American Nat. Ins. Co. v. Hicks

198 S.W. 616, 1917 Tex. App. LEXIS 955
CourtCourt of Appeals of Texas
DecidedOctober 27, 1917
DocketNo. 7800.
StatusPublished
Cited by2 cases

This text of 198 S.W. 616 (American Nat. Ins. Co. v. Hicks) is published on Counsel Stack Legal Research, covering Court of Appeals of Texas primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
American Nat. Ins. Co. v. Hicks, 198 S.W. 616, 1917 Tex. App. LEXIS 955 (Tex. Ct. App. 1917).

Opinion

TALBOT, J.

The defendant in error, Leona C. Hicks, sued the plaintiff in error on two' life insurance policies. The petition alleges “that on the 28th day of October, 1914, the defendant issued two policies on the life of William Thomas Hicks, each for $2,000, payable to the plaintiff; that the premium was paid for one full year, said policies being numbered 25621 and 25517; that William T. Hicks departed this life on October 5,1915, and that the plaintiff has furnished due proof of the death of said W. T. Hicks to the defendant under each policy; that the defendant denied liability on November 5, 1915, and refused payment of said policies or any part of the same; that under article 4746 of the Revised Statutes plaintiff is entitled to recover 12 per cent, of damages on the full amount of the loss, together with a reasonable attorney’s fee; that $500 is a reasonable attorney’s fee; and that the defendant has failed and refused to pay either policy, so that the plaintiff is entitled to recover the sum of $6,000.

By its amended answer the defendant alleged that Mr. Hicks died less than one year from the date of the issuance of said policies; that by the terms of them the defendant was given the right to contest for any lawful cause within one year from date of issuance, and same stated that they and the applications therefor constituted the entire contract between the insured and the defendant; that defendant was induced to issue the policies sued on, and did issue the same, on account of a misrepresentation on the part of the assured, and, by reason of fraud and misrepresentation, it is not bound to pay any sum; that, to induce it to issue *618 such policies, the assured made an application in writing in order to show himself in an insurable physical condition, and submitted to a physical examination by defendant’s examiner, and made written statements to the examiner in connection with his examination; that in the application and in the examination, and in the answers to the medical examiner, the said Hicks made false and fraudulent misrepresentations concerning his physical history and his physical condition, well knowing that such misrepresentations were false and fraudulent, for the purpose and with the intent of wrongfully inducing and procuring the defendant to issue the policies; that the defendant believed and relied upon-the statements, and was thereby induced and did issue the policies sued on; that defendant learned of this fraud and misrepresentation about November 6th, and on that date, within a reasonable time after it discovered the falsity of the representation, it gave notice to the beneficiary of the policies that it refused to be bound thereby, which notice was within 90 days after discovering the falsity of the representations; that defendant tendered to the beneficiary all moneys paid to it as premiums on such policies; that the misrepresentations made to it are as follows: That in the application, which is a part of the contract, the insured stated and represented that he had had no serious illness or disease; and in the medical examination signed by him and presented to the defendant as a basis for the contract he stated, in answer to the question, “Have you ever been affected by any of the following named diseases or conditions, to wit, gallstone colic?” He answered “No.” “Renal colic?” He. answered, “No.” “Gravel or calculus?” He answered, “No.” And by such answers he represented to the defendant that he had never had any serious illness or disease, nor gallstone colic, nor renal colic, nor gravel, nor calculus; that each of such statements was false and was fraudulently made, and within less than six months prior to each of the policies sued on the assured had had a serious illness or disease, and had a pronounced attack of gallstone colic and renal colic, and had passed gravel or calculus, and had diseased kidney; and -the defendant believes, and so alleges, that the assured had had other serious illnesses or diseases, and other attacks of maladies identical with or similar to those specifically described, the exact nature of which is to the defendant unknown; that the misrepresentations contained in the application and in the statement to the medical examiner were sent the defendant, and were believed and relied upon by it, and formed an inducement to it to enter into the contract of insurance sued on, and were part of the consideration therefor, and alleges further that such diseases were material to the risk of loss involved and upon the life of the insured; that such diseases rendered insured an uninsurable subject at the time the policies were applied for, and he would have continued to be uninsurable to the time of his death; that it believed and relied upon the representations, and would not have issued the policies, or either of them, had it known that such representations, or any of them, were not true; that said conditions, and each of them, weakened the physical stamina of the insured and directly contributed to his death; that the insured knew of such diseases and of his physical condition, and that in applying for and obtaining insurance without communicating the true facts to the defendant, and in misrepresenting such facts to the defendant, the insured committed a fraud upon it, and the plaintiff under such policies, because of such fraud, should not be permitted to recover of the defendant money not legally nor morally theirs; and defendant prayed judgment.

By supplemental petition the plaintiff, after a general demurrer and several special exceptions, alleged a general denial.

At the trial the defendant, under rule 31 (142 S. W. xx) of the district and county courts, took the opening and conclusion of the case.

The court defined a serious illness or disease as “one whose ailments and disorders are calculated to or tend directly to impair the general health or constitution of the person affected, or to produce death unless arrested, or to produce a vice in the constitution, and does not include such slight, temporary ailments as are calculated neither to affect nor threaten the general health or the constitution of the person so affected,” and submitted to the jury for answer the following special issues:

No. 1. “Had the insured, William Thomas Hicks, previous to the 28th day of October, 1914, had any serious illness or disease, as here-inabove defined to you? Answer ‘Yes’ or ‘No.’ ” To which the jury answered, “No.”
No. 2. “Was the attack of renal colic- which William T. Hicks had in June, 1914, or the passing' of the kidney stones at that time a serious illness or disease, as above defined to you? Answer ‘Yes’ or ‘No.’ ” To which the jury answered, “No.”
No. 3. “If you have answered the foregoing question No. 2 ‘Yes,’ then state whether such misrepresentations was a misrepresentation of material facts or of a fact which affected the risk assumed by the insurance company in writing the policies sued on?” This question the jury did not answer, since they had previously answered that the said Hicks had not had any serious illness or disease before the date of the policies.

Upon such finding the court rendered, judgment in favor of the plaintiff and against the defendant for the sum of $5,090.67, with interest thereon from date of judgment at the rate of 6 per cent, per annum, such judgment being $4,000 principal, $480 for 12 per cent, damage, and $500 for attorney’s fees, the balance being 6 per cent, interest on $4,000 from November 6, 1915, to the date of the judgment.

Free access — add to your briefcase to read the full text and ask questions with AI

Related

National Aid Life Ass'n v. Murphy
78 S.W.2d 223 (Court of Appeals of Texas, 1934)
Dallas Hotel Co. v. McCue
25 S.W.2d 902 (Court of Appeals of Texas, 1930)

Cite This Page — Counsel Stack

Bluebook (online)
198 S.W. 616, 1917 Tex. App. LEXIS 955, Counsel Stack Legal Research, https://law.counselstack.com/opinion/american-nat-ins-co-v-hicks-texapp-1917.