Swartzberg v. Reserve Life Insurance Company

113 S.E.2d 270, 252 N.C. 150, 1960 N.C. LEXIS 409
CourtSupreme Court of North Carolina
DecidedMarch 16, 1960
Docket90
StatusPublished
Cited by24 cases

This text of 113 S.E.2d 270 (Swartzberg v. Reserve Life Insurance Company) is published on Counsel Stack Legal Research, covering Supreme Court of North Carolina primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Swartzberg v. Reserve Life Insurance Company, 113 S.E.2d 270, 252 N.C. 150, 1960 N.C. LEXIS 409 (N.C. 1960).

Opinion

Bobbitt, J.

This is an action at law to recover benefits allegedly owing under the terms of an insurance policy. It is not a controversy without action, submitted upon an agreed statement of facts for the determination of a question in difference between the parties, as' authorized by G.S. 1-250. Dowling v. R. R., 194 N.C. 488, 140 S.E. 213; Briggs v. Developers, 191 N.C. 784, 133 S.E. 3.

Absent the stipulations, the action was for trial upon evidence pertinent to the issues raised by the pleadings. The crucial issues were raised by the allegations of defendant’s further answer and defense and plaintiff’s reply thereto. They were, in substance, as follows: (1) Did defendant issue its policy in reliance upon false statements made by Swartzberg in his application therefor, as alleged by defendant? (2) If so, is defendant’s right to rescind the policy barred by estoppel or by waiver, as alleged by plaintiff? (3) Is defendant’s right to rescind barred by the statute of limitations? In lieu of having these issues determined upon evidence by the court or a jury, the parties submitted the case for determination by the court on stipulated facts.

G.S. 58-30 provides: “All statements or descriptions in any application for a policy of insurance, or in the policy itself, shall be deemed *155 representations and not warranties, and a representation, unless material or fraudulent, will not prevent a recovery on the policy.”

“Interpreting this statute, it is well settled that a material representation which is false will constitute sufficient ground upon which to avoid the policy.” Tolbert v. Insurance Co., 236 N.C. 416, 419, 72 S.E. 2d 915, and eases cited. Under the stipulated facts, Swartzberg’s false statements were material to .the risk as a matter of law. Assurance Society v. Ashby, 215 N.C. 280, 1 S.E. 2d 830, and cases cited. Nothing else appearing, defendant was entitled to institute and maintain an action for rescission of the policy upon tender of the amount paid as premiums. Ins. Co. v. Box Co., 185 N.C. 543, 117 S.E. 785.

Defendant excepted to said additional finding of fact. True, unless so authorized by the stipulations under which the case was submitted, the 'court had no authority to make additional findings of fact. Edwards v. Raleigh, 240 N.C. 137, 81 S.E. 2d 273; Credit Association v. Whedbee, 251 N.C. 24, 110 S.E. 2d 795. However, for the reasons stated below, it is unnecessary to determine whether the stipulations under which the case was submitted are similar in any respect to the stipulations considered in Credit Association v. Whedbee, supra.

Whether the doctors who treated Swartzberg would have divulged the falsity of said statements in the application is not determinative. Nor does decision depend upon whether defendant, by questioning these doctors or otherwise, could have discovered^ within a reasonable time after January 2, 1952, that Swartzberg’s said statements were false.

The conclusions of law to the effect that defendant had waived its right to rescind by its failure to ascertain within six months from January 2, 1952, that said statements were false, and by its acceptance of premiums, are erroneous. The legal principles applicable to waiver are fully discussed in Gouldin v. Insurance Co., 248 N.C. 161, 102 S.E. 2d 846. As to equitable estoppel, see Peek v. Trust Co., 242 N.C. 1, 86 S.E. 2d 745.

In Gardner v. Insurance Co., 163 N.C. 367, 378, 79 S.E. 806, Walker, J., quotes with approval this statement from 29 A. & E. Enc. of Law, p. 1093: “There can be no waiver, unless the person against whom it is claimed had' full knowledge of his rights and of facts which will enable him to take effectual action for their enforcement. No one can acquiesce in a wrong while ignorant that it has been com-mittedi, and that the effect of his action will be to confirm it.” Defendant was under no duty, legal or equitable, to question the truth of the applicant’s statements or, absent facts sufficient to put it on *156 inquiry, to conduct an investigation to determine the truth or falsity thereof. Hardin v. Ins. Co., 189 N.C. 423, 127 S.E. 353.

The burden of proof was on plaintiff to establish facts sufficient to constitute waiver or estoppel. Gouldin v. Insurance Co., supra; Peek v. Trust Co., supra. She failed to do so.

When we come to consider the statute of limitations, the shoe is on the other foot. Here, as indicated below, the burden of proof was on defendant.

It is noted that defendant, having paid or tendered a total of $325.30, an amount equal to the premiums paid by Swartzberg, seeks to avoid the policy ab initio and' in its entirety. Although called a further answer and defense, defendant’s plea is in legal effect a cross action to rescind the policy.

Plaintiff’s plea of the statute of limitations was sufficient. McIntosh, North Carolina Practice and Procedure, § 142, and cases cited. Defendant’s cause or right of action to rescind accrued on January 2, 1952, immediately after the issuance of the policy. “In general a cause or right of action accrues, so as to start the running of the statute of limitations, as soon as .the right to institute and maintain a suit arises, . . .” 54 C.J.S., Limitation of Actions § 109; 34 Am. Jur., Limitation of Actions § 113; Aydlett v. Major & Loomis Co., 211 N. C. 548, 551, 191 S.E. 31; Peal v. Martin, 207 N.C. 106, 176 S.E. 282:

Obviously, defendant’s alleged cause of action to rescind is barred by the three year statute of limitations if considered solely as an action for breach of contract. G.S. 1-52(1). The view most favorable to defendant is that G.S. 1-52(9) applies, under which an action “(f) or relief on the ground of fraud or mistake” must be .instituted within three years from the date the cause of action accrues, but in such case “the cause of action shall not be deemed to have accrued until the discovery 'by the aggrieved party of the facts constituting the fraud or mistake.” “In the construction of this section, the words, ‘relief on the ground of fraud,’ are used in the broad sense, to apply to all actions, both legal and equitable, where fraud is an element, and to all forms of fraud, including deception, imposition, duress, and undue influence.” McIntosh, North Carolina Practice and Procedure, § 183; Little v. Bank, 187 N.C. 1, 121 S.E. 185; Muse v. Hathaway, 193 N.C. 227, 136 S.E. 633. Whether considered fraud “in the broad sense,” or “mistake,” we construe G.S. 1-52(9) as applicable to an action to rescind an insurance policy on the ground of false material statements in the application therefor.

The burden was on defendant to show that'it instituted its action to rescind within the period prescribed by statute. Shearin v. Lloyd; *157 246 N.C. 363, 367, 98 S.E. 2d 508, and cases citedi. To repel the bar of the statute of limitations, the burden was on defendant to show that it did not

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Bluebook (online)
113 S.E.2d 270, 252 N.C. 150, 1960 N.C. LEXIS 409, Counsel Stack Legal Research, https://law.counselstack.com/opinion/swartzberg-v-reserve-life-insurance-company-nc-1960.