Lead Opinion
The plaintiff, Johnny P. Houk, brought suit against the defendant, Liberty National Life Insurance Company, because of the insurance company’s refusal to pay hospitalization expenses incurred by the plaintiffs wife.
The plaintiff argues that the defendant is liable for these expenses under a family medical expense insurance policy issued by the defendant to the plaintiff. It is the defendant’s position that it is not liable for these expenses for the following reasons: These expenses were incurred for conditions that were contracted by the plaintiffs wife before the insurance policy came in force; the insurance policy excludes coverage for such preexisting conditions; and it was incorrectly stated in the insurance policy application that the insured’s wife had not been treated for any of these conditions.
The defendant moved for summary judgment, with supporting affidavits. The plaintiff submitted an affidavit in opposition to the defendant’s motion for summary judgment, but this affidavit was not served on the defendant until the day of the summary judgment hearing. In this affidavit, the plaintiff states that he gave correct answers to the agent for the insurance company concerning the ailments suffered by his wife. The plaintiff further states in the
The superior court denied the defendant’s motion for summary judgment. On appeal, the Court of Appeals affirmed. We granted the defendant’s application for certiorari. We affirm.
1. The defendant complains that, contrary to the requirements of Code Ann. §§ 81A-106 (d) and 81A-156 (c), it was not served with the plaintiffs affidavit in opposition to its motion for summary judgment until the day of the summary judgment hearing.
As held by the Court of Appeals in Division 1 of its opinion, even though §§ 81A-106 (d) and 81A-156 (c) require an opposing affidavit to be served at least one day prior to the summary judgment hearing, the trial court is vested with a discretion to consider affidavits not so served.
There was a requirement established in Malone v. Ottinger,
2. As held in Stillson v. Prudential Ins. Co.,
We do find ourselves in disagreement with the statement in Division 2 of the Court of Appeals’ opinion that the insurance application contains no limitation on the agent’s authority to waive a false answer written thereon. The application does contain the statement that, “No agent of the company has authority to waive the answer to any question herein, to waive a condition of any policy issued as a result of this application or to waive any of the company’s
Judgment affirmed.
Dissenting Opinion
dissenting.
In my opinion, a careful reading of Stillson and its progeny requires a holding that the superior court erred in denying the insurer’s motion for summary judgment here.
Stillson does hold that the insurer is generally considered estopped to assert the falsity of answers to questions contained in an insurance policy application, where the applicant for insurance answered the questions correctly and the insurance agent inserted false answers either through fraud or negligence. However, Stillson itself recognizes that an estoppel does not arise against the insurer when the insured is chargeable with fraud, collusion, actual knowledge of the contents of the application, or constructive knowledge.
Thus, in Stillson a jury would have been authorized to find that fraud practiced by the insurance agent prevented the insured from reading the answers to the questions contained in the application. In such cases as Tallent v. Safeco Ins. Co.,
Where, as here, the insured has read and signed the application after the false answers have been inserted, the insured is chargeable with constructive knowledge thereof. And even if there has been any negligence on the part of the insurance agent, the insured is guilty of contributory negligence. Under these circumstances, the insurance company should not be estopped.
I think that the holdings of this court in Stillson represent a
