Rakowski v. Metropolitan Life Insurance

40 N.E.2d 617, 313 Ill. App. 579, 1942 Ill. App. LEXIS 1175
CourtAppellate Court of Illinois
DecidedMarch 18, 1942
DocketGen. No. 41,895
StatusPublished
Cited by1 cases

This text of 40 N.E.2d 617 (Rakowski v. Metropolitan Life Insurance) is published on Counsel Stack Legal Research, covering Appellate Court of Illinois primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Rakowski v. Metropolitan Life Insurance, 40 N.E.2d 617, 313 Ill. App. 579, 1942 Ill. App. LEXIS 1175 (Ill. Ct. App. 1942).

Opinion

Mr. Justioe Hebel

delivered the opinion of the court.

This action was brought by Martha Rakowski as beneficiary under an industrial insurance policy issued by the Metropolitan Life Insurance Company on November 27, 1939 on the life of Wladyslaw Rakowski, her deceased husband, in the sum of $310. The policy also provided that the company would pay an equal sum in the event the insured’s death resulted solely through external, violent and accidental means. The plaintiff, Helen Langowski, also sues as beneficiary under a similar policy issued by defendant on December 18, 1939, on the life of the said Wladyslaw Rakowski, her deceased father, in the sum of $186. This policy also provided for the payment of a similar amount if the insured’s death resulted solely through external, violent and accidental means.

The defendant filed its defense and an amendment thereto. The plaintiffs filed a reply. Upon the cause coming on for trial, the court sustained plaintiffs’ oral motion for summary judgment on the pleadings and, without hearing any testimony, entered a judgment in favor of Martha Rakowski for the sum of $620 and a judgment in favor of Helen Langowski for the sum of $372. From these judgments, the defendant appeals.

It is contended by defendant that it having denied that the death of the insured resulted from bodily injuries caused solely through external, violent and accidental means within the terms of the policies, the burden of proof was on plaintiffs to establish facts sufficient to entitle them to recover double the amount stated in the policies. Defendant admits that insured died on July 8, 1940, “but denies that the death of the insured resulted from bodily injuries caused solely through external, violent and accidental means within the terms and provisions of said policy.” It is urged that an issue is thereby tendered and, before any finding and judgment that death resulted from accidental means, as plaintiff alleges, a preponderance of evidence on plaintiff’s behalf would have to be introduced at the trial. Counsel for plaintiff in his argument before the court and on this appeal took the position that because proofs of death had been submitted to the defendant and retained by it, the statements therein contained thereby became binding on the defendant, and that no testimony was necessary to establish the allegations in the statement of claim for recovery of double the amount of the insurance. The trial court followed this suggestion as is evidenced by the ruling and judgments entered. Defendant urges that satisfactory proofs of death within the meaning of a benefit certificate means satisfactory proof that the insured is dead, and a statement as to the cause of death, but that the statements contained in said proofs of death are not binding upon either the company or the beneficiary when the cause of death becomes a disputed question between them. Although the proof was satisfactory as formally establishing the death, the defendant had the right to refuse to pay upon the ground that the insured did not come to his death by accidental means as defined by the policies. Proofs of death are competent to show that plaintiffs complied with the requirements of policies or, by defendant, that plaintiffs did not meet the requirements thereof, but are not conclusive as to either party when the question whether the cause of death was such as to charge defendant with double liability or to relieve it therefrom. (Knights Templars & Masons Life Indemnity Co. v. Crayton, 209 Ill. 550.) The purpose of proof of death is to enable the insurer to form an intelligent estimate of its rights and liabilities under the contract. (5 Joyce on Insurance, 2d Ed., sec. 3277.) Statements made as to the cause of death in proofs of loss are not conclusive upon the parties. (5 Joyce on Insurance, 2d Ed., sec. 3319.)

In United, States Life Ins. Co. v. Kielgast, 26 Ill. App. 567, the court, in discussing the admissibility of proofs of loss in evidence, said:

“The rule seems to be well settled that where, in a suit upon a policy of insurance, the proofs of death are offered in evidence by the plaintiff, they are admissible only for the purpose of showing performance by the assured of the conditions of the policy in relation to preliminary proofs (citing cases). But where the proofs are offered in evidence by the defendant, a somewhat different effect should be given them. Thus, in Mutual Life Ins. Co. v. Stibbe, 46 Md. 302, it is held that where the proofs of death are offered in evidence by the plaintiff they are admissible solely for the purpose of showing compliance with the conditions of the policy; but where they are offered by the defendant, they are admissible as declarations by the plaintiff.” In 8 Couch’s Cyclopedia of Insurance Law, sec. 2225, it is stated

“As a general rule, supported by the weight of authority, proofs of loss are admissible in evidence'only for the purpose of showing a compliance with the requirements of the policy, since such proofs are declarations or statements by the insured in his own behalf, and cannot be admitted as evidence. (Lycoming F. Ins. Co. v. Rubin, 79 Ill. 402; Knickerbocker Ins. Co. v. Gould, 80 Ill. 398; Imperial Fire Ins. Co. v. Shimer, 96 Ill. 580). Since the insurer is not a party to the proofs of loss, it is not bound by any statement which may be contained therein or omitted therefrom.” The defendant admitted receipt of notice and proofs of death as satisfying the provision of the policy, but it did not, by retaining them, waive any right to contest liability under the policies.

The defendant further urges as an affirmative defense that the insured, within two years prior to the dates of the issuance of the insurance policies, had been a patient at or an inmate of an institution for the treatment of physical or mental disease; and that this defense was sufficiently alleged and tendered an issue in which the plaintiffs joined by filing a reply thereto. In a fourth class action in the municipal court of Chicago, such as in the case at bar, the rights of the parties will not be determined by technical rules of pleading. (Buchsbaum v. Halper, 265 Ill. App. 226.) In entering judgment for plaintiffs on the pleadings, the court did not strike the defense filed by defendant for any insufficiency nor give any reason for entering judgment thereon. The policies provided that they shall be incontestable after they had been in force, during the lifetime of insured, for one year from their date of issue, except for nonpayment of premiums. The policies were not in force during the lifetime of insured for one year, having been issued on November 27,1939 and December 18,1939, and the insured having died on July 8, 1940. The policies were therefore not incontestable.

Under the provisions of the policies, if within two years prior to the date of issue of these policies the insured had been a patient at or an inmate of any institution for the treatment of physical or mental disease, unless it shall be shown by the insured or any claimant that no such institutional treatment or attention was for a serious disease, injury, or physical or mental condition, the policies were voidable by the company unless reference to such institutional treatment or attention was indorsed on the policies.

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Bluebook (online)
40 N.E.2d 617, 313 Ill. App. 579, 1942 Ill. App. LEXIS 1175, Counsel Stack Legal Research, https://law.counselstack.com/opinion/rakowski-v-metropolitan-life-insurance-illappct-1942.