New York Life Ins. v. Halpern

57 F.2d 200, 1931 U.S. Dist. LEXIS 2023
District Court, W.D. Pennsylvania·Decided October 21, 1931·No. No. 2494·Published·Cited by 4 cases

Opinion

Findings of Fact.

GIBSON, District Judge.

. 1. Plaintiff is a corporation organized and existing by and under the laws of the slate of New York, engaged in the life insurance business, and is a citizen of the State of New York.

2. Julius Halpem and Lillian Halpern, two of the defendants, are residents and citizens of the commonwealth of Pennsylvania and of the Western District thereof, and the other defendant, the Fidelity Trust Company, is a corporation duly organized and existing by and nnder the laws of the commonwealth of Pennsylvania, having its principal office in the city of Pittsburgh, Pa.

3. The amount in controversy in this ease exceeds the sum of $3,000, exclusive of interest and costs.

4. On February 8, 1929^ the plaintiff wrote its policy of life insurance No. 10,529,-125 to take effect as of the 25th day of January, 1929, with provisions for disability benefits and double indemnity for accidental death in the sum of $10,000 on the life of said Julius Halpern. By the terms of said policy the plaintiff agreed to pay to Julius Halpem $100 a month during total and permanent disability, as defined by said policy, and also by a change of beneficiary directed by said Julius Halpern on July 26, 1929, agreed to pay the death benefit to Lillian Halpern, wife, and Fidelity Title & Trust Company, of Pittsburgh, Pa. (since changed to Fidelity Trust Company), as trustees in accordance with the terms of a trust agreement dated July 26, 1929.

5. On April 27, 1929', the plaintiff wrote its policy of life insnranee No. 10,630,938 to take effect as of the 30th day of April, 1929, with provisions for disability benefits and double indemnity for accidental death in the sum of $15,000 on the life of said Julius Hal-pern. By the terms of said policy the plaintiff agreed to pay to Julius Halpern $150 a month during total and permanent disability, as defined by said policy, and also by a change of beneficiary directed by said Julius Halpem on July 26, 1929, agreed to pay the death benefit to Lillian Halpern, wife, and Fidelity Title & Trust Company, of Pittsburgh, Pa. (since changed to Fidelity Trust Company), as trustees in accordance with the terms of a trust agreement dated July 26, 1929.

6. Attached to and made part of the contract of insurance No. 10,529,125, issued as of January 25, 1929, was the application for the policy signed by the defendant Julius Halpem. This application in part consisted of questions to the applicant and answers purporting to have been given on January 19, 1929, by him to plaintiff’s medical examiner relative to the past condition of his health, certain of said questions and answers being as follows:

“7. B. Have you ever been nnder observation or treatment in any hospital, asylum or sanitarium ? No.
“8. Have you ever consulted a physician or practitioner for or suffered from any ailment or disease of
“A. Tlie brain or nervous system? No.
“B. The heart, blood vessels or lungs? No.
“C. The stomach or intestines, liver, kidneys or bladder? No.”
“10. Have yon ever consulted a physician or practitioner for any ailment or disease not included in your above answers ? No.
“11. What physicians or practitioners, if any, not named above, have you consulted or been examined or treated by within the past five years?
Name and Address Dr. Grecken
Date 1928
Reason for Consultation, Examination or Treatment and Results
Influenza — 3 days”

7. Attached to the policy No. 10,630,938, and made part of it, was a declaration, signed by Julius Halpern, dated April 27,1929, that the applicant, Julius Halpern, had not consulted or been treated by any physician or other practitioner since his application dated January 19,1929.

8. The defendant Julius Halpern, from November 19 to 26, 1928, had undergone a complete physical examination by Henry M. Bay, M. 1)., a specialist in'pathology and internal medicine. Said examination was made at the request of Julius Halpern for the purpose of “checking up” on his physical condition. As a part of his said examination, Dr. [202] Bay sent Julius Halpem, about November 26,1928, to Dr. F. L. Schumacher, a specialist in X-ray examinations, for X-ray examination to he used by him in connection with his (Dr. Bay’s) examination and report thereon. As a result of the examination of Dr. Bay, supplemented by the X-ray examination and report of Dr. Schumacher, Julius Halpem, prior to the date of his application for insurance, was informed by Dr. Bay, in effect, that his heart was not “up to 100%”; that it was “a little below par”; that it was perhaps slightly enlarged; that it was sufficiently strong for ordinary use, hut should not he subjected to extraordinary exertion; that, for the purpose of helping the heart, he.should by diet and light exercise reduce his weight. He was not told that he had any organic heart disease, the physicians themselves, at that time, finding only a suggestion of myocardial degeneration from their examinations. Other than the examination of Dr. Bay, aided by the examination and report of Dr. Schumacher, no treatment or examination of Julius Halpem by a physician is disclosed by the testimony except that of Dr. Grecken, disclosed by the answers of the application. No hospitalization is shown prior to the issuance pf the policies in suit.

9. Each of said policies contains the fol-iowing provision:

“Incontestability. — This Policy shall be' incontestable after two years from its date of issue except for non-payment of premium and except as to provisions and conditions relating to Disability and Double Indemnity Benefits.”

10. The date of issuance of policy No. 10,529,125 is January 25,1929, and of policy No. 10,630,938 is April 30, 1929.

11. Said Julius Halpem on December 26, 1930, brought an action at law at No. 4054 January term, 1931, against the plaintiff in the court of common pleas of Allegheny county, Pa., which action has been removed to this court and is No. 6474 Law therein, and is for disability benefits only.

12. On or about September 15, 1930, the plaintiff, seeking to rescind the contracts of insurance mentioned in the fourth and fifth findings of fact, notified defendants of its intention, and tendered the return of the premiums received on account of each policy, with interest from the date of receipt to the date of tender, amounting to $1,863.66. This tender was refused by defendants.

. 13. Julius Halpern was not the prime mover in his application to the plaintiff for insurance, but had theretofore been solicited to apply for it by an agent of the plaintiff. After application had been made by him, a policy in amount of $25,000 was tendered to him and was refused, said defendant accepting the policy No. 10,529,125, which was for $10,000. Later, again at the solicitation of plaintiff’s agent, he applied for and received the policy dated April 27, 1929, $15,-000 in amount.

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New York Life Ins. v. Halpern, 57 F.2d 200, 1931 U.S. Dist. LEXIS 2023 (W.D. Pa. 1931).

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