25 W. Va. 622 | W. Va. | 1885
The first question presented by the record is: Did the municipal court of Wheeling err in overruling the motion of the defendant to exclude all the plaintiff’s evidence from the jury ? The court ought not to have excluded the plaintiff’s
The evidence being thus weighed, we must regard the plaintiffs’ evidence, which was moved to be excluded, as having proven their case. It proved that the defendant had issued the life-policy sued upon to George W. Scwarzbach for the benefit of the assured, his wife and children, the plaintiffs in this suit; that he died June 22, 1881; that the proofs of his death required by the policy were received by the defendant September 15, 1881; that about two months afterwards, on November 25, 1881, the defendant refused, when called upon by the agent of the plaintiffs, to pay the amount of this policy and made no objection to the proofs of
But it is said that these endorsements ought not to have been permitted to go to the jury, unless the plaintiffs also submitted to the j ury the proofs of the death of the insured contained on the-face of the paper so endorsed by the defendant, because a party offering in evidence a written paper must offer the whole, and when a plaintiff offers a paper, his opponent is entitled to insist, as he did in this case, that the whole be introduced as a part of the plaintiffs’ case. No one dis
As this suit was instituted on January 3,1882, it obviously was not brought too soon, for by the policy the insurance was payable ninety days after the delivery to the defendant of these proofs of the death of the insured. Probably it might have been instituted on the November 25, 3881, when the defendant refused to pay the policy and made no objection to the proofs of the death of the insured, which it had
The next question I will consider is: Did the court below err in refusing to permit the defendant below to prove the statements made by George Schwarzbach, the insured, prior to his application, which contradicted his statements contained in his application for this policy of insurance in reference to his having had serious sickness within seven years before making this application and in reference to his having brothers and sisters? When this evidence was offered, it was not stated by the defendants below, that these statements with reference to his health had been made about the time of his application for the insurance, or that they were statements relative to his health when these statements were made, but relative to his having had serious sickness some time prior to these statements. For all that the record shows, these statements may have been made years before.
The decisions on the question of the admissibility of declarations made by the insured, when the insurance is for the benefit of others as in this case, are somewhat conflicting. In Averson v. Kinnard 6 East. 188, it was held, that in an action by a husband on a policy of insurance on his wife’s life declarations made by the wife to an acquaintance, while lying in bed in the daytime apparently ill, that she was in bad health and had been sick for some time and was sick, when she went to Manchester a few days before to get a certificate of her good health preparatory to getting this policy of insurance on her life in favor of her husband, and that she was afraid she would not live ten days, "when the policy would be returned, and her husband would lose the benefit of the insurance, were proper evidence to show her ill state of health, when the policy was issued. In Kelsey v. Union Life Insurance Company, 35 Conn. 225, in an action by a husband on his policy on his wife’s life letters of hers written a few days before the application was made, iu which she spoke of her health as very bad, were held admissible to contradict the policy was issued, she was in bad health.
