Kathleen Springer,
Respondent,
v.
Allstate Life Insurance Company
of New York,
Appellant.
2000 NY Int. 51
In this appeal we are called upon to determine the starting point for the two-year contestability period in which a life insurance carrier can deny coverage as a result of the insured's death by suicide when the insured purchased a binder prior to issuance of the life insurance contract. We conclude that in this case the two-year contestability period runs from the start date of the policy, not the binder.
On November 19, 1991, Thomas Springer completed an
Springer underwent a medical examination and Allstate's
underwriter approved the application. At that time, his prior
payment of $79.76 was credited to the premium for coverage during
the first year. The policy -- described as an Indeterminate
Premium Five Year Renewable and Convertible Term policy -- bore
a start date and a policy date of December 14, 1991. All
other dates relevant to the policy, including expiration, renewal
or conversion to whole life coverage, along with premium
payments, were measured from December 14, 1991. Furthermore,
schedules for maximum premiums and current premiums under the
policy referred to December 14, 1991 as the policy's effective
Tragically, Springer committed suicide on December 10, 1993, within two years from the effective date of the policy, but more than two years from issuance of the Receipt and Temporary Insurance Agreement. Plaintiff, Springer's ex-wife and the policy's beneficiary, subsequently submitted a claim for the face value of the insurance policy. Allstate denied the claim on the ground that Springer's death was caused by suicide within two years from the start date of the policy, and tendered a check for the amount of premiums paid.
Plaintiff commenced this action seeking the value of
the policy. After discovery, both parties moved for summary
judgment. Supreme Court granted plaintiff's motion, reasoning
that although the temporary insurance issued on November 19, 1991
stopped when the formal policy was issued on December 14, 1991,
all that occurred was a transfer of coverage from the temporary
agreement to a formal policy. The court concluded that the
different effective dates for the temporary agreement and the
It has long been settled in this State that an insurance binder is a temporary or interim policy until a formal policy is issued (see, Ell Dee Clothing, Co. v Marsh, 247 NY 392, 396; Sherri v National Sur. Co. of N.Y., 243 NY 266, 270; Lipman v Niagara Fire Ins. Co., 121 NY 454, 457). A binder provides interim insurance, usually effective as of the date of application, which terminates when a policy is either issued or refused (see, 1 Couch, Insurance 3d § 13:1, at 13-4; see also, Malone v North Atl. Life Ins. Co., 256 AD2d 1077, 1078, lv dismissed, , 94 NY2d 797; Kitchen & Bath Creations, Ltd. v Guardian Life Ins. Co. of Am., 234 AD2d 157). A binder does not constitute part of an insurance policy, nor does it create any rights for the insured other than during its effective period (12A Appleman, Insurance Law and Practice § 7227, at 154). Thus, a binder is limited in time until an assessment of risk is completed by the carrier.
The Receipt and Temporary Insurance Agreement issued by Allstate in this case was a binder. The language of the agreement limits its effect from the date of application until the start date of the policy. Under the clear and unambiguous terms of the binder, coverage ceased when Allstate agreed to issue the policy. Coverage was then provided by the policy as of its start date. The binder provided the insured with only temporary insurance pending an investigation of his insurability, with a maximum period of coverage under the binder limited to issuance of the policy or 60 days, whichever occurred first.
Plaintiff contends that Allstate created an ambiguity: the binder and the policy have different effective dates. Her argument is premised on reading the binder and policy as a single contract. We disagree. Although a continuity of coverage did exist, it was created by two distinct agreements, each with separate specified start and end dates.
Plaintiff also argues that defendant has attempted to circumvent Insurance Law § 3203(a)(3) and (b)(1)(B) by delaying the start date of the contestability period. We disagree. Insurance Law § 3203 provides:
(a) All life insurance policies * * * shall contain in substance the following provisions, or provisions which the superintendent deems to be more favorable to policyholders:
(3) that the policy shall be incontestable after being in force during the life of the insured for a period of two years from its date of
issue * * * (b)(1) A life insurance policy * * * shall not contain any provision excluding or restricting liability in the event of death caused in a certain specified manner, except as a result of:
(B) suicide within two years from the date of issue of the policy [emphasis added].
New York was the first State in the nation to mandate
incontestability clauses in life insurance policies to provide
consumers with the security of knowing that their premiums were
buying the protection for which they were indeed paying (see, New
England Mut. Life Ins. Co. v Doe, , 93 NY2d 122, 128-129). The
statute specifically notes that the two-year contestability
period is measured from the date the policy is issued, not from
the date of the binder. Certainly the Legislature could have
chosen to measure the contestability period by the period of
coverage when a carrier issues a binder and later extends
coverage in a formal policy. However, to date, the statute
measures the contestability period from the issuance date of the
policy, not when the risk of interim coverage first attaches
(see, Malone v North Atl. Life Ins. Co.,
Finally, Insurance Law §§ 3203(a)(4) and 3204(a)(1)
contradict plaintiff's attempt to include the binder as part of
the insurance contract. Section 3203(a)(4) provides that the
Every policy of life * * * insurance * * * delivered or issued for delivery in this state, shall contain the entire contract between the parties, and nothing shall be incorporated therein by reference to any writing, unless a copy thereof is endorsed upon or attached to the policy or contract when issued.
Additionally, the policy has an entire contract provision, stipulating that the policy, including any endorsements, and the application comprise the entire contract.
The Receipt and Temporary Insurance Agreement was not attached to the policy when issued. The only document attached to the policy was the application. Thus, the policy and application together constituted the entire contract. The terms of the policy are clear and unambiguous; the date of issue for purposes of the two-year contestability and suicide periods is the policy's start date of December 14, 1991. All other dates relevant to the policy were measured from the start date of December 14, 1991. Since the insured committed suicide within two years from this date, plaintiff is entitled only to a refund of premiums paid.
Accordingly, the order of the Appellate Division should
be reversed, without costs, plaintiff's motion for summary