Ames v. New York Life Insurance

191 N.W. 274, 154 Minn. 111, 1922 Minn. LEXIS 455
CourtSupreme Court of Minnesota
DecidedDecember 29, 1922
DocketNo. 23,171
StatusPublished
Cited by12 cases

This text of 191 N.W. 274 (Ames v. New York Life Insurance) is published on Counsel Stack Legal Research, covering Supreme Court of Minnesota primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Ames v. New York Life Insurance, 191 N.W. 274, 154 Minn. 111, 1922 Minn. LEXIS 455 (Mich. 1922).

Opinion

Lees, C.

Action by the beneficiary in a policy of life insurance to recover the amount of the policy. Appellant sought to defeat a recovery on three grounds: First, that there were false statements in the application; second, that no contract of insurance was consummated; and third, that a change in the physical condition of the applicant took place between , the date of the application and the date of the delivery of the policy and that such change was concealed. At the close of the evidence there was a motion for a directed verdict. The court denied the motion and refused to submit the last defense to the jury. A verdict in plaintiff’s favor was returned and defendant has appealed from a denial of its alternative motion for judgment or a new trial.

The death certificate gave as the cause of death acute gangrenous appendicitis, with diabetes melitis as a contributory cause. The application contained two questions, answered by the insured as follows:

“Q. Have you consulted a physician for any ailment or disease not included in your above answers?
A. No.
Q. What physician, or physicians, if any, not named above, have you consulted or been treated by within the last five years, and for what illness or ailment? (If none, so state.)
A. None.”

Defendant called as witnesses Dr. Dempsey and Dr. Nauth. Dr. Dempsey testified that in the spring of 1919 he saw the applicant at his home on a farm near Weaver, Minnesota, found him suffering from indigestion, advised him to stay in bed and if he did not feel well the next day to send word, and heard nothing further from him.

Dr. Nauth testified that a year or more before the applicant died . he visited him at his home on the farm and treated him for influenza. On examining him, he discovered tenderness in the region of the appendix and informed him that he might have an affected appendix. The attack of influenza was not serious and the doctor did not make a second call. Later on, the applicant came to the doc[113]*113tor’s office in Winona and was examined again. His weight was more than normal, and sugar was found in his urine. He was informed that he had diabetes and advised to diet. A week later he came again. There was another examination of his urine, which then contained no sugar, and he was so informed. These are the facts upon which the first defense is based and they present the close question in the case.

The court read section 3300, G. S. 1913, to the jury and instructed them that the statement that the applicant had not consulted a physician was material, and, if they found that the risk of loss was increased by reason of the answers to the questions above quoted, defendant was entitled to a verdict; also that, if the ailments described by the doctors were slight or trivial, the applicant was not required to mention them. Whether a misrepresentation materially affected the hazard assumed by an insurance company is usually a question for the jury. Johnson v. National Life Ins. Co. 123 Minn. 453, 144 N. W. 218, Ann. Cas. 1915A, 458; Ivanesovich v. North American L. & C. Co. 145 Minn. 175, 176 N. W. 502.

In Gruber v. German R. C. Soc. 113 Minn. 340, 129 N. W. 581, the insured died from tuberculosis. He failed to disclose that he had been treated by his physicians for throat trouble. It was held that if the applicant consulted doctors, or was treated by them for temporary or trifling ailments from which serious consequences were not to be apprehended and from which he recovered, his failure to disclose such consultations or treatment would not avoid the contract. In the Ivanesovich case it was remarked that whether the existence of hernia materially affects the hazard is, under statutes similar to ours, a jury question. In Olsson v. Midland Ins. Co. 138 Minn. 424, 165 N. W. 474, notwithstanding the uncontradicted testimony of a physician that he had treated the insured 50 or 60 times within the year preceding the application, it was held that the circumstances were such that it should not be declared as a matter of law that the insured had in fact received the treatments to which the physician testified. Many cases from other jurisdictions are cited in the briefs. They cannot be reconciled, but the preponderance of judicial opinion supports the doctrine of the Gruber case. [114]*114See 6 Cooley, Briefs on Ins. § 2163, and notes to Beard v. Royal Neighbors, 17 Ann. Cas. 1203, and to Metropolitan Life Ins. Co. v. Brubaker, 18 L. R. A. (N. S.) 362.

Appellant contends that there can be but one answer to the question whether the hazard it assumed was materially affected by the failure to disclose the consultations with Dr. Nauth. The force of the contention is weakened by the doctor’s testimony that there may be a transitory sugar in the urine; that on his second examination of the applicant he found no sugar; that its presence is not a certain indication of diabetes, and by proof that, after its examining physician had made his report, specimens of urine were called for by appellant and sent to its home office more than once before the application was accepted. Under all the circumstances, we are of the opinion that the question was one for the jury and that the evidence would justify a negative answer.

The application was for an endowment policy of $10,000, payable in 20 years. The applicant was 40 years of age. He agreed that, if the company was unwilling to issue a policy at the premium rate corresponding to his age, the application should be for a policy at a premium rate corresponding to the company’s valuation of the risk. The premium was rated up to the sum charged for a similar policy where the insured was 49 years of age, an increase from $504.60 to $613.10. One Jennings, a life insurance solicitor, was the agent of the applicant to procure the insurance. The policy was mailed to Jennings from appellant’s Minneapolis office on June 28, 1920. He testified that he received and accepted it for the applicant on June 29, On that day the applicant was too ill to be capable of transacting business. It is, therefore, contended that there was no contract of insurance because the application was for a policy which would cost $504.60 ,per annum, whereas the policy offered cost more and was not accepted by the applicant himself. We are of a contrary opinion. The applicant was a substandard risk. He knew that to get insurance he would probably have to pay a higher premium than that charged for a standard risk. He placed the matter in Jenning’s hands. It was within the scope of Jennings’ authority to accept the policy offered. He says he ac[115]*115uepted it when he received it. If he did, there was a completed contract, subject only to the condition that the first premium should be paid in the lifetime of the applicant, and Jennings’ acceptance obligated the applicant to pay it. A contract may be formed by accepting a paper containing terms. 13 C. J. p. 277.

On June 26, 1920, the applicant and his wife were at Baraboo, Wisconsin. He became ill in the evening and started for home on the following morning. He reached Winona on the twenty-seventh, and was then so ill that he was taken to a hospital that night and submitted to an operation for appendicitis. He died at 10 o’clock in the morning of June 30. The application was dated May 11, 1920. The policy was issued on June 7 and sent from the home office in New York to the branch office in Minneapolis. It was held there until June 28, when it was sent to Jennings as already stated.

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Cite This Page — Counsel Stack

Bluebook (online)
191 N.W. 274, 154 Minn. 111, 1922 Minn. LEXIS 455, Counsel Stack Legal Research, https://law.counselstack.com/opinion/ames-v-new-york-life-insurance-minn-1922.