Koenig v. United Life Insurance Ass'n — 12 A.D. 454

Majority

p. 454

Adelbert v. Koenig, Respondent, v. United Life Insurance Association, Appellant.

Headnote

Life insurance —asthma—prior rejection by another companyeffect of knowledge \ by a company issuing a policy.

An applicant for insurance was examined by the same doctor under two applications.- In the medical blanks, on the first it was stated that he had asthma; in the-second nothing was said of asthma. The doctor stated to .the vice-president of the second company that he had a good risk, and that he would get it from-the other company. The first company rejected' the application, which fact and an. alleged misrepresentation as'to the applicant’s physical condition Were ■ set -up as breaches of warranty, violating a policy issued to him by the second . -. company! and as a defense thereto; in an action brought .to enforce it. On the trial the jury found that the second company knew of the. rejection of the

p. 455

application by the first company, and also that the applicant did not have asthma,

Held, that the verdict was justified;

That from the facts proved the jury were entitled to infer facts sufficient to sustain the plaintiff’s cause of action.

Appeal .by the defendant, the United Life Insurance Association, from a judgment of the Supreme Court in favor of the plaintiff, entered in the office of the clerk of the county of New York on the 15th day of April, 1896, upon the verdict of a jury rendered after a trial at a Trial Term of the Supreme Court held in and for the county of New York, and also from an order entered in said clerk’s office on the 17th day of April, 1896, denying the defendant’s motion for a new trial made upon the minutes.

Edmund T. Oldham, for the appellant.

Louis J. Yorhaus, for the respondent.

The action was brought to recover upon a policy of life insurance. The jiolicy was for the 'benefit of the plaintiff upon the life of his father; the defense interposed in the. action was breach of warranty. The warranties claimed were, in effect, that no previous application for insurance upon the life of the insured had been made and rejected, and that the insured had not been afflicted with asthma. There were two applications made for insurance upon the life of the insured-—one to the National Mutual Life Insurance Company and the other to the defendant. The one to the National Mutual was dated April 15, 1892, and the one to the defendant was dated April 19, 1892. These two companies had offices in the same building, the one upon the floor above the other. Both these applications were taken by the same solicitor, one Michaelis, who filled up the blanks in both. The examinations under both applications were made by the same physician, Dr. Boyle, who was the medical examiner for both companies, and who filled up the medical blanks in both applications. Both the solicitor and the doctor' were deceased at the time of the trial. The medical examination under the first application appears to have been made April 16,1892, and the application to have been rejected as early as April 18,1892. The second application, as already stated, was made to the defendant April 19,

p. 456

1892. The examination, however, under this application appears not to have been made until Hay 1, 1892. In the first application it was stated that the insured had asthma, and the doctor reported the risk not a good one for that reason. In the second application nothing was said about asthma, and the doctor reported the risk a good one. Mr. Hatch, the vice-j>resident of the defendant at the time these applications were made,- was put upon the stand by the plaintiff ¡at the trial, and he testified that both the solicitor, Michaelis, and Dr. Boyle told him, at the time the application ivas made to the defendant, that the insured had made an application to the National Mutual, and that he, the witness, knew that the insured had made such application. Then the following further examination of the witness was had : “ Q. What did Dr. Boyle tell you about this case ? A. He told me he was a first-class risk. Q. Did he tell you he had rejected him in the other company ? A. No. Q. Or-that he had examined him for the other company ? A. He told me that he had examined him for the other company, but what else he told me I can’t tell you. ,Q. Isn’t it a fact that after an application had been made by Mr. Koenig to the National Mutual, and after the doctor, Dr. Boyle, had examined him, he told you people that he had a good risk up there for $5,000, and that he could fix it so that it would go to your company, and that is the reason he rejected him, but that he was not accepted by the.other company. Is not that the fact substantially? A. It is back a good while. My remembrance of-it is that Doctor Boyle told me that he had a risk which we would take that was in the other company and that he would get it with us. That is all I can remember. By the Court: Q. This was before your company issued the policy ? A. Yes.”

Upon this condition of the evidence the case was submitted to the jury in a; brief charge, wherein the court said, among other things: “ The first defense is breach of warranty, in this, that the insured represented that no application for insurance had been made to any other company, or had been rejected by any other company. It appears that the insured did apply to another company for insurance and was rejected by that company as an undesirable risk. I charge you as a- matter of law that this breach is a complete defense to this action unless you find as a matter of fact that the defendant company knew of such previous application and rejection

p. 457

and took the-risk, notwithstanding, with full knowledge of all those facts.

“ The next defense is that the insured misrepresented his physical condition, warranting that he was in good bodily health when, in fact, he was afflicted with asthma and like ailments which have a tendency to shorten life. If you find as matter of fact that the insured did misrepresent his physical condition, that he was ailing, was troubled with ailments instead of .being in perfect health, it will be your duty to find a verdict in favor of the defendant.

“ In short, if you find there was any breach of condition upon the part of the insured, or any form of imposition whatever on his part, the defendant will be entitled to your verdict.

