Perry v. Metropolitan Life Insurance — 153 N.Y.S. 459

Majority

p. 459

PERRY v. METROPOLITAN LIFE INS. CO.

(Supreme Court, Appellate Division, Fourth Department.

March 3, 1915.)

Headnote

Insurance <S=615—Life Insurance—Avoidance for Fraud—Return of Premiums.

In an action on a life insurance policy, it is not a condition precedent to the maintenance of the defense that the insured misrepresented the condition of his health on applying for the policy that the company shall have offered to return the premiums paid; no duty resting upon one not seeking affirmative relief on the ground of fraud to place the adverse party in statu quo.

[Ed. Note.—For other cases, see Insurance, Cent. Dig. §§ 1530, 1532— 1534; Dec. Dig <S=»615J

<S=oFor other cases see same topic & KEY-NUMBER in ail Key-Numbered Digests & Indexes

Action by Josephine C. Perry, as executrix, against the Metropolitan Life Insurance Company. Judgment for defendant in the City Court of Buffalo was reversed in Special Term of Supreme Court, and defendant appeals.

Affirmed.

p. 460

The following is the opinion of Bissell, J., at Special Term:

The action in the court below was brought to recover on a policy of life insurance in the sum of $1,000 issued on the life of James W. Wilson, formerly of Lewistown, Pa. The policy was issued November 11, 1910. The insured died May 6, 1911. The plaintiff is the administratrix of the insured. The defense is based on alleged misrepresentations contained in the application, relative to the antecedent health of the insured. The learned trial judge found that on the merits the defense was fully established, stating “that the defense interposed and made herein by the defendant would have been complete, and would have barred any recovery for the plaintiff herein, had the defendant shown that it had offered back to the insured, or to his representatives, the moneys paid by the insured to the defendant as premiums, on discovery by it of the facts which would have avoided the policy. No such tender was ever made.” Judgment was therefore given for the plaintiff on the sole ground that the defendant failed to avoid the policy by offering to return the premiums received from the insured.

• This I think was error. No obligation rested upon the defendant to place the plaintiff in statu quo before the defense, which the trial court found was meritorious, could be interposed. The defendant is not actively seeking relief from the contract as in a case of rescission. In offering to prove misrepresentations, it assumed an attitude of simple defense against an unconscionable or unlawful claim, and if it could establish facts sufficient to support such a position it would be inequitable to hold it still liable because of its failure to put the wrongdoer in statu quo. This question has been directly passed upon, and the rule settled by the Court of Appeals, in the case of Flynn et al. v. Equitable Life Ins. Co., 78 N. Y. 668 , 34 Am. Rep. 561 . In that case the defendant insurance company sought to defend on the ground of misrepresentation or breach of warranty in the application, and it was held that it was no answer to a defense of fraud in an action upon a policy of life insurance that defendant has not returned the premiums paid. The court says: “The principle that a party, seeking to rescind a contract for fraud must return what he has received, has no application to this case.” “The plaintiffs have brought an action upon a contract entered into between the deceased and the defendant. The defense is that the contract has been violated by the intestate, and hence no action can be maintained upon it. The plaintiffs are seeking to enforce the contract, and performance on the part of their intestate is a condition of a right to recover. The right to a return of the' premiums paid is not necessarily involved in the action. The plaintiffs must establish a cause of action upon the contract; if they fail to do this, they cannot recover, irrespective of the question of whether they are entitled to a return of the premiums or not.”

The same rule was laid down in the case of Dowd v. American Fire Insurance Company, 48 Hun, 619 , 1 N. Y. Supp. 31 , in which the court held that the failure of a fire insurance company to return a premium is not a waiver of the right to plead, in an action on the policy, the concealment by plaintiffs of a fact which, if true and thus concealed, would vitiate the policy, as there was no ground for rescinding the contract until the company was informed of such fact. The court says: “When the fire occurred, the rights of the parties under the policy became fixed, and a return of the premium could not have the effect to change the status of either party. * * * The defendant is not asserting a cause of action against the plaintiffs, or claiming anything of them, but simply defending against the enforcement of a claim under a policy of insurance which the plaintiff claims to be void in consequence of the concealment by the plaintiffs of a material fact, which was vital to the insurance company.”

The trial court seems to have overlooked the plain distinction between a rescission which proceeds under an avoidance of the contract and a defense based on its terms, viz., a breach by the insured of his express agreement to correctly state the facts in his application. The one is a case where it is sought to rescind and set aside a contract; the other is a case where the plaintiff’s testator has failed to carry out the contract on his part, and where, therefore, no cause of action has ever arisen. This distinction is recognized, ■ not only in this state, but elsewhere. Thompson v. Traveller’s Ins. Co. 11 N.

p. 461

D. 274 , 91 N. W. 75 ; Georgia Home Ins. Co. v. Rosenfelt, 95 Fed. 358 , 37 C. C. A. 96 ; Austin v. Mutual Reserve Fund Life Asso. (C. C.) 132 Fed. 555 ; Moore v. Supreme Association, etc (Tex. Civ. App.) 93 S. W. 1077 .

It is unnecessary to decide here whether a separate action will lie for the return of the premiums paid. As to that we express no opinion. The evidence of the defendant rested largely upon the testimony of several doctors and a nurse. Several questions propounded to these witnesses, which were clearly inadmissible under the provisions of the Code of Civil Procedure, were stricken out by the court below. Apart from these questions thus stricken out, we have found none that were objectionable, nor has our attention been called to any by the plaintiff’s attorney. The plaintiff’s claim that this, testimony was inadmissible in toto cannot be sustained. The judgment herein should be reversed.

Judgment reversed, and new trial granted, with costs to abide the event.

Argued before KRUSE, P. J., and ROBSON, FOOTE, LAMBERT, and MERRELL, JJ.

Kimball & Stowe, of Buffalo (Maulsby Kimball, of Buffalo, of counsel), for appellant.

Sullivan, Bagley & Wechter, of Buffalo (Joseph A. Wechter, of Buffalo, of counsel), for respondent.

Judgment affirmed, with costs, upon the opinion of Bissell, J., delivered at Special Term.