159 Minn. 14 | Minn. | 1924
Appeal from judgment. Plaintiff sued to recover on a benefit certificate issued by defendant, a fraternal society, on March 1, 1918, and delivered on March 7, 1918, to the insured who was the
The defense was that the action was barred by the contractual limitation stated in the policy; no' arbitration; that death resulted from a disease existing at and prior to the date of the certificate; false and untruthful answers in the application blank amounting to warranties.
The amended reply says that defendant knew, when it issued the certificate, that the insured had had spitting of blood, and that he had consulted a physician with reference to that trouble and had been informed, in substance, that there was nothing the matter with him.
The jury returned a general verdict for the plaintiff. The jury also made special findings as follows:
1. “Q. Was the answer made by Mr. Bratley in his application for insurance to the effect that he had not previously had spitting of blood, a true statement? A. No.
2. “Q. Was the answer made by Mr. Bratley in his application for insurance to the effect that he had not previously had consumption true? A. Yes.
3. “Q. Was the answer made by Mr. Bratley in his application for insurance to the effect that he had not previously had pleurisy, true? A. Yes.
4. “Q. Was the answer made by Mr. Bratley in his application for insurance to the effect that he was then in good health, true? A. Yes.
5. . “Q. Was the answer made by Mr. Bratley in his application for insurance to the effect that he had not previously consulted a physician, true? A. No.
6. “Q. Did Mrs. Riebhoff inform Neis Pehrson previous to the application of Mr. Bratley for insurance that Mr. Bratley had recently spat blood and had consulted a physician regarding the same, or words to that effect? ' A. Yes.
7. “Q. Did Mrs. Riebhoff inform Neis Pehrson previous to Mr. Bratley’s application for insurance that several years prior thereto
8. “Q. Was Mr. Bratley’s application accepted by defendant lodge after information had been given to Neis Pehrson by Mrs. Riebhoff that Mr. Bratley had recently spat blood and had consulted a physician in reference thereto or words to that effect? A. Yes.
9. “Q. Was Mr. Bratley suffering from the disease known as tuberculosis at the time he made application for insurance in defendant lodge? A. No.”
The contract contains this language:
“No action can or shall be maintained on this certificate unless brought within one year from the date of death or disability of said member and not at all unless the board of arbitration of three members, one appointed by the board of directors, one appointed by the members of the homestead, and one appointed by these two, shall fail to settle the same.” '
Defendant seeks to brush aside the provision for arbitration as surplusage and has in no way sought to exercise the opportunity of arbitration. Defendant on November 8, 1920, denied liability. Unless the clause for arbitration is an element worthy of consideration, this action would be barred because not begun within one year from date of death. It cannot be successfully claimed that the parties to such a contract may not reasonably limit, by contract, the time in which an action may be brought. 26 C. J. § 670, p. 476; Kulberg v. Fraternal Council, 135 Minn. 150, 160 N. W. 685; Dechter v. National Council, 130 Minn. 329, 153 N. W. 742, Ann. Cas. 1917C, 142. The fact that the provision in this contract limiting the time to sue and the provision for arbitration are not in harmony invokes the rule that uncertainties in contracts of this character are to be construed most strongly against the insurer.
In this case the matter of arbitration is apparently exclusively under the control of the defendant. 24 Harvard L. R. 676. The plaintiff is not given any voice in the matter. The time to be consumed in arbitration is unknown, uncertain and insofar as plaintiff is concerned, is uncontrollable. The defendant may indefinitely
Defendant insists that the insured died from disease or disability existing prior to the date of the benefit certificate. The findings of the jury determine this suggestion against the defendant and there is evidence' to support the findings. No useful purpose can be served by discussing the evidence in detail.
We are not in harmony with the views of defendant to the effect that, because the by-laws provide that “a deputy who knowingly writes an application of impaired health * * * or of habits tending to increase the risk * * * such act or acts shall be good cause for removal and shall create a liability on his bond”, the agent under the facts in this case becomes interested adversely to defendant, and, therefore, notice to such agent is not notice to defendant. The defendant selects the agent and if he wavers in his fidelity in this respect, neither an insured nor his beneficiary, who are free from fault, should be required to suffer the penalty that defendant’s position would cast upon him. These personal
The record does not justify defendant’s assertion that plaintiff is charged with notice of fraud nor that she has been a party to any fraud.
The general verdict and the special findings are consistent, and are consistent with the law as given in the charge of the court to the jury.
We have considered the assignment of error based upon the court’s refusal to strike out the testimony of the plaintiff on the subject of conversations as incompetent under the statute, and, while the record discloses such motion and its denial, the record does not show any such testimony to which such motion was directed.
It is the claim of the defendant that, when the jury answered interrogatories, one in the negative and eight in the affirmative, it was, then, as a matter of law, entitled to a directed verdict. This suggestion has received serious consideration and we have concluded that it is meritorious. It has been established by these special findings that the insured made false statements. They were of such character, being false, it necessarily follows that the insured knew them to be false.
It is claimed by plaintiff that defendant’s district deputy knew of these false statements, and the jury has so decided, and that defendant is charged with this knowledge and with such knowledge made the contract and cannot now, after accepting premiums, making delivery of the certificate, and making the contract with full knowledge, complain. This statement seems plausible and reasonable, but it calls for some analysis. If the district deputy was personally making a contract involving such elements, and had this knowledge, he certainly could not be heard to later defend because of the false statements. We must then look to the characteristics of the agency of the district deputy to ascertain if his agency carries with it the power to make insurance contracts in behalf of his principal. Defendant is a fraternal organization duly incorporated. Its affairs are managed by a board of directors who are subordinate
The chief medical director shall pass upon the physical qualifications of applicants, and his action shall be final and no certificate shall be issued in any greater amount than such chief medical director recommends. He appoints and has supervision over local examiners with power to issue commissions to them and to revoke the same at his pleasure.
