Ross v. Metropolitan Life Insurance

169 A.2d 74, 403 Pa. 135, 1961 Pa. LEXIS 431
Supreme Court of Pennsylvania·Decided March 23, 1961·No. Appeal, No. 104·Published·Cited by 39 cases

Opinion

Opinion by

Mr. Justice Bell,

This is an appeal from an Order which overruled plaintiff’s motion for judgment on the pleadings under Rule 1034 of the Rules of Civil Procedure. This appeal raises several questions of law which, as we shall see, are very close.

A motion for judgment on the pleadings, likq preliminary objections, is the equivalent of the old statutory demurrer and admits all facts which are well pleaded. Necho Coal Co. v. Denise Coal Co., 387 Pa. 567, 128 A. 2d 771; Gardner v. Allegheny County, 382 Pa. 88, 114 A. 2d 491. Such a motion should be granted and judgment should be entered only in a case which is clear and free from doubt, or as it is sometimes expressed, only when it is clear that no meritorious legal defense is raised. Cases, supra. ■ •

[137] In order to avoid any possible future misunderstanding, we note that tbe Order of tbe lower Court which overruled plaintiffs motion for judgment on the pleadings, although interlocutory, is appealable under the Act of April 18, 1874,* as analogous to a motion for judgment for want of a sufficient affidavit of defense. Syme v. Bankers National Life Insurance Co., 393 Pa. 600, 144 A. 2d 845.

Plaintiff, the beneficiary in an insurance policy issued on the life of her husband, Sidney Eoss, brought an action in assumpsit to recover the proceeds of this policy which was issued by defendant. On December 3, 1956, Eoss answered the questions in and signed Part A of an application to defendant for a $10,000 ordinary whole life insurance policy. On December 15, 1956, Eoss answered the questions in and signed Part B of an application for the same policy. On December 28, 1956, defendant notified Eoss that it would not issue an ordinary whole life insurance policy because of his high blood pressure, hypertension, and personal history, but would issue an intermediate whole life policy, assuming heart chart and urine specimen were satisfactory.

The intermediate whole life policy required payment of higher premiums than an ordinary whole life policy. On January 30, 1957, Eoss applied for this intermediate whole life policy by executing an application amendment which was attached to the policy. This amendment changed the insurance classification from ordinary whole life to intermediate whole life and made some change in the plan of payments. Defendant, based upon the application and the application amendment which were dated and duly signed by applicant (after having been specifically filled out and answered) issued an intermediate whole life in[138] surance policy upon which plaintiff has brought the present suit. Although this policy was given to Ross by defendant after he executed the application amendment, it became effective as of December 28, 1956.*

A copy of the application and of the application amendment — the correctness of this copy is one of the three principal issues which are raised by plaintiff in this appeal — was attached to the policy which was delivered to Ross. This copy of the application amendment was neither signed nor dated, but was otherwise identical with the original application amendment which was dated and signed by Ross.

Defendant’s answer averred that Ross had made certain false and fraudulent misrepresentations in his application for an ordinary whole life policy and averred with particularity what these fraudulent misrepresentations were.

Ross died on February 8, 1958, within the two year contestability period. Defendant upon discovery of the alleged fraudulent misrepresentations, denied liability on the policy and offered to return to plaintiff the paid premiums of $638.10. This offer was declined.

Appellant-plaintiff first contends that an answer which is set forth in an application for a policy of life insurance, no matter how false or fraudulent the answer may be, is unavailable to the insurance company as a defense when the application is for a different policy than the policy of insurance to which a copy of it is attached: Syme v. Bankers National Life Insurance Co., 393 Pa. 600, 144 A. 2d 845 (1958); Fidelity Title & Trust Co. v. Metropolitan Life Insurance Co., 305 Pa. 296, 157 A. 614; The Insurance De[139] partment Act, May 17, 1921,* §441. It is not necessary to decide whether that well settled principle is applicable to the present case, since the original application became a part of the policy issued to Ross by the terms of the amended application, but only if the amended application is valid. Both the original application and the amended application were attached to the policy.

The policy pertinently provides: “This policy and the application therefor, a copy of which is attached hereto as a part hereof, constitute the entire contract between the parties, . . . and no statement shall avoid this Policy or be used in defense of a claim hereunder unless it is contained in the application therefor and a copy of such application is attached to this Policy when issued. . . . This Policy is issued ... in consideration of the Application therefor, a copy of which Application is attached hereto and made part hereof____”

The application amendment which was attached to and integrated with the original application and made a supplemental part thereof, provides, inter alia: “The undersigned hereby amends the application for Life Insurance made to your Company .... These amendments and declarations are to be considered as a part of the said application and subject to the agreements, covenants, and statements therein contained. The said application, together with these amendments, is to be considered as the basis of and as a part of the contract of insurance.”

Appellant’s second contention is that since a copy of the application amendment which was attached to the intermediate whole life insurance policy when it was issued to the insured, was unsigned by the in[140] sured and undated, it is not a correct copy and is a nullity and its legal effect is that of a blank sheet of paper.

We shall consider this second contention, first, because it will dispose of the case.

Section 318 of The Insurance Department Act of 1921, 40 PS §441, provides: “All insurance policies ... in which the application of the insured . . . form part of the policy or contract between the parties thereto, or have any bearing on said contract, shall contain, or have attached to said policies, correct* copies of the application as signed by the applicant . . . and, unless so attached and accompanying the policy, no such application . . . shall be received in evidence in any controversy between the parties to, or interested in, the policy, nor shall such application . . . be considered a part of the policy or contract between such parties.” . .

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Ross v. Metropolitan Life Insurance, 169 A.2d 74, 403 Pa. 135, 1961 Pa. LEXIS 431 (Pa. 1961).

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