Baugh v. Life & Casualty Insurance Co.

299 S.W.2d 554, 1957 Mo. App. LEXIS 684
CourtMissouri Court of Appeals
DecidedFebruary 28, 1957
DocketNo. 29670
StatusPublished
Cited by4 cases

This text of 299 S.W.2d 554 (Baugh v. Life & Casualty Insurance Co.) is published on Counsel Stack Legal Research, covering Missouri Court of Appeals primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Baugh v. Life & Casualty Insurance Co., 299 S.W.2d 554, 1957 Mo. App. LEXIS 684 (Mo. Ct. App. 1957).

Opinion

WOLFE, Commissioner.

This is an action on a life insurance policy, whereby the defendant insured the life of William L. Baugh in the sum of one thousand dollars. James Baugh and Rosalie Baugh, the plaintiffs, are the beneficiaries named in the policy. The trial resulted in a verdict and judgment for the plaintiffs and the defendant prosecutes this appeal.

In their petition the plaintiffs alleged that the policy was issued on April 6, 1953. It was alleged that the insured fully complied with all the terms and conditions of the policy and that on February 4, 1955, while the policy was in force, the insured died. There was a further allegation about the defendant’s refusal to pay.

The defendant’s answer admitted that the policy was issued and the premiums paid. The death of the insured was also admitted. By way of affirmative defense it was alleged that the insured had falsely represented that he was in sound health at the time that the policy was issued, and that the defendant relied upon the representations made, in issuing the policy. The answer also set up the defense that the policy limited the defendant’s liability to a return of the premiums if the insured was not in sound health at the time that the policy was issued. This was followed by an allegation that the insured was suffering from heart disease at the time he applied for the policy and at the time it was issued.

The death of the insured having been admitted, the plaintiffs rested their case after introducing the policy in evidence. The policy contained the following clause:

"Incontestability — Within two years from date of issue of this Policy, the liability of the Company under same shall be limited to the return of premiums paid if the Insured was not in sound health on the date of issuance and delivery of this Policy. After this Policy shall have been in force during the lifetime of the Insured for two years from date of issue, it shall be incontestable except for non-payment of premium.”

The defendant called as a witness the supervisor of the Medical Record Department of the St. Louis City Hospital. She identified the medical record of the insured and described the method of keeping the hospital records from which the medical record of the insured had been taken. The court admitted the record as records kept in the usual course of the business of the hospital,' with the exception of one part which states: “Pt. states that at age 7 he had chicken pox and was told by a doctor he had a leaky heart.”

The records disclose that the insured was first admitted to the hospital on March 18, 1954, at which time he gave a history of having had an acute onset of severe breathlessness the day before while driving from Washington, Missouri, to St. Louis. He had stopped en route to consult a physician and was given a shot and advised to enter a hospital. According to the record he had a "definitive cardiac vascular lesion denoted by an organic murmur”. His ailment was diagnosed as “1 congenital aortic stenosis, 2 subacute bacterial endocarditis due to streptococcus viridans”. He was discharged from the hospital on April 27, 1954, but was again admitted on August 10, 1954, and remained until August 26. During this second hospitalization his ailment was diagnosed as congenital aortic stenosis and sub-acute bacterial endocarditis. The insured again entered the hospital on February 3, 1955, and died the day following. A postmortem examination was made and gave as a “Primary Diagnosis Heart, endocarditis, healed, with arotic vegetation and stenosis Heart, hypertrophy (1180 grams) Heart, [557]*557myocarditis, healed Heart, subaortic steno-sis (congenital)”.

A physician was called by the defendant to examine the X-rays and explain the hospital record. In answer to a hypothetical question he said that from the X-rays he could tell that the heart was enlarged and from the notation “congenital stenosis” he would say that the stenosis was present from birth by a simple acceptance of the word “congenital”. He was asked on cross-examination if he would change his opinion if he were informed that the insured had done very hard manual labor and he said that he would not.

The defendant sought to introduce in evidence the application for the policy, which was signed by the insured and dated March 20, 1953. It stated in part that the applicant never had a disease of the heart and declared that the statements made were true and that any misrepresentation would render the policy void, and that the policy should not be binding upon the company unless the applicant should upon its date be in sound health. There was an objection to the introduction of the application on the ground that the policy itself stated that it constituted the entire contract. The objection was sustained and the application was not permitted in evidence.

Plaintiff, Rosalie Baugh, the mother of the deceased, testified in rebuttal that her son had pneumonia when he was about eighteen months old but that after that he suffered no diseases except those ordinarily associated with childhood, such as mumps and chicken pox, and for these no doctor attended him. He was raised on a farm where he hoed, picked and plowed cotton, and drove a tractor. Later when they moved to the city he did factory work. He was troubled by occasional nose bleeding and was told by a specialist it was due to a crooked bone in his nose that should be corrected. That was in 1950, which was the last time he was troubled with it. He had never been treated for a heart ailment or told that he suffered from it until he entered the City Hospital in 1954. His health, with the exceptions stated, had been good and he was steadily employed.

The defendant moved for a directed verdict at the close of the entire case and it is contended that the court erred in refusing to direct a verdict for the defendant. The ground assigned for the alleged error is that the hosptial records, to the effect that the insured had congenital heart disease, were not impeached, and that the records are therefore conclusive. It is, of course, quite obvious that if the insured had congenital heart disease he was not in sound health at the time that the policy was issued to him.

The evidentiary value of hospital records has been discussed in numerous cases by the courts of appeals of this state, and we are cited to Toler v. Atlanta Life Ins. Co, Mo.App., 248 S.W.2d 53; Russell v. Missouri Ins. Co., Mo.App., 232 S.W.2d 812; and Berne v. Prudential Insurance Co. of America, 235 Mo.App. 178, 129 S.W.2d 92; all by this court.

The first of these, Toler v. Atlanta Life Ins. Co., had to do with a policy which contained a sound health clause to the same effect as the one we have under consideration. Slightly more than a month before the policy was issued the insured had filed claims for total disability with another insurer. In those claims his doctor gave as a diagnosis carcinoma of the stomach. The insured died from this ailment and the claims were held to be conclusive evidence that he was not in good health at the time the policy was issued. It will be noted that it was the insured’s own claims for disability which were held to be conclusive and that these antedated the policy. Here we followed the case of Kirk v. Metropolitan Life Ins. Co., 336 Mo.

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State v. Freeman
269 S.W.3d 422 (Supreme Court of Missouri, 2008)
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307 S.W.2d 660 (Supreme Court of Missouri, 1957)

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Bluebook (online)
299 S.W.2d 554, 1957 Mo. App. LEXIS 684, Counsel Stack Legal Research, https://law.counselstack.com/opinion/baugh-v-life-casualty-insurance-co-moctapp-1957.