Misc. LEXIS 1232 (N.Y. Super. Ct. 1938).

Opinions

Genung, J.

The issue here presented is whether the incontestability clause contained in a life and disability policy bars the defendant’s rescission of disability benefits contained in a life insurance policy because of misrepresentations contained in the application which formed part of the insurance contract.

[44]*44The case has been submitted upon an agreed statement of facts, to which is annexed the policy and the application upon which the policy was issued.

It is conceded that on October 1, 1936, some five years after the issuance of the policy, plaintiff became totally and presumably permanently disabled, within the meaning of the policy, and has remained so disabled to the date of the trial.

By the stipulation it is admitted that prior to the application plaintiff had been' suffering from certain aihnents, had received certain hospitalization and medical attendance, and had undergone certain operations, of which facts the defendant had no knowledge, and if it had known of these facts it would not have issued the policy.

The prior history so admitted is inconsistent with the representation contained in the application, and, unless the policy and its disability benefits be deemed incontestable, defendant’s rescission must be sustained.

It, therefore, becomes necessary to consider the incontestability clause contained in the policy in the light of policy provisions imposed by the Insurance Law.

Section 101 of the Insurance Law makes compulsory the inclusion of certain provisions in life or endowment insurance policies. Subdivision (2) of that section, which deals with incontestability, requires: A provision that the policy shall be incontestable after it has been in force during the lifetime of the insured for a period of two years from its date of issue, except for non-payment of premiums and except for violation of the conditions of the policy relating to military or naval service in time of war and at the option of the company provisions relative to benefits in the event of total and permanent disability and provisions which grant additional insurance specifically against death by accident may also be excepted.”

It is not questioned that the defendant by appropriate provisions could have exempted from the time limitation disability benefits as well as life insurance. However, the plaintiff urges that the language employed in the incontestability clause does not effect such exemption.

As an exercise of the option which the statute affords, the defendant refers to the following policy provision:

Incontestability and freedom of travel, residence and occupation. This policy, except as to the provisions relating to Disability and Double Indemnity shall be (A) incontestable after it has been in force during the lifetime of the Insured for a period of one year from its date of issue, provided premiums have been duly paid.”

[45]*45Neither counsel cites any New York cases wherein the controlling question was the construction of the language in an incontestability clause as applied to disability benefits.

In the State authorities to which references are made, apparently the language employed was deemed adequate to enable a contest of the disability benefits. In the main these cases involve consideration as to whether the life and disability provisions of an insurance contract constitute a divisible or indivisible contract. However, Rhine v. New York Life Ins. Co. (273 N. Y. 1) has decided that the life and disability provisions in the policy were so interwoven as to constitute a single integral insurance contract.

The Court of Appeals has indicated, however, its attitude toward ambiguous language in insurance policies.

In Mansbacher v. Prudential Ins. Co. (273 N. Y. 140, 143), in an opinion by Crane, Ch. J., it is stated: “ We have said more than once that insurance policies upon which the public rely for security in death, sickness or accident, should be plainly written in understandable English, free from fine distinctions which few can understand until pointed out by lawyers and judges.”

In emphasizing the need for a definiteness and certainty in the incontestable clauses of a policy, Cardozo, Ch. J., in Killian v. Metropolitan Life Ins. Co. (251 N. Y. 44 49), says: “ The value of a clause declaring a policy incontestable lies in no slight degree in the definiteness of the protection accorded to the holder. The good that it promises is in part a state of mind. * * * Alike for insured and for beneficiaries there is to be the peace of mind that is born of definiteness and certainty.”

Lacking guidance from New York authorities in the application of these general principles to the question involved, recourse must be had to the numerous Federal authorities wherein the question under consideration has been discussed.

To the general rule that ambiguity in a policy should be resolved in favor of the insured, these cases stress the further consideration that where the insurer is attempting to avail itself of an exemption from statutory compulsion it should do so by clear and unmistakable language.

Omitting phrases not material to the issue, subdivision 2 of section 101 requires: “A provision that the policy shall be incontestable after it has been in force during the lifetime of the insured for a period of two years from its date of issue except * * * at the option of the company provisions relative to benefits in the event of total and permanent disability.”

The language in the policy is neither an adherence to that of the statute nor an amplification thereof. The phrase employed [46]*46except as to the provisions relating to disability and double indemnity ” may connote something quite different from the language used in the statute.

On the first page of the policy, which contains the company’s contractual obligation a liability is assumed for benefits in the event of total and permanent disability. The omission of the words used in the statute, to wit, benefits in the event of,” may well create a doubt as to whether the excepting clause is referable to this contractual obligation or only to those provisions elsewhere grouped under the heading “ Total and Permanent Disability.”

The right of rescission, as disclosed by the stipulated facts, is because of misstatements in the application. The distinction between an insurance contract and the policy itself is not to be overlooked. The contract consists of the policy and the application. The application, even though attached to the policy, is not a part of the policy.

Section 101, subdivision (3), makes compulsory as a provision in the policy a statement that the policy contains the entire contract, “ but if the company desires to make the application a part of the contract it may do so provided a copy of such application shall be endorsed upon or securely attached to the policy when issued, and in such case the policy shall contain a provision that the policy and the application therefor shall constitute the entire contract between the parties.”

In the policy under consideration it is made incontestable “ except as to the provisions relating to disability and double indemnity.”

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Bluebook (online)
166 Misc. 42, 1 N.Y.S.2d 891, 1938 N.Y. Misc. LEXIS 1232, Counsel Stack Legal Research, https://law.counselstack.com/opinion/landau-v-equitable-life-assurance-society-of-united-states-nynyccityct-1938.