Agrawalv.Metropolitan Life Ins. Co.

Appellate Division of the Supreme Court of New York, First DepartmentNov 10, 2011
5981 (N.Y. App. Div. 2011)
59812011 N.Y. Slip Op. 7928


Decided on November 10, 2011.

Order, Supreme Court, New York County (Louis B. York, J.), entered July 15, 2010, which granted defendant's motion for summary judgment dismissing the complaint, unanimously reversed, on the law, without costs, the motion denied, and, upon a search of the record, summary judgment awarded to plaintiffs on their claims.

Trief Olk, New York (Barbara E. Olk of counsel), for appellants.

D'Arcambal, Levine Ousley, LLP, New York (Aimee P. Levine of counsel), for respondent.

Sweeny, J.P., DeGrasse, Manzanet-Daniels, Román, JJ.

The decedent, plaintiffs' mother, represented in her application to obtain life insurance from defendant that she did not have diabetes or any in-force insurance other than a policy issued previously by defendant. She also made representations as to her net worth. After a lengthy investigation, defendant determined that the decedent had misrepresented her medical history, her in-force insurance and her net worth. However, in its repudiation letters, sent after the completion of its investigation, defendant based its denial of payment on the sole ground of the decedent's misrepresentation of her net worth.

To the extent defendant relies on the figure of $5-6 million in support of its assertion that the decedent misrepresented her net worth, its reliance is misplaced. The figure of $5-6 million was not included in the insurance application and therefore cannot be considered ( see Insurance Law § 3204[a]; Tannenbaum v Provident Mut. Life Ins. Co. of Phila., 53 AD2d 86, 104-105, affd 41 NY2d 1087). There is no dispute that the decedent satisfied the $500,000 net worth valuation asserted in her application.

Defendant's failure to assert the other defenses in its initial repudiation constitutes a waiver of those defenses for purposes of denying liability under the policies ( Estee Lauder Inc. v OneBeacon Ins. Group, LLC , 62 AD3d 33 , 35).