Bankers Standard Life Ins. Co. v. Atwood

205 S.W.2d 74, 1947 Tex. App. LEXIS 772
CourtCourt of Appeals of Texas
DecidedOctober 1, 1947
DocketNo. 9651
StatusPublished
Cited by22 cases

This text of 205 S.W.2d 74 (Bankers Standard Life Ins. Co. v. Atwood) 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
Bankers Standard Life Ins. Co. v. Atwood, 205 S.W.2d 74, 1947 Tex. App. LEXIS 772 (Tex. Ct. App. 1947).

Opinion

McCLENDON, Chief Justice.

Mrs. Atwood, joined pro forma by her husband, sued the Company (Bankers Standard Life Insurance Company) upon a policy of insurance in which she was beneficiary, written by the Company on March 20, 1943, upon the life of her then husband, Fred P. Martin, who died November 3, 1943, of “Malignancy of the Stomach.” The judgment upon a special issue verdict was in favor of Mrs. Atwood and the Company has appealed.

The pertinent defense relied upon by the company was predicated upon a false statement in the application of Mr. Martin, in the following question and answer: “Do you have or have you ever had * * * any of the following diseases or ailments: * * * Asthma No * * The contentions of Company (under appropriate pleadings) were: (1) the applicant warranted the truth of the statement and its falsity (shown conclusively) rendered the policy void as a matter of law; (2) the statement was fraudulently made, was material to the risk and relied upon by the Company, and therefore the policy was void.

Upon the first contention: The Company was a “Mutual Assessment Life Insurance Company,” organized under Chap. 8A, Title 78, Vernon’s Ann.Civ.St.Art. 4859f, Secs. 1-20, Acts 1933, 43rd Leg., p. 856, Chap. 245, as to which the general insurance laws do not apply; and it is asserted upon authority of Casstevens v. Texas etc. Ins. Co., 137 Tex. 615, 155 S.W.2d 916, 918, that Art. 4859f, Secs. 1-20, contains no provision “that a misrepresentation, in order to avoid a policy, must be material to the risk.” This statement in that opinion was evidently inadvertently made, as Sec. 11 of the Act contains this language in reference to applications for policies written by such companies: “ * * * no representation therein shall constitute a defense unless same shall be shown to be material to the risk.” We have examined the application for writ of error, from which it appears that a holding of the Court of Civil Appeals in substantial language as that of the Supreme Court, above, was not challenged, which readily accounts for the above quotation from Sec. 11 being overlooked. This particular holding, however, was not essential to the decision. Regardless thereof the court held that the warranty provisions in the application (the same as those here) [76]*76Were modified by certain provisions of the by-laws of the insurer, the court saying: “It does not follow, however, that since the insurance statutes concerning warranties and misrepresentations do not apply to mutual aid companies, such companies are inhibited, in the absence of statutory regulation upon the subject, from voluntarily incorporating in their insurance contracts qualifying provisions which have the effect of converting such warranties into representations merely.”

Paragraph XII of the policy here contains the following: “All statements contained in the application for this policy shall, in the absence of fraud, be deemed representations and not warranties.

Independently therefore of the above provision of Sec. 11 of Art. 4859f, the burden rested upon the company to show (and, where not shown by conclusive evidence, to obtain a jury finding) each of the following factual elements: (1) reliance upon the truth of the statement by the insurer; (2) intent of insured to deceive insurer in making the same; and (3) “the materiality thereof, that is, was it material to the risk or the fact represented contributed to the loss in maturing the policy.” General etc. Ins. Co. v. Martinez, Tex.Civ.App., 149 S.W.2d 637, 640, expressly approved by the Supreme Court in Clark v. National etc. Ins. Co., 200 S.W.2d 820.

1 The issites submitted which have bearing upon the questions urged in the appeal were Nos. 9, 10 and 11, which, with the answers thereto, were:

No. 9 found that the fact that Martin had suffered from asthma prior to March 16, 1943, was, under the policy in issue, not material to the risk.

No. 10 inquired whether Martin, at the time he signed the application, intended to deceive the Company in regard to the fact that he had theretofore suffered from asthma. The jury were instructed to answer this issue only in case they answered No. 9 “Yes”; otherwise they “need not'answer it.” They answered No. 9 “No” and did not answer No. 10.

No. 11 found in issuing the policy the Company “relied upon the statement that Fred P. Martin had never suffered from asthma.”

The Company urges five points of error in support of its appeal.

The first point is to the effect that the policy was void, as a matter of law, by reason of the false statement in the application that assured had never suffered from asthma, irrespective of whether it was material to the risk. This point is overruled for the reasons already stated.

Points 2 and 3 challenge the sufficiency of the evidence as a matter of law to support the answer to'special issue No. 9.

Point 4 asserts that the jury in answering issue No. 9 disregarded the court’s definition of “material to the risk.”

Point 5 urges that the answers to issues Nos. 9 and 11 are conflicting.

The only evidence upon the issue whether the pre-existence of asthma was material to .the risk was that of the Vice-President-General Manager of the Company to the effect that he relied upon the statement in the application; that had he known that insured had been suffering from recurrent attacks of asthma over a period of years prior to the application the Company would not have issued the policy, “unless the applicant would accept a rider waiving any liability to the Company in the event of death directly or indirectly as a result of it, and it is only doubtful that they would do it then”; that “asthma or anyone suffering with asthma in any form is not considered an insurable risk”; and “that the Company would consider that asthma was material to the risk.” It is well settled in this jurisdiction that the question of materiality to the risk is a fact question to be determined by the jury. American Cent. Life Ins. Co. v. Alexander, Tex.Com.App., 56 S.W.2d 864 (Judge Sharp writing for the Commission); American Bankers Life Ins. Co. v. Baker, Tex.Civ.App., 126 S.W.2d 56, error dis. C. J. (Justice Folley writing for the Amarillo court).

The jury were warranted in disregarding this evidence, though uncontradict-ed, as the witness was interested. See Franklin Life Ins. Co. v. Villeneuve, 29 [77]*77Tex.Civ.App. 128, 68 S.W. 203, and cases cited on this point.

Unless we could hold that the evidence as a matter of law showed that the false statement was material to the risk, there is no basis for the contention that the jury disregarded the court’s definition of “materiality to the risk.” We, therefore, overrule point 4.

Nor do we think there is any necessary conflict between the answers to issues 9 and 11. Materiality to the risk and reliance upon the truth of a statement in the application are clearly two separate and distinct facts. The Company could rely upon the truth of an immaterial as well as a material statement.

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205 S.W.2d 74, 1947 Tex. App. LEXIS 772, Counsel Stack Legal Research, https://law.counselstack.com/opinion/bankers-standard-life-ins-co-v-atwood-texapp-1947.