Quirk v. United States

45 F.2d 631, 1930 U.S. Dist. LEXIS 1533
CourtDistrict Court, W.D. Pennsylvania
DecidedOctober 14, 1930
DocketNo. 5626
StatusPublished

This text of 45 F.2d 631 (Quirk v. United States) is published on Counsel Stack Legal Research, covering District Court, W.D. Pennsylvania primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Quirk v. United States, 45 F.2d 631, 1930 U.S. Dist. LEXIS 1533 (W.D. Pa. 1930).

Opinion

MeVICAR, District Judge

(after stating tho facts as above).

The United States is not in the insurance business for profit, but only for the purpose of protection to those who offered themselves voluntarily or involuntarily as sacrifices in its military and naval service. Such contracts should be construed liberally so as to afford the protection intended by the statutes. White v. U. S., 270 U. S. 175, 180, 46 S. Ct. 274, 70 L. Ed. 530; Peart v. Chaze, 13 F.(2d) 908 (D. C. W. D. La.); and Starnes v. U. S., 13 F.(2d) 212 (D. C. E. D. Tex.). Congress evidently intended that such contracts should be so construed, as appears by tho amendment to the War Veterans Act of July 3, 1930 (38 USCA § 518), making such contracts incontestable except for certain specific reasons named therein.

Defendant denies plaintiff’s right to recover on two grounds: First, that Quirk was not totally and permanently disabled when discharged from the military service; and, second, that having represented in his applications for reinstatement that he was not totally and permanently disabled and having received a $3,000 converted policy, plaintiff is now estopped from making any claim on tho $10,000 policy in suit.

What is total and permanent disability within tho moaning of the policy in suit? I do not know of any better definition than that contained in Regulation No. 11, under the War Risk Insurance Act, which reads:

“Any impairment of mind or body which renders it impossible for the disabled person to follow continuously any substantially gainful occupation shall be deemed, in articles III (relating to compensation.) and article IV (relating- to insurance) to be total disability.

“ ‘Total disability’ shall be deemed to be permanent whenever it is founded upon conditions which render it reasonably certain that it will continue throughout the life of the person suffering from it.”

See, also, Starnes v. U. S., 13 F.(2d) 212 (D. C. E. D. Tex.); U. S. v. Eliasson, 20 F.(2d) 821 (C. C. A. 9th); U. S. v. Cox, 24 F.(2d) 944 (C. C. A. 5th); Jagodnigg v. U. S. 295 F. 916 (D. C. W. D. Mo.) and U. S. v. McGovern, 299 F. 302 (C. C. A. 9th).

Applying the above definition to tho facts found in this case, which disclose sickness and disability beginning before discharge and continuing until the death of tho insured, which disability permitted the insured to work during a period of little over eight years, 232 days only, thus establishing that the insured was disabled from continuously and substantially following any gainful occupation and therefore was totally and permanently disabled within the meaning of the policy in suit. For decisions sustaining this principle in cases which are analogous in the facts, seo Law v. U. S., 290 F. 972 (D. C. Mont.); U. S. v. Cox, 24 F.(2d) 944 (C. C. A. 5th); McGovern v. U. S., 294 F. 108 (D. C. Mont.) and U. S. v. Acker, 35 F.(2d) 646 (C. C. A. 5th).

Is plaintiff estopped from recovering on tho policy in snit by reason of the misrepresentations contained in the various applications for reinstatement and by reason of the issuance of tho $3,000 converted insurance. In 21 C. J. 1125, it is stated:

“No estoppel arises where the representation or conduct of the party sought to be estopped is due to- ignorance founded upon an innocent mistake. And while there 3s authority to tho contrary, tho weight of authority is that the acts and declarations of a party based upon an innocent mistake as to Ms legal rights will not estop him to- assert the same, especially where every fact known to tho party sought to bo estopped is equally woll known to the party setting up the estoppel.”

See, also, Andrews v. U. S., 28 F.(2d) 904 (D. C. Colo.) and Jenkins v. U. S., 22 F.(2d) 568 (D. C. R. I.).

Tho statements made by Quirk were innocently and mistakenly made. Like every tubercular patient, ho no doubt believed his illness was temporary.

Defendant must have reliod on the representations made by Quirk. In 21 C. J. 1126, it is stated:

“It is an essential element of equitable estoppel that the person invoking it has been infill oneed by and has relied on the representation or conduct of the person sought to be estopped.”

Tho defendant in this caso did not rely on Quirk’s representations, but upon the representations of its own doctors.

