Morris v. State Mutual Life Assurance Co.

183 Pa. 563 | Pa. | 1898

Lead Opinion

Opinion by

Mb. Justice Dean,

On January 13, 1894, defendant issued to plaintiff, on the life of her husband, Louis Morris, a policy of insurance, in the sum of $25,000; the term of the policy was twenty-seven j^ears; the annual premium, $1,305. The husband died on March 29, 1894; his widow made due proof of his death as required by the policy, and made demand on the company for the amount of the insurance. The company refused payment: 1. Because the assured had committed suicide, which was a risk it had not assumed in its contract, there being in the application this stipulation : “ That self destruction, sane or insane, within two years from the date of said application, is a risk not assumed by the company in said contract of insurance.” 2. That .the applicant, to the following question in the application: “ Have you used, or do you use, tobacco, chloral, opium or other narcotics ? ” answered, “ No,” which answer was w'holly false ; and the insured in his application had agreed that his statements in his application and those made to the medical examiner of th.e company were true, and part of the consideration of the contract. 3. That to the question: “ Is any application for other insurance now- pending or contemplated ? ” the applicant answered, “Yes, Equitable, $25,000;” that he further answered that he had an application pending in the iEt-na Insurance Co. for $25,000; which answers were false and misleading, and so intended to be by the insured, for within thirty days thereafter, including- the two policies named, he obtained upwards of $200,000 insurance, and at that time, he had actually pending, with two other companies, the Penn.Mutual of Pennsylvania, and Mutual Life of New Jersey, applications for policies. 4. That to a question of the medical examiner: “ Have you had any severe injury?” the insured answered: “No,” whereas in fact he had been seriously injured in a railroad accident, also by being run over by a wagon. 5. That he had answered, he had not been attended by a physician for any ailment since childhood, whereas he had been attended by a physician the year before, for a serious ailment.

This plaintiff, the beneficiary in the policy, brought suit, and defendant filed affidavit of defense averring in substance the foregoing facts, and on the issue thus made up, the case went to trial before a jury. The plaintiff offered in evidence the policy; the offer was objected to by defendant on the ground that it did not include the application, which by the policy itself was partly the consideration and contract, the two constituting the written contract. The court sustained the objection; thereupon plaintiff offered the policy with that part of the application containing eight questions and answers thereto indorsed thereon; this was objected to by defendant, because not accompanied by the report of the company’s medical examiner, which it was argued also formed part of the consideration of the contract and was referred to in the application. The court overruled the objection, and the policy with so much of the application as was indorsed thereon was read to the jury; to this ruling an exception was sealed for defendant. This evidence was followed by the company’s receipt for first annual premium; and by the preliminary proofs to company of death of insured, and plaintiff rested. The defendant then offered in evidence the medical examiner’s report, which was not indorsed on nor attached to the policy; to this plaintiff objected, on the ground, that, not being attached to the policy as required by the act of May 11,1881, it was inadmissible as evidence. The purpose of the offer as stated by defendant’s counsel was to show, that the insured in order to obtain the policy made false statement as to his health, physical condition, and as to the attendance of a physician, and that his undertaking as part of the contract that his answers should be full and true was broken. The offer was overruled, the court saying: “ We are of the opinion that the paper offered constitutes a part of the application of the insured, and not being itself attached to the policy, nor a copy thereof, as required by tbe statute, it is inadmissible.” To this ruling an exception was taken by defendant. Other offers were made, but they were all subject to the same objection, and were overruled. The case then went to the jury on the admitted facts, the contract on the face of the policy, death of insured and preliminary proofs to the company; under the instructions of the court there was a verdict for plaintiff in the amount of the policy, and defendant appeals, assigning twelve errors. They are all determined by an answer to the one question: Was the application admissible under the act of 1881 ?

The policy is as follows:

“ Number 33909. Amount $25,000.

“Premium $1,305.00. Term 27 years.

