Warren v. New York Life Ins. Co.

58 P.2d 1175, 40 N.M. 253
CourtNew Mexico Supreme Court
DecidedMay 26, 1936
DocketNo. 4102.
StatusPublished
Cited by24 cases

This text of 58 P.2d 1175 (Warren v. New York Life Ins. Co.) is published on Counsel Stack Legal Research, covering New Mexico Supreme Court primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Warren v. New York Life Ins. Co., 58 P.2d 1175, 40 N.M. 253 (N.M. 1936).

Opinions

SADLER, Chief Justice.

The plaintiff (appellee) seeks payment through this suit of disability benefits under a certain lifé insurance policy issued to him on April 5, 1922, while a resident of Chicago, Ill.

Pertinent policy provisions are as follows :

“And the company agrees to pay to the insured one per cent of the face of this policy ($10 per $1,000) each month during the lifetime of the Insured and also to waive the payment of premiums, if the Insured becomes wholly and permanently disabled before age 60, subject .to all the terms and conditions contained in Section 1 hereof. * * *

“Disability Benefits shall be effective upon receipt at the Company’s Home Office, before default in the payment of premium of due proof that the Insured became totally and permanently disabled after he received this Policy and before its anniversary on which the Insured’s age at nearest birthday is sixty years.”

The policy lapsed for nonpayment of the semiannual premium due October 5, 1928. Subsequently, the policy was reinstated by the defendant on the faith of an application for reinstatement, signed by plaintiff on December 4, 1928, in which he made answer to certain questions propounded touching the state of his health, as follows :

“I hereby apply for the Reinstatement of the above numbered policy which lapsed for non-payment of premium due on the ■- day of 10-5-28 192-, and, for the purpose of inducing the company to reinstate said Policy, I make the representations contained in my answers to the following questions:

“1. Are you now, to the best of your knowledge and belief, in the same condition of health as you were when this polioy was issued? (If not, give details) Ans. Yes.

“2. Within the past 12 months have you had any illnesses or consulted or been treated by any physician or physicians? (If so, give details) Ans. No.”

In September, 1929, after reinstatement of the policy, the plaintiff entered the Albuquerque Sanatorium, at Albuquerque, N. M. Prior thereto, and on July 6, 1929, he had suffered an attack of scarlet fever. Subsequently, in early December, 1929, he tendered defendant proofs of disability in connection with claim for disability bener fits under the policy. Pulmonary tuberculosis, said to have commenced with scarlet fever on July 5, 1929, was given in the proofs signed by plaintiff as cause of the disability. The physician’s report submitted as a part of the proofs, signed by Dr. W. A. Gekler of Albuquerque, superintendent of Albuquerque Sanatorium, recited as the history given by plaintiff at time of first consultation on September 3, 1929, “Pulmonary tuberculosis beginning April, 1927.”

Later, by letter of- January 8, 1930, the same Dr. Gekler, in response to an inquiry by defendant, wrote it as follows:

“In reply to your letters of Dec. 11th and Jan. 3rd, wish to state that on entering this sanatorium Mr. Warren gave a history of typical tuberculous symptoms in April, 1927. He stated in his history to us that he was x-rayed at this time and a positive diagnosis of pulmonary tuberculosis wqs made. Since then he has been in and out of bed at times making some symptomatic improvement, however, there was nothing related in the history to indicate that he was at any time free from cough and expectoration. In July before coming to us he had an attack of Scarlet Fever which produced an empyema, in addition to his pulmonary tuberculosis. He is being hospitalized at the present time for a combination of streptococcic empye-ma and far advanced active pulmonary tuberculosis, which no doubt, (the latter) dates back to at least April, 1927.

“He is permanently and totally disabled from following a gainful occupation, and as a matter of fact the way things look at present, he is a terminal case.

“Trusting that this will give you the information you desire, I am.”

. Under • date of November 27, 1929, the plaintiff’s proofs of disability hereinabove mentioned were completed, consisting of an attending .physician’s report signed by the aforesaid Dr. W. A. Gekler and insured’s statement signed by himself. They were mailed to defendant and received by it in early December, 1929. The semiannual premium due October 5, 1929, was not paid and, prior to receipt by defendant of the proofs of disability, the grace period extending maturity of the premium for the period of one month had expired. Certain conversations between an unidentified person from the Chicago office of defendant and Mrs. Lillian C. Warren, the plaintiff’s wife, touching the claim for disability benefits, are relied upon as an excuse for. nonpayment of this semiannual premium. . The facts pertinent to the claim of waiver or estoppel will be mentioned more in detail in dealing with defendant’s contention that estoppel was neither pleaded nor proved.

On February 14, 1930, the defendant, by letters addressed both to the plaintiff and to his wife as beneficiary named in the policy, and received by them in due course of mail, advised each of them that it elected to rescind, and did rescind, the reinstatement of said policy because of the failure of the insured to disclose in his application material facts as to his insurability. The defendant tendered back to insured, by means of a check accompanying the letter to him, the sum of $63.39, representing a return of the amounts received by it on account of premiums and loan interest paid in connection with the policy subsequent to the reinstatement thereof. The letters also notified the insured and the beneficiary that the policy stood lapsed upon the defendant’s records for nonpayment of the premium due October 5, 1928, and would be continued as term insurance for one year'and 336 days from the date of lapse, or until September 6, 1930. These letters were duly rec'eived by the insured (plaintiff) and his wife as she admitted. The plaintiff, at the time of receiving said letter, was still a patient in Albuquerque Sanatorium at Albuquerque, N. M. He did not testify at the trial, but his wife testifying in his behalf admitted that she discussed with him the matter of the check.

Thereafter, and on July 29, 1930, the check accompanying said letter to plaintiff was presented for collection to First National Bank 'of Albuquerque, N. M., and paid on August 2, 1930, at New York City by the drawee, Chase National Bank of New York. When presented, the check bore the indorsement of plaintiff by Lillian C. Warren, his wife. From the day of the receipt of said letter of February 14, 1930, and check accompanying same, tendered in connection with the rescission claimed of the reinstatement theretofore granted, until December 8, 1933, the date of filing of plaintiff’s complaint herein, the plaintiff neither challenged the claimed rescission nor offered to restore to defendant the amount paid by it on said check, as aforesaid.

Mrs. Warren, the plaintiff’s wife, had no express authority from her husband to indorse the check and receive payment thereof. Her act in indorsing and collecting same was without his knowledge or consent. She used the proceeds of said check for support of the family, including her husband, the plaintiff. He had no knowledge, however, that any part of the proceeds was used in his support.

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Bluebook (online)
58 P.2d 1175, 40 N.M. 253, Counsel Stack Legal Research, https://law.counselstack.com/opinion/warren-v-new-york-life-ins-co-nm-1936.