Sipp v. Philadelphia Life Insurance

10 Pa. D. & C. 250, 1928 Pa. Dist. & Cnty. Dec. LEXIS 358
CourtPennsylvania Court of Common Pleas, Philadelphia County
DecidedJanuary 27, 1928
DocketNo. 1910
StatusPublished

This text of 10 Pa. D. & C. 250 (Sipp v. Philadelphia Life Insurance) is published on Counsel Stack Legal Research, covering Pennsylvania Court of Common Pleas, Philadelphia County primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Sipp v. Philadelphia Life Insurance, 10 Pa. D. & C. 250, 1928 Pa. Dist. & Cnty. Dec. LEXIS 358 (Pa. Super. Ct. 1928).

Opinion

McDevitt, P. J.,

This matter came before the court on a rule taken by the plaintiff for judgment for want of a sufficient affidavit of defense. The action pending is based upon a standard life insurance policy in the sum of $3000.

The death of the insured is alleged to have occurred on March 7, 1919, in New York City. According to the docket entries, summons was not issued until March 6, 1925, six years after the death. The defense raised is that when the policy was written, the age of the insured was stated to be fifty [251]*251years and the premium for the amount of the insurance written was fixed and based on that representation; that the insured was at that time in fact sixty-five years of age; that the defendant would have insured the decedent at that age, hut the amount of insurance which the premium paid would have purchased at the alleged correct age of sixty-five years, if then stated, would have been $1585 and not $3000, the amount stated in the policy, which was based on the representation that the decedent was then fifty years of age; that defendant stands ready to pay said sum of $1585, less deduction of $423 advanced to the insured as a loan on the policy.

Defendant claims the right to set up this pro tanto defense upon the misstatement of age clause contained in the policy, which is as follows: “If the age of the insured has been misstated, the amount payable hereunder shall be such a sum as the premium actually paid would have purchased at the correct age.”

The plaintiff contends that, in view of the provision in the policy that it shall be incontestable after a year and because the policy did not contain a schedule of the premium rates at the alleged correct age, the defense set up is unavailable because of the provision in the policy: “A copy of the written and printed application for this contract is attached hereto. This policy and application therefor, taken together, constitute the entire contract.”

Plaintiff relies on some statements of the Superior Court in the case of Mitchell v. Pennsylvania Mutual Life Ins. Co., 90 Pa. Superior Ct. 426. An examination of that case discloses, however, that the portion of the opinion relied upon was merely an obiter dictum of the court entirely unnecessary for the determination of the matter in controversy, which had already been determined in favor of the plaintiff in that case upon another ground not present in this case.

It was contended by the defendant in that case that the policy sued on was void because it was the rule and custom of the defendant company not to insure any one over the age of sixty years. The insured was alleged to have been sixty-five years when the policy was written. After alleging that “said policy was void,” defendant added, as a makeweight, that at most the amount payable under said policy on the basis of the alleged correct age of the plaintiff therein amounted to a certain sum stated, being less than the amount stated in the policy.

The Superior Court affirmed a judgment in favor of the plaintiff by the court below in the following language (page 429) : “The learned court below entered judgment for the plaintiff for the amount of the policy for want of a sufficient affidavit of defense, holding that as the affidavit alleged that sixty years was the insurable age limit of the company and so the premiums paid could not have purchased any insurance at the true age, it did not involve a mere matter of reduction, but a contest of the entire amount, which the clause relating to incontestability prohibited. No reference was made in the opinion to the averment in the affidavit that, under the clause relative to misstatement of age, the amount which would be payable under the policy was $445.85 and no larger amount could be due the plaintiff.”

It is clear that the decision of the Superior Court rests on the ground that it involved “the contest of the entire amount, which the clause relating to incontestability prohibited,” an obviously correct conclusion.

The Superior Court, however, went on to suggest that effect would not be given by the courts to the “adjustment of age” clause in such a policy tmless there were included in it tables of figures which would inform the insured or the beneficiary how much insurance the premium paid would have purchased [252]*252at the correct age. A fuller consideration of the question seems to lead to another result.

Obviously, to meet the suggestion of the Superior Court, a policy would have to contain a table of figures for every other age than the one given in the application, because the company could not know in advance what might ultimately be determined to be the correct age of the insured in any case in which that fact were brought in question.

In the Mitchell case, the Superior Court said, at the end of its opinion (page 429) : “The clause' in the affidavit of defense which alleged this amount to be $445.85 is not based on the policy, nor on the company’s established premium, and is, accordingly, of no effect and insufficient to prevent judgment.”

It is apparently with that in mind that the court went on to say that the company could not go outside the policy “to some other source or some other company” to calculate the insurance which the premium paid would have purchased at the insured’s correct age.

In the instant case, the affidavit of defense sets forth “that defendant had and used at all times its fixed certain rates of premiums; that the amount of the premium actually paid upon the policy herein sued upon would have purchased from defendant, at the time of said application and issuance, a policy, otherwise identical with the policy herein sued upon, for the face amount of insurance of $1585, at the age of the insured of sixty-five years.” The question is whether, in such a situation, a company having fixed certain rates of premiums as well for the stated age of the insured as for the alleged correct age of the insured, it may not, under the “misstatement of age” clause in the policy (now a compulsory provision), be permitted to show the amount of insurance which would have been purchasable at the alleged correct age or whether this (now compulsory) provision in an insurance policy is to be unavailing to insurers unless they attach to their policies rates and amounts of insurance purchasable for every conceivable age.

At the time the policy in the instant case was written, Jan. 6, 1911, the Act of June 23, 1885, P. L. 134, was in force. Section 2 of the act provided:

“Section 2. Whenever it shall be made to appear that a wrong age has been given in good faith in any application for a policy of life insurance the company shall not be required to pay the face value of the policy, but such sum as the premium paid would have purchased at the applicant’s real age at the time of effecting the insurance.”

By the Act of June 1, 1911, P. L. 581, the inclusion of a misstatement of age provision to provide for the payment of an adjusted amount of insurance, based on the correct age, was made mandatory. Thereafter, the appropriate clause of the Act of 1911 was incorporated verbatim in the General Insurance Law of Pennsylvania by the Act of May 17, 1921, P. L. 682, 721.

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Related

Mitchell v. Pennsylvania Mutual Life Insurance
90 Pa. Super. 426 (Superior Court of Pennsylvania, 1927)
Starck v. Union C. L. Ins.
19 A. 703 (Supreme Court of Pennsylvania, 1890)
Brady v. Prudential Insurance
32 A. 102 (Supreme Court of Pennsylvania, 1895)
Hall v. Mutual Reserve Fund Life Ass'n
19 Pa. Super. 31 (Superior Court of Pennsylvania, 1902)
Doll v. Prudential Insurance Co. of America
21 Pa. Super. 434 (Superior Court of Pennsylvania, 1902)
McCreighton v. American Catholic Union
71 Pa. Super. 332 (Superior Court of Pennsylvania, 1919)
McCarthy v. Pacific Mutual Life Insurance Co. of California
178 Ill. App. 502 (Appellate Court of Illinois, 1913)

Cite This Page — Counsel Stack

Bluebook (online)
10 Pa. D. & C. 250, 1928 Pa. Dist. & Cnty. Dec. LEXIS 358, Counsel Stack Legal Research, https://law.counselstack.com/opinion/sipp-v-philadelphia-life-insurance-pactcomplphilad-1928.