Roccia v. Prudential Insurance Co. of America

31 Pa. D. & C. 673, 1938 Pa. Dist. & Cnty. Dec. LEXIS 53
CourtPennsylvania Court of Common Pleas, Delaware County
DecidedFebruary 28, 1938
Docketno. 372
StatusPublished

This text of 31 Pa. D. & C. 673 (Roccia v. Prudential Insurance Co. of America) is published on Counsel Stack Legal Research, covering Pennsylvania Court of Common Pleas, Delaware County primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Roccia v. Prudential Insurance Co. of America, 31 Pa. D. & C. 673, 1938 Pa. Dist. & Cnty. Dec. LEXIS 53 (Pa. Super. Ct. 1938).

Opinion

MacDade, J.,

Michael Roccia, plaintiff, brought a suit in assumpsit against defendant, The Prudential Insurance Company of America, to recover the amount claimed to be due on a policy issued by defendant on the life of plaintiff’s father, Petro Roccia. The policy was dated April 14,1930, in the sum of $1,000. It was issued at age 62 nearest birthday, and the insured died March 4, 1937.

The pleadings consisted of a statement of claim, affidavit of defense containing new matter, and plaintiff’s reply thereto. In those portions of the pleadings, which were offered in evidence, it appears that, in and about the [674]*674month of December 1936, prior to the insured’s death, defendant learned for the first time, through an affidavit supplied to it by plaintiff, that the insured was actually born in Italy in the year 1851 instead of the year 1868, and defendant subsequently secured a birth certificate corroborating this information and showing that the insured was born in the municipality of Venafro, Italy, on February 1,1851.

The policy contained in its “General Provision”, the following clause:

“Incontestability. — This policy shall be incontestable after one year from its date of issue, except for nonpayment of premium, but if the age of the insured be misstated the amount or amounts payable under this policy shall be such as the premium would have purchased at the correct age.”

In addition to the above factual situation it is fair to state: (1) That the plaintiff paid the sum of $7.68 per month from April 14,1930, until and including February 14, 1937, for a total of 83 months, or $637.44, and received back the sum of $424.31; (2) the check, defendant’s exhibit B, was dated April 13, 1937, but not deposited until May 10,1937. This, we learn from plaintiff’s brief, who also states that counsel for defendant had indicated that the question of acceptance, in full settlement of all claims under the policy would not be raised at the trial, or otherwise, evidence that the check was not so accepted would have been presented by plaintiff; (3) the information as to the correct date of birth of the insured was supplied to defendant by plaintiff some time prior to the date of the death of the insured, and thereafter premiums were accepted by defendant; and lastly, the cross-examination of defendant’s witness involved the age at issue, as raised by defendant in his affidavit of defense and new matter, paragraph 14, in the following-words :

“. . . and defendant avers that had this true age been given by the insured at the time of applying for said [675]*675policy, the same would have been issued to him at age 79 nearest birthday instead of age 62, had defendant so desired.”

The issues as thus framed came on for trial on January 25, 1938, which trial resulted in a directed verdict for plaintiff for $606.39, being principal of $565 and interest from March 4,1937, or a total of $606.39, reserving, however, a point of law, which was stated by the trial judge to be as follows:

“We will reserve a question of law, and that question of law will be under the facts of the case: Would the fact that plaintiff, deceased, gave his age at 62 years of age, and when he was really 79 years of age, come within the terms of the incontestability clause or without its terms?”

Discussion

The question involved here is rather a narrow one, and its correct solution depends upon our interpretation of the principle of law anent the subject matter as enunciated in the eases of Sipp v. Philadelphia Life Ins. Co., 293 Pa. 292, and Mitchell v. Pennsylvania Mutual Life Ins. Co., 90 Pa. Superior Ct. 426.

Defendant contends that the question concerns the right of an insurance company to adjust the amount payable to the insured’s correct age, after the age has been misstated at the time of applying for the policy, claiming that a provision in the contract gives the company defendant this right, and which provision is quoted in the above statement of facts pertaining to the “incontestability” feature relative to misstatement of age, which is in the language required by The Insurance Company Law of May 17, 1921, P. L. 682, sec. 410 (e), 40 PS §510.

For support of this interpretation, defendant relies upon Sipp v. Philadelphia Life Ins. Co., supra.

Plaintiff contends to the contrariwise, asserting that the contract of insurance upon the life of Petro Roccia having been in force for more than one year, namely, from April 14, 1930, until March 4, 1937, and since the [676]*676insured was above the age when any insurance could have been purchased, the company limiting its risks to those under 66, and since the premiums paid could not have purchased any insurance at the true age, the case does not involve a matter of reduction, but a contest of the entire amount, which the clause relating to incontestability prohibited. The case of Mitchell v. Pennsylvania Mutual Life Ins. Co., supra, is cited as support for this proposition.

In arriving at a proper construction to be placed on this provision, we assume that all insurance companies, undoubtedly, have age limitations beyond which they will not customarily issue insurance policies. The limitations vary from 50 upwards, probably depending on the particular insurance company and the type of insurance applied for. That all companies have tables of rates for ages beyond the regular limitation, and the amount of • insurance purchasable for a given premium at any advanced age can be immediately ascertained. The words used in the policy are, “would have purchased”, and these are the same words that are required by the statute. The phraseology used in the Pennsylvania statute may be found in the statutes of other States, among them Iowa, Mississippi, New York, and Delaware. When the language contained in a life insurance policy is required to be placed there by statute, the usual rule which requires an insurance policy to be construed most strictly against the insurer and most favorably to the insured, no longer applies: Frozine v. St. Paul Fire & Marine Ins. Co., 195 Wis. 494, 218 N. W. 845; Lewis, Executrix, v. Insurance Company of North America, 203 Wis. 324, 234 N. W. 499; Midkiff et al. v. North Carolina Home Ins. Co., 197 N. C. 139, 147 S. E. 812; Kramer v. The Western Assurance Co., 9 N. J. Misc. 1261, 157 Atl. 171; Buccola v. National Fire Insurance Company of Hartford, Conn., 18 La. App. 353, 137 So. 346; Mayfield et al. v. North River Ins. Co., 122 Neb. 63, 239 N. W. 197.

[677]*677Thus, in Wilcox v. The Massachusetts Protective Assn., 266 Mass. 230, 235, 165 N. E. 429, the court said:

“The terms of the policy relating to notice are substantially in the words required or permitted by statute. The general rule that reasonable doubts arising from the language of a policy of insurance should be resolved against the company (Farber v. Mutual Life Ins. Co. of New York, 250 Mass. 250, 254) is not applicable to terms which the company is required by legislative act to incorporate, and the rule loses much of its force when the insurer has adopted the language of the statute in clauses not required but which the statute expressly permits. Rosenthal v. Insurance Co. of North America, 158 Wis. 550, 553. Frozine v. St. Paul Fire & Marine Ins. Co., 195 Wis. 494, 496. Mick v. Corporation of Royal Exchange Assurance of London, 87 N. J. L. 607, 611.

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Bluebook (online)
31 Pa. D. & C. 673, 1938 Pa. Dist. & Cnty. Dec. LEXIS 53, Counsel Stack Legal Research, https://law.counselstack.com/opinion/roccia-v-prudential-insurance-co-of-america-pactcompldelawa-1938.