National Life & Accident Insurance v. Kessler

182 A. 117, 120 Pa. Super. 277, 1935 Pa. Super. LEXIS 151
CourtSuperior Court of Pennsylvania
DecidedOctober 17, 1935
DocketAppeal, 322
StatusPublished
Cited by4 cases

This text of 182 A. 117 (National Life & Accident Insurance v. Kessler) is published on Counsel Stack Legal Research, covering Superior Court of Pennsylvania primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
National Life & Accident Insurance v. Kessler, 182 A. 117, 120 Pa. Super. 277, 1935 Pa. Super. LEXIS 151 (Pa. Ct. App. 1935).

Opinion

Opinion by

Stadtfeld, J.,

This is an appeal from the judgment of the Court of Common Pleas No. 2, Philadelphia County, Gordon, J., sustaining preliminary objections to plaintiff’s bill in equity and amended bill in equity, and dismissing the bill and amended bill.

The bill averred that on January 13, 1933, plaintiff issued to Louis Kessler, husband of the defendant, its policy of insurance. This policy contained a provision for reinstatement in event of lapse because of default in premium payments upon presentation of evidence of insurability satisfactory to the company. It likewise contained a provision providing that except for nonpayment of premiums when due, the policy should be incontestable after two years from its date of issue.

That the contract of insurance was procured by fraudulent misrepresentations on the part of the insured regarding the state of his health.

That on July 14, 1933, the policy of insurance lapsed for non-payment of premiums and it was reinstated September 7,1933, under the inducement of fraudulent *279 representations made in writing by the applicant as to the state of his health. Said application for reinstatement provided that the policy should not be reinstated, nor the insurance be in force, until notice of its reinstatement should be delivered to applicant during his good health; that if death should occur within one year after the reinstatement of the said policy, the insurance thereby provided should be avoided by any breach of any warranties contained in the application for reinstatement; that except as modified by the application for reinstatement, the insurance provided by the policy when reinstated should be subject to all the terms and conditions thereof, as if no default had occurred in the payment of a premium.

That the insured died November 15, 1934, as a result of diseases, the existence of which he had fraudulently concealed in the original application and in the application for reinstatement.

The bill further averred that thereafter, the defendant delayed and misled the plaintiff in its investigation as to the cause of death. On Monday, January 14, 1935, bill in equity was filed. Defendant’s preliminary objections, based on want of jurisdiction and failure to take steps to rescind within two years of the date of issue of the said policy, were duly filed and an amended bill was filed. From the order sustaining these objections and dismissing the bill and amended bill, this appeal is taken.

For the purpose of this appeal, we must assume that the alleged misrepresentations were such as to have invalidated the policy at the option of plaintiff company. The policy, however, contained the usual incontestability clause, in the following language: “Except for nonpayment of premium when due, for self-destruction as aforesaid and except for violations of the conditions of aforesaid supplementary contract (if any), this policy shall be incontestable after two years from its date of *280 issue.” In Ms application for reinstatement, the insured again falsely declared that all the statements and answers contained in his original application for insurance were true, and also made certain additional false statements respecting his health, and agreed, respecting the additional statements, that if his death should “occur within one year after the reinstatement of said policy, the insurance thereby provided shall (should) be avoided by any breach of any of my (his) warranties or agreements herein (therein) contained.”

The amended bill avers that plaintiff, in reliance upon the representations set forth in the application for reinstatement, reinstated the said policy.

The application for reinstatement contains the following relevant provisions: “As the basis of this application, and as part of the contract of reinstatement applied for, in behalf of myself and of every person who shall have or claim any interest in the reinstated policy, I hereby warrant and agree: (1) That all statements and answers contained in either section of my application for insurance in consequence of which said policy was originally issued, were, on the date of said application or section thereof, full, complete and true as therein written; (2) that all my statements hereinafter contained are full, complete and true, each printed statement to which no written exception is made being wholly true without exception; (3) that said policy shall not be reinstated, and the insurance therein provided shall not be in force, until the company shall signify its acceptance of this application by mailing to me a notice thereof during my life and good health; (I) that if my death shall occur within one year after the reinstatement of said policy, the insurance thereby provided shall be avoided by any breach of any of my warranties or agreements herein contained;......(6) that except as modified by this application, the insurance provided by said policy when reinstated shall be subject *281 to all the terms and conditions thereof, as if no default had occurred in the payment of a premium thereon.”

Appellant contends that the policy in question was never effectively reinstated by reason of having been procured by fraud; by reason of not having been reinstated during the insured’s good health, and that the policy as reinstated, is contestable at any time within two years of the date of reinstatement.

Whatever may be the decision in other jurisdictions, we have held in Rothschild v. N. Y. Life Insurance Co., 106 Pa. Superior Ct. 554, 162 A. 463, on page 567: “In our opinion, the reinstatement of a policy does not result in the issuance of a policy of insurance or in the making of a new insurance contract, but is simply the revival and restoration of the original policy or contract of insurance upon the conditions prescribed within itself.”

Under the provisions of the original policy, it was the duty of the company to disclaim liability within the contestable period. As stated by Mr. Justice Kephart in Feierman v. Eureka Life Insurance Co., 279 Pa. 507, 124 A. 171, at pp. 508, 509: “The great weight of authority supports the position that the insurer must at least disavow liability within the contestable period to be relieved,—not necessarily by legal action, but some definite step, specifying the ground of complaint, in such form as to effect a cancellation of the contract ......The knowledge that false representations have been made must be ascertained within the two years, and, in the same time, the company, by some act, must rescind, cancel or notify the insured or the beneficiary that it will no longer be bound by the policy.”

The contract of reinstatement provided: “That if my death shall occur within one year after the reinstatement of said policy, the insurance thereby provided shall be avoided by any breach of any of my warranties or agreements herein contained.” (Italics supplied.)

*282 The policy in question lapsed for non-payment of premium on July 14, 1933, and was reinstated on September 7, 1933. The assured died November 15, 1934, more than one year after reinstatement.

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Related

Blackwell v. United Insurance Co. of America
99 S.E.2d 414 (Supreme Court of South Carolina, 1957)
Carpentieri v. Metropolitan Life Insurance
10 A.2d 37 (Superior Court of Pennsylvania, 1939)
Datesman v. Federal Life Ins.
35 Pa. D. & C. 251 (Philadelphia County Court of Common Pleas, 1939)
Kessler v. National Life & Accident Insurance
188 A. 377 (Superior Court of Pennsylvania, 1936)

Cite This Page — Counsel Stack

Bluebook (online)
182 A. 117, 120 Pa. Super. 277, 1935 Pa. Super. LEXIS 151, Counsel Stack Legal Research, https://law.counselstack.com/opinion/national-life-accident-insurance-v-kessler-pasuperct-1935.