Comer v. World Insurance Co.

318 P.2d 916, 212 Or. 105, 1957 Ore. LEXIS 206
CourtOregon Supreme Court
DecidedNovember 27, 1957
StatusPublished
Cited by24 cases

This text of 318 P.2d 916 (Comer v. World Insurance Co.) is published on Counsel Stack Legal Research, covering Oregon Supreme Court primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Comer v. World Insurance Co., 318 P.2d 916, 212 Or. 105, 1957 Ore. LEXIS 206 (Or. 1957).

Opinions

[107]*107ROSSMAN, J.

This is an appeal by the defendant, World Insurance Company, from a judgment which the circuit court entered in favor of the plaintiff upon a policy of health and disability insurance which the defendant-appellant issued to the plaintiff as the insured October 14, 1949. The challenged judgment was preceded by a verdict in the plaintiff’s favor. The complaint alleged that the event insured against occurred and that the defendant, after paying the plaintiff $566.66, refused to make further payments, although more became due. The challenged judgment awarded the plaintiff $1,600, an attorney fee, and costs.

The answer charged that the plaintiff induced the defendant to issue the policy by making, through the medium of the application for insurance, fraudulent representations concerning his health and medical history. In Comer v. World Insurance Company, 212 Or 98, 318 P2d 913, this day decided by us, we summarized the alleged false representations as set forth in the defendant’s cross-complaint. In the defendant’s “second defense” to the complaint filed in this action, the defendant made the same charges. It repeated them in a counterclaim in which it sought judgment against the plaintiff for $566.66, sums which it had paid to the plaintiff as disability payments before it discovered, so it claims, that the statements which the plaintiff had made in the application concerning his health were false. Since the alleged false representations are reported in Comer v. World Insurance Company, supra, we will not repeat them in this opinion.

The reply denied all allegations which charged that the plaintiff made fraudulent representations to the defendant. It admitted “defendant, World Insurance Company, attached said application to said insur[108]*108anee policy and that the same is a part of Exhibit ‘A’ hereto.” The exhibit just mentioned is a copy of the policy. The reply, referring further to the second defense, said: “Admits Paragraph III.” The latter reads as follows:

“On or about 14 October 1949, defendant delivered a copy of said application to plaintiff, with, and as a part of, said policy.”

Thereby the plaintiff concedes that the defendant made the application a part of the policy and delivered a copy of the conjoined instrument to him. The policy became effective October 14, 1949, at noon. As we have just seen, the plaintiff acknowledges that he received on that day a copy of the application. The importance of the admissions just noted will later become apparent. The reply to the counterclaim denied its averments, but admitted that defendant had paid to the plaintiff upon the policy “certain sums”; it did not disclose the amounts.

The application, which was short, read in part as follows:

“Do yon hereby apply to the World Insurance Company of Omaha, Nebraska, for a Lifetime Disability Benefit Policy, to be issued solely and entirely in reliance upon the written answers to the following questions which you adopt as your own and represent to be true, full and complete, and do you agree and understand that this application shall not be binding upon the Company until accepted by the Company? . . . Yes.
“9. Are you sound physically and mentally to the best of your knowledge and information? . . . Yes.
“10. Have you ever had any of the following diseases: * * * Heart Disease? . . . No. High or low blood pressure? ... No. Disease of the [109]*109brain or nervous system? ... No. * # * Stomach or gallbladder trouble? ... No. If so, give details.
“11. Have you received medical or surgical advice or treatment or had any local or constitutional disease within the past five years ? . . . No.”

The plaintiff concedes that about six months before the policy was issued he received medical treatment from two Salem physicians, that he was hospitalized for five days and that a physician, who specialized as a neurologist, gave him six electric shock treatments. While he was receiving the therapeutic treatments just mentioned he lost five months’ employment.

To the extent that the answers which we quoted from the application are at variance with the facts just recounted, the plaintiff concedes their falsity. He contends, however, that he related the true facts to the defendant’s agent before signing the application. He submits that the agent, and not himself, was responsible for the erroneous information which the application contains.

The defendant admits that on August 4, 1951, when all current premiums upon the policy had been fully paid, the plaintiff met with an accident whereby he became entitled to receive the monthly sums provided by the policy if its defense of fraud lacks merit. After it had paid him $546.66 in monthly installments [it had previously paid him $20 upon another claim] it contended that it discovered that the application included false answers and refused to make further payments.

The defendant-appellant presents sixteen assignments of error. We shall now consider those which are based upon the parol evidence rule and the defendant’s motion for a directed verdict.

In March, 1949, about six months before the policy [110]*110was issued, abdominal discomforts which the plaintiff experienced caused him to consult Dr. Merle Brown, in Salem, one of the two physicians whom we have mentioned. Dr. Brown diagnosed the plaintiff’s maladies as an intestinal fecal impaction causing an obstruction, hemorrhoids and a marked anxiety tension state. Comer was hospitalized for five days, during which the intestinal obstruction was cleared. Although the patient’s physical state was thereby improved, his mental condition was not. After Comer’s discharge from the hospital, Dr. Brown administered, during five office calls, treatment for anxiety, to which the patient did not satisfactorily respond. April 16, Dr. Brown referred Comer to Dr. Paul Wolfe, a neurologist. The latter is the other physician to whom we have referred. Dr. Wolfe confirmed the diagnosis of aggravated anxiety, a state of mind which, according to Dr. Wolfe, accounted for the physical ailments. The anxiety symptoms of giddiness, tiredness, muscular tension, neekache and tightness of scalp were “classically present in his case.” Comer was, in Dr. Wolfe’s opinion, a neurotic. In order to alleviate the neurosis, Dr. Wolfe subjected Comer to six electric shock treatments in June, 1949. His response to the treatment was favorable, but his condition did not improve sufficiently to satisfy the neurologist. After a series of home and office calls, Comer, on August 10, 1949, allowed the professional relationship with Dr. Wolfe to lapse.

A month or so after he had discontinued Dr. Wolfe’s services, Comer communicated with the defendant, inquiring for information about its policies which afforded health and accident indemnity. His troubles in the preceding months had caused the loss of five months’ employment, and the prospect that this might [111]*111recur was alarming. He and his wife, therefore, decided to investigate insurance protection against income loss. In response to their inquiry, one George E. Dayton, an agent of the defendant, called upon the Comers October 6, 1949. What transpired there is the subject of conflicting testimony, but it is agreed that at that conference Comer signed an application for defendant’s accident and health policy.

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Comer v. World Insurance Co.
318 P.2d 916 (Oregon Supreme Court, 1957)

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Bluebook (online)
318 P.2d 916, 212 Or. 105, 1957 Ore. LEXIS 206, Counsel Stack Legal Research, https://law.counselstack.com/opinion/comer-v-world-insurance-co-or-1957.