20 F. 596 | U.S. Circuit Court for the District of Eastern Wisconsin | 1884
(chai’ging jury.) The defendant is a corporation, created for the purpose of paying a fund to and protecting the families of those of its members who may be removed by death. It is provided by the constitution of the association, which is in evidence, that any man of good moral character and in good general health, and not over 40 years of age, who at the time of his application is, and for one year immediately prior thereto has been, engaged as a traveling salesman, traveling buyer, or traveling agent for any wholesale house, company, or corporation, is eligible to membership in the association. All applications for membership are referred to the board of directors of the association, who may require such proof as to them may seem proper, as to the applicant’s qualifications and eligibility. All applicants are required to -furnish a medical certificate, and by one of the rules it is required that applicants shall pass a medical examination. Admission to membership involves the payment of an initiation fee of five dollars, and also the further sum of two dollars for first assessment. The constitution also provides that it shall be the duty of the board of directors to take a general supervision of the business of- the association, to decide on all applications for membership and on all proofs of death, and order assessments to pay death.losses. Upon suitable proof of the death of any member
On the thirtieth day of December, 1881, M. 0. Goucher, since deceased, made application for membership in this association. He certified in his application that he was a traveling man; that he would comply with all the requirements of the constitution and by-laws of the association; that he had answered all of the questions accompanying his application honestly and truthfully; and he thereby agreed that any misstatement or concealment of any fact that would impair the interests of the association, by him, should annul all claims that he or Ms heirs or assigns might have to any benefit arising from his connection with the association. Accompanying his application were certain questions addressed to the applicant, and answered by him, among which were the following: Question 10. “Are you now in good health, and do you usually enjoy good health ?” To which his answer was, “Yes.” Q. 22. “Is there any fact relating to your physical condition, personal or family history or habits, which has not been stated in the answers to the foregoing questions, and with which the association ought to be made acquainted?” To which he answered, “No.” In his application the deceased named, as the person to whom he desired his death loss paid, his wife, Florette A. Goucher, the plaintiff in this suit. As part of the application, two persons, members of the association, certified among other things that they were well acquainted with Mr. Goucher, and that he was then in good health. It appears further that when the deceased made his application for membership he submitted to a medical examination by Dr. Thorndike, medical examiner for the association in Milwaukee, and certain questions pertaining to such examination were answered by Dr. Thorndike, among which are the following: Question 7. “Has he now or has ho had any disease of the stomacli, liver, spleen, kidneys, intestinal canal, or urinary organs?” To which the doctor answered, ‘No.” Q. 11. “Has the party ever had any severe injury or illness?” To which the answer was, “Typhoid fever in 3866.” Further, as part of question 11: “If so, has it had any perceptible effect on liis constitution?” Answer, “No.” The testimony of Dr. Thorndike tends to show that he made these answers upon personal examination of the applicant, and upon information then furnished him by the applicant. The application of the deceased, and the certificates, questions, answers, and report of medical examination, are in evidence. It appears that the application of Mr. Goucher was approved by the hoard of directors of the association, and he was admitted to membership on the seventh day of January, 1882. On the twelfth day of September, 1882, he
Some testimony has been offered by the plaintiff in support of the contention that by applying for additional proofs of the health of the insured after the original proofs of death were made, and by accepting from the plaintiff the amount of a death loss assessment after the death of the insured, the defendant is now estopped to set up the defenses to this action which it has interposed; but this claim is not insisted upon, and by waiver of the same the sole issue in the case for you to determine is, were the answers to the questions referred to true or untrue ? And it is further agreed by counsel for the plaintiff that the answers to questions 1 and 11 in the medical examination shall be regarded and treated as the personal answers of the insured, M. C. Goueher.
The first question answered by the applicant, in his application for membership, to be considered by you, relates to the health of the deceased on the thirtieth day of December, 1881. He was asked: “Are you now in good health, and do you usually enjoy good health ?” He answered, “Yes.” It is contended by the defendant that this was hot a truthful answer; that he was not then in good health, but, on the contrary, was at that time suffering from disease of the liver, and that his system was then weakened and depleted by physical disorder. The plaintiff insists that the deceased was not then afflicted by disease; that he was in good health, and usually enjoyed good health. The term “good health,” as here used, does not import a perfect physical condition. It would not be reasonable to interpret it as meaning-absolute exemption from all bodily infirmities, or from all tendencies to disease. It cannot mean that a man has not in him the seeds of some disorder. As has been well remarked by some of the law writers, “such an interpretation would exclude from the list of insurable lives a large proportion of mankind.” The term “good health,” as, here used, is to be considered in its ordinary sense, and means that “the applicant was free from any apparent sensible disease, or symptoms of disease, and that he was unconcious of any derangement of the functions by which health could be tested.” Conver v. Phœnix Ins. Co. 3 Dill. 226. Slight, unfrequent, transient disturbances, not usually ending in serious consequences, may be consistent with the possession of good health as that term was here employed. “The term must be interpreted with reference to the subject-matter and
That part of the next question answered by the deceased, and necessary to be considered by you in connection with the answer thereto, is this: “Is there any fact relating to your physical condition * * * which has not been stated in the answers to the foregoing questions, and with which the association ought to be made acquainted?” Answer. “No.” In answering this question, the deceased was bound to state any fact, not before stated, relating to his physical condition which he knew or considered, or which, in the exercise of a sound judgment on the subject, he should have known or considered, would be material for the defendant to know in passing upon his application for membership. He had no right to conceal or withhold any such fact, if it existed. “Concealment is the designed and intentional withholding of any fact material to the risk which the assured in honesty and good faith ought to communicate to the insurer; and every such fact wrongfully suppressed must be regarded as material, the knowledge or ignorance of which would naturally influence the judgment of the insurer in making the contract at all, or in estimating the degree or character of the risk.” Daniels v. Ins. Co. 12 Cush. 425. It is charged that Mr. Goucher, in answering this question, concealed facts relating to his physical condition which should have been communicated. This involves intent, — knowledge on his part of such facts, and an intentional withholding of them. His answer to the question must be considered as only a representation to the extent of his knowledge or reasonable belief. If he knew' of no fact relating to his physical condition with which the association ought to be, made acquainted, other than what ho had previously stated, then there could be no concealment. The testimony has disclosed what bad been the health and physical condition of the deceased prior to his application for membership; and you will say whether there was any fact relating thereto with which the association ought to have been made acquainted, concealed by him in answering this question, in the sense in which I have defined concealment.
