Fruge v. Woodmen of World Life Insurance Society

170 So. 2d 539, 1965 La. App. LEXIS 4640
CourtLouisiana Court of Appeal
DecidedJanuary 5, 1965
Docket1322
StatusPublished
Cited by25 cases

This text of 170 So. 2d 539 (Fruge v. Woodmen of World Life Insurance Society) is published on Counsel Stack Legal Research, covering Louisiana Court of Appeal primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Fruge v. Woodmen of World Life Insurance Society, 170 So. 2d 539, 1965 La. App. LEXIS 4640 (La. Ct. App. 1965).

Opinion

170 So.2d 539 (1965)

Weldon Thomas FRUGÉ, Plaintiff and Appellee,
v.
WOODMEN OF the WORLD LIFE INSURANCE SOCIETY, Defendant and Appellant.

No. 1322.

Court of Appeal of Louisiana, Third Circuit.

January 5, 1965.
Rehearing Denied January 27, 1965.

*540 Leon S. Haas, Jr., Opelousas, for defendant-appellant.

J. Nilas Young, Eunice, for plaintiff-appellee.

Before FRUGÉ, SAVOY and HOOD, JJ.

HOOD, Judge.

Weldon Thomas Fruge instituted this suit against Woodmen of the World Life Insurance Society to recover benefits alleged to be due plaintiff under a life insurance contract issued by defendant. Under this contract defendant insured the life of plaintiff's minor son, Ronald Anthony Frugé, now deceased, and plaintiff is named as the beneficiary. Defendant denies coverage and liability on the ground that in answer to questions contained in the application for this insurance coverage plaintiff made material misrepresentations relating to the health of his minor son, who was the insured.

After trial on the merits, judgment was rendered by the trial court in favor of *541 plaintiff for the sum of $1,000.00, being the full amount of benefits provided in the policy, subject to a credit of $43.23, the last mentioned sum having been deposited by defendant in the registry of the court representing a refund of the premiums which had been paid on the policy plus the court costs which had accrued up to the time the deposit was made. Defendant has appealed.

The sole issue presented is whether plaintiff misrepresented facts relating to the health of his minor son in the application submitted to defendant for this insurance coverage, and, if he did, whether the misstatements were of such a nature as to vitiate the certificate of insurance.

The record shows that plaintiff's son was born on October 14, 1949, with a congenital heart defect known as a leaking heart, and that he continued to have this heart condition up to the time of his death. Within a few weeks after the child was born, however, the defendant issued a life insurance contract or certificate insuring the boy's life, and plaintiff kept that certificate in effect by the regular payment of premiums until the insured was seven or eight years of age, at which time plaintiff voluntarily surrendered the policy for its cash surrender value. The evidence does not show whether the defendant knew of the insured's heart condition at the time the first policy was issued or while it was in effect.

Sometime during the month of October, 1962, which was several years after the first insurance certificate had been surrendered, plaintiff discussed with Norbert L. Miller, sales representative for the defendant insurer, the question of whether defendant would issue another life insurance certificate covering the life of plaintiff's son, who was then thirteen years of age. Plaintiff and Miller differ somewhat in their recollection of what was said about the boy's health at that time. They agree, however, that in that discussion Miller expressed the opinion that the defendant would issue a certificate insuring the life of the boy, especially since the company had previously insured him, and Miller at that time informed plaintiff that he would check into the matter and would let plaintiff know.

On November 6, 1962, Miller called on plaintiff at the latter's home and informed him that the defendant company was willing to issue a certificate of insurance on the life of plaintiff's son. Miller then produced a form of application for a life insurance certificate, and he proceeded to ask plaintiff the questions which were on this form, and Miller wrote the answers on this form as they were given to him by plaintiff. After Miller had completed the form of application he handed it to plaintiff for his signature, and plaintiff proceeded to sign the completed application without reading it.

Pursuant to that application a certificate was issued by the defendant Society on December 1, 1962, insuring the life of plaintiff's minor son, and plaintiff was named as the beneficiary under that insurance contract. The insured died of a heart disease on July 8, 1963, which was less than eight months after the policy was issued.

Among the questions which appeared on the application which plaintiff submitted to defendant for this insurance coverage were the following:

"4. Has the child ever had asthma, pleurisy, pneumonia, tuberculosis (consumption), habitual cough, disease of the heart, meningitis, fits or convulsions, rheumatism, disease of the liver or kidneys, scarlet fever, diphtheria, infantile paralysis, or any other dissease, operation or injury of any kind? If so, state disease or injury, explain fully, giving date of complete recovery and name and address of attending physicians.
"5. Has the child any physical or mental weakness or deformity? If so, explain.
*542 "7. Is the child now in good health to the best of your knowledge and belief?"

Miller wrote "No" in response to questions 4 and 5, and he wrote "Yes" in response to question 7. Defendant contends that these answers were false, and that they constituted willful misstatements which materially affected either the acceptance of the risk or the hazard assumed by the insurer, and that the false answers or misstatements had the effect of vitiating the contract of insurance.

Plaintiff testified that he became aware of his son's heart condition a few weeks after the birth of the child, and that he knew that his son still had that condition in November, 1962, when he submitted to defendant a formal application for the aforementioned insurance coverage. He further stated, however, that while discussing this matter with Miller a few weeks before the formal application was completed, he informed Miller, "that the boy still had the heart condition, and that whenever he exerted too much or exercised too much, * * * that his body would turn blue, and that he could not participate in any sports, rugged sports * * *". He further testified that while the application was being filled out on November 6, 1962, Miller asked him the questions which are quoted above, and that plaintiff then again informed Miller fully of his son's existing heart condition. He stated that when Miller finished writing answers to the questions contained in the form, he handed the completed application to plaintiff, and that plaintiff signed the application without reading it over. Plaintiff testified that he did not know what answers had been written in response to the abovementioned questions until after defendant had refused payment of the benefits allegedly due under the contract following his son's death.

Defendant's agent, Miller, acknowledges that while discussing the matter with plaintiff in October, 1962, plaintiff told him that his son "was born with a leaking heart," but he does not recall plaintiff telling him that the heart condition still existed. He states that it was his understanding that the boy had not had any more trouble with his heart and that he was then in good health, although he admits that he does not remember plaintiff making any statement to that effect.

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Bluebook (online)
170 So. 2d 539, 1965 La. App. LEXIS 4640, Counsel Stack Legal Research, https://law.counselstack.com/opinion/fruge-v-woodmen-of-world-life-insurance-society-lactapp-1965.