“ This policy of Assurance witnesseth :

“That the State Mutual Life Assurance Company of Worcester in consideration of the representations made in tbe application for this policy, which are hereby made a part of this contract, and of the payment of the sum of thirteen hundred and five dollars, and of the payment of a like sum on or before the 30th day of January in each year during the term of this policy, does insure the life of Louis Morris, of Washington, county of Washington, and state of Pennsylvania, in the amount of twenty-five thousand dollars, for the term of twenty-seven years, and does hereby promise to pay said amount at its home office in Worcester to the person whose life is hereby insured, or his assigns, on the 30th day of January, A. D. 1921, or in the event of his death prior to said date, to pay said axnoxxnt to his wife, Louise Morris, her executors, adxninistratoi's, or assigns, xxpon satisfactory proof of the death of the insured, after deducting therefrom all indebtedness to the company. This policy shall be incontestable after two yeai's from the date of its issue, provided the premium shall be paid as agreed.”

This is the whole of the contract before the jury, for that part of the application indorsed on the policy and read, was after-wards stricken out by the court, leaving the case stand for plaintiff on the policy as qxxoted.

The act of 1881 is as follows :

“ All life and fire insurance policies .... which contain any reference to the application of the insured, or the constitution,by-laws or other rules of the company, either as forming part of the policy or contract between the parties thereto or having any bearing upon said contract, shall contain or have attached to said policies correct copies of the application as signed by the applicant and tlie by-laws referred to, and unless so attached and accompanying the policy, no such application, constitution or by-laws shall be received in evidence in any controversy between the parties to, or interested in, the said policy, nor shall such application or by-laws be considered a part of the policy or contract between such parties.”

The first question is, What constituted the application? It seems to us there can be but one answer to this from a mere inspection of the paper. It is one sheet of paper, the contents inscribed and printed on three of the pages. The first or outside page reads thus : “No. 88909. Application. State Mutual life Assurance Co. of Worcester. Louis Morris, Washington Pa. Amount, $25,000. Date, January 30th, 1894. Term, 27 years. Age, 52. Premium, $1,305. Occupation, Manager and superintendent Refining Co. Agent, J. D. Bigger. Approved January 29, 1894. A. G. Bullock, pres.” This is what appears as the outside indorsement on the first page of the folded paper. Tire brief indorsement, “ Application,” with what follows, is not the application, but indexes or points to the contents within as the application which will be disclosed -when the paper is unfolded. On opening it, the second page is headed thus : “ Application for Insurance in the State Mutual Life Assurance Co. of Worcester, Mass.” Then follow eight consecutive numbered interrogatories to the insured, all answered in writing. Then follows this stipulation: “I, tlie applicant for insurance, do hereby agree that the foregoing answers and statements and also those made to the company’s medical examiner are true and full, and are offered as a consideration of the policy contract, which shall not take effect until the first premium shall have been paid during my life and good health; ” dated January 26, 1894, and signed by the insured. Then follows the medical examiner’s report on tlie third page, headed “ medical examiner’s report,” which is made up of printed interrogatories and written answers, from 9 to 41 inclusive. It will be noticed the number on the second page ended with 8; these go on consecutively, commencing in the examiner’s report with 9. But the defendant itself, in its affidavit of defense, in effect averred that the “medical examiner’s report” formed part of the application, thus: “ Said plaintiff, in the statement filed in this case, has not set out a full copy of the policy of insurance sued upon. That attached to the said policy, and forming part thereof, is a copy of the application of Louis Morris, the assured, for the said policy of insurance referred to, and in and by the said application the said Louis Morris did agree, inter alia.” Then follows an averment of false representation as to Nos. 5, 6, and 7 of that part of the application on second page, and Nos. 11, 12 and 15 of the medical examiner’s report on third page; that is, in the omitted application the insured made six false representations, three of them to the agent, three to the examiner; the defendant itself making no distinction between the second and third pages of the paper, and terming the whole the “application.” The whole paper is clearly the application, and was properly so construed by the court below. The defense, without it, as against the wife, the beneficiary in the policy, was hopeless, for the policy by its express terms is issued “ in consideration of the representations made in the application for this policy, which are hereby made a part of the contract.” Not being attached to the policy, it could not be read in evidence by defendant; if not read, then nothing stood between plaintiff and the verdict she got.