It is further insisted by the counsel of the plaintiffs, that, as the policy provided, “that the amount named therein should be paid on the receipt of the policy”, therefore the surrender of the policy at the office of the defendant below was made a condition of the payment. It was, it is claimed, one of two dependent covenants, on the performance of which the right of the plaintiffs depended, as in Kern v. Zeigler, 13 W. Va. 716 and Roach v. Dickison, 9 Grat. 154. Suppose, as is claimed, that this was one of two dependent covenants, still there was, as appears by the evidence in this case offered by the plaintiffs in the opening of the case, strengthened by the evidence subsequently offered, no necessity for the plaintiffs to prove that they either surrendered or offered to surrender the policy to the defendants. It was sufficient on the proofs in this case to show, that they were ready to perform this or surrender the policy but were prevented from so doing by the defendant. It was proven that the defendant on November 25, 1881, refused to pay this policy and, as was subsequently shown by the evidence, expressly based this refusal on the ground that the demand was unjust; and, as it was proven on the opening of this case, the jury would have had a right to infer, that the defendant refused to pay this policy when demanded, because it deemed the demand unjust. It became -of course a useless ceremony for the plaiutiffs after that to present this policy to the defendant formally and offer'to surrender it upon payment-of its full amount. As a matter of course they wore and still
That this is the law governing cases where concurrent dependent covenants exist, as it is insisted by the counsel of the plaintiff in error was the caseinthispolicy, cleaidy appears from Kern v. Zeigler, 18 W. Va. 707, the case relied upon by the counsel for the plaintiffs in error. It is there laid down in this language: “The covenants declared on are clearly dependent, and unless the excuse for not performing it is valid, the count is clearly bad. Roach v. Dickinson, 9 Grat. 154. In Clark v. Franklin, 7 Leigh. 7, Tucker, President, said, ‘Nothing is more true, than that, when a contract is entire, and the covenants are dependent, the plaintiff is generally obliged to aver and prove a complete performance of all that was to be done and performed on his part, before he is entitled to demand payment from the other party. Put to this well established rule, there is the equally well established exception, that, where the defendant has prevented a performance by the plaintiff on his part, it is not necessary, that the plaintiff should aver or prove a complete performance to entitle him to his action. He may recover without doing so, and it is sufficient to show a readiness to perform, and that he was hindered by the defendant. See Gas Company v. Wheeling, 8 W. Va. 369, opinion by Haymond, Judge; Smith v. Lewis, 24 Conn. 621; Borden v. Borden, 5 Mass. 67; Smith v. Smith, 25 Wend. 405.’” See also Williams v. Bank of U. S., 2 Peters 96; Ripley v. McClure, 4 W. H. & G. 344, 358-9. These eases establish, that, even had it been the duty of the plaintiffs under the policy to surrender it or offer to surrender it, before the defendant was bound to pay, the positive refusal of the defendant to pay the policy, because there was no just demand created by it upon the defendant to pay, dispensed with any. obligations, which might have been on the plaintiffs to offer to surrender this policy on its payment, before they could bring suit upon it and recover, if anything was due.
Another assignment of error argued at much length by the counsel for the plaintiff in error is the rejection by the court
Every fact, which the court beloAv refused to alloAV this examining physician to testify to, which could have influenced the jury in their verdict, had already been proven by this examining physician without objection, or AAmre proven during the progress of the case. These facts were, that the agent of the defendant, who obtained the application of the defendant for this policy, Avas present, when this application Avas handed to the examining physician to obtain his certificate upon it; that George Sehwarzbach admitted his signature to the application to be genuine; the signature of George Sehwarzbach to the declaration at the end of the examining physician’s certificate; that when brought to the examining
A question to one witness was objected to, not because it was in itself improper, but because it was not proper on a cross-examination. The question and answer show, that the defendant could not have been prejudiced by their admission at that stage of the examination rather than at another; and I therefore deem it unnecessary to consider such objection.
The examining physician of defendant was asked by the defendant: “ What would be the character of the risk on a man’s life, if within three months before he applied for insurance he had a hemorrhage of the stomach?” An insurance agent, who for many years had been connected with the life-insurance business as a superintendent and inspector of agencies and of the appointment of medical examiners, was asked by the defendant: “What is the custom of insurance companies generally with reference to receiving or rejecting an applicant for insurance, who has within three or four months before making his application had a hemorrhage of
The next important question in this case is : “ What is the construction of this policy ? Wore all the answers made by the applicant to the questions propounded on his application warranted to be absolutely true; or could the jury consider whether the answers given, which wTere not true in whole or in part, were material or immaterial, and whether they tended in any way to injure'the defendant below by misleading it and inducing it to enter into a contract and issue a policy, which it might possibly have declined, had true answers been given to the questions ? The authorities all agree, that if by the contract and policy the applicant warranted his answers to be true in all respects, then this removes tlieir materiality
But in ascertaining whether the answers to questions put to the applicant are warranties or representations, it should be borne in mind, that, when a policy contains contradictory provisions, or is so framed as to render it doubtful, whether the parties intended, that the exact truth of the applicant’s statements should be a condition precedent to any binding coutract, the construction which imposes on the insured the obligations of a warranty should not be favored. (National Bank v. Insurance Company, 95 U. S. 673.) The case of Washington Insurance Company v. Raney, 10 Nan. 525, was one, in which this principle of construction was applied, and the answers of the insured were not regarded as warranted to be absolutely true.
