Bankers Health & Life Insurance v. Givens

157 S.E. 906, 43 Ga. App. 43, 1931 Ga. App. LEXIS 171
Court of Appeals of Georgia·Decided March 31, 1931·No. 20938·Published·Cited by 16 cases

Opinion

Luke, J.

The petition brought by Allen Givens against the Bankers Health and Life Insurance Company to the superior court of Richmond county makes substantially the following case:

1. Defendant is a corporation doing business and having an agent and offices in said county.

[44]*442. “Petitioner is the beneficiary of a certain ‘whole-life policy’ issued by said insurance company on the life of Josie Givens, Iris wife, now deceased, in the sum of $225.”

3. “Said policy, together with proof of death, has been surrendered to said insurance company.”

4. “Said policy issued May 13, 1929, and the death of the insured occurred November 14, 1929.”

5. “The cause of death as set forth in the proof of death was pellagra.”

6. “Said policy has a clause limiting the liability of the company to one half of the value of the policy in the event of death by certain diseases therein named.” .

7. “Your petitioner avers that on December 7, 1929, the agent, in attempting to adjust the policy with your petitioner, informed your petitioner that the disease known in medical science as pellagra was contained in the policy surrendered to the defendant company, and paid to your petitioner one half the value of said policy for that reason, to wit: that it was set out in the clause limiting their liability to one half of the value of the policy as a disease that the company would only pay one half of the value.”

8. Said representation made by said agent of defendant to petitioner was material, was relied upon by petitioner, and induced him to accept one half the value of the policy.

9. “Said representation was false and was made knowingly so.”

10. “Your petitioner avers that he had no means of knowing otherwise, and that a confidential relation existed between the plaintiff and the defendant, by reason of the contract of insurance and the fact that the same is highly technical in its terms and your petitioner uneducated, and, having surrendered the policy as required by the company, had nothing to do but rely on the defendant to pay the full amount according to law.”

11. “Your petitioner avers he has been damaged in the sum of $112.50; and petitioner further claims, under the facts stated herein, that the company has acted in bad faith, and claims damages and attorney’s fees as allowed by law.”

After admitting paragraphs 1, 3, 5, and 6 of the petition, admitting issuing the policy of insurance described in paragraph 2 of the petition, demanding strict proof of paragraph 4 of the petition, and denying paragraphs 7, 8, 9, 10, and 11 of the petition, [45] the defendant further pleaded as follows: “That on May 13, 1929, it issued to Josie Givens its policy of insurance No. B458432, payable to Allen Givens as beneficiary thereunder and in accordance with the terms thereof. Defendant shows further that one Allen Givens, on November 16, 1929, advised defendant that the said Josie Givens had died on November 14, 1929, of pellagra, giving as his source of information the statement of the deceased. Defendant further shows that on investigation of the claim this defendant learned that there had been certain misrepresentations made by the insured in procuring said policy, and that there was grave doubt as to the cause of death of the insured being pellagra as claimed by the beneficiary. After various negotiations, it was agreed between this defendant and the said Allen Givens that the claim should be settled in full on payment of $112.50, which amount was by this company paid to the said Allen Givens on December 7, 1929, in full and complete settlement, release, accord and satisfaction of any and all claims against said company on the policy sued on. Defendant further shows that the amount was accepted by said Allen Givens freely and voluntarily, that the said Allen Givens could read and write and well understood what he was about, and that said settlement was entirely satisfactory to the said Allen Givens, and was not procured by fraud or artful device on the part of defendant, but was made after negotiations between the parties and in full and final settlement of the claim between the parties. Defendant shows that it is not indebted to the said Allen Givens in the sum alleged or in any sum whatever, and prays to be hence discharged with its reasonable costs.”

There was no demurrer in the case, and the jury rendered a verdict for the plaintiff in the sum of $112.50. The exception here is to the judgment overruling the motion for a new trial, containing the general and three special grounds.

The full amount collectible under the policy was $225, but limitation 6 of the contract provides that if death results from certain specified diseases (of which pellagra is not one), “death benefits are . . limited to one half of the full face value named on the first page hereof should death occur between six months and one year from the date of the policy;” and further that “in the event of the death of the insured within one year of the date of this policy when such death is the result of . . disease contracted prior [46] to the date of this policjq . . there shall be no liability whatever under this policy.”

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Bankers Health & Life Insurance v. Givens, 157 S.E. 906, 43 Ga. App. 43, 1931 Ga. App. LEXIS 171 (Ga. Ct. App. 1931).

157 S.E. 906 (Bankers Health & Life Insurance v. Givens) — published by Counsel Stack Legal Research, free access to 12M+ legal documents.

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