Melick v. Metropolitan Life Insurance

87 A. 75, 84 N.J.L. 437, 55 Vroom 437, 1913 N.J. Sup. Ct. LEXIS 86
CourtSupreme Court of New Jersey
DecidedJune 8, 1913
StatusPublished
Cited by6 cases

This text of 87 A. 75 (Melick v. Metropolitan Life Insurance) is published on Counsel Stack Legal Research, covering Supreme Court of New Jersey primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Melick v. Metropolitan Life Insurance, 87 A. 75, 84 N.J.L. 437, 55 Vroom 437, 1913 N.J. Sup. Ct. LEXIS 86 (N.J. 1913).

Opinion

The opinion of the court was delivered by

Garrison, J.

The meaning of a written contract is determined by the application of established canons to the language employed by the contracting parties. Where such contracting parties are, on the one hand, an insurance company that has formulated the contract in advance with the business foresight and legal advice at its- command and, on the other, a person who, upon the presentation of such contract to him, must accept or reject it with no other aid than his own limited experience and lack of legal knowledge, a further [439]*439canon is invoked winch is thus stated in our decisions. “It lias become a settled rule in the construction of contracts of insurance,” said Mr. Justice Depue, in Carson v. Jersey City Insurance Co., 14 Vroom 300, “that policies of insurance will be liberally construed to uphold the contract, and conditions contained in them which create forfeitures will be construed most strongly against the insurer and will never be extended beyond the strict words of the policy.” This language is quoted with approval in the opinion delivered in the Court of Errors and Appeals in the case of Hampton v. Hartford Fire Insurance Co., 36 Id. 265, with the additional declaration : “The court will never seek for a construction of a forfeiture clause in a policy which will sustain it, if one which will defeat it is reasonably dedueible from the terms and words used to express it.” In Snyder v. Insurance Company, 30 Id. 544, it was said: “Policies of insurance against fire are taken out by all classes of people, educated and uneducated, and no rule of law is more salutary than that conditions in these instruments expressed in terms ambiguous and capable of misleading shall not be allowed to avoid the contract.” In the more recent ease of Mackinnon v. Fidelity and Casualty Co., 43 Id. 29, it is pointed out that “the doctrine upon this subject arises from the relative position of the parties. * * * Such questions are formulated by the insurer under circumstances that admit of their being clear and direct. The purpose for which they are to be used is thoroughly understood and presumably they are the result both of experience and forethought. On the other hand, they are submitted to applicants for accident insurance who as a class are not experts in matters of this sort or in the construction of language by other than the simplest rules, to be answered under conditions that are, to say the least, none too favorable for critical examination.” If these judicial comments and precepts are properly applied to ordinary life insurance, to accident insurance and to fire insurance, with how much more force are they applicable to that class of persons who insure their lives for small sums by the payment of weekly premiums. If a canon of construction, based upon the gross [440]*440disparity between the contracting parties is ever applicable, it is to this class of cases.

■■

Guided, indeed controlled, by these considerations, we approach the language of the condition of this policy, the first claiise of which informs the insured in unmistakable language that this policy is void if the insured before its date has been rejected by this company. The normal antithesis of this is that the policy which is void if the insured has been rejected will not be so if he has been accepted so that if this latter effect is to be given to the language that follows it must be stated in clear and unequivocal terms.

The language to which this force was ascribed by the court below is as follows: “Or if any policy on the life of the insured has been issued by this company and is in force at the date hereof, unless this policy contains an endorsement signed by the secretary that such prior policy may be in force.”

The clear implication of this language, in view of its concluding clause, is that the secretary by withholding his endorsement as to a prior policy may affect the validity of such prior policy, which clearly is not so as matter of law and is in any "event a matter alien to the object of the condition, which is concerned with the validity not of a prior policy but of the present policy.

I confess my inability to understand what was sought to be expressed by this provision which would seem to require the secretary to do, for an alien purpose, an utterly nugatory act, viz., to permit a prior policy if in force to be in force. However this may be, the language of the condition makes it sufficiently clear that the company did not undertake to be bound by the mere act of its agent in issuing a policy if the company already had a policy in force on the same life, and it is equally clear that the question whether such later policy would be accepted by the company or be treated as void was committed solely to the decision of the secretary of the company, and hence that the mere issuing of the policy should not foreclose the company in this respect. This is a perfectly reasonable and intelligible provision, for the secretary is at the home office where the records of its policies are kept, [441]*441while the soliciting agents are scattered broadcast over the land; they are therefore given no discretion in the premises, everything is left to the discretion of the secretary.

The agents indeed issue policies which contain certain restrictions upon their power to bind the company, and where the restriction is absolute the policy is void in case of its violation as in the ease of a person previously rejected, or in the case of certain diseases, &c., but in the case of a previous policy in the same company the restriction is not absolute but only qualified, and the policy may or may not be void at the option of the insurer, to be determined by the action of its secretary.

tn fine, the agent writes the risk upon the proviso that the company may refuse to carry it. That the company has no absolute rule or policy against such risks is shown by the fact that in this very case a'prior policy. No. 45074331, was recognized as an existing insurance. The same likewise appears from the fact that the present policy which contains the entire agreement is based upon no statement or answer, representation or warranty of the insured, but solely on the act of the agent in issuing the policy with the reserved right of the home office to reject it.

Apparently, the agent lias no duty or authority to put questions to the insured who, so far as appears, was neither interrogated nor informed with respect to prior insurance with the company or the effect thereof, although the fact was that for more than twelve years the company had been in receipt of her weekly premium on policy No. 10901685. An act thus repeated hundreds and hundreds of times normally carries with it a conclusive presumption of knowledge.

The company having thus reserved to itself the right to refuse to bo bound by a policy issued by its agent, it is reasonable that an interval after such issuance be afforded the company in which to arrive at its decision and to exercise its option, which may lie to accept the risk, notwithstanding such prior insurance or may be to decline it for that reason. This we take it is the fair construction to he put upon the condition of the plaintiff’s policy, a construction that affords all [442]

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Cite This Page — Counsel Stack

Bluebook (online)
87 A. 75, 84 N.J.L. 437, 55 Vroom 437, 1913 N.J. Sup. Ct. LEXIS 86, Counsel Stack Legal Research, https://law.counselstack.com/opinion/melick-v-metropolitan-life-insurance-nj-1913.