There is in this contract and policy certain phrases that taken by themselves would be warranties of the truth absolutely of the answers by the applicant to the questions propounded to him, whether they were material or not, while in other portions of it there are provisions, which seem to qualify or contradict this warranty of the truth of these answers without regard to their materiality or the good faith with which they were made. Thus the policy says it was issued “in consideration of the representations, agreements and warranties made by the insured;” and in the application the insured says: “I hereby represent and warrant that the statements and answers above and herein made and the statements accompanying are true and correct, and I have
There has been a considerable diversity of opinion as to Avhat constitutes a misrepresentation which avoids a policy. Some hold that, if the representation is materially untrue, it avoids the policy, even when it is made in good faith and is the result of ignorance. (Campbell v. New England Mutual Life Insurance Company, 98 Mass. 381, and Vose v. Eagle Life and Health Insurance Company, 6 Cush. 42.) But there are other cases, in which it is held, that a representation as to a material fact will not necessarily avoid a policy, simply because it is untrue, and that in addition to its untruth its
This doctrine has peculiar and special application to policies of life-insurance; for it is obvious, that most of the facts set out especially in-the applications now generally attached to the policy and expressly made a part of it are facts peculiarly within the knowledge of the insured and, whether he says so or not, must be regarded as stated on his own personal knowledge, and hence- with reference to most facts, especially when stated in answer to questions propounded to him, he must be regarded as making them on his own personal knowledge and as being by him intended to be so understood by the insurer. This being the case, if a part of this dis-cription is untrue in point of fact, he is guilty of legal fraud, though he may not have intended to deceive, and really did
I apprehend that the conflict of authorities on the question, whether there must be fraud in a misrepresentation of a fact in order to avoid a policy, has arisen principally from a failure to distinguish between actual fraud, that is, a misstatement of a fact made with the intention ot deceiving, and legal fraud, which is a mistatement of a matter within the personal knowledge of the insured or of such a character, that the insured must have regarded it as within the personal knowledge of
I will now apply this law to the facts proven in this case. The additional specifications of defence filed by order of the court set out all the grounds of defence, on which the defendant below can rely. They are that the fifth clause of the policy was broken, as George Schwarzbach’s death was caused by dissipation and drunkenness. The jury by their verdict found otherwise; and certainly the evidence on this ptoint would not justify us in setting aside this verdict. This defence says further that the statements and declarations in the application of the insured were found in material respects untrue in three particulars : 1. “The statement that the insured was then of sober and temperate habits were untrue.” The jury in effect found otherwise; and the evidence certified certainly would not justify our setting aside this verdict on that account.
Defence No. 3 is: “The statement that he did usually enjoy good health is untrue.” This defence is not sustained by the evidence, or at least the jury from the evidence were justified in the conclusion, that he did, when he was insured and prior thereto, enjoy good health.
Defence No. 4, that “ He was not and had not ever been addicted to the frequent or intemperate use of alcoholic stimulant wras untrue,” was not sustained by the evidence ; and the jury might well, as they did in effect, find otherwise.
Defence No. 5 is: “ That the statement in answer to questions in paragraph thirteen, that the applicant had never had consumption or spitting of blood, was untrue.” A sufficient answer to this defence is, that there is no evidence,
The sixth matter of defence was that the statement that “insured had not had during the last seven years any disease or severe sickness, was untrue.” If we are to regard this answer as made by the insured to a special question propounded to him, as the application on its face shows it was, and no legal replication was made and sustained, then in my judgment on the facts proven the jury were bound to find for the defendant. For this answer being to a direct and specific enquiry must as a matter of law be regarded as material ; and, as it was about a matter, of which the insured must have had personal knowledge, it is immaterial whether he made the answer thoughtlessly, or because he deemed the question immaterial. It matters not, whether he intended by such answer to deceive the insurers or not;. for such an answer, if untrue, was a legal fraud upon the insurers, as the evidence shows clearly that he had a disease or at least a severe sickness three or four months before. The vomitings of blood he then had and his sickness then was the only disease or severe sickness, which he had had iu the previous seven years, so far as the evidence shows. The jury had a right determine whether this attack was a severe sickness or a disease. (Manhattan Life Insurance Company v. Francisco, 17 Wall. 672; Mutual Benefit Life Insurance Company v. Wise, 34 Md. 582.) But that this sickness as proven by the evidence was a disease or severe sickness, we think there can be no doubt. (Geach v. Ingalls, 14 M. & W. 95; Vose v. Eagle Life and Health Insurance Company, 6 Cush. 42; Price v. Phenix Accident Life Insurance Company, 17 Minn. 497.)
