New York Life Ins. Co. v. Waterman

104 F.2d 990, 1939 U.S. App. LEXIS 4268
CourtCourt of Appeals for the Ninth Circuit
DecidedJune 13, 1939
Docket8972
StatusPublished
Cited by10 cases

This text of 104 F.2d 990 (New York Life Ins. Co. v. Waterman) is published on Counsel Stack Legal Research, covering Court of Appeals for the Ninth Circuit primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
New York Life Ins. Co. v. Waterman, 104 F.2d 990, 1939 U.S. App. LEXIS 4268 (9th Cir. 1939).

Opinions

DENMAN, Circuit Judge.

This action was brought by the New York Life Insurance Company of New York to cancel a reinstatement after lapsa[991]*991tion of two insurance policies of life and health, issued to Samuel L. Waterman, the appellee, upon the ground that such reinstatement was procured by fraudulent representation concerning his condition of health and insurability.

The trial court sustained a motion to dismiss upon the ground that the period of two years fixed in the insurance policy for contest had expired long before the reinstatement occurred and that the policy became incontestable for past or future fraud when that period expired. The Insurance Company has appealed from the judgment of dismissal.

The fraud alleged in the bill for cancellation of the reinstatement is in knowingly and untruthfully answering questions in the petition for reinstatement received by the Insurance Company on April 30, 1937. It consisted in an affirmative answer to the question, “Are you now, to the best of your knowledge and belief, in the same condition of health as you were when this Policy was issued? (If not, give details).”, and a negative answer to the question, “Within the past two years have you had any illnesses, diseases or bodily injuries or have you consul.ed, or been examined or treated by any physicians or practitioners? (If so give full details, including nature, date, and duration of each illness, disease or injury, the name of each physician or practitioner, and the dates of and reasons for consultation or treatment).”

The bill alleges that insured knew he was in a much poorer condition of health on April 30, 1937, than when the policy was issued on March 17, 1926, some 11 years before, and that he had had within two years an acute attack of infectious arthritis and a heart ailment for which he had consulted and was treated by physicians and sufficiently severe to require hospitalization.

Rescission of the reinstatement was promptly sought by the insurer and the allegations warrant a rescission unless prevented by a two year incontestable clause of the policy. The clause provides: “Incontestability. — This Policy shall be incontestable after two years from its date of issue except for nonpayment of premium and except as to provisions and conditions relating to Disability and Double Indemnity Benefits.” As shown, the alleged fraud occurred 9 years after the expiration of the two years from date of issuance of the policy.

The district court held, and the insured contends here, that the law determining the right to contest the fraudulent procurement of the reinstatement, as affected by the incontestability clause, is that of California, the place of the making of the contract, and that under the California law the Insurance Company was precluded by the expiration of the two years of the incontestability clause from securing, in equity, the rescission of the restoration of the policy even though it was procured by fraud. That is to say, the district court in effect construed the incontestability clause to read, “If the insured’s policy lapse by nonpayment of premiums, he may secure its reinstatement by fraudulent representations to the insurer, if made when two years have elapsed from the execution of the policy. If he succeeds in deceiving the insurer, the reinstatement so procured is incontestable by the latter, even though it promptly attempts rescission on discovery of the fraud”.

Such an objective of the contract for incontestability, as the court’s decision necessarily requires the instant provision to be construed, is not for a “repose” analogous to statutes of limitation. It does not refer to a past transaction, the “security” of which may be destroyed because the witness may have died or disappeared. California decisions holding the incontestable clause precludes a contest for fraud in the application for the policy are not relevant to the subsequent fraud here.1

Unless the incontestability agreement has the objective to exempt the insured from responsibility for his own fraud, committed after the execution of the policy, it gives no support to the insured’s contention that he may commit with impunity the fraud charged. If that is the objective of the agreement, it is not only repugnant to common decency, and a violation of the principle of uberrima fides governing the insured’s disclosures of known conditions affecting the risk,2 but an agreement hav-. ing such an objective is specifically de-[992]*992dared unlawful- by the California Civil Code. That provision is:

“§ 1668. Certain contracts unlawful-. All contracts which have for their object, directly or indirectly, to exempt anyone from responsibility for his own fraud, or willful injury to the person or property of another, or violation of law, whether willful or negligent, are against t;he policy of the law.”

The California Supreme Court has had occasion to consider the applicability of this code provision to insurance policies. In Dibble v. Reliance Life Ins. Co., 170 Cal. 199, 149 P. 171, Ann.Cas.1917E, 34, the court recognized that § 1668 of the Civil Code of California applied to insurance as well as all other contracts, and that it prohibited a clause in an insurance policy which would permit the insured to exempt himself from such a gross fraud as here alleged. It permits the application of the incontestability clause only on the ground that it. is the equivalent of a statute of repose. It holds, (170 Cal. 199, 149 P. at page 173, Ann.Cas.1917E, 34) “ ‘A more serious question is presented by the consideration of section 1668 of the.Civil Code, providing as follows: “All contracts which have for their object, directly or indirectly, to exempt any one from responsibility for his own fraud * * * are against the policy of the law.” It is not disputed that it is within the province of the Legislature to declare such principle of public policy, and that it should be enforced. It is claimed, however, that the section has no application to insurance policies, but I find no warrant for this contention. “All contracts” certainly include contracts of insurance, but I am inclined to the view that, properly speaking, it was not the object of the parties to said insurance policy to exempt the insured from the consequences of his fraud, but the object and effect of said incontestable clause was simply to provide a shorter term for maintaining said claim than is prescribed by the statute of limitations. In other words, in my opinion,.by said section the Legislature did not intend to condemn a contract that in the interest of repose and security would fix a reasonable limit for the time in which such defense might be successfully urged, but the intention was to preclude a contract that would altogether relieve either party of the consequences of his own fraud.’ ”

Here, within a time as short as proper investigation would warrant, the fraud was discovered ' and the necessary steps for rescission taken. If the incontestable clause, whose two years had expired before the fraud was committed, is permitted to govern the fraudulent transaction, it “would altogether relieve * * * [the insured] of the consequences of his own fraud”. We hold that the district court erred in its interpretation of the California law and that under § 1668 of the Civil Code of California a rescission of a ■reinstatement procured by fraud is not here prevented by the incontestable clause of the policy.

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New York Life Ins. Co. v. Waterman
104 F.2d 990 (Ninth Circuit, 1939)

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Bluebook (online)
104 F.2d 990, 1939 U.S. App. LEXIS 4268, Counsel Stack Legal Research, https://law.counselstack.com/opinion/new-york-life-ins-co-v-waterman-ca9-1939.