Gaunt v. John Hancock Mut. Life Ins. Co.
Opinion of the Court
The plaintiff appeals from a judgment, dismissing her complaint after a trial to the judge, in an action, brought as beneficiary, to recover upon a contract of life insurance upon her son’s life. There are only two questions: first, whether the defendant insured the son at all; and second, if so, whether he was intentionally shot, in which event a provision for “double indemnity” did not apply. The judge made detailed findings, the substance of which, so far as they are material to this appeal, is as follows. One, Kelman, a solicitor for the defendant authorized to take applications from prospective customers and to give receipts for first premiums, after two preliminary interviews with Gaunt, the insured, on August 3d, procured from him the signed “application,” which is the subject of the action. This was a printed document of considerable length and much detail, the only passage in which here relevant we quote in full in the margin.
At the time of signing the “application” Gaunt paid the full first premium and Kelman gave him a receipt containing the words we have just quoted without substantial change: both the “application” and the receipt were upon forms prepared by the defendant for use by solicitors such, as Kelman. On the same day Kelman took Gaunt to the defendant's local examining physician who found him insurable under the rules and who recommended him for acceptance. Kelman delivered the “application” and the premium, and the physician delivered the favorable report, to one, Wholey, the defendant’s local agent for Waterbury, Connecticut, who prepared a report recommending acceptance, signed by himself and Kelman, which he sent with the “application” and thp physician’s report to. the “home office,” where the documents were received on the 9th. Since it appeared from the papers that Gaunt had been classified as “4F” in the draft because of defective eyesight, the “medical department” at the “home office” required another physical examination in Waterbury. This took place on the 17th; on the same day the local physician wrote to the “home office” again passing Gaunt; and on the 19th “a lay medical examiner” for the “medical department” at the “home office” approved the “application.” Nevertheless the “home office” on the 20th wrote to Wholey asking further information as to Gaunt’s classification in the draft; Wholey answered satisfactorily on the 24th by a letter received on the 25th; and on the 26th one of the “doctors of the medical department * * * approved” the application “from a medical standpoint.” The “home office” received news on that day of Gaunt’s death, and never finally approved the “application,” although the judge found that, if Gaunt had lived, it would have done so.
Gaunt left Waterbury on August 19th. He was going to the Pacific Coast or to Alaska in search of’work; he arrived at Chicago on the 21st; and.on the 24th he had reached Montevideo, Minnesota, where he was seen traveling in an “army bus”’ that had been loaded upon a flat car of a west-bound freight train. The only other occupant of this bus was one, Rasch, about whom nothing was learned except that he was later traced to the wheat fields of Wyoming as a casual worker. On the 25th. Gaunt’s body was found beside the westbound track of the railroad at Milbank,. South Dakota, with a hole in his head made by a 38 or 45 calibre bullet, which had! entered his right jaw near the ear and had come out at the top of his skull; and although the record contains no evidence on the subject, we may take judicial notice that this must have caused substantially instant death. There was blood inside and! outside the bus, and the bullet was found inside which had killed him. On the testimony the judge found that Gaunt had been-intentionally killed, which, as 'we have said, was an exception to the “double indemnity”’ provision covering “accidental death.” The plaintiff asks us to reverse this finding: i.e., to find it “clearly erroneous”; but we should not be warranted in doing so. Neither side contends that Gaunt killed himself ; the issue is whether Rasch killed him accidentally or intentionally; and upon that the plaintiff argues that the defendant had the burden of proof. We hold that the
The first question is whether Gaunt was covered at all at the time of his death. Curiously, neither party has incorporated in the record “Part B,” and we do not know what was the date of its “completion.” If it was the approval “from a medical standpoint” as “advised by one of the doctors of the medical department,” it was not “completed” before Gaunt’s death. On the other hand the judge found that “Gaunt was, at the time of the completion of Part B, insurable in accordance with the rules of the defendant company for the plan and the amount applied for,” and that is consistent only with the understanding that “completion” was earlier than the 25th. The defendant has not argued to the contrary and we shall so assume. Thus the question becomes whether the words: “if the application, including Part B, is prior to my death, approved by the Company, at its Home Office,” must inescapably be read as a condition precedent upon the immediately following promise: “the insurance * * * shall be in force as of the date of the completion of Part B.” It is true that if the clause as a whole be read literally, the insured was not covered if he died after “completion of Part B,” but before “approval” ; and indeed he could not have been because there must always be an insurable interest when the insurance takes effect.
