Ressler v. Metropolitan Life Insurance

65 Pa. D. & C. 151, 1948 Pa. Dist. & Cnty. Dec. LEXIS 256
CourtPennsylvania Court of Common Pleas, Cambria County
DecidedJuly 20, 1948
Docketno. 7
StatusPublished

This text of 65 Pa. D. & C. 151 (Ressler v. Metropolitan Life Insurance) is published on Counsel Stack Legal Research, covering Pennsylvania Court of Common Pleas, Cambria County primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Ressler v. Metropolitan Life Insurance, 65 Pa. D. & C. 151, 1948 Pa. Dist. & Cnty. Dec. LEXIS 256 (Pa. Super. Ct. 1948).

Opinion

Griffith, J.,

— The complaint was filed by the mother of the deceased insured, Freda M. Ressler, and alleges that on January 4, 1944, the insured applied for a $1,000 20-year life insurance policy, and on January 5, 1944, paid defendant the first monthly premium of $3.10 so that when the application was finally approved the insurance would be in force from the date of the receipt of the first payment. Plaintiff further avers that the application was approved and the policy issued, and that upon the insured’s application dated June 7, 1945, it was changed to an endowment policy at age 85, and that the insured died October 21, 1946, and defendant insurance company has refused to pay in accordance with the terms of the policy.

Defendant’s answer sets forth that the date of the application was not January 4, 1944, but January 4, 1945, and that the initial payment was paid on January 5, 1945, instead of January 5, 1944, and that this error in the year was corrected by application amendment signed by the insured and attached to the policy of life insurance, a copy of which appears in plaintiff’s complaint and shows the application date to be January 4, 1945.

Under new matter defendant sets up the affirmative defense that statements made by the insured in the application, which were material to the risk, were false and fraudulent, and thereby avoided the policy.

Plaintiff filed a reply to defendant’s new matter, and defendant, believing that the answers contained in plaintiff’s reply were insufficient to prevent judgment, moved for judgment on the pleadings in accordance with Pa. R. C. P. 1034.

Plaintiff contends that the policy of insurance being in effect from January 4,1944, was incontestable since the death of the insured did not occur until October 21, 1946, or more than two years after the alleged effective date. The policy provides as follows: “This Policy [153]*153shall be Incontestable after it has been in force during the lifetime of the Insured for a period of two years from its date of issue. . . .”

Plaintiff’s contention cannot prevail for two reasons:

1. The date of issue was not January 4, 1944, even though the application was signed on that date, but March 1, 1945, the date appearing in the testimonium clause of the policy itself, which reads as follows: “In Witness Whereof the Metropolitan Life Insurance Company has caused this policy to be executed this 1st day of March, 1945, which is the date of issue of this Policy.” It is true that the policy was in force from the date of the application on account of the payment of the first month’s premium, but the incontestability clause refers specifically to the testimonium clause in the policy, which recites March 1, 1945, as the date of issue.

Obviously there is intended to be a distinction between the date of issue and the date of the commencement of liability under the policy due to the payment of the insurance premium at the time of the application. In Potts v. Metropolitan Life Insurance Co., 133 Pa. Superior Ct. 397, the policy contained a similar provision, and the court said (p. 401) :

“The contract in suit provides on the face thereof: ‘In Witness Whereof, the Metropolitan Life Insurance Company has caused this policy to be executed on the date of issue stated in the schedule.’ By the very wording of the above clause, it is clearly indicated that the Company contemplated that the policy would be and actually was executed on a different date than its effective date; the effective date being referred to as the date of issue stated in the schedule and not the date of actual execution or delivery. . . . Companies issuing insurance policies, as in other contracts, have the right to fix in the policy the date of its beginning, and this date, as indicated, may be prior to, at the time of, or subsequent to its delivery.”

