Brock v. Metropolitan Life Insurance

156 N.C. 112
Supreme Court of North Carolina·Decided October 4, 1911·Published·Cited by 5 cases

Opinion

Walkek, J.

Tbis action was brought to recover tbe aggregate amount of two policies of insurance, one for $500 and tbe other for $154, which were issued, in July and September, 1908, by tbe defendant company on tbe life of Emma Davis, tbe daughter of tbe plaintiff. Tbe case was tried upon issues to which there was no exception and which, with tbe answers thereto, were as follows:

1. Did tbe insured, Emma Davis, represent in her application' for tbe policy for $500 that she bad never bad .pneumonia? Answer: Yes.

[114]*1142. Had Emma Davis bad pneumonia prior to tbe filing of ber application for tbe policy for $500? Answer: No.

3. Did tbe insured, Emma Davis, represent in ber application for tbe policy for $500 tbat sbe bad never bad consumption ? Answer: Tes.

4. Had tbe insured, Emma Davis, prior to said application ever bad consumption? Answer: No.

5. Did tbe insured, Emma Davis, in ber application for tbe jtolicy for $500 represent tbat sbe bad not been under tbe care of any other physician within two years for any serious illness than Dr. Tull for chills, 19 May, 1908? Answer: Yes.

-'6. Was the insured under the care of any physician within two years for any serious illness other than Dr. Tull for chills, 19 May, 1908? Answer: No.

1. Did tbe insured in ber application for tbe policy for $154 represent tbat sbe bad not been attended by a physician for any serious disease or complaint? Answer: Yes.

8. Had tbe insured, Emma Davis, prior to said application, been attended by any physician for any serious disease or complaint? Answer: No.

9. What amount, if any, is plaintiff entitled to recover of defendant on said policies? Answer: $654, with interest from 9 June, 1909.

Judgment was given for tbe plaintiff, and defendant appealed.

It appears tbat in tbe application for tbe policy tbe insured represented and stated tbat sbe bad never bad pneumonia or consumption, nor bad sbe ever been treated by a physician for any serious illness. She was not able to pay tbe premium on tbe policy or even to take out tbe policy, and ber father did this- for ber, and after ber death, as ber next of kin and tbe beneficiary under tbe policy, be filed with tbe company a proof of loss, in which be stated tbat sbe bad an attack of pneumonia in February, 1906, prior to tbe date of ber application, of about three weeks duration, and bad chills and fevers occasionally all the time. There was evidence, we think, to show tbat this was a mistake, though it must be admitted tbat tbe 'state of tbe entire evidence was such as to justify tbe claim [115]*115of the defendant’s counsel that it preponderated in his favor. But we are not permitted to interfere with verdicts, by determining with whom the mere weight of the evidence lies. If there is any testimony fit for the jury to consider upon the issue made by the pleadings, we must abide by the verdict and consider and decide only upon questions or inferences of law. The court charged the jury, substantially, with reference to the statement of the plaintiff in the proof of loss, or in what is called in the case his written claim for the insurance, that it was prima facie evidence of the fact that the deceased had pneumonia in 1906 and was otherwise ill, as stated, but that it devolved upon the plaintiff to satisfy them, upon all the evidence, that she did not have pneumonia prior to the date of her application. The defendant’s counsel, in their able and learned brief, state that “It was around this point that,the battle waged from the beginning to the end of the case.” They requested the court to charge that there was not sufficient evidence to rebut this prima facie case made by the statement of the plaintiff in the application. Assuming, for the sake of discussion, that the judge laid down a correct rule of law, as to the force and effect of plaintiff’s statement in the proof of loss, as to the 'deceased having had pneumonia — and we do not mean to question it in the least — we yet are of the opinion that there was evidence to rebut or overthrow the prima facie case thus raised. There was testimony, for example, which tended to show that the plaintiff was mistaken and was speaking from hearsay, and' not from his personal knowledge, when he made the statement, besides other competent and sufficient proof that the insured had not been a victim of pneumonia or consumption, or any other serious malady. The case, in this respect, was fairly submitted to the jury by Judge Justice, with his accustomed lucidity and accuracy in stating legal principles, as applied to the essential facts of a case; and, moreover, in this particular instance the charge of his Honor, if anything, placed the burden a shade too much upon the plaintiff, for where a prima facie ease is established by the proof of a single fact or a señes or concatenation of facts — a chain of evidence, as we call it— it is, at last, as we will see has been said by the Supreme Court [116]*116of tbe United States, only proof, though it may be strong, of the ultimate fact or facts to be shown as necessary to the party’s recovery or success. It is not conclusive, but must be submitted to the jury, either by itself or along with the other evidence, for them to find the ultimate, final, and constituent facts which, in law, are the true basis of recovery, whether by plaintiff or defendant. In other words, and to make this doctrine clearer, if possible, the prima, facie case is only evidence, stronger, to be sme, than ordinary proof, and the party against whom it is raised by the law is not bound to overthrow it and prove the contrary by the greater weight of evidence, but if he fails to introduce proof to overcome it, he merely takes the chance of an adverse verdict, and this is practically the full force and effect given by the law to this prima facie case. He is entitled to go to the jury upon it and to combat it, as being insufficient proof of the ultimate fact under the circumstances of the case, but he takes the risk in so doing, instead of introducing evidence. We believe this is thoroughly in accord with our authorities.

In Shepard v. Telegraph Co., 143 N. C., 244, the present Chief Justice, citing Board of Education v. Makeley, 139 N. C., 35, and adopting as a correct statement of the law what is quoted in that case from 1 Elliott on Evidence, sec. 139 (not only a standard work, but one of the best we have on the law of evidence), said: “The burden of the issue, that is, the burden of proof, in the sense of ultimately proving or establishing the issue or ease of the party upon whom such burden rests, as distinguished from the burden or duty of going forward and producing evidence, never shifts; but the burden or duty of proceeding or going forward often does shift from one party to the other, and sometimes back again. Thus, when the actor has gone forward and made a prima facie case, the other party is compelled in turn to go forward or lose his case, and in this sense the burden shifts to him. So the burden of going forward may, as to some particular matter, shift again to .the first party in response to the call of a prima facie case or presumption in favor of the second party. But the party who has not the burden of the issue is not bound to disprove the actor’s [117]

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Brock v. Metropolitan Life Insurance, 156 N.C. 112 (N.C. 1911).

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