[638]*638Eepresentations to create an estoppel must be o£ fact and not of opinion. In 21 C. J. 1142, it is stated:

“Mere expressions of opinion by interested persons cannot, although, subsequently shown to be groundless or false, be regarded as misrepresentations for the purpose of ere^ ating an estoppel; there must be a material representation of a faet. A fortiori is this so where the representation is known by the party to whom it is made to be nothing more than expression of opinion.”

■ Quirk did not know his physical condition and, if he had known, would not have been able to state what the result would be. What he stated was merely an opinion.

If a representation is relied upon, it must have caused a loss. Larsen v. U. S., 29 F.(2d) 847 (D. C. Ariz.). No loss has been shown in this case.

For a case analogous in its facts on the matter of estoppel, see Dobbie v. U. S., 19 F.(2d) 656 (D. C. S. D. Tex.). In U. S. v. Buzard, 33 F.(2d) 883, 885 (C. C. A. 9th), an analogous case on the facts, in which there was a policy of $10,000, $5,000 of which was reinstated, the court said:

“It is thought to be clear that as to the second $5,000 of the original term insurance there is no ground for the application of the principles of estoppel, waiver, merger, or novation—defenses invoked or suggested by the government. No new contract was entered into respecting or based upon it, it was in nowise superseded, plaintiff got no benefit on account of it, and in respect of it the government lost nothing, and was in no wise prejudiced by what occurred after its termination. If it can be said that plaintiff at any time made representations directly or indirectly relating to it, inconsistent with his contention now that he was totally and permanently disabled on and after June 18, 1918, they may be of probative value on the general issue, and as tending to discredit his testimony, but they do not necessarily conclude the issue; and hence that branch of the ease was correctly submitted to the jury.

“We are of the opinion that, under the circumstances assumed, and in the absence of actionable fraud or mistake, the contract of converted insurance would become a substitute for, and supersede, the earlier contracts in respeet of the $5,000 covered thereby. If it was entered into through fraud or mistake, it may be rescinded or avoided by appropriate proceedings under principles applicable to such eases. * * * By our reference to 'appropriate procedure’ to rescind the reinstated and converted insurance contracts for fraud or mistake, we are not to be understood as necessarily holding that a preliminary, plenary suit in equity for that purpose is requisite. Possibly section 274b of the Judicial Code (28 USCA § 398) affords an adequate remedy, provided, of course, the plaintiff by his answer pleads in substance the facts necessary for an independent bill. See Whitney [Co.] v. Johnson (C. C. A.) 14 F.(2d) 24, and Liberty Oil Co. v. Condon Bank, 260 U. S. 235, 43 S. Ct. 118, 67 L. Ed.

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Related

Liberty Oil Co. v. Condon National Bank
260 U.S. 235 (Supreme Court, 1922)
White v. United States
270 U.S. 175 (Supreme Court, 1926)
United States v. Eliasson
20 F.2d 821 (Ninth Circuit, 1927)
United States v. Golden
34 F.2d 367 (Tenth Circuit, 1929)
United States v. Acker
35 F.2d 646 (Fifth Circuit, 1929)
United States v. Cox
24 F.2d 944 (Fifth Circuit, 1928)
United States v. Buzard
33 F.2d 883 (Ninth Circuit, 1929)
Whitney Co. v. Johnson
14 F.2d 24 (Ninth Circuit, 1926)
Starnes v. United States
13 F.2d 212 (E.D. Texas, 1926)
Peart v. Chaze
13 F.2d 908 (W.D. Louisiana, 1926)
Dobbie v. United States
19 F.2d 656 (S.D. Texas, 1927)
Andrews v. United States
28 F.2d 904 (D. Colorado, 1928)
Larsen v. United States
29 F.2d 847 (D. Arizona, 1928)
Stevens v. United States
29 F.2d 904 (Eighth Circuit, 1928)
Duggan v. United States
36 F.2d 804 (D. Minnesota, 1929)
Jenkins v. United States
22 F.2d 568 (D. Rhode Island, 1927)
Law v. United States
290 F. 972 (D. Montana, 1923)
McGovern v. United States
294 F. 108 (D. Montana, 1923)
Jagodnigg v. United States
295 F. 916 (W.D. Missouri, 1924)
States v. McGovern
299 F. 302 (Ninth Circuit, 1924)

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45 F.2d 631, 1930 U.S. Dist. LEXIS 1533, Counsel Stack Legal Research, https://law.counselstack.com/opinion/quirk-v-united-states-pawd-1930.