[154]*154In a similar case, Prudential Insurance Company of America v. Connallon, 154 Atl. 729 (N. J.), the court said:

, “It is the policy alone, and not the application, that specifically fixes the time limitation as to contest of the policy. It could have been declared in the policy that the time limitation of contest should run from any reasonable date fixed therein; and it was specifically declared therein that it (the policy) shall be incontestable after one year from its (the policy’s) date of issue, not one year after the making or date of the application.”

Therefore, the date of issue of the policy under consideration is the date set forth in the testimonium clause, which is March 1, 1945, and since the insured died October 21, 1946, or less than two years from the date of issue, the policy is contestable.

2. There is another reason we must find the policy is contestable, and that is because it appears from the pleadings that the date of the application was not January 4, 1944, but January 4, 1945. The application amendment attached as an exhibit to plaintiff’s complaint shows that the insured under her own signature agreed that the policy was applied for not on January 4, 1944, but on January 4, 1945. In view of the fact that the incontestability clause in the policy provides that it shall be incontestable after it has been in force “during the lifetime of the insured” for a period of two years, the fact that the insured died during the two-year period renders the policy contestable. It is true that the death of the insured during the period of contestability does not always affect the running of the period of contestability, but in the policy we are now considering it is specifically provided that the policy shall be incontestable only if it has been in force for two years “during the lifetime of the insured”. This exact language was so construed in Carpentieri, [155]*155Admx., v. Metropolitan Life Insurance Co., 138 Pa. Superior Ct. 1.

The policy being contestable, we may therefore consider defendant’s contention that the policy has been avoided by reason of false and fraudulent statements material to the risk made by the insured in the application, and that defendant’s allegations under new matter in respect to these statements have been insufficiently denied in plaintiff’s reply.

Since the Act of May 21, 1937, P. L. 774, 40 PS §512a, the statements must be deemed to be representations and not warranties, and the test of plaintiff’s right to recover is the good faith of the insured in making them; However, in order to show that the statements were falsely made, it is sufficient for defendant to show that they were false in fact and that the insured knew they were false when they were made. Moreover, admissions in the pleadings may establish the facts and avoid the policy without the intervention of a jury: Evans v. Penn Mutual Life Insurance Co., 322 Pa. 547.

In the case of Reeder v. Metropolitan Life Insurance Co., 340 Pa. 503, the court said, page 506:

“While it is generally for the jury to determine the question as to the truth or falsity of the answers in the application, nevertheless where, as here, the admissions contained in the pleadings establish facts warranting the avoidance of the policy, the court may enter judgment without the intervention of a jury.”

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Related

Prudential Insurance Co. of America v. Connallon
154 A. 729 (Supreme Court of New Jersey, 1931)
Indovina v. Metropolitan Life Insurance
5 A.2d 556 (Supreme Court of Pennsylvania, 1939)
Derr v. Mutual Life Insurance Co. of New York
41 A.2d 542 (Supreme Court of Pennsylvania, 1944)
Evans v. Penn Mutual Life Insurance
186 A. 133 (Supreme Court of Pennsylvania, 1936)
Prevete v. Metropolitan Life Insurance
22 A.2d 691 (Supreme Court of Pennsylvania, 1941)
Reeder v. Metropolitan Life Insurance
17 A.2d 879 (Supreme Court of Pennsylvania, 1941)
Potts v. Metropolitan Life Insurance
2 A.2d 870 (Superior Court of Pennsylvania, 1938)
Baxter v. New York Life Insurance
175 A. 899 (Superior Court of Pennsylvania, 1934)
Carpentieri v. Metropolitan Life Insurance
10 A.2d 37 (Superior Court of Pennsylvania, 1939)

Cite This Page — Counsel Stack

Bluebook (online)
65 Pa. D. & C. 151, 1948 Pa. Dist. & Cnty. Dec. LEXIS 256, Counsel Stack Legal Research, https://law.counselstack.com/opinion/ressler-v-metropolitan-life-insurance-pactcomplcambri-1948.