Franz v. United States Casualty Co.

49 F. Supp. 267, 1943 U.S. Dist. LEXIS 2869
CourtDistrict Court, E.D. Louisiana
DecidedMarch 22, 1943
DocketCivil Action No. 505
StatusPublished
Cited by7 cases

This text of 49 F. Supp. 267 (Franz v. United States Casualty Co.) is published on Counsel Stack Legal Research, covering District Court, E.D. Louisiana primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Franz v. United States Casualty Co., 49 F. Supp. 267, 1943 U.S. Dist. LEXIS 2869 (E.D. La. 1943).

Opinion

CAILLOUET, District Judge.

This suit was originally brought in the proper State court by a Louisiana resident, as designated beneficiary of the insured under the terms of a $5,000 accident insurance policy issued by the defendant to the late Patrick Joseph McMahon, Sr.

Removal to this Court, of proper venue and jurisdiction, was effected by the defendant foreign insurance company, which has its domicile in New York, but conducts business in Louisiana, with due legal authorization therefor, and trial was had in due course, without jury.

The deceased insured made written application for the insurance policy in question on September 29, 1939, and his death occurred on December 28, 1940. One Fred H. Hauler presented said application to the defendant, United States Casualty Company, through its general agents in New Orleans, Calhoun & Barnes, Inc.; such application was so presented upon the company’s stock printed form, which bore its corporate name and New York address, and all answers of the applicant to said form’s printed questions were typewritten, presumably as they were made to Hauler by McMahon, who appears to have then signed the completed application.

The policy was thereupon issued, without examination of applicant, by United States Casualty Company, as of date September 29, 1939, by and through Calhoun & Barnes, Inc., its general agents specially authorized so to do; and was for the term of one year, but renewable, with the consent of the insurer, for like successive terms of one year ending on September [269]*26929th; however, the insurer was at liberty to cancel the policy at any time by simply notifying the insured, in writing, to that effect and then and there returning him any unearned portion of the advance yearly premium actually paid by him.

The policy, by its terms, insured against loss, including death, “resulting directly and independently of all other causes from bodily injuries sustained during the term” of the policy and “effected solely through accidental means”.

In due course, Calhoun & Barnes, Inc., in the declared capacity of authorized representative of United States Casualty Company, issued a policy renewal certificate (upon the company’s stock form, bearing its name and New York address) declaring the continuance of the policy in force for twelve months effective from noon, September 29, 1940.

On December 27, 1940, the insured Patrick Joseph McMahon, Sr., at about 1 P.M. (he being then completing his return to his place of business from his noon-day lunch at his family residence, located approximately a mile away), in getting out of his automobile, through the right front door, on to a concrete pavement, slipped or stumbled, which caused him to fall backwards, striking the rear of his head upon the pavement with such force as to immediately render him unconscious; so testified the one eye-witness to the accident. The insured’s death occurred at about 10 P.M., on the next day, despite prompt hospitalization and medical care, and on the succeeding day, at 11 A.M., an autopsy was held by the deputy coroner of Orleans Parish, who testified, on the trial, that the insured had suffered a major fracture of the skull •extending along and within the suture line •of the occipital, parietal and temporal bones, from the left to the right side of the head, and that the cause of death was hemorrhage and shock, his examination having revealed marked subdural hemorrhage and there being no evidence what•ever of death from any of other possible • causes suggested by the defense, for either the death or the prior fall; as, for instance, apoplexy or heart disease. The burial took place on December 30, 1940, immediately following church funeral services held at 11 A. M.

The law of Louisiana is to the effect that whenever a life, health or accident insurance corporation issues (as here) a : policy or contract of insurance without medical examination of the assured by a physician and the agent of said insurer has had opportunity to ascertain the true condition of the health, habits or occupation of such assured, it shall be presumed that •the knowledge acquired, or which might have been acquired by the exercise of reasonable diligence on the part of the insurer’s agent in securing the application, has actually been disclosed to said insurer; and is further to the effect that it shall be presumed, as well, that the insurer corporation has waived its rights to claim a forfeiture of the policy based on the ground that the assured did not make true and full answers in the application as to health, habits or occupation, whenever it appears that the agent of the insurer knew, or might have ascertained with reasonable diligence, the true condition of the applicant’s health, or the real facts as to his habits or occupation; such knowledge of the insurer’s agent in writing the application, or of its collector in collecting the premiums from the assured, being imputed as notice to said insurer of the true condition of the health, habits or occupation of the assured. 3 Dart’s La. General Statutes (1939) § 4118, p. 124, Act 97 of 1908, as amended by Act 195 of 1932, Sec. 1.

The Supreme Court of Louisiana, in Massachusetts Protective Association v. Ferguson et ux., 1929, 168 La. 271, 121 So. 863, had this to say with reference to the purpose of the legislation in question, viz. [121 So. 866]: “The obvious purpose of the statute is to eliminate from judicial consideration all allegations of fraud by insurance companies when called upon to comply with their insurance contracts issued without any medical examination in regard to certain preliminary matters of which, through its agent, it has acquired, or might reasonably have acquired, knowledge prior to entering into the contract. According to the plain provisions of the legislative act, an insurance company cannot claim, in such cases, the forfeiture of the policy on the ground of misrepresentation. To permit it to do so by merely alleging that the insured is guilty of fraud in failing to make true and full answers in his application for insurance would nullify the statutory provisions. * * * In the instant case, the insurance company contracted with full knowledge of our statutory law, and is, therefore, in no position to urge fraud against the claim of the defendant, who is invoking its beneficial provisions.”

[270]*270It is to be noted that there the suit was one by the insurer against the living assured to cancel a certain health and accident policy issued to him some 27 months before; the suit being based upon alleged false statements of the assured, touching the condition of his health, made in his application for the policy, which was issued without medical examination.

Here, the suit is one by the beneficiary under the policy issued by United States Casualty Company to the now deceased assured, and twelve months after such issuance renewed with its consent, although the insurer enjoyed the right, at will, to cancel said policy at any time, with no other obligation resting upon it except to then and there refund the unexpended portion of the advance yearly premium actually paid by the assured.

In the later case of Eagan v. Metropolitan Insurance Company (In re Eagan), 1935, which was before the Supreme Court on a writ of review from the Court of Appeal for the Parish of Orleans, 155 So. 69 (the judgment of which it reversed, 181 La. 16, 158 So.

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Bluebook (online)
49 F. Supp. 267, 1943 U.S. Dist. LEXIS 2869, Counsel Stack Legal Research, https://law.counselstack.com/opinion/franz-v-united-states-casualty-co-laed-1943.