The seventh defence was that the statement iu answer to the eighteenth 'question was untrue. The question was: “ Has either of yoúr parents or any brother or sister or near relative of yours been affected with rheumatism or with any
The answer was, “ No.” There was no evidence, which even tended to contradict this answer or to show it to be untrue. It was endeavored to be shown, that years before the insured had stated that he had brothers and sisters. This evidence was in this case properly excluded, as we have seen. But had it been proven, that the insured had brothers and sisters, it would not have sustained this defence, unless it was shown they were subject to some of the diseases named, and there was no attempt to prove this even by hearsay.
The eighth defence is that the insured answered he.had no brothers or sisters. There was no evidence that he ever had, which fully answers this defence.
The last defence is that the warranties in this policy were broken. We have seen that when properly construed there were no warranties in this policy.
It remains to enquire whether the replications of the plaintiffs to these defences are sufficient in law and are sustained by the defence. The first of these replications is a general denial of the truth of the matters set up in defence; and the other is, that the matters set up as a defence, where they existed, were fully known to the defendant below, and with such knowledge it made two assessments on the insured on account of this policy and under its terms, which assessments, wore paid by the insured in order to keep this policy in force; and that the defendant is thereby estopped from claiming, that this policy is forfeited by facts' which were so known to it, when it made these assessments. Two questions are here raised. The first is whether the answer to the seventeenth question, which, we have seen, was false and would work a forfeiture of this policy, was the answer of the insured. The question was : “ Have you had during the last seven years any disease or severe sickness? If so state the particulars of each case and the name of the attending physician.” The answer to this question was, “ None.” This question was in the printed form for applications made out by the defendant below and handed to its various agents, and among others to its W. C. Peterman, whom the defendant paid for each application it got through him, which was regarded as satisfactory,
It has beeniusisted,and formerly itwas generally held, that under such circumstances the insured or assured should be bound by the written application signed by the insured, unless some device was resorted to for the pm’pose of preventing the insured reading the application which he signed. And on general principles, which are applied to ordinary business transactions, this would seem to be right and the insured or assured ought to be bound. But to apply these principles in their full force to the system, which is now almost universally adopted by companies to obtain policies of insurance both for life and against fire, would be a snare and delusion leading, as it has done in numerous cases, to the grossest frauds, of which insurance-companies receive the benefits; and the parties supposing themselves insured are the victims.
The modern and better opinion is, that where this course has been pursued by the agent to obtain policies of an insurance-company, the description of the risk or the facts set out in the application, though nominally proceeding from the insured, must be regarded by the court as proceeding from the insurers. (See Plumb v. Cattarangus Co. Mutual (Fire) Insurance Company, 18 N. Y. 392; Rowley v. Empire (Fire) Insurance Company, 36 N Y. 550; Woodbury Saving’s Bank and Building Association v. Charter Oak Fire and M. Insurane Company, 31 Conn. 517; Masters v. The Madison Co. M. Insurance Company, 11 Barb. 624; The Columbia Insurance Company v. Cooper, 14 Wright 331; The Malleable Iron Works v. The Phœnix Insurance Company, 25 Conn.
