Brasier v. Benefit Association of Railway Employees

119 N.W.2d 639, 369 Mich. 166, 94 A.L.R. 2d 1385, 1963 Mich. LEXIS 452
CourtMichigan Supreme Court
DecidedFebruary 6, 1963
DocketCalendar 70, Docket 49,747
StatusPublished
Cited by3 cases

This text of 119 N.W.2d 639 (Brasier v. Benefit Association of Railway Employees) is published on Counsel Stack Legal Research, covering Michigan Supreme Court primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Brasier v. Benefit Association of Railway Employees, 119 N.W.2d 639, 369 Mich. 166, 94 A.L.R. 2d 1385, 1963 Mich. LEXIS 452 (Mich. 1963).

Opinion

*168 Dethmers, J.

Plaintiff was injured in an automobile accident and became disabled. During the 4 succeeding months defendant insurer paid him $300 per month, and also his medical expenses, in accord with the terms of a health and accident insurance policy which it had issued to him 13 months before the accident. Then defendant refused to make further payments, advised plaintiff that it was rescinding the policy, tendered to him the premiums he had paid and demanded his return of the benefits previously paid to him under the policy. The grounds asserted by defendant for such action were that, in his application for insurance and in the medical examination made in that connection, plaintiff had concealed from defendant a material fact about his physical condition, namely that he suffered from muscular dystrophy or atrophy.

Plaintiff sued to enforce the insurance contract and for continuing payments of $300 per month to him thereunder, claiming total and permanent disability resulting from the accident. Defendant defended on the ground that plaintiff had secured the insurance contract through the mentioned concealment, rendering it voidable, and filed a cross declaration for recovery of the benefits paid under it less a credit for the premiums plaintiff had paid. From judgment for plaintiff, defendant appeals.

The pretrial statement contained the following:

“The Court: This is an action on a health and accident policy on a claim for benefits as a result of an accident in January, 1959.

“The defense is based upon a claim of concealment or fraud in the application for insurance.

“The issues appear to be as follows: (1) Did the plaintiff have muscular dystrophy or muscular atrophy at the time of his application for coverage ? (2) Did the plaintiff conceal such condition if it existed? (3) Did he become disabled within the *169 meaning of the policy? (4) Was the disability attributable to muscular dystrophy or muscular atrophy? * * *

“It is agreed by counsel that the pertinent paragraph of the application .involving the issues between the parties is paragraph 12. * * *

“It is conceded by the defendant that a Dr. Slade examined the plaintiff on their behalf in connection with his application for coverage.”

Paragraph 12 of the application reads as follows:

“12. Have you received any other medical or surgical advice or treatment or. had any local or constitutional disease within the last five years?

“None except acc.

“Date? 1957 for? accident lasting? 30 days.”

With the application there was an instrument on which, at the beginning, appears the language “Medical Examiner’s Report — (To Be Filled Out in Private).” On the report there follow a number of printed questions with answers penned in, a blank for signature of “Agent Requesting Examination”, duly filled in, and a certification by Dr. H. F. Slade, M.D., as the “Medical Examiner” which, when submitted at trial as 1 of defendant’s exhibits, was followed by the notation “Ex. Pd, $7.50 12-27-57 J. K.” It contained no statement about muscular atrophy.

Although defendant’s answer also alleged that plaintiff’s disability was not due to injuries sustained in the automobile accident but to a pre-existing condition of muscular dystrophy or atrophy, that is no longer urged on this appeal. The trial court found, as the proofs show, that plaintiff is not and has not been afflicted with muscular dystrophy but only with muscular atrophy and that his disability is not due to that but to the accident.

*170 The opinion of the trial court contains tbe following :

“Tbe evidence supports tbe finding that plaintiff’s condition of muscular atrophy was apparent and readily ascertainable to the examining physician; and that such atrophy was the result of an attack of diphtheria which the plaintiff suffered in 1919, while in the army. The medical application discloses that this history was given by the applicant in answer to question 9:

“ ‘discharged because brachial neuritis because diphtheria 1919.’

“The evidence further supports the finding that the muscular atrophy was of long standing and, so far as plaintiff knew, it was static and had been for years upwards of 5 before his application. In view of the fact that the atrophy was of long standing, that it was static, and that it must have been apparent to the examining physician, it cannot be said that plaintiff made a false statement or that he concealed his condition.”

The proofs support the above finding. Dr. Slade, the examining physician, discussed plaintiff’s condition of muscular atrophy with him at the time of the examination, and its existence was obvious to the doctor at the time. Question is raised, however, as to whether the examining physician was the agent of defendant, so as to charge it with knowledge of what was known to him, or the agent of plaintiff because the latter had some part, with defendant’s insurance salesman, in selecting that doctor to make the examination. On that, plaintiff testified on direct examination as follows:

“Q. How did you happen to go to Dr. Slade for an examination?

“A. If I recall correctly, they asked me if I had any particular doctor, and I said no, and he said was I acquainted with anybody in Saginaw. I named *171 several doctors that I knew and he picked out Dr. Slade.

“Q. Now did it happen that Dr. Slade had known yon before this examination?

“A. Well, to a certain extent. I have never had any professional contact with him, bnt we happen to go to the same church.

“Q. How long had he been acquainted with yon in that manner before this examination?

“A. I think I’d seen him in church probably a dozen times.”

On cross-examination he testified:

“Q. Now when you were told by the company and you were told by the company to get a physical, isn’t that correct?

“A. That’s right.

“Q. Or by a representative of the company?

“A. Their agent.

“Q. And who picked ont Dr. Slade?

“A. Well, I mentioned 2 or 3 doctors that I had met.

“Q. Well, didn’t you pick ont Dr. Slade?

“A. And he said that any 1 of them was okay.

“Q. So yon picked ont Dr. Slade yourself?

“A. Well, I said he could pick him out or it wouldn’t make any difference to me.

“Q. Yes.

“A. I don’t remember whether I picked him ont or he picked him ont, bnt there was no particular difference as far as I am concerned.

“Q. So you could have picked ont Dr. Slade yourself.

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Bluebook (online)
119 N.W.2d 639, 369 Mich. 166, 94 A.L.R. 2d 1385, 1963 Mich. LEXIS 452, Counsel Stack Legal Research, https://law.counselstack.com/opinion/brasier-v-benefit-association-of-railway-employees-mich-1963.