Fisette v. Mutual Life Ins. Co.

110 So. 880, 162 La. 620, 1926 La. LEXIS 2297
CourtSupreme Court of Louisiana
DecidedNovember 29, 1926
DocketNo. 28170.
StatusPublished
Cited by25 cases

This text of 110 So. 880 (Fisette v. Mutual Life Ins. Co.) is published on Counsel Stack Legal Research, covering Supreme Court of Louisiana primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Fisette v. Mutual Life Ins. Co., 110 So. 880, 162 La. 620, 1926 La. LEXIS 2297 (La. 1926).

Opinions

O’NIELL, C. J.

This is a suit on an insurance policy on the li,fe of the plaintiff’s husband. He obtained two policies for $1,000 each, dated the 14th of April, 1924, and died on the 13th of March, 1925. The other policy was made payable to his estate,' or to his heirs, administrators. or assigns, and was assigned to the Planters’ Bank & Trust Company, plaintiff in another suit.

The company declined to pay, and in defense averred that the cause of death of the insured was chronic dysentery, as certified by the attending physician; that the statements made by the insured regarding the condition of his health, in his application for insurance, dated the 5th of April, 1924, and in his answers given in the medical examination in connection therewith, were false and fraudulent, were known by him to be false, were made with intent to deceive, and were so material to the risk that the company would not have issued, or delivered the policies, if the applicant had stated truthfully the condition of his health. The same defense and similar allegations were made in relation to statements made by the insured in an application “for establishing” the policies, dated the 28th of July, 1924, and in his answers given in the medical examination had in connection therewith; and the defendant averred, on information and belief, that the insured was not in good health when the policies were delivered and the first premium paid, as required in the original application for insurance.

A photographic copy of the original application for insurance, dated the 5th of April, 1924, with the “statements to medical examiner,” was attached to each policy. They were delivered to the insured for his “reading and inspection” soon after the 14th of April, 1924. In the face of each policy, the company acknowledged receipt of the first premium, but, in fact, the premium was not paid within 60 days after the policies were issued, and the insured was therefore required to “establish” the policies. Accordingly, on the 28th of July, 1924, he signed an “application for establishing policy” on a printed form furnished by the company, and was required to stand another medical examination. The “application for establishing policy” contained the following printed clauses, which are important in deciding the case, viz.:

“And I, the undersigned, hereby certify that I am the person insured under said policy and ratify and confirm all the statements made in the application upon which said policy was is *623 sued and warrant that I am and have been of temperate habits, and that since the date of the original application for said policy, except as noted below, my health is and has been good, and has remained unimpaired at all times, that I have not consulted or been treated by a physician or been declined by any life insurance company or association since that date, and that my family record has remained unchanged since that date. [Exceptions noted below.]
“If no exceptions are noted it shall be understood that there is no exception. [No exceptions were noted.]
“In consideration of the placing in force of the said policy, I, the undersigned applicant, agree, for myself and all persons having any interest in said policy, that the said company shall not be liable under the said policy for any amount, if any of the statements made in this application or to the company’s medical examiner for such placing in force- shall be in any respect untrue, and provided that in such a case my death shall occur within two years from the date of such placing in force.”

There was no copy of the so-called “application for establishing policy” .or of the medical examiner’s report in connection therewith annexed to the policy. Therefore, on the trial of the case, the plaintiff’s attorneys objected to the introduction of evidence offered by the defendant to show that statements made by the insured in the “application for establishing policy” w’ere false. The objection was founded upon the fact that there was no copy of the “application for establishing policy” or of the medical examiner’s report in connection therewith indorsed on, or attached to, the policy, as required by the Act 227 of 1916, p. 492, which provides:

“That every policy of insurance issued or delivered within the state * * * by any life insurance corporation doing business within the state shall contain the entire contract between the parties and nothing shall be incorporated therein by reference to any constitution, bylaws, rules, application or other writings unless the same are indorsed upon or attached to the policy when issued; and a}l statements purporting to be made by the insured shall in the absence of fraud be deemed representations and not warranties, and no statement or statements not indorsed upon or attached to the policy when issued shall be used in defense of a claim under the policy unless contained in a written application and unless a copy of such statement or statements be indorsed upon or attached to the policy when issued. Any waiver of the provisions of this section shall be void.”

The district judge did not sustain the objection, but heard and considered the evidence tending to prove that the statements made by the insured in the “application for establishing policy” that his health had been good, and had remained unimpaired at all times, and that he had not consulted, or been treated by, a physician since the date of his original application for the policy, were false, and that the company was therefore not liable under the policy. Having heard the evidence, the judge concluded that there was no false statement made by the insured relating to any material or important fact in the original application for insurance, or in the medical examination, or in the subsequent application for establishing the policy, or medical examination had in connection therewith. The district court therefore gave the plaintiff judgment for the amount of the policy, from which the defendant appealed. The Court of Appeal reversed the judgment, and rejected the plaintiff’s demand. The case is before us on a writ of review.

The judgment of the Court of Appeal (4 La. App. 430) was based entirely upon the court’s ruling that the Act 227 of 1916 was applicable only to the original application for insurance and to the medical examination in connection therewith, and not to the subsequent application “for placing in force,” or the so-called “application for establishing policy,” and, upon the court’s finding that the statements made by the insured in his application for establishing the policy that his health had been good and had remained unimpaired at all times, and that he had not consulted or been treated by a physician since the date of his original application for the policy, were false, and that the company was not liable under the policy because of the *625 stipulation to that effect in the application for establishing the policy. In rendering the opinion, the court said:

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Bluebook (online)
110 So. 880, 162 La. 620, 1926 La. LEXIS 2297, Counsel Stack Legal Research, https://law.counselstack.com/opinion/fisette-v-mutual-life-ins-co-la-1926.