Blahofski v. Metropolitan Life Insurance

237 Ill. App. 220, 1925 Ill. App. LEXIS 162
CourtAppellate Court of Illinois
DecidedMarch 6, 1925
DocketGen. No. 7,788
StatusPublished
Cited by2 cases

This text of 237 Ill. App. 220 (Blahofski v. Metropolitan Life Insurance) is published on Counsel Stack Legal Research, covering Appellate Court of Illinois primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Blahofski v. Metropolitan Life Insurance, 237 Ill. App. 220, 1925 Ill. App. LEXIS 162 (Ill. Ct. App. 1925).

Opinion

Mr. Justice Niehaus

delivered the opinion of the court.

It appears from the evidence in this case that Anna. Blahofski, the daughter of Rudolph Blahofski, the appellee, made application to the appellant, Metropolitan Life Insurance Company, about October 8, 1922, for a life insurance policy, in which the appellee was named as beneficiary, and upon her application the policy was thereafter issued on November 21, 1922, and the first premium of $24.40 paid by the beneficiary. About three months after the issuance of the policy, namely, February 6,1923, Anna Blahofski died of pulmonary tuberculosis. Proofs of death were filed with the company, but payment of the policy was refused, and thereupon this suit was commenced in the circuit court of Sangamon county to recover on the policy. The policy and the application were made a part of the insurance contract by the terms of the policy. The appellant, as a matter of defense, pleaded the general issue, also filed four special pleas. In the first plea it is averred that Anna Blahofski falsely represented in her application that she had not been under the care of any physician within five years except Dr. Aschauer, in the year 1920, and that he had treated her for scarlet fever, but that, as a matter of fact, she had also been under the care of another physician, namely, R. K. Campbell, who had treated her for pulmonary tuberculosis between June 9 and October 10, 1921. In the second special plea it is averred that Anna Blahofski had represented in her application that she had never had any disease of the lungs prior to the date of her application, whereas, in fact, she had had a disease of the lungs, as she well knew. In the third special plea, which was an additional plea, it is averred that Anna Blahofski had represented in her application that she had not been under treatment in any dispensary or hospital except St. John’s Isolation Hospital, prior to her application for insurance, whereas in fact, as she well knew, she had also been confined in St. John’s Sanitarium, in the county of Sangamon, from June 9 to October 10, 1921, and had been there treated during that time for pulmonary tuberculosis. And in the fourth special plea, which was also an additional plea, it is averred that Anna Blahofski in her application represented that prior to her application she had never had pneumonia, whereas the fact was, as she well knew, that she had had pneumonia. The appellee replied to the averments of the first special plea that Dr. R. K. Campbell had not treated Anna Blahofski for pulmonary tuberculosis between June 9 and October 10, 1921, and that her answers were true to the best of her knowledge, information and belief. Appellee’s reply to the averments of the third special plea was to the effect that the answer of Anna Blahofski written in her application to the effect that she had been in St. John’s Isolation Hospital was erroneously written therein by the person taking her application and should have been written in St. John’s Sanitarium; that there is no such institution in the City of Springfield known as the St. John’s Isolation Hospital; and that said Anna Blahofski had in mind, and intended to make a true and correct answer, that she had been confined in St. John’s Sanitarium for the period of time stated in the application, and that she had not been then and there treated for pulmonary tuberculosis but had been suffering from pneumonia. The appellee replied to the fourth special plea that Anna Blahofski had stated to the agent and medical examiner of the appellant that she had been advised by her then attending physician that she did have pneumonia before making said application, and that she had been confined in St. John’s Sanitarium for a short period of time under treatment, but that she was discharged as cured long before the application for insurance was made. The averments in the pleas and the replies thereto constituted the issues of fact in the case. The trial of the case resulted in a verdict in favor of the appellee and a judgment for $1,063.33 against the appellant. This appeal is prosecuted from the judgment.

The evidence taken on the trial established conclusively, as matters of fact, that Anna Blahofski had been confined in St. John’s Sanitarium at Riverton in Sangamon county from June 9 to October 10, 1921; that she had been there treated for pulmonary tuberculosis, a disease of the lungs, during all of that time, and that she was under the care of Drs. Campbell and East, Dr. East being at that time medical director of the sanitarium and Dr. Campbell his assistant; and that when she left the sanitarium the disease with which she was afflicted was not cured but that her condition was improved. The proof also showed that there are two St. John’s hospitals at Springfield, one known as St. John’s Isolation Hospital, used for communicable diseases, and the other known as St. John’s Sanitarium, located at Riverton, which is used for tuberculosis patients only. In her application for the insurance policy, Anna Blahofski’s answer to the question concerning the disease with which she had been afflicted is contained in statement No. 2 in the application; and is as follows: “I have never had any of the following complaints or diseases: * * * consumption * * * disease of the lungs * * * pneumonia.” And her representation concerning the physicians who had attended her within five years prior to her application is contained in Statement No. 4, as follows: “I have not been under the care of any physician within five years except * * * scarlet fever. Dr. Aschauer.” Her representation concerning hospitals or institutions of that kind is contained in Statement No. 5, as follows: “I have never been under treatment in any dispensary, hospital or asylum, nor been an inmate of any alms house or other institutions, except St. John’s Isolation Hospital 1920.” Dr. Harry Otten, who was the medical examiner for the appellant company and who examined Anna Blahofski with reference to the condition of her health and prepared this part of her application for her, testified concerning the statement made by her, that she did not disclose at any time pri- or to the issuance of the policy that she had pneumonia, that she told him exactly what was written in the statements; that she told him she had not had any other physician except Dr. Aschauer within five years, and that she had Dr. Aschauer for scarlet fever; that she did not disclose that she had been in any other hospital, sanitarium or institution than the St. John’s Hospital at Springfield; that she had been working there and took scarlet fever, and that they put her in a little house on Reynolds street, which is called Isolation Hospital, and St. John’s Hospital in Springfield; that she did not disclose that she had had any disease of the lungs prior to making this application; that St. John’s Isolation Hospital is a house on Reynolds street on the hospital ground on the north side, and is used for contagious diseases in Springfield. That St. John’s Sanitarium is a separate institution at Riverton, built for tuberculosis patients. The doctor also testified concerning the question of insurability, that in passing upon the acceptability of an applicant, pneumonia would be a matter of great consequence; that it is the matter of great consequence if an applicant has had disease of the lungs, and that pulmonary tuberculosis is a disease of the lungs caused by the tubercular germ, and is very serious; that the thoroughness of the examination depends upon a disclosure by the applicant that she had been treated by a physician within five years. If the applicant had not had any doctor within five years, it is taken for granted that her statements would prove that she is well.

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Bluebook (online)
237 Ill. App. 220, 1925 Ill. App. LEXIS 162, Counsel Stack Legal Research, https://law.counselstack.com/opinion/blahofski-v-metropolitan-life-insurance-illappct-1925.