In this case Peterman, the agent of the defendant below to get applications, states that some few of the questions in the
"Was the second replication of the plaintiffs in law a good reply to the defence of the defendant? That is, did the fact, that the defendant below knew, when it issued this policy, that the insured had had a disease or a severe sickness within seven years before this policy was issued, estop it from relying on this fact as a forfeiture of the policy ? That this is a good replication to a defence, that there was in the application a misrepresentation of a material fact, is sustained by the authorities and is supported by reason. (Lindman v. Desborough, 3 C. & P. 353; Pwrim v. Lewis, 2 F. & F. 778; Swift
■ In this case the certificate of the examining physician was one of the papers which formed the basis, on which the life policy in this case was issued; and the answer to the seventh question certainly pointed out to the defendant, that the applicant for the insurance was probably subject to some serious disease. Having this knowledge the defendant can not claim, that the policy is forfeited by the fact, that the insured had a disease, -which had exhibited itself some three months before the application, unless the applicant practiced actual fraud and designed deception in the false answers, which, we have seen, he did not. But it is regarded as not sufficiently established, that, when the policy was issued, the defendant knew, that the applicant for the policy was not sound and free from disease and ought therefore to be regarded as knowing that he vomited blood a few months before, yet it is well established, that the defendant knew this fact well prior to his death; and the jury from the evidence had a right to infer, that this came to the knowledge of the defendant shortly alter the policy issued, which was on October 29,1880. We can not set aside the verdict of the jury, because they inferred, that the defendant acquired this knowledge shortly after the issuing of the policy and before March 24, 1881. And yet on that day and afterwards, on April 80, 1881, and May 31, 1881, they received assessments on this policy from the insured. This was a waiver of the forfeiture of the policy. (Frost v. Saratoga (F.) Insurance Company, 5 Denio 154; Campbell Mutual Insurance Company v. Mitchell, 48 Pa. 374; Neal v. Genesser Mutual (F.) Insurance Company, 19
Our conclusion for these reasons is, that the court below did not err in refusing to set aside the verdict of the jury and to grant a new trial. The jury made apparently no mistake of law to the prejudice of the plaintiff in error. The three instructions given to them were all offered by the defendant; and they certainly state the law favorably enough for the defendant. The third of these instructions is according to the views, which I have expressed, too favorable to the defendant. As it states in effect, that, if the insured had the opportunity to see the application, after it was written, and before it was delivered, it would be the same in effect, as though he had road it, before it was delivered. This we think is not the law; but it is obviously an error, of which the plaintiff in error can not complain, not only because he asked this instruction, but also because it was an error in his favor.
I have considered all the errors, which the court below is claimed to have committed relied on by the counsel for the plaintiff in error; but the counsel for the defendants in error insists, that under the pleadings and statements of defences filed by the defendant below that plaintiffs below were not bound to furnish any evidence, that the proof of the death of the insured had been furnished the defendant below. In Cappellar v. Queen Insurance Company, 21 W. Va. 577, point 7 of the syllabus, this court decided that “under chapter 66 of Acts of 1877 these statements, whether filed by the plaintiff or defendant, are not in the nature of pleadings, but are in the nature of notices to the adverse party of the claim or defence to beset up against him.” They resemble closely hills of particulars heretofore required to be filed in certain actions. Chapter 66 of Acts of 1877 has been re-enacted in chapter 71 of Acts of 1882, section 61 and subsequent sections 164-65-6. Under these sections it is necessary for the defendant to file a statement of his defence sufficient to notify the plaintiff of the nature of his defences; and if it fails to do so, the court, if asked at the trial, should exclude the evidence of the de-fence as to any matter, which it has failed to so state. But under the policy in this case the amount named in it was not
As was said in Fawcett v. Railway Company, 24 W. Va. 762, the court below ought to have refused to sign any bill of exceptions in the form of the bill of exceptions in this case. If by presenting such bill of exceptions the defendant desired to show, that the verdict of the jur}' was wholly unwarranted by the evidence, the exception should have stated the facts, which in the judgment of the court were proven. This practice of setting out the evidence precisely as it was given and the whole of it, including a vast amount of irrelevant matter copied from the stenographer’s notes, or made out by him, I suppose, from his notes, imposes on this Court a vast amount of useless labor; and while it may save the counsel for the exceptor some labor at the time such exception is
The judgment of the municipal court of "Wheeling rendered on November 11, 1882, must for the reasons I have stated be affirmed ; and the defendants in error must recover of the plaintiff in error their costs in this Court expended and damages according to law.
Aebtrmed.