Wright v. Mutual Benefit Life Ass'n of America — 28 N.Y. St. Rep. 817

Majority

p. 817

Catharine Wright, Resp’t, v. The Mutual Benefit Life Association of America, App’lt.^[1]

(Court of Appeals, Second Division,

Filed January 14, 1890.)

Headnote

Insurance (Life)—Waiver in policy.

Where an insurance policy contains a provision that no question as to the validity of an application or certificate of membership shall be raised, unless such question be raised within the first, two years after the date of such certificate and during the life of the member, on the trial of an action to recover on the policy defendant cannot show either that insured had obtained the insurance by fraud or that the beneficiary, a creditor of insured, had no insurable interest in the life of insured.

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This is an appeal from a judgment of the general term of the fourth department, affirming a judgment entered upon a verdict directed for the plaintiff at special term in .Oswego county.

The action is upon a certificate of life insurance or policy dated ¡December 6, 1883, and issued by the appellant upon the life of Charles F. Wright. The certificate was payable to Byron D. Houghton and was for the sum of $5,000. The assured died June 4, 1885. In December, 1885, or January, 1886, Houghton assigned his interest in the certificate to Catherine Wright by written assignment. Catherine Wright was the wife of the deceased, Charles F. Wright. Houghton paid all dues and assessments from the first either directly or by advancing the necessary amounts and charging them to said Charles F. Wright.

The application upon which the certificate was issued contained an agreement on the part of the applicant “ that if any misrepresentation or fraudulent or untrue answer or statement has been Biade or if any fact which should have been stated to the association be suppressed ” the agreement. of assurance should be null and void.

The application warranted the truth of the statements in his application. Houghton stated in his proof of loss that at the time of his death the deceased owed him $2,823.02, and the proof in the case shows that ,a considerable portion of that indebtedness existed at the time of the issuance of the policy and increased until it reached the above amount

The defendant alleged in the answer that false and untrue statements were made by Wright in his application with a view to influence the action of the defendant in granting the application. Also, that Wright and Houghton both knew the falsity of the statements; that the defendant was cheated and misled thereby and that Wright and Houghton knew that if the truth in regard to the health and habits of the applicant had been stated the application for insurance would have been denied.

On the trial the defendant offered evidence to show that the certificate was obtained by fraud of Houghton and Wright for a speculative purpose on the part of Wright, which was excluded, and defendant excepted. Thereupon the court directed a verdict for the plaintiff for $5,200 damages, for which, including costs, judgment was entered.

6?. JET. Crawford, for app’lt; Francis F. Hamilton, for resp’t.

This is an action to recover of the defendant the amount it agreed to pay under a policy or certificate insuring the life of Charles F. Wright.

Upon the trial after the plaintiff had introduced the necessary proofs to entitle her to a recovery, the defendant offered to prove as a defense to the action, that the deceased, Charles F. Wright, and Byron D. Houghton, the beneficiary named in the policy, for the purpose of obtaining the policy and of defrauding the defendant, falsely represented to the defendant that Wright, the insured, was not then suffering and never had been suffering from certain diseases which had seriously impaired his health, for

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the purpose of inducing and by means whereof defendant was induced to issue the policy insuring the life of said Wright and that such representations were false, etc.

This evidence was objected to by the plaintiff, that such proof was inadmissible under the provision of the policy that “ no question as to the validity of an application or certificate of membership, shall be raised, unless such question be raised within the first two years from and after the date of such certificate of membership, and during the life of the member therein named,’’ and the objection was sustained and defendant excepted.

The defendant also offered to show that the beneficiary, Houghton, had no insurable interest in the life of the insured, in short, that it was a speculative and fraudulent scheme devised and practiced by Houghton to secure an advantage to himself upon the life of Wright which must soon terminate from the diseases he was then afflicted with. This was also objected to by the plaintiff and excluded by the court and defendant excepted, the court holding that the defendant could not show any such thing, unless during the life of the assured or during the period of two years from the date of the policy such question had been raised.

These rulings present the main question upon this appeal and inasmuch as I have reached the conclusion that the judgment should be affirmed there is but little if any occasion to add anything to the reasons contained in the opinion of the general term affirming the judgment of the trial court in this case. 48 Hun, 61 .

There does not seem to be room for any doubt in relation to the meaning of the stipulation referred to. The defendant’s counsel does not contend that the language of the stipulation or waiver is not plain and comprehensive of everything which can constitute a defense, nor that the stipulation though endorsed upon the certificate does not form a part pf the contract of insurance.

But he argues, from certain supposed analogies to stipulations releasing carriers from liability and which have been held not to exempt the carrier from liability for negligence, that it must have been intended between the defendant and the insured to except the defense of fraud from the operation of the stipulation in question. Mynard v. The Syr., B. & N. Y. R. R. Co., 71 N. Y., 180 ; Holsapple v. The R., W. & O. R. R. Co., 86 id., 275 .