It is maintained however by appellant that even if the ap°plication be excluded, nevertheless suicide avoided the policy, and there could be no recovery; therefore, the court erred in not admitting evidence as to the cause of death. Runk’s Executors v. Life Ins. Co., 28 U. S. App. 612, is cited as sustaining this contention. It is there decided, that it is a fundamental condition of the contract, although the policy is silent on the subject, that the insured while sane will not voluntarily destroy his life. That, however, is not this case. We are not called upon to decide what would have been the effect on the contract if the policy itself had been payable to the insured, or to his personal representatives. This was payable to his wife, who had an interest in his life; and she, in fact, paid the first premium by lifting the note given by him for it. In Gibbons v. Gibbons, 175 Pa. 475, Matlack v. Life Ins. Co., 180 Pa. 360, we have decided that the insured cannot defeat the gift to his wife by a fraud upon her, or by collusively forfeiting it for nonpayment of premium, and then having a new one issued to another beneficiary. The point before us has not been directly decided in this state, but has been in other states. In Fitch v. Life Ins. Co., 59 N. Y. 557, the Court says : “ The policy contained no stipulation that it should be void in case of the death of the insured by suicide. It was uot taken out for the benefit of Fitch, the insured, but of his wife and children. Although they were bound by his representations and any fraud he may have committed in taking out the policy, the policy having been obtained through his agency, yet they were not bound by any acts or declarations done or made by him after the issue of the policy unless such acts wore in violation of some condition of the policy. . . .” This case is followed in Darrow v. Family Fund Society, 116 N. Y. 537. We are clearly of the opinion that the weight of authority is to the effect that where the policy is silent as to suicide, it will not for such act be avoided as against the wife of deceased, who is the nominated beneficiary.

We have had occasion to apply the act of 1881 in many cases since its passage. In Life Ass’n v. Musser, 120 Pa. 389, wo said, Paxson, C. J., rendering the opinion: “The act of 1881 was but the exercise of the clearly recognized power of the state to regulate the mode by which contracts shall be made and proved. It is a wise and beneficent act, founded upon sound reasons of public policy; it affords protection to persons who insure their lives or property, and can injure no company conducted upon honest business principles.” Again, in Lenox v. Ins. Co., 165 Pa. 575, we again said, Mitchell, J., delivering the opinion : “ It is well known that the evil aimed at in this legislation was the custom of insurance companies to put in their blank forms of application long and intricate questions or statements to be answered or made by the applicant, usually in very small type, and the relevancy or materiality not always apparent to the inexperienced, and therefore liable to become traps to catch even the innocent unwary. The general intent was to keep these statements before the eyes of the insured, so that he might know his contract and, if it contained errors have them rectified before it became too late.” To the same effect are Hebb v. Ins. Co., 138 Pa. 174, and Ins. Co. v. Oberholtzer, 172 Pa. 223. So that the construction of the act of 1881 is settled by a number of carefully considered judgments. If the act seems to work injustice to this appellant, it is not real, but only apparent. All any suitor can demand of a court is justice according to law. The law in justice to all insurers directs all companies to attach to their policies a copy of the application; failing in this, a penalty is imposed. To hold otherwise in a particular case would be in the teeth of the law, for it makes no exception because of a particular hardship. We see no reason why this compam- should be exempt from the 'penalty for its gross neglect to obey the plain injunction of an act of assembly.

All the assignments of error are overruled and the judgment is affirmed.

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Dissenting Opinion

Mb. Justice Williams,

dissenting.

The act of assembly on which this judgment is made to rest was intended to protect the insured against technical and unconscionable defenses made by the insurance companies by setting up conditions, exceptions and provisions to which the attention of the insured had never been called. Such defenses were without merit, and operated unjustly as a general rule. Its operation ought not to be extended beyond the mischief to be remedied, and its own legitimate purpose. The opinion of the majority seems to me to be an extension of the application of this statute beyond its letter and its spirit, to the exclusion of a meritorious defense against an obviously fraudulent claim, devised and executed by the insured. I cannot concur therefore in this judgment.

Mitchell, J., concurs in this dissent.