Bradley v. John Hancock Mutual Life Insurance

46 N.Y.S. 627 | N.Y. App. Div. | 1897

Goodrich, P. J.:

The action was brought upon an insurance policy issued in August, 1891, upon the life of Patrick Bradley, payable to his wife. At the same time three other policies were issued to members of the family; the weekly premiums upon the several policies were as follows : Bradley, Ed. B., five cents; Bradley, Mary, five cents; Patrick Bradley, ten cents; Winifred Bradley, ten cents; total, thirty cents.

Bradley died November 17, 1896. The premiums were payable • weekly and the premium receipt book provided that “ all policies upon which premiums are over four weeks in arrears are out of benefit.” It was the custom of the insured to pay the premiums on all of the policies together in one sum. The company issued with the policies what is called a premium receipt book, one of which, commencing January 8, 1896, was produced in evidence. One column gives the weekly dates when premiums fell due, a second column the date when the premium was paid, a third the amount of premium and the fourth the collector’s signature. This book, commencing on January 8, 1896, shows a number of payments which may be summarized as follows: The number of weeks from January 8,1896, to November 11,1896,-are forty-five. There are entered in the book and receipted for by the collector of the company, payments on the four policies amounting to eleven dollars and sixty cents. There is also credited a dividend equal to ten weeks’ premium on two of the policies, amounting to one dollar and fifty cents. There is also in evidence a letter from the secretary of the company, showing the' receipt by him of one dollar and twenty cents. These sums amount in all to fourteen dollars and fifty cents, which is one dollar more than the amount of payment due at the time of the death of Patrick Bradley, who died on November 17, 1896,' before another premium became due.

So far as appears by the book, however, there was no weekly payment made between ■ September ninth and November sixth, and on October twenty-second the secretary of the company, who had received the one dollar and twenty cents above referred to, wrote Mrs. Bradley that the policy had lapsed, as no- payment had been made for a period of four weeks, and that it would be necessary to have a health certificate signed and returned with ninety cents extra premium, when, if all were satisfactory, the company would reinstate the policy, holding meantime the receipt book and the one dollar and twenty cents which she had remitted. The insured made application for reinstatement,, in which he said : “ I, being the person insured, hereby make application for the reinstatement of said policy, and certify that I am in good health; that I have not consulted a physician since date when last payment was due as above; and I understand that said policy is not now in force, and is to be reinstated only on condition of the truth of the above statements; and that no liability is assumed by said company unless this application for reinstatement is accepted at its home office.”

Subsequently, however, other payments were entered on the book, viz.: November sixth, two dollars and forty cents,, and on November twenty-third, after the death of the insured, ten cents. After Bradley’s death proofs of loss were presented by the plaintiff, in which it was stated that the deceased died of tuberculosis pulmonis with other complications, and that the duration of the disease had been four months.

The plaintiff at the trial offered in evidence the policy of insurance in. suit, and rested without proving the death of Bradley, the same having been admitted by the answer. Tlie defendant’s counsel moved to dismiss the complaint, on the ground that the plaintiff had' not shown the payment of the premiums; whereupon the plaintiff being recalled testified that she had paid the premiums continuously until the death of the insured and produced the premium receipt book above referred to. Upon. her cross-examination the application for reinstatement was produced and offered in evidence by the defendant, and also the proofs of death before mentioned.

At the close of the evidence the defendant moved to dismiss, the complaint on the ground that the payment of the premiums was not proven ; that there had been an application for a reinstatement of the policy and that the same- had hot been granted; and that the proofs of loss showed that the insured had had tuberculosis pulmonis for four months previous to his death and, consequently, was not in good health at the- time of the application for reinstatement of, the policy. Both parties moved for a direction of a verdict, and the question is whether there was sufficient evidence to establish the ]3ayment of the premiums. It appeared clearly that there was a period of upwards of four weeks, viz., September ninth to November twenty-sixth, for which no premiums had been, paid, and that one of the provisions of the receipt book, as stated above, is as follows: “ All policies upon which premiums are over four weeks in arrears are out of benefit.” Assuming for the moment that there had been a failure to pay premiums as-claimed, and that the policy had lapsed,', and that the company was justified: in requiring an application for reinstatement, still, as it continued to receive weekly premiums, as shown by the receipt book and defendant’s letter of October twenty-second, which exceeded the amount of premiums due on the day of Bradley’s death, and continued to receive them after the receipt of the application for reinstatement, the date of which is not given, but which must have been after October twenty-second, the date of the ■company’s letter requiring it, the defendant waived the non-payment ■of the premiums during the period of four weeks above referred to.

