California Western States Life Ins. v. Vaughn

165 F.2d 945, 1948 U.S. App. LEXIS 1973
CourtCourt of Appeals for the Ninth Circuit
DecidedJanuary 5, 1948
DocketNo. 11500
StatusPublished
Cited by3 cases

This text of 165 F.2d 945 (California Western States Life Ins. v. Vaughn) is published on Counsel Stack Legal Research, covering Court of Appeals for the Ninth Circuit primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
California Western States Life Ins. v. Vaughn, 165 F.2d 945, 1948 U.S. App. LEXIS 1973 (9th Cir. 1948).

Opinion

STEPHENS, Circuit Judge.

This appeal is from a judgment of the district court, awarding insurance benefits to the named beneficiary of a life insurance policy.

On the 17th day of September, 1945, James Arthur Vaughn, a resident of the State of Washington, made application to The California Western States Life Insurance Company, a California corporation, for insurance upon his life.

On the day following, the applicant was given a physical examination by Dr. Cedric Tuohy, who was authorized by the company to perform such service. In the course of the examination, the doctor read certain printed questions aloud to Vaughn from a form furnished by the insurance company, and wrote Vaughn’s answers in the blank spaces left in the form opposite the questions. Upon concluding the questions and the writing of the answers, Vaughn was handed the form, which he looked over and signed as correct. Whether Vaughn read it all, the doctor testified at the trial that he did not know.

Dr. Tuohy also examined Vaughn’s abdomen by hand, examined the chest, heart, •blood pressure, nervous system, urine, pulse and temperature, finding all normal. He endorsed the form to the effect that he found the applicant to be in good health and that he passed the applicant for insurance, and thereupon forwarded it to the company. The fact, that the examining doctor “passed” the applicant does not affect the company’s right to accept or reject the application.

When at the trial the doctor was asked whether or not he would have passed Vaughn had he known of Vaughn’s visits to Dr. James A. Durant, hereinafter set out, he answered in the affirmative.

The money for the insurance premium was paid on the day following the signing of the application, and the case was tried upon the assumption that it was forwarded to the company with the application. The application for insurance was accepted at a later date by the company, and a policy, back-dated to August 23, 1945, was issued and forwarded to Vaughn on October 3, 1945. There is no question in the case as to its delivery.

•Vaughn died on the 19th day of November, 1945, and Carolyn Vaughn, his widow and beneficiary on the policy, forwarded proof of death and demand for payment of the benefits about five days thereafter.

There is nothing in the facts to indicate that any communication passed between the beneficiary and the company after the sending of the notice and the demand, but the company did not pay any part of the bener fits, and, instead, filed suit in the Western District of the United States District Court of Washington, praying that Carolyn Vaughn and the Vaughn minor children (contingent beneficiaries), by their guardian ad litem (Carolyn Vaughn), should be enjoined from bringing suit on the policy, and that the policy should be cancelled. A temporary injunction was granted by stipulation, although those who were enjoined, [947]*947later unsuccessfully petitioned for its release.

One ground alleged in support of the relief sought was that Vaughn had falsely answered material questions contained upon the form used by Dr. Tuohy, for the purpose and intent of securing the insurance applied for, and that had they been truthfully answered, the application would not have been accepted and the policy would not have been issued. Another ground alleged in support of the relief prayed was that the policy, though it was issued, never became effective. The reason for this was that there were three “conditions precedent,” two of which were never met. The application, which by its terms became a part of the policy, provided that the applicant must be in “good health” when the policy was delivered, the applicant had not visited a physician, professionally, between the date of the application and the delivery of the policy, and the applicant had not changed his vocation in such interim. It is alleged that the applicant was not in good health when the policy was delivered and that he had visited, and had been treated by, a physician.

In due time the defendants named in the complaint (the direct and contingent beneficiaries) answered and cross-complained, praying that they be awarded the benefits provided in the policy, to which the plaintiff filed appropriate pleadings.

To a great extent the company relies upon the “incontestable” clause1 of the policy for the right to maintain its suit in equity. The claim is that by its terms, the company’s reasons for withholding payment could not be used as defenses to a suit for collection after the expiration of two years from and after Vaughn’s death. The company conceded that judgment should go to the beneficiaries for the return of the premiums paid and deposited the proper amounts into the court’s registry.

There were several amendments to the pleadings, and so far as we need consider them, the issues of applicable law and of the fact when the case eventually went to trial were: Did Vaughn falsify answers to material questions contained on the form held by Dr. Tuohy ? If he did, were the answers to such questions given with intent to deceive the company in its action on the application; and if so, did they influence the company in accepting Vaughn as an insurance risk? Did the policy ever become effective ?

In due time the beneficiaries requested a jury for the trial of the case, and an order to summon a jury was issued. Thereafter the company moved the court to quash the order on the ground that the case was not in law, but was in equity. The court denied the motion, and the case was tried to the court and jury.

At the conclusion of the taking of testimony, the company moved the court to direct a verdict in its favor upon the ground that the evidence shows conclusively that the policy never became effective, that Vaughn did falsify answers to material questions put to him by Dr. Tuohy from the form, that the false answers were given with intent to influence the company to pass him and issue the policy, and that they had that effect. The court denied the motion.

The court gave instructions to the jury and thereupon submitted the case to the jury, furnishing it with appropriate forms by which its general verdict could be returned. At the same time the jury was requested to answer, three interrogatories, which were thereupon submitted to them in writing. The jury returned a general verdict in favor of the insurance beneficiaries, and answered two of the three interrogatories submitted. The nature of the answer to Interrogatory No. 2 made answer to Interrogatory No. 3 unnecessary.

The interrogatories and answers were as follows:

Interrogatory No. 1: “Did James Alfred Vaughn, in his application, dated Sept. 18, 1945, represent to plaintiff, California Western States Life Insurance Company, with intent to deceive the plaintiff in order to procure an insurance policy on his life, that he had not been examined by a physician ?” Answer: “No.”

[948]*948Interrogatory No. 2: “A. Did. James Alfred Vaughn know that he was not in good health when he signed the application on September 18, 1945?” Answer: “No.” “B. If your answer to (A) above is in the affirmative, did James Alfred Vaughn withhold such knowledge from the plaintiff with intent to deceive said plaintiff?” Answer: -it_»

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165 F.2d 945, 1948 U.S. App. LEXIS 1973, Counsel Stack Legal Research, https://law.counselstack.com/opinion/california-western-states-life-ins-v-vaughn-ca9-1948.