46 Ind. App. 467 | Ind. Ct. App. | 1909
Lead Opinion
Appellee brought this action against appellant to enforce payment of an insurance policy issued by appellant upon the life of appellee’s decedent, and made payable to his representative.
The complaint was in one paragraph, and in the ordinary form on such contracts. To the complaint appellant filed two affirmative answers, averring that the assured, as a part-of his medical examination, made false answers to certain questions therein, and such answers were expressly declared to be warranties, and that such answers were taken as the-basis of, and as a consideration for, the contract in suit. Also, that said assured, for the purpose of procuring from appellant said contract, wrongfully and fraudulently, and as an inducement to appellant to issue said contract of insurance, and for the purpose of cheating and defrauding-it, made certain false and fraudulent statements in regard to his health, which appellant, without any knowledge or notice to the contrary, believed to be true, and thereupon
One of the reasons for a new trial was that the verdict was not sustained by sufficient evidence.
The only evidence about which there is no controversy may be said to exhibit the following facts: The decedent was bom on October 25, 1870. He was a school teacher by profession. He was unmarried. In the fall of 1898, his right testicle being from four to six times its normal size, he consulted a physician at Vincennes, to whom he stated that he first noticed an enlargement of that organ in the preceding February. On December 19, 1898, the decedent’s right testicle was removed, and he died on July 20, 1899. Cancer of the stomach was given as the cause of death. During the summer and fall of 1898 he occasionally assisted agents in soliciting life insurance. On November 30, 1898, the application of decedent for a policy of $5,-000 was accepted by the Life Insurance Company of Amer
Doctor Andrew J. Haughton, the father of decedent, resided and practiced medicine at Oaktown, Indiana, for several years prior to his death on January 25, 1890, and at the time of his death was sixty-one years old. In May, 1885, he went to Tonawanda, New York, his home prior to his removal west. Before going to Tonawanda he had been sick eleven or twelve weeks with typhoid fever. From Tonawanda he went to Buffalo, New York, and entered a hospital for medical treatment, and remained there about one year. He was admitted to the Central Insane Hospital at Indianapolis on May 13, 1886, and was discharged June 14, 1886. His wife says that when he returned to Indiana he entered a sanatorium at Indianapolis, where he remained for awhile, and then returned to Oaktown, his home, and continued to practice medicine up to a short time before his death; that he did not have consumption, nor did any member of the family ever have consumption; that he was at no time insane or a person of unsound mind.
This cause was defended on the ground that certain questions propounded by the medical examiner to the assured were falsely answered, and by the terms of the application and contract of insurance sued on such answers were warranted to be true. The questions and answers, so far as they are material, are as follows: “Q. Have you, or either of your parents, or any of your brothers, sisters, uncles, aunts or other near relatives, now or ever had consumption, cancer, gout, scrofula, Bright’s disease, diabetes, epilépsy, insanity or other hereditary diseases, other than appear above? A. No. Q. Have you now, or have you
The questions in the medical examination blank were prepared by appellant, and the answers thereto were written therein by its medical examiner. Present at this examination, other than the assured and the examiner, were appellant’s agent, Smith, who took decedent’s application, and a part of the time, Doctor Sprinkle, who was a partner of the doctor employed by appellant to make the examination. Doctor Sprinkle testified that he was a physician, and was a partner of Doctor Johnson at the time Johnson examined Haughton for insurance with appellant; that he was acquainted with the insured, George Haughton; that while sitting at his desk, about five feet away from Doctor Johnson, he “heard Doctor Johnson propound this question: ‘Have you ever had a surgical operation,’ and he said: ‘Doctor, you know I have, and I suppose that will bar me from life insurance,’ and Doctor Johnson told him he would fix that, and I got up while they were talking and left.” Another witness, James E. Cullop, testified that about the middle of March, 1899, George Haughton, in company with James G-. Smith, who represented the Iowa Life Insurance Company, came to his house. “Smith asked me about taking life insurance, and he said: ‘I feel quite sure if you will take insurance Mr. Haughton will.’ I made the remark, I had an operation performed on me, and he wanted to know if everyone here had had operations, and I said ‘No’ He then said: ‘He (referring to Haughton) has had an operation performed. That won’t make any difference. I will see Johnson, the medical examining physician. Both of you are all right. I want you, Mr. Cullop, to take a policy in my company. I feel sure if you take it Mr. Haughton will,’ and I said I hadn’t thought much about
In the ease of Sternaman v. Metropolitan Ufe Ins. Go., supra, the question of truthful answers incorrectly recorded by the medical examiner was before the court, and it was held to be “established by the weight of' authority in this state that the medical examiner is the agent of the insurer in making the examination, taking down the answers and reporting them to the .company; that his knowledge, thus acquired, his interpretation of the answers given and his errors in recording them, are the knowledge, interpretation and errors of the' company itself, which is estopped from taking advantage of what it thus knew and what it had thus done when it issued the policy and accepted the premiums.” Citing authorities.