Situations very close aboard have arisen not infrequently, although the actual words have necessarily varied, so that it is hardly fair to say that any decision is quite on all fours. However, the important question is how far the condition of subsequent approval shall prevail over the promise of immediate coverage as soon as the insured has paid his premium and has passed his physical examination. A number of the decisions rely upon Insurance Company v. Young’s Administrator;
We are satisfied that the “double indemnity” clause did not apply. As we have already said, the finding that Gaunt was intentionally shot was not “clearly erroneous” ; and the question of law as to who had the burden of proof upon the issue does not arise. It does not appear that the judge placed the burden upon the plaintiff; and, if that was an error, the plaintiff has not proved that he committed it. She also argues that the defendant is “estopped” to set up the exception to the “double indemnity” provision where the killing was intentional. This she bases upon the fact that Kelman said nothing about it at the time, though he did say that suicide would avoid the policy altogether. This argument is too frivolous to deserve serious discussion.
Judgment reversed; judgment to be entered for plaintiff for $15,000.
“If the first premium or installment thereof above stated was paid when this application was signed, and if the Company is satisfied that on the date of the -completion of Fart B of this application I was insurable in accordance with the Company’s rules for the amount and on the plan applied for without modification, and if this application, including said Part B, is, prior to my death, approved
Griffin v. McCoach, 5 Cir., 116 F.2d 261; Starr v. Mutual Life Ins. Co., 41 Wash. 228, 83 P. 116.
Restatement of Contracts, §§ 230, 233.
Swentusky v. Prudential Insurance Co., 116 Conn. 526, 165 A. 686.
Dresser v. Hartford Life Ins. Co., 80 Conn. 681, 70 A. 39.
23 Wall. 85, 23 L.Ed. 152.
145 Ky. 563, 140 S.W. 1026, 36 L.R.A.,N.S., 1211.
Olson v. American Central Life Ins. Co., 172 Minn. 511, 216 N.W. 225; Beaty v. Southland Life Ins. Co., Tex.Civ. App., 28 S.W.2d 8951
Starr v. Mutual Life Ins. Co., 41 Wash. 228, 83 P. 116 (dictum); Cooksey v. Mutual life Ins. Co., 73 Ark. 117, 83 S.W. 317, 108 Am.St.Rep. 26; Field v. Missouri Life Ins. Co., 77 Utah 45, 290 P. 979.
236 App.Div. 309, 258 N.Y.S. 711.
240 App.Div. 898, 267 N.Y.S. 972.
Corning v. Prudential Ins. Co., 248 App.Div. 187, 288 N.Y.S. 661; Arcuri v. Prudential Ins. Co., 248 App.Div. 501, 290 N.Y.S. 567; Hughes v. John Hancock Mut. Life Ins. Co., 254 App.Div-570, 3 N.Y.S.2d 899.
236 App.Div. 309, 258 N.Y.S. 711.
240 App.Div. 898, 267 N.Y.S. 972.
137 Ohio St. 441, 31 N.E.2d 88.
Concurring Opinion
(concurring).
I agree that the course of negotiations required and controlled by the insurance company was “unpardonable,” and am willing to concur in the decision for that reason. But I do not think we can properly or should rest upon the ambiguity of the company’s forms of application and receipt. Had this bargaining occurred between parties with equal knowledge of the business and on equal terms, there could be little difficulty in supporting the condition precedent that the “insurance,” i. e., the insurance contract or policy, could not “be in force,” i. e., take effect, until approved at the home office, and that then it dated back to an earlier time. Moreover, conditions of this general form are unfortunately still too customary for a court to evince too much surprise at them. There have been acute discussions of the legal problems involved; thus, most helpful is the article, Operation of Binding Receipts in Life Insurance, 44 Yale L.J. 1223.
Iffence a result placed not squarely upon inequity, but upon interpretation, seems sure to produce continuing uncertainty in the law of insurance contracts. Even though for my part I should feel con
Making the distinction between the forms of provision as indicated by my text, I fear I cannot see as much judicial division as my brothers observe; though I do think too far-reaching such statements of annotators with reference to such a conditional receipt: “It is uniformly held that such an instrument is absolutely ineffectual in providing protection to the applicant until tbe application is approved or accepted.” 81 A. L.R. 332, 333; 107 A.L.R. 194, 195. Tbe Now York rule seems pretty well settled by the late cases; Corning v. Prudential Ins. Co., supra, was affirmed 273 N.Y. 668, 8 N.E.2d 338.
Other references might include Kess-ler, Contracts of Adhesion — Some Thoughts about Freedom of Contract, 43 Col.L.Rev. 629, 631-635; Patterson, The Delivery of a Life Insurance Policy, 33 Harv.L.Rev. 198 ; Havighurst, Life Insurance Binding Receipts, 33 Ill.L.Rev. 180.
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