Montgomery v. John Hancock Mutual Life Insurance

140 Misc. 233, 250 N.Y.S. 403, 1931 N.Y. Misc. LEXIS 1339
CourtNew York Supreme Court
DecidedMarch 5, 1931
StatusPublished
Cited by2 cases

This text of 140 Misc. 233 (Montgomery v. John Hancock Mutual Life Insurance) is published on Counsel Stack Legal Research, covering New York Supreme Court primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Montgomery v. John Hancock Mutual Life Insurance, 140 Misc. 233, 250 N.Y.S. 403, 1931 N.Y. Misc. LEXIS 1339 (N.Y. Super. Ct. 1931).

Opinion

Rogers, J.

Plaintiff proved the issuance of the policies, the death of the insured, the making of due proof of the death, the refusal of the defendant to pay and the other requisite formal facts, thus making a prima facie case for recovery. The defendant conceded on the trial that its first separate defense, fraud in the application for the policy, was unavailing because the application was not made a part of the policy. (Ins. Law, § 58.)

The second defense is that the insured suffered from heart disease, and had been attended therefor by a physician within two years before the issuance of the policy, and that the policy contained a proviso that it should be void if the insured was attended by any physician within two years before its date for any serious disease, or had within two years before its date disease of the heart.

The plaintiff contends that this defense amounts to a representation because no fraud is pleaded and the statute (Ins. Law, § 58) provides that all statements purporting to be made by the insured shall be deemed representations and not warranties; that by accepting the policies plaintiff made the language of this provision her own; that the provision is, as stated in Archer v. Equitable Life Assurance Society (218 N. Y. 18, 25) “ metamorphosed ” into a representation; that a misrepresentation does not necessarily effect a forfeiture, which is not favored; that in order to make a misrepresentation available as a defense, it must be alleged not only that a material statement is untrue, but also that the plaintiff knew it to be false and made it with intent to cheat and defraud. This argument cannot be accepted as sound. The policy by its very terms only takes effect if the insured has not been treated by a physician, etc., within two years. Otherwise, it is void. It is as if it never existed. If the clause were only a representation the word “ void ” in the clause would have to be changed to voidable.” The provision in the policy is part of its terms, part of its conditions, and, therefore, as the answer sets forth these terms and conditions, accompanied by the allegations that the insured was in fact treated by a physician, and did suffer heart disease within the two-year period, the defense is well pleaded.

The evidence to establish this defense is the attending physician’s certificate made after the death of the insured and forming a part of the proofs of death. The defendant claims the statements of the [235]*235physician therein constitute voluntary admissions on plaintiff’s part, and the plaintiff contends that the facts in connection with its execution and delivery do not justify its admission in evidence, or its contents deemed admissions.

Decision depends upon the facts, for under certain circumstances the statements in such a certificate are prima facie evidence of a voluntary admission that such statements are true. (Rudolph v. John Hancock Ins. Co., 251 N. Y. 208.)

In the Rudolph case it was held that a physician’s certificate, given pursuant to a provision in a policy of insurance, identical with the one in the instant case, was competent as evidence of a voluntary admission by the claimant. The Rudolph case was decided four to three. In the dissenting opinion the rule is recognized that where one voluntarily uses the affidavit of another, usually he admits the truth of the statements therein, but it invokes the principle that one is not bound by statements in an affidavit or certificate that he produces under circumstances rendering its production compulsory, citing and following Redmond v. Industrial Benefit Association (150 N. Y. 167) and other well-considered cases. The prevailing opinion insinuates agreement with this doctrine and seems to rest upon the proposition that the claimant’s acts and statements after the certificate was made changed her attitude from an involuntary to a voluntary user thereof, and that by ratification she broadened the authority of the physician to bind her by his statements. If the majority held that the mere execution of the certificate at claimant’s request and delivery to the company were sufficient to bind claimant, as admitting its contents, there would be no need to stress in the opinion the facts indicating claimant’s approval of its contents and lack of coercion. In the instant case there are no acts showing approval of the certificate — nothing whatever to indicate that the plaintiff did more than she was bound to do by the terras of the policy as a condition precedent to recovery. She took the blank to the physician and requested him to fill it out and deliver it to the company. She could do no less, and she did no more. She did not read or sign it, and never saw it until it was produced by the defendant on the trial. She did not agree in the policy, or otherwise, that it should be treated as the truth. Had it come to her to read and sign, as in the Rudolph case, and thereafter had she delivered it to the company without protest it would have to be held that she acquiesced in its statements and it became her voluntary admission.

The defendant recognized the importance of having the claimant adopt the language of the certificate as her own by having printed on it a statement to be signed by the claimant agreeing that the [236]*236certificate shall be considered a part of the proofs of death in accordance with the terms of the policy. This printing is on the margin of the front page of the certificate opposite the important answers to be made by the physician. If claimant had signed it after its execution without doubt she would have been bound by its contents, or she might have signed it before the physician filled it out and thereby effectually constituted the physician her agent to supply the information. The fact that she did not do so may be considered in- connection with the breadth and scope of the physician’s authority to bind her by his statements.

“ ‘ If one party refers another, on a disputed fact, to a third person, as authorized to answer for him, he is bound by what his referee answers upon the occasion, as much as if the answer had been given by himself.’ * * *

This is a rule with the clear statement of the reason upon which it rests. It is only when the third person ‘ is authorized to answer for ’ the person who has referred to him, that the latter is bound by what the former may say.” (Aldridge v. Ætna Life Insurance Co.. 204 N. Y. 83, at p. 87.)

Inasmuch as the policy provides that it was claimant’s duty to furnish the company with answers by the physician on blanks provided by the company and since she took the blank to the physician and requested him to make it out, intending to comply with this provision of the policy, without doubt she made the physician her agent to write down answers to the questions, and if no other facts and circumstances were shown perhaps the mere fact that she asked the physician to make out the certificate to the company would be enough to establish prima facie evidence that she accepted it as her statement. The company, however, did not expect her to be bound by the certificate until she signed it at the place provided for her signature. The company recognized that until the claimant had an opportunity to read the statements it would be unfair to hold her bound by them.

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Related

Chorney v. Metropolitan Life Insurance
172 A. 392 (Supreme Court of Rhode Island, 1934)
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151 Misc. 274 (New York Supreme Court, 1934)

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Bluebook (online)
140 Misc. 233, 250 N.Y.S. 403, 1931 N.Y. Misc. LEXIS 1339, Counsel Stack Legal Research, https://law.counselstack.com/opinion/montgomery-v-john-hancock-mutual-life-insurance-nysupct-1931.