In the ease of Franklin Life Ins. Co. v. Galligan, supra, the effect of the examining physician’s knowledge of .false answers made by an applicant for insurance was before the court, and it was there held: “Even if it had been material to the contract of insurance, the knowledge of the physician, the company’s agent, under such circumstances, was the knowledge of the company; and the company would be estopped from taking advantage of any false answers to for
In a note to the case of Wheaton v. North British, etc., Ins. Co. (1888), 9 Am. St. 216, 234, it is said: “It is notorious that contracts of insurance are, on the part of the assured, entered into without the advice of counsel, and chiefly in reliance upon the representations of the soliciting agents of the insurer. Such agent is justly looked upon as the accredited agent of the company, in whom it has confidence, and holds out as worthy of the confidence of its patrons. Furthermore, the assumption is perfectly natural that he knows just precisely what information his principal desires, and in what language it may be best expressed, and human nature must be far different from what it is now before the average applicant for insurance can be taught that he must be deaf to the representations of the agent while he sharpens his comprehension and applies it to the careful scrutiny of the insurance stationery, which, even without the suggestion of the wiley agent, it is impossible for him to regard as other than a mere ‘matter of form.’ ”
In a special report to his company, made at the time of examining decedent for insurance, the medical examiner reported that he had been intimately acquainted with the applicant for eighteen months; that there was nothing unfavorable in his appearance, no present derangement of the functions of the stomach and abdominal organs, no suspicion of enlarged prostate, and other statements of fact showing that he had made a thorough examination of the applicant, closing with the opinion that, as compared with the average lives of the same age and sex, the applicant’s chances of life seemed to be first-class.
In Globe Mut. Life Ins. Assn. v. Wagner (1900), 188 Ill. 133, 137, 58 N. E. 970, 52 L. R. A. 649, 80 Am. St. 169, it is said: “To hold that, -as a precedent to any binding contract, he should guarantee absolutely that none of his broth
Judgment affirmed.
Dissenting Opinion
Dissenting Opinion.
I am unable to concur with the majority of the court in affirming the judgment of the court below in this cause.
The defense relied upon in this ease is a breach of warranty, and fraud in procuring the insurance. The insurance policy issued by the company to' decedent, was executed by the president and the secretary of the company, for and on behalf of the company. In making the contract they represented the company, and for the purposes of placing themselves in a position intelligently to contract with reference to the subject an application was required to be made by the insured, in which application certain interrogatories were propounded to the applicant, for the purpose of eliciting information important for the insurer to know in order that it might determine whether to accept the risk.
Among the interrogatories propounded to the assured in this case were the following: “ Q. Have you now, or have you ever had, any of the following diseases ? [naming a large number of diseases, among which were cancer and tumor, or any surgical operation]. A. No. Q. Give name and address of each physician consulted or who has prescribed for you during the past five years, and the dates and causes of
The insured warranted that the answer to each one of these interrogatories was true, and it is averred in the answer that they were not true; that they were known not to be true by the assured; that they were made for the fraudulent purpose of inducing appellant to enter into the contract, and that appellant did not know of their falsity, and relying upon the answers as true issued the policy of insurance.
The evidence shows that in the summer of 1897 the assured underwent a slight surgical operation for a small abscess on his thumb; that in October, 1898, he consulted a physician and surgeon, named Moore, with reference to an enlarged testicle; that at that time the surgeon made an examination of the diseased organ, and advised the assured the trouble was of such a character as to, endanger his life, and that the testicle should be removed; afterward the physician, with the consent of the assured, called in another physician, Doctor Davenport, and the assured consulted with the two physicians with reference to the diseased organ; that they informed him that they believed the trouble to be caused by a malignant tumor, and advised its early removal; that, under their advice, he, in December, 1898, submitted to a surgical operation, by .which the diseased organ was removed, the two physicians, with the assistance of Doctor Somers, performing the operation; that in the month of April, 1899, he made application for insurance in appellant company, and answered to the interrogatories propounded to him in the application in the manner heretofore indicated.
The information called for by these interrogatories was of the most important character to the insurance company. Good faith and common honesty required that the assured, making the application for insurance upon his life, in answer to these interrogatories, should fairly and clearly in
It is not pretended that the officers of the company, who were charged with the duty and responsibility of making t?e contract of insurance, had any knowledge whatever upon the subject, and this contract is sought to be upheld upon the testimony of Doctor Sprinkle, who testified that he was sitting in Doctor Johnson’s office, reading a newspaper while Doctor Johnson was propounding the interrogatories to the assured and writing the answers; that when the question was propounded: “Have you ever had a surgical operation,” the assured said: “Doctor, you know I have, and I suppose that it will bar me from life insurance, ’ ’ and Doctor Johnson told him he would fix that; and the witness got up and left while they were talking.
Doctor Johnson, the examining physician, testified that he -wrote the answers that appear in the application precisely as he was directed to write them by the insured, and that he had no knowledge that the insured had ever been subjected to a surgical operation, or that he was afflicted with any cancerous growth of any kind. There is no evidence that tends to show that Doctor Johnson had any opportunity to know about the performance of this grave surgical operation to which the assured had been subjected, except what might be inferred from the testimony of Doctor Sprinkle.
The insured was a school teacher. He had been engaged in the business of soliciting insurance, and the answer which
In my judgment the verdict of the jury was not sustained by the evidence, and a new trial should have been granted.