Robinson v. Supreme Commandery

77 A.D. 215, 79 N.Y.S. 13
CourtAppellate Division of the Supreme Court of the State of New York
DecidedJuly 1, 1902
StatusPublished
Cited by5 cases

This text of 77 A.D. 215 (Robinson v. Supreme Commandery) is published on Counsel Stack Legal Research, covering Appellate Division of the Supreme Court of the State of New York primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Robinson v. Supreme Commandery, 77 A.D. 215, 79 N.Y.S. 13 (N.Y. Ct. App. 1902).

Opinion

Laughlin, J.:

The action is upon a beneficiary certificate issued by the defendant to William S. Robinson for the benefit of his mother, the plaintiff.

The first ground upon which the appellant contends that it is not liable is that the complaint fails to state and the evidence fails to establish a cause of action against it. The precise contention of the appellant is that neither the complaint nor the evidence shows that the appellant is an assessment beneficiary order, that the decedent was a member thereof or that there is any fund for the payment of the claim. It is alleged in the complaint that the appellant is a corporation duly organized under the laws of the State of Tennessee; that the decedent was duly elected and admitted as a member of the “ Few Amsterdam Commandery, United Order of the Golden Cross, located in Few York, F. Y.that subsequently thereto the defendant executed and delivered to the decedent a benefit certificate which recited his election and admission to membership in said commandery; that he was “a contributor to the Junior Class Benefit Fund of this Order; ” that his application for membership and the statements certified by him to the medical examiner were on file in the office of the supreme keeper of records, and were made a part of the contract, and that it was issued upon condition that he comply “ in the future with the laws, rules and regulations now governing the said Commandery and fund, or that may hereafter be enacted by the Supreme Commandery to govern said Commandery and fund.” The certificate further recited that these conditions being complied with, the Supreme Commandery, United Order of the Golden Cross (being the defendant), hereby promises and binds itself to pay out of its Junior Class Benefit Fund to Margaret [217]*217Robinson, mother, in accordance with and under the provisions of the law governing said benefit fund, and upon satisfactory evidence of the death of said member and upon the surrender of this certificate, the sum of Two thousand dollars, provided the said benefit fund of said class reaches the sum of Two thousand dollars at the assessment called in payment of this certificate, and if said assessment shall not reach the said sum of Two thousand dollars there shall be paid on said certificate all or a proportional part of the fund received from the then membership in one assessment; and further, provided that said member is in good standing in this order at the time of his death; that this certificate shall not have been surrendered by said member and another certificate issued at his request, in accordance with the laws of this order. And provided also that the suspension, disconnection or expulsion of said member shall work an immediate forfeiture of all claims of said member on the Benefit Fund of the Order, also the forfeiture of the claims of the beneficiaries named in this certificate.”

The complaint duly alleges the acceptance of the certificate in writing upon the conditions therein named, the death of the member while in good standing before the surrender of the certificate or change of beneficiary and “ that the Junior Class Benefit Fund reached the sum of Two thousand dollars at the assessment called in payment of said certificate, or would have reached said sum if said assessment had been called,” and that payment has been duly demanded and refused. The answer admits all of these allegations of the complaint except that the defendant denies that it has any knowledge or information sufficient to form a belief concerning the death of the member; but it admits the receipt of papers purporting to be proofs of his death. Upon the trial the plaintiff proved the death of the member and the presentation of the proofs of death.

The facts thus admitted and proved clearly made out a ¡prima, facie case of liability on the part of the defendant. In view of the allegations of the complaint which are admitted it appears either that the fund out of which the claim was payable was sufficient for the purpose or that it was insufficient through the omission of the defendant to levy an assessment. The appellant did not contest the claim on the ground of its inability to pay, but on account of alleged false representations on the part of the member in his application.

[218]*218The next point to be considered relates to the defense based upon alleged misrepresentations of the decedent in his application for membership. It was recited in the application that the questions and answers contained therein were to form a part of the contract in case a benefit certificate was issued. The following questions and answers appear therein : “ 5. A. Is there now any insurance on your life ? Yes. B. If so, in what company and for what amount % Temples Of Liberty; $1,000.” It was shown that the decedent was at that time insured in the Prudential Insurance Company of Newark, N. J., for the sum of $158. At the end of the questions and answers and before the signature of the decedent there was a printed clause to the effect that the applicant agreed “ that if there be, in any of the answers herein made, any untrue or evasive statements, misrepresentations or concealment of facts, * * * then all claims on the Benefit Eund * * * shall be forfeited and lost by me.” It is not claimed that the decedent made any express misrepresentations, but it is contended that his answer did not disclose all of the truth, and was, therefore, evasive, and constituted a misrepresentation or concealment of fact as to his insurance in the Prudential Company. The rule is well settled that agreements of this character are strictly construed against the insurance company or order. It will be observed that the language of the question is in the singular, and it may well be that the applicant would understand thereby that the commandery merely desired him to specify one other organization or company in which he was insured. If he intentionally suppressed the truth the contract might be avoided on the ground of fraud, but it would not constitute a breach of warranty. (Dilleber v. Home Life Ins. Co., 69 N. Y. 256.)

At the close of the evidence both parties moved for a direction of a verdict, and neither requested to go to the jury upon any question. The court directed a verdict in favor of the plaintiff for $2,000 and interest. The parties thus by consent permitted the court to pass upon any question of fact there might be in the case. It cannot be said that there was a fraudulent concealment of facts as matter of law, and a finding that there was no fraudulent concealment would be supported by evidence.

The decedent died of consumption. In his application, in answer to a question, he stated that his father died of pneumonia, [219]*219and the appellant, contending that the father also died of consumption, sets up a breach of warranty in this regard. Upon the trial the appellant offered in evidence a certificate of the death of the deceased member’s father made by the attending physician and duly filed with the health department of the city of New York, as required by law. This certificate recited that the cause of death was'consumption. The evidence was excluded and the defendant excepted. The physician who made the certificate was called as a witness, and the appellant offered to prove the cause of death by him. This was excluded, and it is not claimed that its exclusion was error. It is well settled that such evidence is incompetent under section 834 of the Code of Civil Procedure, and that the incompetency of the physician as a witness ordinarily renders the certificate of death also inadmissible. (Davis v.

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Cite This Page — Counsel Stack

Bluebook (online)
77 A.D. 215, 79 N.Y.S. 13, Counsel Stack Legal Research, https://law.counselstack.com/opinion/robinson-v-supreme-commandery-nyappdiv-1902.