The next question is No. 7 in the medical examination: “Has he now or has he had any disease of the stomach, liver,” etc. ? Answer. “No,” It is contended by the defendant that at that time he had dis
It is claimed by the defendant that at various times previous to the application the deceased had certain illnesses; that at the time of his application he was not in good health ; that his alleged ill-health was caused by a diseased liver; that external developments of that disease appeared in January and February, 1882, soon after he became a member of this association; that in March he was operated upon, and an abscess in his liver was opened; that he died September 12, 1882, of" hemorrhage of the stomach, and that the remote cause of death was abscess of the liver. Upon these and other alleged fauts-
The last question to be considered is No. 11 in the medical examination, in which the applicant was asked whether he had ever had any severe injury or illness, and if so, whether it had had any perceptible effect on his constitution. To the first part of the question he answered, “Typhoid fever in 1866;” to the last part, “No.” It is contended by the defendant that Mr. Goucher had previously liad several attacks of severe illness, beginning in November, 1878, which ought to have been named in his answer to this question, and therefore that his answer was untrue. This is controverted by the plaintiff, who insists that those attacks were slight, temporary, and brief, not affecting his general health, and not entitled to be regarded as in any sense severe. You will remember the testimony of witnesses on the subject, and I shall not enter upon any review of it. You will notice that the question does not ask whether the applicant had ever had any illness, but whether he had ever had any severe illness; that is, (in the ordinary acceptation of the word,) serious or extreme. Clearly the term “severe” or “serious” illness does not mean slight, temporary physical disturbances or ailments, speedily and entirely recovered from, not interfering materially with the pursuit of one’s avocation, producing no permanent effect on the constitution, and not rendering the insurance risk more than usually hazardous; and, in determining whether Mr. Goucher had previously had any severe illness, the jury will consider, under the evidence, whether the illnesses which he had, produced any ultimate effect on his health, longevity, or strength, and other similar considerations.
In this case the term “severe illness” was used by the parties in its-common, ordinary sense. In the language of the court in Ins. Co. v. Cheever, Ins. Law J. April, 1882, p. 264, the object of the question was to elicit information which would bo useful in determining whether it
Now, gentlemen, you will take this case, and, not deciding it upon conjecture or speculation, but weighing and considering all the testimony, and applying to the facts the principles which I have stated for your guidance, jmu will determine upon the evidence whether the questions referred to in the application of the deceased for membership in the association were truthfully answered by him. The burden of proof is upon the defendant to establish its defense, and to entitle it to your verdict it must satisfy you by a fair preponderance of' the evidence that its defense is made out. If you are satisfied from the evidence, when considered in connection with the instructions given you, either that Mr. Goucher intentionally concealed any fact relating to his physical condition not stated in answers to other questions,
If you find the plaintiff entitled to recover, your verdict will be for the sum of $5,000, with interest at 7 per cent, from December 21, 1882.
Yerdict for plaintiff.
The particular case brings up the question, what is meant by representations contained in applications for insurance, that the applicant is in the possession of good health ? We may accept it as an established or recognized principle of the law that “good health” does not import a perfect physical condition. It is said that the epithet “good” is comparative, and does not ordinarily mean that the applicant is free from infirmities. “Such an interpretation would exclude from the list of insurable lives a large proportion of mankind. The term must be interpreted with reference to the subject-matter, and the business to which it relatos. Slight troubles, not usually ending in serious consequences, and so uni'requently that the possibility of such result is usually disregarded by insurance companies, may be regarded as included in tiie term ‘good health.’”
The question was raised at an early day, and Lord Mansfield told the jury the only question is whether he was in a reasonably good stale of health, and such a life as ought to be insured upon common terms.
In Peacock v. New York Life Ins. Co.