It does not seem to me that there is any analogy between the two classes of liability and nothing is more misleading than an assumed analogy.

The liability of a common carrier of persons or property for injury or loss was adopted at a very early period in view of the peculiar exigencies of the carrying trade as a rule of public policy. The degree and extent of the liability of the carrier for negligence was fixed by law, and not by the terms of a contract between the parties. There were numerous contingencies incident to the carrying business other than the negligence of the carrier which might result in loss or injury to the person or goods carried, and for which the liability of the carrier would depend upon the facts to be established upon a trial.

It might well be held in construing an agreement of exemption

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in general terms that its office and effect was to relieve from those grounds of liability which depended upon the evidence, and not the liability whicli was fixed by law. The rule laid down in the cases referred to by the appellant’s counsel is merely a rule of the construction of the terms and effect of an agreement.

It by no means holds that liability for negligence. may not be stipulated away; for the contrary has been repeatedly held, but that the terms of the stipulation in those cases did not provide exemption from liability for negligence. The case under consideration is an alleged fraud in making a private contract between the parties to it. The contract contains a great number of material representations in relation to the past and present condition of the insured, and of course they are variable with every applicant for insurance and every person insured.

Such representations if untrue constitute a breach of warranty which will avoid the contract of insurance. If the representations are known by the party making them to be untrue when made, they would also constitute a fraud and avoid the contract of insurance.

The difference between the representations and the proof of them upon a trial to avoid the contract would be only the fact whether the party knew the representation was false when he made it. It is to be presumed that the defendant had some pupose when it offered to the insured a contract containing the stipulation, and that the stipulation itself had some meaning. The court is asked to hold that the parties to the stipulation understood (for unless the insured so understood the stipulation, the defendant was practicing a fraud upon him), that while the stipulation embraced all representations that were untrue, it did not embrace the same representations, if known by the party making them to be untrue. The practical difference or effect of this would be that, upon a trial to enforce the contract, the proofs of the representations, their materiality and untruth would have to be made all the same, but the stipulation would come in as a defense to all representations save those the insured knew to be false.

While I might, perhaps, entertain the idea that the insurer so understood the stipulation,' I am very confident that the insured did not so understand it.

It seems to me the analogy is based upon an entire misconception of the object and meaning of the stipulation. It is not a stipulation absolute to waive all defenses and to “condone fraud.” On the contrary, it recognizes fraud and all other defenses, but it provides ample time and opportunity within, which they may be, but beyond which they may not be established. It is in the nature of and serves a similar purpose as statutes of limitations and repose, the wisdom of which is apparent to all reasonable minds. It is exemplified in the statute giving a certain period after the discovery of a fraud in which to apply for redress on account of it and in the law requiring prompt application after its discovery if one would be relieved from a contract infected with fraud. The parties to a contract may provide for a shorter limitation thereon than that fixed by

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law, and such an agreement is in accord with the policy of statutes of that character. Wilkinson v. First Nat. Fire Ins. Co., 72 N. Y., 499 , 502.

Mo doubt the defendant held it out as an inducement to insurance by removing the hesitation in the minds of many prudent men against paying ill afforded premiums for a series of years and in the end and after the payment of premiums, the death of the insured and the loss of his and the testimony of others, the claimant instead of receiving the promised insurance, is met by an expensive lawsuit to determine that the insurance which the deceased has been paying for through many years has not and never had an existence except in name. While fraud is obnoxious and should justly vitiate all contracts, the courts should exercise care that fraud and imposition should not be successful in annulling an agreement to the effect that if cause be not found and charged within a reasonable and specified time establishing the invalidity of the contract of insurance, it should thereafter be treated as -valid. Hence, I fail to perceive any error in the disposition made of this question in the court below. The right of the plaintiff as the assignee of the payee specified in the policy, to recover the whole amount provided by the policy is well settled, even if the debt owing the payee by the person whose life was insured was less than the sum insured or had been paid in the life-time of the insured, or if a portion of the sum provided by the policy was designed by the payee in a contingency for the benefit of some other than the payee under the policy. Olmsted v. Keyes, 85 N. Y., 593 , 599, and cases cited.'

If there is a legitimate cestui que trust (of which there is serious question) the plaintiff is the trustee and their rights can be adjusted without involving or imperilling the defendant. Code Civ. Pro., § 449 ; Hutchings v. Miner, 46 N. Y., 456 .

I think the judgment should be affirmed, with costs.

All concur, Haight, J., in result, except Follett, Ch. J., and Vaw, J., not sitting.