“ If, on the other hand, you find on all the issues in favor of the plaintiff, that is, you find that the defendant had knowledge of the former application and knowledge of the insured’s rejection by the other company; if you find that he was in perfect health and in the condition in which he described himself to be, that he had no ailment, your verdict will be for the plaintiff.”

The court, upon defendant’s request, refused to charge that there was no proof of knowledge on the part of the defendant of the rejection of the application to the National Mutual Insurance Company, but left that question to the jury, charging that the knowledge of Dr. Boyle was not the' knowledge of the defendant, but that if he communicated such knowledge to the defendant then it was bound.

If thus appears that the right of the plaintiff to recover in the case was made to depend upon the determination of two questions of fact. First. Whether the defendant knew of the rejection by the National Mutual of the former application. Second. Whether the insured was afflicted with asthma.

The jury found both of these questions of fact in favor of the plaintiff, and the only question raised by the appellant upon this appeal is whether there was evidence to support such findings. No question is raised as to the plaintiff’s right to recover if these facts were properly found by the jury, and we do not, therefore, need to discuss the question of law, whether such findings authorized a verdict in favor of the plaintiff. Both the solicitor and doctor knew all

p. 458

about these matters. They filled up the' blanks .in both applications. They knew whether there was or was not the existence of asthma, and they knew that the former application had been rejected. Their evidence, however, Was not taken and is not before us. There was a good deal of evidence taken as to the existence of asthma, and upon all the evidence before the jury, they were justified in finding, as they did, that, the insured was not afflicted with asthma. It is said that the ¡insured admitted it-—-stated it in the first application. He signed the- application it is. true, but he was deceased at the time of. the trial,1 and was not there to explain how he happened to state the existence of asthma in that application, and to omit it in the application to the defendant. The jury were left to inference ,on this subject from the facts proved, and they -very likely believed that the insured was not aware that the existence of asthma was stated in that application when he signed it. The filling up of ihe blanks was by the- doctor, and if the putting of asthma in the first application, .and the {rejection of- the application for that -special reason was in accordance with the truth, the fact, how did it happen that, immediately after such rejection, an entirely similar application to the defendant was gotten up by the same solicitor and the same doctor, in which there, was no-reference to the, existence -of asthma, and that the doctor not only recommended! the acceptance of the application, but told the vice-president, Mr. Hatch, that the insured was a first class risk?- The jury may well have inferred that the doctor, without the. knowledge of the insured,, put the existence of asthma into the first application, and rejected the application for. -that reason, in order to 'take the risk away from the National Mutual and secure it for the defendant. The vice-president, Mr. Hatch, testified on the trial that the doctor told him, as to the matter, that there was a risk in the National Mutual which he would get with defendant; that- he had examined the insured for the other company, and that he was a first-class: risk. His memory failed him as- to anything else the doctor told him y-- as to what, he said or what the vice-president understood as to the manner in which the transfer of the risk from the other company to the defendant was- to be, or was, made;

We think there was evidence sufficient to support the finding by the jury that the insured was not afflicted with asthma. As to the other question we have this peculiar' condition of things: The vice-

p. 459

president, Mr. Hatch, testified that he was informed, both by the solicitor and the doctor, that the application had been made by the insured to the National Mutual; that the doctor told him he had examined the insured for that company; that he was a first-class risk, and that he would get the risk away from that company and have it placed with the defendant, and that then the application was made to the defendant and the insured was examined and accepted and the policy was issued by the defendant, and yet the vice-president testified that he couldn’t recollect what was said to him, if anything, as to the result of the application to the other company, or as to how or by what means, the risk was transferred from the National Mutual to his, the vice-president’s, own company. The jury might make some inferences from the facts that did appear in the case as to things which the vice-president could not recollect. The vice-president knew the application had heen made, and the risk having been transferred to his company thereafter, it may be inferred that he understood the application had not heen accepted or a policy issued by the National Mutual, thereon. There is no suggestion that the vice-president supposed that the insured would take a policy in both companies. On the. contrary, the risk was to be transferred from the other company to-the vice-president’s company. It may well be inferred that the. doctor did tell the vice-president how the transfer had been, or was. to be, effected, and that the vice-president understood that no policy-had been or would be issued on the former application.

It is not denied that the knowledge of the vice-president, Mr. Hatch, was the knowledge of the defendant, and under the charge, the defendant’s knowledge could not be established by merely showing that the doctor had such knowledge. We do not doubt, however, under the evidence, in the case, that the jury might, as they evidently did, infer that the vice-president, Mr. Hatch, did know and understand that the application by the insured to the - National Mutual Insurance Company had not been accepted and that no policy had been issued thereon. While it is true -that the vice-president testified that he did'not have such knowledge, yet he subsequently testified that he had no recollection and could not state what the-doctor told him on the subject. The jury were not, therefore, foreclosed by the answer made by him as to such knowledge from find-' fug, as an inference from all the other evidence in the case, that lie.

p. 460

did have such knowledge and understanding at the time the policy was issued.

We thiidc the verdict of the jury was supported by the evidence and that the judgment and order appealed from should be affirmed, with costs.

. Yan Brunt, P. J., Barrett, Rumsey and Patterson, JJ., concurred.

Judgment and order affirmed, with costs.