In Morrison v. Wisconsin Odd Fellows’ Mut. Life Ins. Co.
In Holloman v. Life Ins. Co.
In Masons' Benevolent Society v. Winthrop,
In Boos v. World Mut. Life Ins. Co.,
In Fitch v. American Popular Life Ins. Co.
In Price v. Phœnix Mut. Life Ins. Co.
In tho same Minnesota ease it appeared that one of the questions which the applicant was required to answer was whether he “had ever had any of the following diseases,” naming several, and, among others, that of rheumatism. He answered, “Sever.” The evidence in the case tended to show that he had had subacute rheumatism. And there was also evidence in the case tending to show that subacute rheumatism was not the disease of rheumatism in tho ordinary understanding of that term; but there was also evidence tending to show that, technically and in medical parlance, subacute rheumatism was the disease of rheumatism. In commenting on this part of the caso the court said: “Tho rheumatism referred to in the question is the disease of rheumatism. Any rheumatic affection not amounting to tho disease of rheumatism is not comprehended in its terms, any more than tho spitting of blood occasioned by a wound of the tongue or tho extracting of a tooth is the disease of ‘ spitting blood,’ mentioned in the same question. Tho life insured liad the right to answer the question upon the basis that its terms were used in their ordinary signification. If there was any ambiguity in the question, so that its language was capable of being construed in an ordinary as well as in a technical sense, the defendant can take no advantage from such ambiguity.”
In Powers v. Northeastern Mut. Life Ass’n
In Singleton v. St. Louis Ins. Co.
In Hartford Life & Annuity Ins. Co. v. Gray
In Ins. Co. v. Gridley,
In Grattan v. Metropolitan Life Insurance Co.
For other eases in which it has been hold that the applicant is not to be prejudiced by the fraud or mistake of the agent in writing out the application, reference may he had to the cases cited below.
We note in this connection a principle often laid down, that to avoid a policy of life insurance upon the ground of misrepresentation, the misrepresentation must, in the absence of fraud, be in respect to some circumstance-or fact material to the contract; but that, on the other hand, a warranty must be literally true, whether the fact warranted be material or not.
Henry Wade Rogers.
May. Ins. § 205; citing Peacock v. N. Y. Life Ins. Co. 20 N. Y. 293, affirming S. C. 1 Bosw. (N. Y.) 338.
Bliss, Life Ins. § 102.
Ross v. Bradshaw, 1 Bl. 312; S. C. Marsh. Ins. 770; Park, Ins. 933; Bliss, Ins. 144.
Willis v. Poole, 2 Park, Ins. 650; S. C. May, Ins. 386.
18 N. W. Rep. 13.
1 Wood, C. C. 674.
59 N. Y. 571.
17 Minn. 497, 518.
66 Mo. 63; S. C. 27 Amer. Rep. 321.
Grattan v. Metropolitan Life Ins. Co. 92 N. Y. 280.
92 N. Y. 282.
McCall v. Phœnix Mut. life Ins. Co. 9 W. Va. 237; S. C. 27 Amer. Rep. 558. In Lueders v. Hartford L. & A. Ins. Co. 12 Fed. Rep. 465, it was held that where an authorized agent of an insurance company lias examined an application, and has undertaken to fill in the applicant’s answers, the applicant has a right to presume that his answers have been written down as given; and that if he has answered all questions truly, and signed the application under the impression that his answers have been correctly reduced to writing, a policy issued on the faith of the application will not be invalidated by false answers inserted in the application by the company’s agent without the knowledge of the applicant. In Fletcher v. N. Y. Life Ins. Co. 11 Fed. Rep. 377, it appears that, to have this effect, the applicant must sign under the impression that it comains his answers as given. See Ryan v. World Mut. Life Ins. Co. 41 Conn. 168, where the agent wrote false answers, and applicant signed without reading, and policy held void.
See Barteau v. Phœnix Mut. Life Ins. Co. 67 N. Y. 595; Higbie v. Guardian Mut. Life Ins. Co. 53 N. Y. 603; Foot v. Ætna Life Ins. Co. 61 N. Y. 576; Fitch v. A. P. L. Ins. Co. 59 N. Y. 557; Archibald v. Mut. Life Ins. Co. 38 Wis. 542; Carpenter v. American Ins. Co. 1 Story, 62; Alston v. Mechanics’ Mut. Ins. Co. 4 Hill, (N. Y.) 334; Miller v. Mutual Benefit Life Ins. Co. 31 Iowa, 226; Daniels v. Hudson River Fire Ins. Co. 12 Cush. (Mass.) 416; Campbell v. New England Mutual Life Ins. Co. 98 Mass. 389; Illinois Masons’ Benevolent Society v. Winthrop, 85 Ill. 537.
98 Mass. 389, 391.
90 Pa. St. 118, 121.
Barteau v. Phœnix Mut. Life Ins. Co. 67 N. Y. 595; Chase v. Hamilton, 20 N. Y. 52; Ripley v. Ætna Ins. Co. 30 N. Y. 136; Brown v. Cattaraugus Mut. Ins. Co. 18 N. Y. 387; Foot v. Ætna Life Ins. Co. 61 N. Y. 576.