Schondorf v. SMA Life Assurance Co.

745 F. Supp. 866, 1990 U.S. Dist. LEXIS 11710, 1990 WL 127414
CourtDistrict Court, E.D. New York
DecidedSeptember 5, 1990
DocketCV-87-2961 (ADS)
StatusPublished
Cited by4 cases

This text of 745 F. Supp. 866 (Schondorf v. SMA Life Assurance Co.) is published on Counsel Stack Legal Research, covering District Court, E.D. New York primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Schondorf v. SMA Life Assurance Co., 745 F. Supp. 866, 1990 U.S. Dist. LEXIS 11710, 1990 WL 127414 (E.D.N.Y. 1990).

Opinion

MEMORANDUM DECISION AND ORDER

SPATT, District Judge.

By way of the defendant’s motion for summary judgment, the Court is asked to *867 determine whether certain undisputed misrepresentations made by the insured in his application for life insurance are “material” as a matter of law, thus voiding the resulting contract of insurance. Since at least some of the misrepresentations are “material” as a matter of law in that they induced the insurer to accept an application for a policy of insurance which it might otherwise not have accepted, the Court grants the defendant’s motion for summary judgment pursuant to Fed.R.Civ.P. 56(b).

FACTUAL BACKGROUND

The material facts of this action are undisputed, except where otherwise indicated, and are summarized below as follows.

On March 14, 1985, Laser Schondorf (“Insured”), filed a written application for a life insurance policy in the amount of $100,000 with the defendant SMA Life Assurance Company (“SMA”). On March 18, 1985, Dr. R.S. Salisbury examined the Insured, and asked him to answer the questions contained in Part II of the application. In completing Part II of the application, the Insured stated that all statements were “complete, true and correctly recorded.” The Insured made the following responses (indicated in brackets), to the questions contained in Part II concerning the Insured’s past medical and family history:

3. a. Name of personal physician: [Dr. Irving Chitman],
b. Address [1225 48th Street, Brooklyn, New York],
c. Date and reason last consulted? [3/84. Cold],
4. When did you last consult any physician?
a. Name
b. Address [# 3 Above].
c. Reason
5. During the past ten years have you ever had, been told you had, or been treated for:
a.Chest pain, angina, heart attack, heart murmur, high blood pressure, rheumatic fever, or any other disorder of the heart or blood vessels? [No].
* * * * * *
e. Peptic ulcer, recurring indigestion, vomiting of blood, bloody stools, colitis, hepatitis, cirrhosis, jaundice, or other disorder of the stomach, intestine, liver, gall bladder or pancreas? [No],
f. Sugar, albumin, blood or pus in urine; nephritis, venereal disease; stone or other disorder of kidney, bladder, prostate, or reproductive organs? [No],
* * 4. * * *
k. Hernia, varicose veins, hemorrhoids, rectal disorder? [Yes].
* * * 4s 4s 4=
6. During the past five years have you:
a. Had a checkup, illness, injury, or surgery? [Yes].
b. Been a patient or outpatient in a hospital or other medical facility? [Yes],
c. Had electrocardiogram, x-ray, or other diagnostic tests? [Yes].
d. Had a periodic health examination? [No],
7. Are you now under treatment, observation, or taking any medication? [No].
8. During the past ten years have you:
a. Been advised to have a test or surgery which was not done? [No].
b. Been treated or received counsel-ling for alcohol or drug use? [No].
c. Requested or received benefits, or payment because of an injury, sickness, or disability? [No].
d. Changed occupation or residence because of health? [No].
e. Had insurance declined, rated or modified? [No].
******
10. Do you engage in a scheduled exercise program? (If ‘Yes’, give details-type, duration, frequency) [No].
******
13. Has any member of your family ever had high blood pressure, heart disease, diabetes, cancer or mental illness? If ‘Yes’, give details. [No].
*868 14. Family Age If State of Health Age at
Record Living or Cause of Death Death
Father [Killed] [61]
Mother [W.W. II] [60]
Brothers [0]
and Sisters [0]

Based upon the statements contained in the application, on March 14, 1985, 1 SMA issued a life insurance policy with a “standard rating” for a 68-year old male with no significant medical history (“the Policy”). The plaintiff, Minna Schondorf, is the named beneficiary under the Policy.

Five months after the issuance of the Policy, the Insured died of a heart attack on August 12, 1985, which is within the two-year contestability period contained in the policy (see N.Y.Ins.Law § 3203[a][3]). After his death, SMA undertook “a standard contestable investigation” of the Insured’s past medical history, including interviews with physicians and a review of medical records. Gleaned from this investigation was personal and family medical history concededly not disclosed in the application submitted to SMA.

The investigation disclosed that in 1983 the Insured had in fact been examined and treated by Dr. Bernard Wechsler, a cardiologist. The Insured had complained to Dr. Wechsler of chest pain and pressure lasting for hours (see question 5[a]), and was prescribed Corgard, Nitrobid and Nitroglycerine for the pain (see question 7). He also reported to Dr. Wechsler that he had been prescribed and was taking Corgard and Inderal (see question 7), drugs typically prescribed for persons suffering from angina pectoris and/or high blood pressure. The Insured was also ordered to undergo a “Holter 24-hour electrocardiogram”, during which he twice complained of chest pain (see question 5[a]).

Immediately following the Insured’s death, Dr. Wechsler provided a statement to SMA on December 5, 1985, which stated that he believed the Insured had angina pectoris when he was first treated by Dr. Wechsler in 1983. Although this was his stated opinion shortly after the Insured’s death (see Wechsler statement dated December 5, 1985), it appears, however, that at the time of this motion Dr. Wechsler takes a different view (see Wechsler Aff’t dated March 25, 1990).

The Insured was also examined and treated by Dr. Baroukh Kodsi for rectal bleeding on February 13, 1985

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745 F. Supp. 866, 1990 U.S. Dist. LEXIS 11710, 1990 WL 127414, Counsel Stack Legal Research, https://law.counselstack.com/opinion/schondorf-v-sma-life-assurance-co-nyed-1990.