Case ID: ad_91/html/0390-01.html
Source: Caselaw Access Project
Author: {"author": "Hirschberg, P. J. :", "license": "Public Domain", "url": "https://static.case.law/"}
Date Created: 2024-08-24T03:29:51.129683

Rosa Simon, Respondent, v. Supreme Council, American Legion of Honor, Appellant.
    
      Insurance certificate — misrepresentation as to the existence of a by-law, which had been adjudged to be invalid — a settlement induced thereby set aside.
    
    Where an insurance company induces the holder of a §5,000 benefit certificate, valid and enforcible for the full amount, to accept §1,900 in satisfaction thereof by representing to her that one of its by-laws, adopted since the certificate was issued, limited its liability to that amount, with knowledge at the time it made such representation that the by-law in question had been declared invalid by the courts, the settlement will be set aside.
    In such a case the settlement is not made because of a mistake of law on the part of the holder of the certificate, but because of a false representation as to a fact, namely, the assertion of a by-law which did not exist. <
    Appeal by the defendant, the Supreme Council, American Legion of Honor, from a'judgment of the Supreme Court in favor of the plaintiff, entered in the office of the clerk of the county of' Kings on the 15th day of April, 1903, upon the decision of the court ren dered after a trial at the Kings County Special Term.
    
      Henry A. Powell, for the appellant.
    
      George G. Reynolds, for the respondent.
   Hirschberg, P. J. :

The plaintiff was entitled to the relief which the learned Special Term accorded to her. The. judgment sets aside a settlement which she had made on June 1,1901, of her claim against the defendant, which settlement was made upon a payment to her of only the sum of $1,900 under a certificate of membership in the defendant corporation issued to her husband for her benefit in the sum of $5,000, and also awards to her the recovery of the remainder, viz., the sum of $3,100 with interest and costs. There is no serious dispute that she would have heen entitled to the full amount of the $5,000 under the terms of the certificate but for an amendment to the by-laws made, by the defendant after the certificate wás issued,, the real contention on the part of the defendant being that the settlement was valid and effectual, was free from fraud in a legal sense, and that it could not lawfully be set aside.

The membership of the plaintiff’s husband in the subordinate council of the defendant which he joined was consummated in June, 1883. The amount named in his certificate of membership to be paid to the plaintiff, his beneficiary, at his death was a sum not to exceed $5,000, and as I have said that sum would have been concededly payable to her but for the amendment referred to. In the year 1900 the defendant amended its laws to the effect that thereafter there should not be paid upon the death of any member a sum in excess of $2,000, and it also in the same year adopted an additional amendment providing for an emergency fund on which there was charged against the plaintiff the sum of $100. The sum which the plaintiff was induced to take in settlement of her claim was such sum of $2,000 less the charge of $100 made in the creation of the emergency fund; and both amendments were adopted in assumed compliance with, and upon the assumed authority of, a provision in the membership certificate to the effect thaffthe defendant would comply “in the future with the laws, rules and regulations now governing the said council and fund, or that ma/y hereafter he enacted by the Supreme Council to govern said council and fund.”

The settlement was made by an agent of the defendant acting on its behalf and an agent of the plaintiff acting under a power of attorney from her. The plaintiff’s husband died in January, 1901, and the full amount of $5,000 was claimed on her behalf. The defendant’s agent told her attorney that she had' better take the $1,900 or she might get -less, or nothing at all. Her attorney-in-fact testified: “I took it for that reason as the best thing to do at the time. He told me about there being a law that they had made that there should not be more than two thousand dollars paid on any policy; he showed me a by-law that had reduced it, but I didn’t know nothing about it before Mr. Simon died, * * *. They showed me the by-law. * * * They did not tell me anything that this by-law of theirs had been decided to be invalid; said nothing about that. Q. But they set that up as claiming to reduce it ? A. That is all.” He further testified that the settlement was made in sole reliance upon the statement of the defendant’s agent, in reference to the existence and validity of the by-law.

