Mutual of Omaha Insurance v. Bosses

237 A.2d 218, 428 Pa. 250, 1968 Pa. LEXIS 882
CourtSupreme Court of Pennsylvania
DecidedJanuary 9, 1968
DocketAppeal, No. 464
StatusPublished
Cited by14 cases

This text of 237 A.2d 218 (Mutual of Omaha Insurance v. Bosses) is published on Counsel Stack Legal Research, covering Supreme Court of Pennsylvania primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Mutual of Omaha Insurance v. Bosses, 237 A.2d 218, 428 Pa. 250, 1968 Pa. LEXIS 882 (Pa. 1968).

Opinions

Opinion by

Mr. Justice Musmanno,

On August 1, 1964, Fred F. Bosses, member of the B’nai B’rith, executed an application form for certain insurance benefits under a Major Medical Plan offered by the Mutual of Omaha Insurance Company to members of B’nai B’rith, and, in due course, a certificate of insurance was issued to him. Within the two-year period provided under the policy, the insurance company filed an action in equity to rescind the insurance policy on the basis that Bosses had withheld from his answers on the application form certain medical history which indicated he had suffered in the past from a subtotal gastrectomy and a ventral hernia, also arthritis, fibrositis of the left arm, prostatic hypertrophy and disc trouble to his back, none of which medical information the Company alleged had been disclosed by Bosses in his application.

[252]*252The defendant filed preliminary objections in the nature of a demurrer, contending that, by the terms of the master policy, under which the certificate was issued by the plaintiff, right of rescission was excluded. The Court of Common Pleas of Luzerne County sustained the preliminary objections and dismissed the complaint. The plaintiff appealed.

Paragraph 2 of Part C of the policy states: “Sicknesses for which the Member has received medical treatment or advice prior to the date of application will not be covered unless full disclosure of such medical treatment or advice was made on the application, and the Company issued a Certificate.”

If the applicant misrepresented himself in the application the most the insurance company can exact is refusal to pay benefit for the sicknesses in controversy, i.e., the arthritis, fibrositis, etc. The insurance company, however, does not stop with merely denying coverage for the indicated infirmities. It seeks to cancel the entire policy. For a broken finger it wishes to saw off an arm. This it cannot do because the clear language of the policy does not permit it. If failure to disclose certain medical information was to work a forfeiture of the entire policy, that contingency could have been, and should have been, so stated. The fact that it was not so declared is evidence that such a drastic termination of the policy was never intended.

When, in Part C, paragraph 2, the insurer declared that undisclosed sicknesses would not be covered by the policy, it excluded rescission. Expressio unius est ex-clusio alterius. Fazio v. Pittsburgh Railways Company, 321 Pa. 7, 11

Free access — add to your briefcase to read the full text and ask questions with AI

Related

Sapa Extrusions Inc v. Liberty Mutual Insurance Co
939 F.3d 243 (Third Circuit, 2019)
Westport Insurance v. Hanft & Knight, P.C.
523 F. Supp. 2d 444 (M.D. Pennsylvania, 2007)
Telecommunications Network Design Inc. v. Brethren Mutual Insurance
83 Pa. D. & C.4th 265 (Philadelphia County Court of Common Pleas, 2007)
K & Lee Corp. v. Scottsdale Insurance
769 F. Supp. 870 (E.D. Pennsylvania, 1991)
Insurance Federation of Pennsylvania, Inc. v. Foster
587 A.2d 865 (Commonwealth Court of Pennsylvania, 1991)
Adams Estate
288 A.2d 514 (Supreme Court of Pennsylvania, 1972)
Puerto Rico v. Pan American Life Insurance
307 F. Supp. 1065 (D. Puerto Rico, 1969)

Cite This Page — Counsel Stack

Bluebook (online)
237 A.2d 218, 428 Pa. 250, 1968 Pa. LEXIS 882, Counsel Stack Legal Research, https://law.counselstack.com/opinion/mutual-of-omaha-insurance-v-bosses-pa-1968.