First Texas Prudential Ins. Co. v. Long

28 S.W.2d 220, 1930 Tex. App. LEXIS 479
Court of Appeals of Texas·Decided April 30, 1930·No. No. 8426.·Published·Cited by 6 cases

Opinion

SMITH, J.

On June 20, 1927, the First Texas Prudential Life Insurance Company issued its policy upon the life of Charles Edward Long, in the sum of $2,000, payable to Ella Margrete Long, wife of the assured. Long, the assured, died on June 6, 1928, and, upon the company’s refusal to pay the claim upon ¡proper proof of death, the beneficiary brought this suit and recovered the amount of the policy, as well as for the penalty and attorney’s fees provided by statute. The insurance company has appealed.

As correctly stated in appellant’s brief, the insurance company “pleaded that no obligation rested upon it under the alleged policy, because of material misrepresentations made to it by the assured, Charles Edward Long, in the application dated June 9,1927, for the policy, to the effect, (1) that he did not have and had never had any diseases of the heart; (2) that no medical examiner or physician had expressed an unfavorable opinion as to his health; and (3) that he was then in good and sound condition of health, and that he had agreed in the application that the policy to be issued upon that application should not take effect until delivered to him while in good health and condition, whereas, in fact, the assured, Charles Edward Long, at the time of making the application, was not in good health and condition, but was suffering from acute endocarditis and marked enlargement of the heart, both diseases of the heart, and that he had been afflicted with such diseases prior to the time of his application, and had been informed of his condition by his family physician .prior to that time. The defendant further alleged that the death of Charles Edward Long resulted from and was caused directly by the diseases of the heart from which he was suffering at the time of his application for the issuance of the policy of insurance, and from which he had been suffering prior thereto.

“The case was submitted to a jury, who found, in response to special issues, that the assured was in good health at the time he made his application for insurance; that he was in good health at the time the policy was delivered to him; that no medical examiner or" physician had expressed an unfavorable opinion as to his health prior to that time; that he had never had a disease of the heart prior to the time he made his application for insurance. * ⅜ * ”

The appeal is predicated solely upon the contentions that there was no evidence to support the findings of the jury; that the evidence was not sufficient to sustain said findings; that said findings are contrary to the overwhelming preponderance of the evidence.

The case made appears to have been fully and properly submitted to the jury, whose findings are responsive and sufficient to sustain the judgment, so that there remains nothing to be determined by this court, except the sufficiency of the evidence to'support the jury findings.

It is first contended by appellant that under the evidence the case is indisputably one in which the assured represented in his application to appellant for insurance that he was not then and never had been afflicted with any disease of the heart, whereas, in fact, he had been seriously afflicted with such diseases. Appellant makes a very strong case under this* contention, which we have concluded to overrule only after some hesitation and indecision.

It appears that the assured resided at Port Arthur at the time he made the application, for some time prior thereto, and for several monthsi thereafter. His occupation was that of a “still fireman” for an oil refining company, which employment called for very heavy work. He was an active member of the refinery baseball club prior to, at the time of, and for several months following the taking out of this insurance. Dr. W. S. Grumpier was his family physician, and as such examined him in March, 1927. He testified that from his examination, and from X-ray pictures made at the time, he diagnosed the case as one of certain serious heart troubles described by him, which in his opinion could not be cured by medical treatment; that he administered digitalis to the patient. Dr. O. S. Woodward, an X-ray specialist, made the picture used by Dr. Crumpler in this diagnosis, and corroborated the latter’s findings. These examinations were made and diagnoses arrived at about three months before the assured made application to appellant for the policy here sued on. In this application the assured represented that he did not have and had never had any diseases of the heart, and that the only cause for which he consulted a physician within the next preceding ten years was on February 27, 1927, for treatment of a mild attack of neuritis. The assured died in June, 1928, about a year after the insurance policy was issued to him, of diseases of the heart, apparently similar to those Drs. Grumpier and Woodward testified they discovered in March, 1927. Dr. Woodward testified that he made a “retake” of the assured’s heart in January, 1928, which disclosed a serious aggravation or progression of the conditions portrayed in the original picture taken in March, 1927. In the meantime, and up to that time, Long, the assured, had continued in his work and in his athletic activities, but in January, 1928, his condition became such that he -quit work and went to Bandera for *222 rest and a change. His condition did not improve, he was confined to his bed practically all the time, so that “when he died, why the thing that happened to this aneurism is that it ruptured and the result of that rupture was that the chest flattened out and became normal,” as stated by his attending physician. It is difficult to ■ avoid the force of all this testimony as showing conclusively that Long’s representations in his application for insurance were false, and knowingly false at that time, concerning the prior and then present condition of his1 health. We conclude, however, that there were other facts and circumstances in evidence which, if true, either directly or indirectly controvert the evidence hereinabove set out, at least to the extent of raising issues of fact for the jury to determine. We will refer at length to that controverting evidence, in deference to appellant’s earnest and vigorous presentation of its case.

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First Texas Prudential Ins. Co. v. Long, 28 S.W.2d 220, 1930 Tex. App. LEXIS 479 (Tex. Ct. App. 1930).

28 S.W.2d 220 (First Texas Prudential Ins. Co. v. Long) — published by Counsel Stack Legal Research, free access to 12M+ legal documents.

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