Carpenter v. Sun Indemnity Co.

293 N.W. 400, 138 Neb. 552, 1940 Neb. LEXIS 164
CourtNebraska Supreme Court
DecidedAugust 2, 1940
DocketNo. 30826
StatusPublished
Cited by17 cases

This text of 293 N.W. 400 (Carpenter v. Sun Indemnity Co.) is published on Counsel Stack Legal Research, covering Nebraska Supreme Court primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Carpenter v. Sun Indemnity Co., 293 N.W. 400, 138 Neb. 552, 1940 Neb. LEXIS 164 (Neb. 1940).

Opinion

Ebeely, J.

This is an action at law upon a policy of accident insurance by Etta Carpenter, the beneficiary named therein. The amended petition sets forth the making and delivery of the policy of insurance by the defendant “on or about the 28th day of March, 1932,” in which defendant agreed to pay plaintiff $10,000 in the event of the death of Harry Lyman Carpenter (the husband) “provided said death was caused solely and exclusively by bodily injury sustained solely through accidental means.” A copy of the policy is attached to and forms a part of the petition. The occurrence of an accident is alleged to have taken place on July 22, 1937, and as a result of the injury then received, “and by reason thereof, the said Harry Lyman Carpenter died on or about the 16th day of April, 1938.” The substantial compliance [554]*554with the terms and conditions of the policy is alleged, followed by the usual prayer for judgment.

The defendant’s answer, in addition to a general denial, sets forth as a defense that the application for insurance signed by Harry Lyman Carpenter, in addition to numerous questions answered by him to the effect that he had no disqualifying illness or physical defects, contained the following questions and answers thereto made by said applicant, viz.: “28. ‘Are you otherwise in sound physical condition?’ To which the insured answered‘Yes.’ 29. ‘Have you within the past five years had medical or surgical advice or treatment or any departures from good health? If so state when and what and duration.’ To which the insured answered ‘None’ in the first application, and answered ‘No’ in the second application. 30. ‘Have you ever had or ever been advised to have an operation?’ To which the insured answered ‘No.’ That said answers and each of them were untrue as the insured in the year 1910 had had a serious attack of osteomyelitis in the right leg, at and below the knee; that said disease was so severe that it required medical and surgical attention; that the insured was operated upon at said time and a large part of the bone removed; that said disease and operation left said leg in a weakened condition; that said disease became latent and rendered said leg extremely susceptible to injury and a recurrence of said disease, and that the insured at all times had to protect said leg with an extra covering, pad or bandage, and at intervals consulted a physician and surgeon with reference thereto. * * * That the answers so made by the insured in answer to said questions in each of said applications materially affected the acceptance of the risk and the risk to be assumed by the company; that the said policy was issued by reason of said statements and in reliance thereon and not otherwise; that the answers were untrue and were made by the insured, Harry Lyman Carpenter, with intent to deceive defendant; that defendant relied upon and believed the truthfulness of such answers and information and was deceived to its injury.” Defendant further alleged that plaintiff’s recovery [555]*555was negatived under the facts in the case by the policy provision excluding “loss caused or contributed to directly or indirectly by disease or infirmity” and also by the provision of the policy that, “C. Reimbursement will not be made for any disability or operation which is necessitated by a bodily condition contracted or existing prior to the issuance of this policy.” Defendant also alleged, at length, that no written notice of injury was given as required by the terms of the policy; and also that the amount of the premiums received by defendant, to wit, $417.45, was tendered into court for the use of plaintiff.

To this answer plaintiff replied setting forth a general denial; that the application for insurance and the answers of the insured upon which defendant’s defense is predicated are not a part of the contract sued upon; and further alleged that the injuries which were received on account of said accident of July 22, 1937, were apparently trivial in their nature, and remained in that condition until said insured was taken to the hospital on or about November 29, 1937, when he became incompetent to give notice, and his daughter thereafter in due time gave notice; and that defendant’s agent, R. M. Kirk, who took the application from Harry Lyman Carpenter, on which the policy in suit was issued, had actual notice of said accident and the condition of said Harry Lyman Carpenter resulting therefrom.

On these issues there was a trial on the merits to a jury, who, after hearing the evidence, returned a verdict for plaintiff as prayed. The defendant’s motion for a new trial was presented and overruled,, from which order it presents this appeal.

The contractual provisions contained in the insurance policy here in suit, as well as the statements, representations and warranties contained in the ápplication therefor, are to be construed to comply with the terms of, and in harmony with, the following statutory provision, viz.: “No oral or written misrepresentation or warranty made in the negotiation for a contract or policy of insurance by the insured, or in his behalf, shall be deemed material or defeat [556]*556or avoid the policy or prevent its attaching unless such misrepresentation or warranty deceived the company to its injury. The breach of a warranty or condition in any contract or policy of insurance shall not avoid the policy nor avail the insurer to avoid liability unless such breach shall exist at the time of the loss and contribute to the loss, anything in the policy or contract of insurance to the contrary notwithstanding.” Comp. St. 1929, sec. 44-322. See, McCleneghan v. London Guarantee & Accident Co., 132 Neb. 131, 271 N. W. 276.

So far as the alleged false statements of the assured quoted in its answer are concerned, the defendant by its pleading interprets them as representations and not as warranties. This construction is accepted as the law of this case. Aetna Life Ins. Co. v. Rehlaender, 68 Neb. 284, 94 N. W. 129. The present proceeding is not a trial de novo but is in the nature of a proceeding in error. If, therefore, the record here presented discloses that the litigable issues involved were submitted to the jury by proper instructions, the verdict against the insurance company will not be set aside if there is competent evidence to sustain it. The burden of proof on questions of falseness and materiality of the “answers” contained in the alleged application for insurance upon which defendant relies is imposed upon the defendant in view of the form of the issues tendered by it.

The sole basis for defendant’s contention as to the falsity of the answers quoted rests upon the claim that Mr. Carpenter suffered from an attack of osteomyelitis in 1910, which fact, it is in substance alleged, he, in effect, fraudulently concealed by his replies to the questions quoted in the application of March 28, 1932. However, while the assured was specifically inquired of in that application, as to whether he “had any of the following: Epilepsy, syphilis, vertigo or dizziness, diabetes, tuberculosis, mental disorder, disease of brain or nervous system, pyorrhea, disease of heart or blood vessels,” etc., this application, which is on a form provided by the insurer, contains no direct reference to osteomyelitis, and there is no connection between the [557]*557questions answered by the assured and that particular disease, unless it is to be found in the alleged “operation” claimed to have been undergone by the assured in 1910.

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Bluebook (online)
293 N.W. 400, 138 Neb. 552, 1940 Neb. LEXIS 164, Counsel Stack Legal Research, https://law.counselstack.com/opinion/carpenter-v-sun-indemnity-co-neb-1940.