Nacchio v. New York Life Ins. Co

200 F.2d 770, 1952 U.S. App. LEXIS 2366
CourtCourt of Appeals for the Third Circuit
DecidedDecember 30, 1952
Docket10793_1
StatusPublished
Cited by6 cases

This text of 200 F.2d 770 (Nacchio v. New York Life Ins. Co) is published on Counsel Stack Legal Research, covering Court of Appeals for the Third Circuit primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Nacchio v. New York Life Ins. Co, 200 F.2d 770, 1952 U.S. App. LEXIS 2366 (3d Cir. 1952).

Opinion

HASTIE, Circuit Judge.

Plaintiffs, beneficiaries of a life insurance policy and citizens of Pennsylvania, sued defendant insurance company, a New York corporation, to recover the face amount of the policy plus a small amount of unearned premium. The district court, sitting without a jury gave judgment for defendant, and plaintiffs have appealed.

The insured made application to the defendant for a policy of life insurance in the amount of $7500 on November 5, 1947. Pursuant to- that application, insured was examined by defendant’s medical examiner on November 13, 1947, and the policy issued and was delivered on December 6, 1947. This policy has been paid and is not directly involved in the present suit.

On December 29, 1947, the insured made written application to defendant for a further $3000 policy. In accordance with defendant’s usual business practice, no medical examination was required in connection with this application since the applicant had been examined by the company within the past 60 days. On December 31, 1947, the insured consulted a physician who ordered him hospitalized. Insured entered the hospital on January 7, 1948, and remained there until January 14, 1948. On January 10, 1948, defendant’s agent delivered the $3000 policy to insured’s brother and received from him the first premium payment. It is rightly conceded that this policy is a Pennsylvania contract and that all issues now contested are governed by the law of Pennsylvania.

Insured died on April 6, 1948. Due proof of death and demand for payment of the $3000 policy were made by plaintiffs, but defendant refused demand and tendered to insured’s executrix the premium paid plus interest. As a defense to the present suit on the $3000 policy, defendant has successfully relied on a clause in the application signed by the insured “that the insurance hereby applied for shall not go into force unless and until the policy is delivered to and received by the Applicant * * *, and then only if the Applicant has not consulted or been treated by any physician or practitioner since his medical examination, or since the time of making this application if no medical examination is made * * * ” Since it is undisputed that the insured not only consulted a physician but actually entered a hospital during the interval between making his application on December 29, 1947, and his brother’s receipt of the policy on January 10, 1948, defendant maintained that a necessary condition precedent having never been fulfilled, the policy never went into effect. If the clause relied on by defendant is part of the policy and is admissible into evidence, there is no doubt as to the correctness of defendant’s position.

But plaintiffs contend that the Pennsylvania Act of May, 1921, P.L. 682, § 318, 40 Purd.Stat. § 441, makes the paper on which *772 the clause in question is found, inadmissible and that the defense thereby falls. That Act provides:

“All insurance policies * * * in which the application of the insured * * * form[s] part of the policy or contract between the parties thereto-, or [has] any bearing on said contract, shall contain, or have attached to said policies, correct copies of the application as signed by the applicant * * *; and, unless so attached and accompanying the policy, no such application * * * shall be received in evidence in any controversy between -the parties to, or interested in, the policy, nor shall such application * * * be considered a part of the policy or contract between such parties.”

The clause on which defendant relies is contained in a paper headed “Application to the New York Life Insurance Co. — Part I”. This paper is dated December 29, 1947, is signed by the insured, and a photostatic copy of it was physically attached to the policy when it was delivered to insured’s brother. In addition, the following documents were attached to the policy: a photostatic copy of insured’s “Answers to' the Medical Examiner — Part II” which he had signed and submitted on November 13, 1947, in connection with the $7500 policy; a pho-tostatic copy of a hand written signed statement by insured as to- his day of birth; a photostatic copy of an amendment dated December 2, 1947, signed by insured and agreeing that insurance be written with age advánced 8 years; a carbon copy of a similar amendment dated January 6, 1948, with insured’s name typed in the place for signature, and a copy o-f a Self Health Certificate dated January 6, 1948, with insured’s name typed in the place for signature.

The district court, sitting without a jury, found as a fact that the entire application for the $3000 policy consisted of the “Part I” dated December 29, 1947, and the Self Health Certificate dated January 6, 1948. Since copies of both of these papers were physically attached to the policy, the court held that the requirement of the Act of 1921 had been met; It then ordered judgment for the defendant on -the ground that a condition precedent for the effectiveness of the policy, to wit, no medical treatment after application and before policy delivery, had not been fulfilled.

Plaintiffs appealed the district court’s order on the ground that the application and any defenses based thereon should have been excluded. They contend that the Act of 1921 was not complied with in that (1) the company failed to attach “Part II” of the application dated December 29, 1947, and the application dated November 5, 1947, both mentioned in the papers which were attached, and (2) the company attached “Part II” dated November 13, 1947, without the consent of the insured.

Plaintiffs’ first point is founded on the rule that if a company fails to attach the entire application, it may not use as a defense anything contained in the part which it in fact does attach. Sandberg v. Metropolitan Life Insurance Co., 1941, 342 Pa. 326, 20 A.2d 230. It presupposes that there was a “Part II” dated December 29 and that the Application dated November 5 was part of the subsequent application for the $3000 policy.

The missing “Part II” would ordinarily be headed and consist of “Answers to the Medical Examiner”, as given at the time of application. But it is stipulated that no medical examination was required where applicant had been examined within 60 days next preceding his application. Deceased had been so examined and his answers given at that time were attached to this policy. The district court logically concluded that plaintiffs were complaining of failure to attach something that not only was not required but in this case never existed.

The other missing document is that which the insured executed when applying for the $7500 policy. A similar form was executed in requesting the policy in suit and is, of course, attached. The district court properly concluded that the earlier paper, though referred to in another attached document, was not relevant to the present application or properly considered a part of it.

*773 Plaintiffs’ other contention is that “Part II” of the application dated November 13, 1947 (i.e. the answers given to the Medical Examiner in connection with the $7500 policy) was attached without the consent of the insured. If defendant sought to rely in some way on this “Part II”, plaintiffs might well have cause to object.

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Cite This Page — Counsel Stack

Bluebook (online)
200 F.2d 770, 1952 U.S. App. LEXIS 2366, Counsel Stack Legal Research, https://law.counselstack.com/opinion/nacchio-v-new-york-life-ins-co-ca3-1952.