Royal Circle v. Achterrath

63 L.R.A. 452, 204 Ill. 549
CourtIllinois Supreme Court
DecidedOctober 26, 1903
StatusPublished
Cited by48 cases

This text of 63 L.R.A. 452 (Royal Circle v. Achterrath) is published on Counsel Stack Legal Research, covering Illinois Supreme Court primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Royal Circle v. Achterrath, 63 L.R.A. 452, 204 Ill. 549 (Ill. 1903).

Opinion

Mr. Justice Magruder

delivered the opinion of the court:

In the case at bar, the proof shows that William Achterrath, to whom the benefit certificate sued upon was issued, died by his own hand. While the affirmative proof in the case does not show whether the deceased was sane or not at the time of his death, yet there is no proof that he was in such a state of mind as to be unconscious of the physical nature of the act of self -destruction, and, therefore, in the absence of any proof as to his insanity, all the presumptions are in favor of his sanity. (Grand Lodge I. O. M. A. v. Wieting, 168 Ill. 408; Dickerson v. Northwestern Mutual Life Ins. Co. 200 id. 270). It follows that, under the terms and provisions of the benefit certificate, and of the application for membership, and of the constitution and by-laws of the appellant association, except those contained in section 1 of article 16 of the constitution of the order, the appellant would not be liable to the appellee in this suit. Consequently, the real and substantial, and only material, question in the case is, whether the- remaining $1500.00, due upon the face of the benefit certificate, is indisputable and incontestable by the appellant on account of the provision, contained in section 1 of article 16 of the constitution, that section being indisputably a part of the contract between the society and the insured. In other words, is the appellant estopped from refusing payment on account of Achterrath’s death by suicide, by reason of the “incontestable clause,” quoted in the statement preceding this opinion as section 1 of article 16 of appellant’s constitution?

Section 1 of article 16 provides that, “after two years from the date of a certificate, the member continuing in good standing, the only conditions binding upon the member are the agreements as to his full compliance with the laws and rules of the association, and that all dues and assessments shall be paid as required. In all other respects the payment of any sum, due under any certificate issued to a member, shall be indisputable and incontestable-.” ■

Before proceeding to consider the proper meaning and interpretation of this incontestable clause, it may be well to refer to some of the authorities, which have considered the force and effect to be given to such clauses. Courts have frequently recognized the validity of clauses, making policies of life insurance, and benefit certificates in benevolent associations, incontestable by the company or association under certain conditions. Stipulations, to the effect that a policy, or certificate, shall become incontestable for fraud in procuring the same after the lapse of a specified period from the date of its issue, have been held valid as creating a short statute of limitations in favor of the insured, and as giving the insurer a limited period for the purpose of testing the validity of the policy. In such cases, the company or association cannot set up fraud as a defense, if the period so fixed is sufficient to enable .the company, or association, by the exercise of proper diligence to ascertain whether fraud has been practiced or not. Such clauses, making a policy or certificate incontestable for fraud, have fixed such period at from one to three years from the date of the issuance of the policy, or certificate. (Massachusetts Life Ass. v. Robinson, 104 Ga. 256; Patterson v. National Premium Mutual Life Ins. Co. 100 Wis. 118; Wright v. Mutual Benefit Life Ass. 118 N. Y. 237; Clement v. New York Life Ins. Co. 101 Tenn. 22). “It has been held that, where a policy provides, that it shall be incontestable after a certain period, except for certain causes, death by suicide not being one of the excepted causes, such clause will apply in case of the death of the insured by suicide, notwithstanding the policy contains another clause, providing that death by suicide is not a risk which the company assumes.” (19 Am. & Eng. Ency. of Law,—2d ed.— p. 80; Mareck v. Mutual Reserve Fund Life Ass. 62 Minn. 39; Goodwin v. Provident Savings Life Assurance Ass. 97 Iowa, 226; Simpson v. Life Ins. Co. 115 N. C. 393; Mutual Reserve Fund Life Ass. v. Payne, 32 S. W. Rep. 1063; Murray v. State Mutual Life Ins. Co. 22 R. I. 524; Kline v. National Benefit Ass. 111 Ind. 462). In interpreting incontestable clauses, several well known rules of construction are adopted as being peculiarly applicable to contracts of this class. One of these rules of construction is, that such contracts are to be liberally construed in favor of the insured. In National Bank v. Insurance Co. 95 U. S. 673, it was said that “the policy having been prepared by the insurers, it should be construed most strongly against them.” In Thompson v. Insurance Co. 136 U. S. 297, it was said: “If a policy is so drawn, as to require interpretation, and to be fairly susceptible of two different constructions, the one will be adopted that is most favorable to the insured.” (See also Massachusetts Life Ass. v. Robinson, 104 Ga. 277). In the American and English Encyclopedia of Law (vol. 19,—2d ed.—p. 80,) it is said: “In regard to matters, which would have the effect of defeating or destroying the contract, if there is a reasonable doubt as to the extent of the application of the incontestable clause, it must be solved in favor of the beneficiary, and stipulations in the policy to the contrary must yield. Thus it has been held that a clause in the policy, providing that ‘if the terms of this contract be complied with, it shall be incontestable after one year from its date, ’ though the meaning is somewhat doubtful, will relieve the insured from the effect of a false warranty after the expiration of one year. * * * So, it has been held that, where a policy omits the ‘suicide clause,’, but contains a clause malting it absolutely incontestable from the date of its delivery and acceptance, except for nonpayment of premiums or mis-statement of age, intentional suicide while sane, although technically a crime, cannot be set up as a defense under another clause of the policy, in effect providing that death ‘in consequence of or in violation of law’ is not a risk covered by the policy.”

So, in Mareck v. Mutual Reserve Fund Life Ass. supra, it was said: “If there is a reasonable doubt as to the extent of the application of the ‘incontestable clause, ’ it must be solved in favor of the' beneficiary. This clause was inserted in the contract by the company itself. * * * Another reason why the insured might well understand the clause as meaning this, [that is, that the company agreed to waive the condition as to suicide after five years], and why the company itself may have intended it to have that meaning, is the fact that’it is the custom of many life insurance companies to limit the operation of conditions as to suicide to a fixed period, and to make their policies thereafter incontestable on that ground.” In the case last referred to of Mareck v. Mutual Reserve Fund Life Ass.

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Bluebook (online)
63 L.R.A. 452, 204 Ill. 549, Counsel Stack Legal Research, https://law.counselstack.com/opinion/royal-circle-v-achterrath-ill-1903.