Bohen v. North American Life Insurance Co. of Chicago

188 Iowa 1349
Supreme Court of Iowa·Decided May 15, 1920·Published·Cited by 14 cases

Opinion

Ladd, J.

i. insurance.physical insur-ability: jury question. I. The defendant issued its policy of insurance on the life of Marie P. Bohen, April 22, 1916. She died, July 3d following. This action was begun on June 27, 1917, and did not come on for trial until January 20, 1919. The defense interposed was that the report of the examining physi-r D r dan, .representing the insured a fit subject for insurance, was procured by fraud. Under Section 1812 of the Code, the insurer was estopped from setting up, in defense of the action, that the insured was not in a condition of health required by the policy when issued, unless it should be shown that the report of the medical examiner that she was a fit subject for insurance was procured by or through the fraud or deceit of the applicant. Welch v. Union Central Life Ins. Co., 108 Iowa 224; Roe v. National Life Ins. Assn., 137 Iowa 696; Ley v. Metropolitan Life Ins. Co., 120 Iowa 203. It appears from the record that the insured’s brother informed defendant’s agent that she desired insurance, and that, on April 14, 1916, the agent obtained her application [1352] for two' policies, one in favor of lier father ~as beneficiary, in the sum of $1,000, and the other in favor of her sister, plaintiff herein, as beneficiary, in the sum of $1,500. The applicant was then 42 years old, and had never applied for insurance before. Among the numerous questions asked were the following:

“Q. How long since you have consulted or had the care of a physician, and for what ailments? A- Four years ago, had operation for hemorrhoids; entire recovery. Q. Name and address of physician. A. Mayo Brothers, at Rochester. Q. Have you ever had any of the following diseases : Enlarged glands, goiter,' scrofula, cancer, growths, or tumors? A. No. Q. Have you ever had or suspected you had any diseases of the breast, uterus, or ovaries? A. No.”

On the 24th day of June following, at Rochester, Minnesota, a surgeon, William J. Mayo, removed from her a large tumor, with a part of the womb, in which it was growing. “Anatomically,” as he testified, “it would be described as the removal of all the womb, excepting the neck, and the tumor which it contained.” This tumor was attached to a part of the uterus, and was about the size of a foetus six months advanced, and she appeared enlarged about as a woman would when six months pregnant. The patient died, after she had left the hospital, but while she was still under observation. The witness was unable to say absolutely whether there was any connection between the operation and her death. Though feeling perfectly well, as was made to appear, she suddenly fell dead. The doctor observed that:

“Many women come in here with tumors like that, and don’t know anything about it. Never discovered it, until it is found on the table. All the physical signs that would be noticeable by the patient would be the enlarged abdomen.”

[1353] It "was admitted that, if Dr.. Berkman were present, he would have testified that he was on the diagnosis staff of the Mayo Clinic at the time, and examined the insured, June 13, 1916; that she then stated to. him that, approximately two years previous, she had noticed “some sort of growth or enlargement in the lower part of the abdomen, which persisted, and, about a year after first noticing this, she went to a physician for an examination;” that the physician told her she had a tumor of the womb, about the size of an orange; that she stated that the growth had been persistént, and she thought it had greatly increased in size; that she “had some little ache and bearing-down sensation in the right lower abdominal region, coming on at times when she was nervous, tired, and worn out;” that, upon examination he discovered a tumor, which was of fibroid nature, connected with the uterus, which he outlined as “extending practically up to the level of the navel,— roughly, as large as a newborn infant’s head/’ that there was nothing else in her physical condition, with the exception of a slight valvular heart murmur, discovered not to be indicative of anything; that she had had two other examinations at" the Mayo* Clinic, one for an indeterminate heart condition, at which, on examination, nothing significant was found, the other time, for hemorrhoidal condition, for' which she underwent an operation; that the operation on June 24, 1916, was in the nature of a “subtotal abdominal hysterectomy for fibroid uterus; that the cause of her death was pulmonary embolism.”

“Q. Doctor, what, if any, relation was there between the embolism described and the operation in question? A. A distant connection, not relative to the character or site of operation nor the technique.”

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Bohen v. North American Life Insurance Co. of Chicago, 188 Iowa 1349 (iowa 1920).

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