Ettman v. Federal Life Ins.

137 F.2d 121, 1943 U.S. App. LEXIS 2766
CourtCourt of Appeals for the Eighth Circuit
DecidedJuly 30, 1943
DocketNo. 12559
StatusPublished
Cited by16 cases

This text of 137 F.2d 121 (Ettman v. Federal Life Ins.) is published on Counsel Stack Legal Research, covering Court of Appeals for the Eighth Circuit primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Ettman v. Federal Life Ins., 137 F.2d 121, 1943 U.S. App. LEXIS 2766 (8th Cir. 1943).

Opinion

SANBORN, Circuit Judge.

The substantial question for decision is whether, under Missouri law, a statement in an application for a policy of limited disability insurance, without death benefits, will defeat recovery upon the policy if the statement was untrue and material but made without intent to deceive, and the insured certified to the truth of the statements made in his application, and the policy provided that “The falsity of any statement in the application, materially affecting either the acceptance of the risk or the hazard assumed hereunder, or made with intent to deceive, shall bar all right to recovery under this policy.” The appeal is from a judgment for the appellee Company in an action on such a policy.

The policy was issued on January 17, 1928, upon the insured’s application dated January 3, 1928. The policy provided for a monthly indemnity of $300 in case of the loss of the sight of both eyes as a result of accident or sickness.1 The insured lost the sight of both eyes in or about 1936, and thereafter demanded indemnity. The Company denied liability, and the insured brought this action. The defense asserted by the Company was, in substance, that the insured lost his eyesight as the result of a degenerative disease of the eyes known as retinitis pigmentosa; that he had this disease when he applied for the policy and had had it for many years prior thereto; that in his application he answered falsely, and with intent to deceive, certain questions; that if the Company had known that the answers were false, it would not have issued the policy; that the application was attached to and made a part of the policy; that, by the terms of the application, the insured certified that his answers to all questions contained in the application were complete and true; and that he agreed, in both the application and the policy, that the falsity of any answer made with intent to deceive or which was material should bar recovery under the policy.

The issues were tried to a jury. At the close of the evidence, both sides moved for a directed verdict. The court submitted the case to the jury. The theory upon which it was submitted is illustrated by the following portions of the court’s charge:

“You will find for the plaintiff, unless you find that the plaintiff had retinitis pigmentosa on January 3, 1928, when the application for this insurance was made; and, second, that, having retinitis pigmentosa he, by his answers to questions in his application for this insurance, stated, either, first, that he did not have and never had had any disease of either eye, or any difficulty with his eyesight; or, second, that he had not within ten years consulted any physician for any disease or difficulty with his eyesight; or, third, that he had never had any serious illness except an appendectomy and herniotomy, and had not been under observation, care or treatment, except for appendicitis and hernia; or, fourth, that Dr. Hart was the last physician consulted by him; or, fifth, that he had no usual medical examiner * * * or, sixth, that he had not been in a hospital or sanir tarium, asylum, or similar institution, except for appendicitis and a hernia, and if you find such facts, and if you find that [123]*123such statements, if any, were actually made, and that any of them were false, and that such statements, if any, which were made were false, misrepresented some matter which actually contributed to the disability for which plaintiff seeks recovery, then you may find that the defense asserted by the defendant has been sustained.
* * * * *
“* * * You will notice that in the instruction that I gave you as to the necessary elements for recovery, I said nothing about any requirement that plaintiff should have fraudulently or dishonestly made a statement, in order to justify a verdict for the defendant. I can tell you simply that, as far as the issues are concerned in this case, under the law no fraud or dishonesty is involved one way or another. The simple questions are as I gave them to you heretofore.”

The insured excepted to the failure of the court to submit to the jury the issue whether the answers of the insured to the questions referred to in the charge were fraudulently made. He also excepted to the court’s submitting to the jury the issue whether the answers to questions in the application relative to consulting physicians and relative to hospitalization were false and material. The basis for this exception was that, as a matter of law, the answers to such questions were immaterial.

The jury returned a general verdict for the Company. In view of the court’s instructions, the verdict constituted a determination that the insured, at the time he applied for the policy in suit, had retinitis pigmentosa; that he answered falsely one or more of the questions contained in his application and referred to in the court’s charge; and that the matters misrepresented by the insured contributed to the loss of his eyesight. The verdict was not a determination that the insured knew that he had any eye disease when he applied for the policy or that he was guilty of fraud in making the answers which he made. The insured moved for judgment notwithstanding the verdict and for a new trial. His motions were denied.

The main contentions of the insured are: (1) that, under the evidence and the law, he was entitled to recover; (2) that he did not warrant the truth of his answers; (3) that the Company did not plead or rely upon any warranty that his answers were true; (4) that the Company examined him and knew as much about his condition as he knew himself, and waived any physical defects.

The policy provided:

“This policy is issued in consideration of the statements and agreements contained in the application therefor and the payment of premium as therein provided. Copy of the said application is hereto attached or hereon endorsed and is hereby made a part of this contract. No provision of the charter or by-laws of the Company not included herein shall void the policy or be used in any legal proceedings thereunder.
“The falsity of any statement in the application, materially affecting either the acceptance of the risk or the hazard assumed hereunder, or made with intent to deceive, shall bar all right to recovery under this policy.”

The application for the policy contained the following pertinent language:

“Part I.
“I hereby apply to the Federal Life Insurance Company for a Noncancellable Income Policy with 3 months exclusion period, to be based on the following answers and agreements and also the answers that I shall make to the Company’s Medical Examiner in continúation of this application, such Policy to provide indemnities of $.... None for accidental Loss of Life and $300.-00 per month for disability, * * *.
* * * * * * *
“16. Have you ever had or have you now any bodily or mental infirmity or deformity (including hernia and rupture) or have you impaired hearing, any disease of either eye, lost a limb or the sight of an eye, or are you in any respect maimed or in unsound condition mentally or physically? (Give particulars.) No.
“íjí if? ‡ ^ % %
“19.

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Cite This Page — Counsel Stack

Bluebook (online)
137 F.2d 121, 1943 U.S. App. LEXIS 2766, Counsel Stack Legal Research, https://law.counselstack.com/opinion/ettman-v-federal-life-ins-ca8-1943.