Rothschild v. N. Y. Life Insurance

162 A. 463, 106 Pa. Super. 554, 1932 Pa. Super. LEXIS 285
CourtSuperior Court of Pennsylvania
DecidedMay 4, 1932
DocketAppeal 200
StatusPublished
Cited by15 cases

This text of 162 A. 463 (Rothschild v. N. Y. Life Insurance) is published on Counsel Stack Legal Research, covering Superior Court of Pennsylvania primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Rothschild v. N. Y. Life Insurance, 162 A. 463, 106 Pa. Super. 554, 1932 Pa. Super. LEXIS 285 (Pa. Ct. App. 1932).

Opinion

Opinion by

Stadteeld, J.,

This is an appeal by plaintiff from the judgment entered on a verdict in favor of defendant in an action on a combined life and disability insurance policy. The court below refused to enter judgment in favor of plaintiff non obstante veredicto.

According to the agreed statement of facts the defendant company issued to Meyer Rotehsehild, plaintiff *557 appellant, a policy of insurance bearing date July 1, 1921, and described as “Ordinary life plan with disability benefits and double indemnity benefits” in the face amount of $5,000. The policy provides for the payment to the insured of $50 per month if the insured should become wholly and permanently disabled before the age of sixty.

The policy of insurance lapsed for non-payment of premium due July 1, 1927. On August 8, 1927, appellant made a written application for re-instatement of said policy, which application contained certain questions directed to the insured which appellant answered in said application, the questions and answers being as follows: “1. Are you now, to the best of your knowledge and belief, in the same condition of health as you were when this policy was issued? Answer: Yes. 2. "Within the past 12 months have you had any illnesses or consulted or been treated by any physician or physicians? Answer: No.”

Acting upon said application, the company reinstated said policy on or about the 8th day of August, 1927. The said application for reinstatement was never attached to the policy. Said answers of the plaintiff to the questions in said reinstatement application were an inducing and predominating cause as the result of which the defendant was prevailed upon to reinstate the said policy of insurace, and said policy was reinstated by the defendant upon the belief and upon the faith of the correctness of the answers as made by the plaintiff. The annual premium of said policy was paid in 1928.

On September 13, 1928, appellant suffered a stroke of paralysis, rendering him totally and permanently disabled, and after such disability had persisted for a period of three months, appellant filed with the company due proofs of such disability and made claim for disability benefits. This claim the company rejected on the grounds that reinstatement of the said policy *558 was procured fraudulently in that the answers to the questions propounded in the application for reinstatement were false. Whereupon the appellant brought a suit in assumpsit for the sum of $50, being the amount of one month’s disability benefits under the said policy. The defendant duly disavowed liability under the reinstated policy and tendered a return of the premiums, which, being refused, were paid into court.

The company filed an affidavit of defense, pleading the application for reinstatement and offering the falsity of the answers thereunder as a defense to the suit. Appellant moved for judgment on the pleadings for want of a sufficient affidavit of defense, stating that the application for reinstatement was not admissible in evidence, not having been attached to the policy. This motion was refused.

At the trial appellant offered in evidence the pleadings, inclusive of said policy, with proofs of appellant’s total disability persisting for more than three months preceding the bringing of said suit and continuously thereafter until trial of the suit. The total and permanent disability before the age of sixty of the appellant for the period stated was conceded at the trial. The appellant rested, and the company in defense introduced the application for reinstatement into evidence over objection of appellant, -and followed with oral evidence by the plaintiff and his doctor that the answers to the questions therein were materially false, that the appellant knew they were false when he made said answers, and that said answers were made with fraudulent intent.

The verdict resulted in favor of the company, and appellant filed motion for judgment non obstante veredicto, which was refused. Judgment was rendered for the company. From this judgment appellant took this appeal.

The errors assigned are the refusal of the court to strike from the affidavit of defense the application for *559 reinstatement and the averments in connection therewith, on account of not having been attached to the policy, the refusal to enter judgment for plaintiff non obstante veredicto, and the entry of judgment on the verdict in favor of defendant.

The sole question involved in this case is whether the application for reinstatement, not being attached to the policy, was admissible in evidence, and whether it could be used by defendant as a means of establishing a defense to suit on the policy.

Appellant relies upon section 318 of the Insurance Code of 1921, P. L. 682, which reads as follows: “All insurance policies, issued by stock or mutual insurance companies or associations doing business in this state, in which the application of the insured, the constitution, by-laws, or other rules of the company from 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, or the constitution, by-laws, or other rules referred to; and, unless so attached and accompanying the policy, no such application, constitution, or by-laws, or other rules shall be received in evidence in any controversy between the parties to, or interested in, the policy, nor shall such application, constitution, by-laws, or other miles be considered a part of the policy or contract between such parties.”

The vital question arises as to whether the defendant, by reason of said statute, can take advantage of the admittedly false and fraudulent statement which induced the reinstatement of the policy after it had lapsed for non-payment of premium.

The provision in the policy as to reinstatement is as follows: “At any time within five years after any default, upon written application by the insured and upon presentation at the home office of evidence of insurability satisfactory to the company, this policy *560 may be reinstated together with any indebtedness in accordance with the loan provisions of the policy, upon payment of loan interest, and of arrears of premiums with five per cent interest thereon from their due date.”

Paragraph k, section 410 of the Pennsylvania Insurance Code of 1921 provides that every life insurance policy shall contain: “A provision that the holder of a policy shall be entitled to have the policy reinstated, at any time within three years from the date of default in premium payments, unless the policy has been duly surrendered or the extension period expired, upon the production of evidence of insurability satisfactory to the company, and the payment of all overdue premiums and any other indebtedness to the company upon said policy, with interest at the rate of not exceeding six per centum per annum.”

Under the common law there is no requirement that the application for the insurance shall be made a part of, or attached to, the policy.

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Cite This Page — Counsel Stack

Bluebook (online)
162 A. 463, 106 Pa. Super. 554, 1932 Pa. Super. LEXIS 285, Counsel Stack Legal Research, https://law.counselstack.com/opinion/rothschild-v-n-y-life-insurance-pasuperct-1932.