The appellant claims, however, that the receipt of premiums was induced by the statements in the application for reinstatement that the insured was in good health and had not consulted a physician for four months, but the oral testimony of the plaintiff was that the insured was in good health and had not consulted a physician ; that neither Dr. Leahy nor Dr. Meddrick attended him ; that Dr. Leahy came to the house to- see her sister, and that while there he had prescribed for her husband and given him some medicine, and that' this was on the Friday before his death. There is some suggestion of his previous prescription for grippe, four or five months before his death,, but this date is not very definite, and it was apparently more than four months before October twenty-second, and the plaintiff says her husband recovered his health after .that, so that it is not at all clear that there was any consultation with a physician within the meaning of the term used in the application for reinstatement,- “consulted a physician.” She also testifies that she did not know Dr. Meddrick, had never heard of him, and that he did not attend the insured. This evidence becomes important in view of the proofs of death submitted by the plaintiff. There are two medical certificates. Dr. Leahy’s certificate contains the following: “ Date of first visit or prescription in last illness ? Aug. 1, ’96.”

Dr. Méddrick’s certificate says: “ Date of your first visit or pre<scription in last illness ? A¡n'il 29th, ’96; Did not attend him during last illness. Date of your last visit ? July 18, 1896.”

These statements are not inconsistent with the testimony of the plaintiff for the reason already adverted to. The most that can be said is that there was conflicting or inconsistent evidence which might have been submitted to the jury; but this the defendant waived by its request for the direction of a verdict and its failure thereafter to ask for a submission of the question of' fact to the jury.

But it is also to be observed that the question in the medical certificate relates to “ visit or prescription.” The answers are not inconsistent with the plaintiff’s testimony as to a prescription when Dr. Leahy came to see her sister. It is true that the proofs of loss furnish some evidence of. the facts therein stated, but, after all) they are Only prima facie evidence and. may be rebutted.

In Chinnery v. The U. S. Industrial Ins. Co. (15 App. Div. 515) it was held that, while proofs should have been admitted as evidence, they were not conclusively binding upon the plaintiff. See, also; to-, the same effect Hanna v. Conn. Mut. Life Ins. Co. (150 N. Y. 526); Redmond v. Ind. Benefit Assn. (Id. 167). To hold otherwise would be to put the beneficiary always at the mercy of the physician, whose diagnosis might be utterly unfounded or unreliable. -The defendant might have produced and examined the physicians at the trial to establish the statements of the certificates, and cannot, in the ' face of the plaintiff’s testimony and after moving for the. direction- of a verdict, rely upon the certificates to the extent of saying that they must necessarily overcome the positive testimony of the plaintiff.-

It may also .be said that, from the receipt by' the company of the application for reinstatement and its failure to return it, and the acceptance of subsequent payments by the collector who had been in the habit of receiving premiums, the consent of the company to the reinstatement may be inferred; at any rate, we think, the company was put to its proof that it had not made such reinstatement. The evidence upon this subject was in its own .possession, and the general rule is, that a party which ■ sets up an affirmative defense, and. has the evidence in its possession, is bound to prove such fact affirmatively, rather than is the other party to prove the negative. This suggestion receives pointed force from the peculiar form of the.answer, in which the defendant alleged, but only upon information and belief, that such application had not been accepted nor said policy reinstated.

In Spencer v. The Citizens' Mutual Life Ins. Assn. (142 N. Y. 505) the court held that the burden of proof is upon a defendant to establish an affirmative defense set- up in an answer, and. that this .burden is not changed by the presentation of evidence which prima facie establishes the defense.

The learned court below was, therefore, justified in finding from, the evidence that the premiums had been fully paid; that there was ' never any. lapse of the policy; that the company was never in a. position to require the insured to apply for a reinstatement; and that, on the whole evidence, the plaintiff was entitled to the direction of a verdict.

The judgment is affirmed.

All concurred.

Judgment and oraer affirmed, with costs.