The grand foreman has such authority to appoint and remove district deputies as the board of directors may confer upon him, and to prescribe rules for their government. The organization has state, district, assistant, local and special deputies. Primarily the duties of a deputy are to solicit members and organize in new territories. He institutes local lodges organized by him and gives them ritualistic and floor work and instructs them as to keeping records. He installs and instructs officers. A district deputy receives reports from the lodges in his district.
Application for membership shall be made on forms prescribed by the chief medical director. Members must be elected by ballot. “If elected he shall be examined by the examiner who shall forward the application to the chief medical director, together with his recommendation. If approved by the chief medical director, he shall forward it to the chief correspondent who shall forthwith issue a benefit certificate, which shall be signed by the grand foreman and the chief correspondent, for such an amount as the chief medical director shall authorize.” The by-laws further provide:
“The liability of this Association for the payment of benefits upon its certificates, or the social or other privileges of membership, shall not begin until all the acts, qualifications and requirements prescribed for the applicant in these By-Laws shall have been fully complied with by him, nor until all acts required of the local examiner and the Homestead officers shall have been fully complied with, nor until his application shall have been approved by the Chief Medical Director and a benefit certificate issued thereon and delivered to applicant while in good health. A strict compliance*22 with each and all of the details above referred to shall be a condition precedent to the validity of each and every benefit certificate issued by this association.
“No officer of this association or any person or persons whomsoever is authorized or permitted to waive any of the provisions of these By-Laws, and such officers and persons are hereby prohibited from waiving any provision of these By-Laws.”
These provisions provide the exclusive method for membership. The most important powers are vested in the medical director and his local examiner. It is plain that the defendant has never clothed a district deputy with authority to make contracts at his pleasure. Its rights in this respect are much better protected in the hands of the chief medical director. The application blank has three divisions. Part I covers name, age, occupation, beneficiary, other insurance and recommendation of 'deputy. The filling in of this blank is included in the duties of the deputy. Part II covers warranties ot applicant and relates to his health. This is filled in under direction of the medical examiner. Part III covers confidential report of medical examiner. In the instant case the false representations were made to the examining physician. The jury says the deputy had knowledge that the statements were false. It is not claimed that the examining physician or his superior had any information that the two answers were false.
The record forces us to the conclusion that the district deputy is an agent whose principal duty is to solicit and receive applications for membership which are to be turned over to other officials who will decide whether or not the corporation will make a contract of insurance with the applicant. Certificates are issued only to members. There can be no members until they are approved by the chief medical director. No contracts of insurance are authorized except in writing and signed' by certain officers. The provisions against waiver are very broad, but should well apply to a district deputy. Such deputies are not endowed with any general authority which would permit them to depart from the by-laws. We think an agent of a corporation, which has its contractual power
This is not a case where the insured was led by tbe agent into making false statements. Where tbe insured knowingly makes false statements, be cannot recover even though tbe agent participates therein. 25 Cyc. 803. If tbe agent bas unlimited authority and may make such a contract regardless of false statements, then, of course, the vice is eliminated because tbe parties ignore it and make a contract of their own choosing.
Recognizing tbe type of tbe agency of tbe deputy, bis knowledge of tbe false statements would not prevent tbe insurer taking advantage of such statement. Haapa v. Met. Life Ins. Co. 150 Mich. 467, 114 N. W. 380, 121 Am. Rep. 627, 16 L. R. A. (N. s!) 1165; 14 R. C. L. Insurance § 340; Hanf v. N. W. Masonic Aid Assn. 76 Wis. 450, 45 N. W. 315. It is urged that, as tbe deputy knew of tbe falsity, bis knowledge was tbe knowledge of tbe company, and, having issued tbe policy, tbe company is bound. We cannot bold that insurer is bound by statements contained in an application when not only tbe agent, but tbe assured, knows they are untrue, and tbe application is to be forwarded to tbe insurer as tbe basis of tbe contract. To do so would put tbe association completely at tbe mercy of dishonest and unscrupulous agents. Mudge v. Supreme Court I. O. O. F. 149 Mich. 467, 112 N. W. 1130, 14 L. R. A. (N. S.) 279, 119 Am. St. 686; Butler v. Mich. Mut. Life Ins. Co. 184 N. Y. 337, 77 N. E. 398.
In fact this court bas held that if tbe insured knew that untruthful statements were contained in tbe application, tbe fact would render tbe application invalid and avoid tbe policy. Mattson v. Modern Samaritans, 91 Minn. 434, 98 N. W. 330. This would be true though tbe insurer’s agent wrote tbe false statements into tbe
“I hereby warrant all answers herein * * * true * * * I agree that any untrue answer to any question in parts one and two of this application shall immediately * * * render the certificate issued thereon null and void.”
The false statements relate to facts which are material as a matter of law. Section 3300, G. S. 1913, does not apply to fraternal associations. Farm v. Boyal Neighbors, 145 Minn. 193, 176 N: W. 489. Hence the element of intent to deceive and the increase of the risk are not here involved. Whether such agent had knowledge of the falsity or was in collusion with the insured, we conclude that such conduct on the part of the insured, as disclosed' by this record, destroys the contract of insurance, and it follows that the defendant was entitled to a directed verdict.
Judgment reversed.
