McClelland v. Mutual Life Insurance

151 A.D. 264, 135 N.Y.S. 735, 1912 N.Y. App. Div. LEXIS 7727
CourtAppellate Division of the Supreme Court of the State of New York
DecidedMay 22, 1912
StatusPublished
Cited by7 cases

This text of 151 A.D. 264 (McClelland v. Mutual Life Insurance) 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
McClelland v. Mutual Life Insurance, 151 A.D. 264, 135 N.Y.S. 735, 1912 N.Y. App. Div. LEXIS 7727 (N.Y. Ct. App. 1912).

Opinion

Foote, J.:

The action is upon a policy of life insurance payable to plaintiff, issued upon the life of her husband, Eugene B. McClelland, for $1,000, dated January 12, 1910. McClelland made a written application for this policy on January twelfth when he was in good health. It was delivered on January seventeenth and the first premium paid on the next day. On the twelfth, after signing the application, McClelland went to Hew York city from his home in Syracuse and returned on the evening of the fourteenth, ill with a cold and grippe. He was put to bed, a physician summoned, and did not again leave his house; his death occurred on February seventeenth.

Defendant’s local agent at Syracuse, who had secured the application, called at McClelland’s store on Saturday, the fifteenth, with the policy ready for delivery, and was then informed that McClelland was at home ill with what was thought to be a slight attack of the grippe. He called- again on Monday, the seventeenth, and was again informed to the same .effect. He then delivered the policy to a clerk in McClelland’s employ at his store, who put it in McClelland’s safe, where it remained until after his death. This clerk promised to, and did, secure McClelland’s check for the first premiuih on the [266]*266following day, the eighteenth, and the agent called at McClelland’s store on that day and received the check. He was then informed that McClelland was still ill and confined to his house in bed with the grippe, but that his physician did not consider the illness serious. Pneumonia developed, which the physician discovered early in February. Inflammation or degeneration of the muscular tissues of the heart followed, which was the immediate cause of death. This inflammation was preceded by gradually developing broncho-pneumonia, also described as atypical pneumonia because lacking some of its usual features, such as lung involvement. Although the presence of pneumonia had not been discovered by the attending physician on January eighteenth, he testified upon the trial that in his opinion, based upon the subsequent history of the case, McClelland was suffering from atypical pneumonia on that day.

The application for the policy which McClelland signed contained the following: “All the following statements and answers, and all those that I make to the company’s medical examiner in continuation of this application, are true, and are offered to the company as an inducement to issue the proposed policy, which I hereby agree to accept, and which shall not take effect unless and until the first premium shall have been paid during my continuance in good health, and unless also the policy shall have been issued during my continuance in good health.” This application was subsequently attached to and became a part of the policy contract.

It was the claim of plaintiff at the trial that the delivery of the policy and the acceptance of the first premium by defendant’s agent, with knowledge that McClelland was ill at home, was a waiver of the condition that it should not “take effect .unless and until the first premium shall have been paid during my continuance in good health, and unless also the policy shall have been issued during my continuance in good health.”

A nonsuit was granted at the close of plaintiff’s case, the trial court holding that, although the agent may have had power to bind the company by waiver, the ■ evidence did not show that the agent had knowledge or notice that McClelland had the serious illness, pneumonia, which he in fact had. ■

The policy contained these provisions:

[267]*267“This policy and the application herefor, copy of which is endorsed hereon or attached hereto, constitute the entire contract between the parties hereto.”
And
“Agents are not authorized to modify this policy or to extend the time for paying a premium.”

Plaintiff urges "that the nonsuit was erroneous because" the acceptance of the first premium, with notice that McClelland was ill, was a waiver of the condition of the policy, and estopped the company from claiming that it did not go into effect, and for this plaintiff relies principally upon Ames v. Manhattan Life Ins. Co. (40 App. Div. 465; affd., 167 N. Y. 584, on the opinion of Barrett, J.); Benjamin v. Palatine Ins. Co., Ltd., (80 App. Div. 260; affd., 177 N. Y. 588); Stewart v. Union Mutual Life Ins. Co. (155 id. 257), and Wood v. American Fire Ins. Co. (149 id. 385).

In the Ames case the agent who delivered the policy and received the first premium was informed that Ostermoor, the insured, was ill at home. The agent made no attempt to ascertain the nature and extent of • this illness. Ostermoor was, in fact, ill in bed with a fatal illness from which he died four or five days later. It appears from the record that Mr. Justice Lawrence in his charge to the jury instructed them that when the agent delivered the policy at Ostermoor’s place of business he was told that Ostermoor was at home sick; he inquired what was the matter with him and was told by the person he inquired of that he did not know; thereupon he delivered the policy and accepted the premium. The jury were further instructed as follows: “ Aow, gentlemen, I charge you, if you believe that, you may find the condition that Ostermoor should be in good health at the time of the delivery of the policy or else that it should have no inception, was waived. If you believe that with knowledge of the fact that Ostermoor was at home ill, Zhnmérman (the agent) neglected to go into particulars to ascertain as to what was the matter with Ostermoor, that was a matter with which this plaintiff has nothing to do, unless you find that he fraudulently concealed the information from Zimmerman.” The correctness of this charge was sustained in the Appellate Division and by the Court of Appeals.

[268]*268In the case at bar the agent made similar inquiries in respect to McClelland and was informed that he was at home ill with a cold and the grippe and that the illness was not considered serious. This information was correct according to the then understanding of the physician and the family. Here, the agent acted upon this information, delivered the policy and received the premium. McClelland was then, as was the insured in the Ames case, at home and in bed with a fatal illness. In each case the agent knew of the illness and if the act of the agent, in the Ames case is to be binding upon the company as a waiver, it would seem that a like result must follow here for the agent undertook to take the risk for his' company knowing that McClelland was ill. There was no concealment or misrepresentation as to the seriousness of the illness, and no one at that time considered it serious or dangerous. ■ As the agent in the Ames case acted without knowledge that the insured in that case was dangerously ill and was held to have thereby waived the condition of the policy for his company, it would seem that the same result must follow here, and that if the authority of the Ames' case has not been overthrown, the trial court erred in holding that there was' no waiver because the agent did not have knowledge or notice that McClelland’s illness was in fact pneumonia, although hot so known or understood by any one at the time. Moreover, in the Ames case, the court was asked by counsel for the insurance company to charge the jury as follows: “The delivery of the'policy by Zimmerman did.

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Cite This Page — Counsel Stack

Bluebook (online)
151 A.D. 264, 135 N.Y.S. 735, 1912 N.Y. App. Div. LEXIS 7727, Counsel Stack Legal Research, https://law.counselstack.com/opinion/mcclelland-v-mutual-life-insurance-nyappdiv-1912.