Aetna Life Ins. v. Hub Hosiery Mills

74 F. Supp. 599, 1947 U.S. Dist. LEXIS 1904
CourtDistrict Court, D. Massachusetts
DecidedNovember 21, 1947
DocketCiv. A. No. 6088
StatusPublished
Cited by2 cases

This text of 74 F. Supp. 599 (Aetna Life Ins. v. Hub Hosiery Mills) is published on Counsel Stack Legal Research, covering District Court, D. Massachusetts primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Aetna Life Ins. v. Hub Hosiery Mills, 74 F. Supp. 599, 1947 U.S. Dist. LEXIS 1904 (D. Mass. 1947).

Opinion

HEALEY, District Judge.

This is an action to cancel an insurance policy in the face amount of $40,000, written by the complainant on the life of the respondent, Alfred J. Traverse.

The complainant seeks to cancel the policy on the ground that one or more misrepresentations were made in the application for the policy, and that the policy did not take effect because the respondent Traverse was not in good health at the time the policy was deliveredgood health at the date of delivery being a condition precedent.

Findings of Fact

On August 13, 1946, the respondent Traverse signed an application for a policy of insurance in the face amount of $40,000 on the ten-year term plan, convertible to ordinary life insurance (without a medical examination and simply by paying the higher premium) at any time within the first eight years.

In his application for the policy, he stated that he had never consulted a physician for or suffered from any of a number of specified ailments or diseases, or from any other disease or illness not already mentioned; that no one had ever claimed to have found sugar in his urine; that he had not had regular or occasional health examinations, and had last consulted a physician in August 1941, which was for an infected foot. He also stated that he had never been an inmate of any hospital.

At the time of the application, Traverse was given a physical examination by the complainant’s local physician, one Dr. Frank S. Caldicott, since deceased, who found nothing wrong with him, and found neither albumen nor sugar in his urine. Dr. Caldicott submitted his report, together with a specimen of urine to the complainant at its home office. An analysis of the specimen of urine was made in the laboratory at complainant’s home office and revealed no albumen or sugar.

The complainant issued a policy numbered N 1503310 in the form applied for. On August 23, 1946, the policy was delivered at Boston to Walter F. Connor, an officer of the respondent Hub Hosiery Mills, which corporation was named the owner and beneficiary in the policy. At that time, the first annual premium in the amount of $585.20 was paid by the Hub Hosiery Mills, and the policy was thereupon assigned to the respondent Union National Bank of Lowell as collateral security for a loan.

At the time, Connor was attending a meeting between the former owners of the controlling interest in the Hub Hosiery Mills and himself. At this meeting, he and the respondent Traverse acquired the entire interest in the respondent corporation, the Hub Hosiery Mills. Traverse was not present at this meeting, but was at the Lowell General Hospital, which he had entered the day before for the purpose of having a checkup of his health.

On June 26, 1946, Traverse, while working in his yard, had experienced an attack of “chills” which lasted for a short period of time. He rested on a couch for sometime and when he felt better, he returned to his work in the yard. On that occasion, he did not consult a physician, but his wife, without his knowledge, talked to a physician over the phone about his condition.

On August 22, 1946, Traverse experienced a “chill” while at work at the Hub Hosiery Mills. He returned to his home where Dr. David Latham called to examine him, at the request of Mrs. Traverse. Being unable to determine the cause of the “chill”, the physician suggested that Traverse go to the hospital for three days for a “check-up”. At about 2 p. m. on the same day, Traverse entered the Lowell General Hospital, as suggested by Dr. Latham, and underwent several tests in an effort to obtain a diagnosis of his physical condition.

A reduction test for sugar in his urine made at about 6 a. m. on August 23, 1946, showed green. A repeat urine test made immediately afterwards, revealed no reduction in Benedict’s solution. With no. medication at all, his temperature decreased [601]*601progressively from 100 degrees on admission, to 98.6 degrees at 5 a. m. on August 23, 1946, where it remained thereafter during his stay at the hospital. No sugar tolerance test was made during his stay at the hospital. His condition on discharge from the hospital on August 24, 1946, was stated as “well”. Final diagnosis was “No disease”.

The respondent Traverse did not notify the complainant or its agent of his attack of “chills” on August 22, 1946, nor of his subsequent entrance into the hospital, at any time prior to the delivery of the policy.

Some time later, the complainant learned of Traverse’s hospitalization and, at its request, Traverse, on September 5, 1946, underwent a sugar tolerance test. This test indicated that on September 5, 1946, Traverse had diabetes. He has been a mild or borderline diabetic ever since.

Traverse, who was 42 years old at the time of his apihication for the policy, had always enjoyed apparent good health over a long period of years, with the exception of the “chills” previously noted, and had never lost any time from his work because of illness.

Diabetes is a chronic disease from which one rarely recovers. It occasionally manifests itself by certain symptoms, none of which Traverse displayed prior to the delivery of the policy by the complainant In many cases, however, diabetes may be present without a person having any complaints or symptoms. The presence of sugar in a person’s urine is not a decisive test for diabetes, since in many cases, a person having no sugar in his urine has been found to have diabetes, and in other cases, a person having sugar in his urine has been found to be free of diabetes. The most conclusive test for diabetes is a sugar tolerance test.

The complainant does not require all applicants for insurance to undergo a sugar tolerance test. Such a test is made only when something appears from the preliminary examination of an applicant, such at the presence of a reducing substance in his urine, or a history suggesting the possibility of diabetes.

If a sugar tolerance test shows that a person has diabetes, it does not necessarily mean that that person has had diabetes for any specific period in the past. This is especially true when the person has had no symptoms of diabetes.

Discussion

A complainant who seeks the cancellation of a policy of insurance, must sustain the burden of proving by a preponderance of the evidence the facts upon which it relies in order to prevail. Massachusetts General Laws, Chapter 175, § 186, is as follows: “No oral or written misrepresentation or warranty made in the negotiation of a policy of insurance by the insured or in his behalf shall be deemed material or defeat or avoid the policy or prevent its attaching unless such misrepresentation or warranty is made with actual intent to deceive, or unless the matter misrepresented or made a warranty increased the risk of loss.”

Thus, to prevail in this action on the ground of misrepresentation, the complainant must prove, first, that there was an actual misrepresentation by Traverse, aud, secondly, that if he did make a misrepresentation, it either was with an actual intent to deceive the complainant, or that it increased the risk of loss.

There is not sufficient evidence to prove that the failure by Traverse to mention his condition of “chills” on June 26, 1946, constituted a misrepresentation, or that he made any misrepresentation concerning the events that transpired on that occasion. I, therefore, find that the respondent made no misrepresentation when he filled out the application for the policy on August 13, 1946.

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Related

Kaufman v. National Casualty Co.
174 N.E.2d 35 (Massachusetts Supreme Judicial Court, 1961)
Ætna Life Ins. v. Hub Hosiery Mills
170 F.2d 547 (First Circuit, 1948)

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Bluebook (online)
74 F. Supp. 599, 1947 U.S. Dist. LEXIS 1904, Counsel Stack Legal Research, https://law.counselstack.com/opinion/aetna-life-ins-v-hub-hosiery-mills-mad-1947.