It is undisputed that before this settlement was effected an action had been brought against the defendant by. John Tracey Langamto have the amendment to the by-laws, by which the amount payable upon the maturity of the certificate had been reduced; declared "null and void. The action was in form for damages for breach' of contract and resulted in a" decision in Langan’s favor in April, 1901. (See Langan v. American Legion of Honor, 34 Misc. Rep. 629.) The judgment entered upon this decision was affirmed by this court in February, 1902 (sub nom. Langan v. Supreme Council, Am. L. of H. 69 App. Div. 616), but was afterwards reversed by the Court of Appeals (174 N. Y. 266) upon the ground that the remedy of the plaintiff was in equity and not at law; but the principle that the amendment reducing the amount to be paid was wholly ineffectual to impair the vested rights of the beneficiary named in the certificate was affirmed. Judge Gray said' (p. 269): “ The action of the defendant, in the attempted amendment of the by-law, which was in force when the plaintiff joined the association and received his certificate, was wholly ineffectual to deprive him of any rights which had become vested. It was beyond the power of the defendant to affect the obligation expressed in the certificate without the consent of its holder. (Weber v. Supreme Tent of K. of M., 172 N. Y. 490.) If, therefore, the amendment was void and-inoperative, the contract of insurance remained unaltered and unimpaired.” It is thus apparent that the decision at the Trial Term in the Langan case, made by Mr. Justice Gaynor in April, 1901, in so far as it declared the amendments in question void and inoperative, has been affirmed in both appellate courts.

In the recent case of Beach v. Supreme Tent K. of M. (177 N. Y. 100) the Court of Appeals has, held that even where the constitution-of a fraternal or mutual benefit organization reserves the right to the society to amend the by-laws governing an endowment fund, a by-law passed in pursuance of the reservation will not be applicable to an existing member in the absence of an explicit statement in the certificate itself that the payment therein specified would be subject to such modification as to amounts, terms and conditions of payment as the endowment laws of the order from time to time might provide.

The learned counsel for the appellant contends that the defendant was under no legal obligation to inform the plaintiff or her agent acting under the power of attorney at the time of the settlement that the by-law in question had been declared by the Supreme Court of this State to be null and void. The soundness of the' contention need not be determined. The defendant offered no evidence, and the proof made by the plaintiff left it undisputed that the decision in the Zangan case was served on the defendant’s attorney in that action on May 2, 1901; that the judgment and notice of entry was served on him on May 4,1901; .and that each paper was mailed by him to the home office of the company at Boston, Mass., on the day on which it was served. The necessary inference in the absence of explanation or proof to the contrary is that when the defendant insisted upon settling with the plaintiff "on June 1, 1901, under the stress of the statement made by its agent that there was a law which it had made reducing the amount of the claim, it knew that that law had been as effectually annulled nearly a month before the time of the settlement by the action of the court as though it had been expressly repealed by the corporation itself. The case is not one of the suppression of facts but of the actual assertion of what was known at the time to be untrue. It was not a 'mistake of law but the assertion of a law which did not exist, and as it was designed to and did induce the settlement, a proper case is presented for equitable relief. The effect of the misstatement was to induce the plaintiff on concededly false premises to give'up to the defendant the larger part of her undoubtedly valid claim. As was said in Berry v. A. C. Ins. Co. (132 N. Y. 49, 54) : There is no question, of course, but that a court of equity cannot grant relief solely upon a mistake of law. But there was here more than a mistake. There was a surrender of legal rights intentionally induced and procured by a false representation as to the law governing the case. The defendant must be presumed to have known that it was liable for the whole loss and by falsely representing that under the law applicable to the ease the policy was void, when in fact it was valid, it induced the plaintiff to reVy upon the superior knowledge that it possessed upon the subject and to ■ surrender to it his claim. This clearly constituted fraud, and there would be manifest injustice in upholding a settlement under such circumstances.”

The judgment should be affirmed.

All concurred.

Judgment affirmed, with costs.