Gillan v. Equitable Life Assurance Society

6 N.W.2d 782, 142 Neb. 497, 1942 Neb. LEXIS 60
CourtNebraska Supreme Court
DecidedDecember 11, 1942
DocketNo. 31397
StatusPublished
Cited by5 cases

This text of 6 N.W.2d 782 (Gillan v. Equitable Life Assurance Society) is published on Counsel Stack Legal Research, covering Nebraska Supreme Court primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Gillan v. Equitable Life Assurance Society, 6 N.W.2d 782, 142 Neb. 497, 1942 Neb. LEXIS 60 (Neb. 1942).

Opinion

Rose, J.

This action was commenced in the county court of Fillmore county by Bertha E. Gillan, plaintiff, to recover from the Equitable Life Assurance Society, defendant, monthly instalments of disability benefits for April and May, 1941, each for $50. The action was defended on the ground that plaintiff procured the policy for disability benefits by false statements in her application for insurance and by false answers to questions in her examination by defendant’s physician.

Thq county court decided the case in favor of plaintiff and entered judgment against defendant for $100. Defendant appealed to the district court.

Plaintiff in her petition pleaded that, in consideration of quarterly premiums of $21.85, defendant issued to- her in January, 1929, a life insurance policy for $5,000. Pursuant to an option therein the policy was converted in January, 1934, into a 20-p-ayment life insurance policy under which plaintiff was entitled to dividends. Each policy contained a provision for disability' benefits of $50 a month and for waiver of premiums by defendant in the event of plaintiff’s total and permanent disability. It was alleged [499]*499that plaintiff became totally and permanently disabled in 1930 and that thereafter defendant paid the monthly instalments of $50 until April, 1941, but refused to make further payments and demanded reimbursement of disability benefits and of dividends previously paid to plaintiff; that the policy remains in full force.

In an answer to the petition, it was alleged that plaintiff procured by fraud the policy issued by defendant to her in January, 1929; that the application therefor, in connection with the medical examination to which she submitted and the history given by her, was the sole basis for the issuance of the policy; that the quarterly premium of $21.85 included quarterly payments of $2.90 for total and permanent disability; that the policy was issued by reason of the application and plaintiff’s false statements of material facts; that, after plaintiff signed the application and before the policy was issued, she was required to appear before a medical examiner of defendant, state every physician or practitioner whom she had consulted or who had treated her during the past five years and to answer the following: Have you ever had or been treated for any disease or disturbance of the stomach, liver, intestines, kidney, bladder, or g’enito-urinary organs?

It is alleged in the answer that these questions were propounded by the medical examiner to plaintiff who answered “none” or “no” to each of them; that the answers were written by him in the part of the insurance contract containing the examination and that the statements were signed by her in his presence. It is further alleged by defendant that the answers to the foregoing questions were material to insurance and disability risks, were parts of the contract and were false in the following particulars: Prior to 1918, plaintiff had a disturbance or disease of the right kidney, which was anchored by a surgical operation, and submitted to an operation for the removal of the right fallopian tube and ovary. On May 14, 1928, she submitted to a surgical operation for the removal of the uterus containing tumors.

[500]*500It is alleg-ed in the answer that plaintiff agreed in writing as a part of her application that “the foregoing answer shall also become part of any policy contract that may be issued on the strength thereof.”

It is also alleged in the answer that the original policy lapsed for nonpayment of a premium and was reinstated and converted into the new policy in reliance on a false certificate by plaintiff that she was in good health and on her false statements in her application and medical examination; that, so relying upon plaintiff’s misrepresentation of material facts, defendant approved her application for total and permanent disability and paid her $50 a month from May 9, 1930, to April 9, 1941, or $6,550, and waived payment of premiums from the date of disability; that defendant did not discover the fraud until April, 1941. In a cross-petition defendant prays for judgment against plaintiff for $6,550, interest and costs.

In a reply to the answer plaintiff denied defendant’s charges of fraud and alleged that defendant furnished its examining physician with' blanks for answers to printed questions for the purpose of the examination; that plaintiff answered truthfully, in the presence and hearing of defendant’s soliciting agent, all of the questions read to her by the examining physician; that the answers alleged by defendant to be false were not the answers of plaintiff but were answers inserted in the blanks by the examining- physician; that plaintiff signed the application without reading it, and did not then know any of her answers had not been correctly reduced to writing and did not discover the discrepancies until her deposition was taken in this case; that she was in good health when the policies containing the provisions for disability benefits were issued.

Upon a trial of the issues, the jury rendered a verdict in favor of plaintiff for $102.40, From judgment therefor, and from dismissal of the cross-petition, defendant appealed to the supreme court.

The principal issue of fact arose on the traversed plea of defendant that insurer was induced by false and mate[501]*501rial statements of plaintiff to enter into the contracts and that otherwise the risks for disability benefits would not have been assumed. On this issue the burden was on defendant to prove that the statements were untrue, that they were made knowingly with the fraudulent intent to mislead and deceive insurer, that they were material to the risks and that the insurer relied on them. Pollard v. Royal Highlanders, 128 Neb. 790, 260 N. W. 399.

Defendant adduced evidence to prove plaintiff falsely stated that she had not consulted physicians within five years; that, contrary k her application and examination, she submitted to an operation for the removal of the right fallopian tube and ovary and to a surgical operation for the removal of the uterus containing tumors. Evidence to this effect came from physicians who performed the operations and from hospital records, plaintiff having waived the protection of confidential relations between physician and patient. Defendant also produced the application and the record of the physician’s examination, signed by plaintiff, containing misstatements of material facts. In addition, officers of defendant testified in effect that, according to custom, the policies would not have been issued, if plaintiff had told the truth in her preliminary statements to procure insurance and disability benefits.

It is argued by defendant that plaintiff is bound by the answers in the application and in the statements which she signed, that they are parts of the insurance and disability contracts, that they cannot be contradicted by parol and that there is no competent evidence, to sustain a verdict in favor of plaintiff. There are precedents for the propositions thus stated. Metropolitan Life Ins. Co. v. Alterovitz, 214 Ind. 186, 14 N. W. (2d) 570, and cases cited in 117 A. L. R. 790 et seq. The weight of authority, however, seems to be to the contrary as shown by the annotator of that case.

Plaintiff testified, in harmony with the allegations of her reply to defendant’s answer, that she did not falsely answer questions in her application, history and medical ex[502]

Free access — add to your briefcase to read the full text and ask questions with AI

Related

Molstead v. Reliance National Life Insurance Co.
364 P.2d 883 (Idaho Supreme Court, 1961)
Hans v. State
22 N.W.2d 385 (Nebraska Supreme Court, 1946)
Equitable Life Assur. Soc. v. Gillan
70 F. Supp. 640 (D. Nebraska, 1945)
McNaught v. New York Life Insurance
18 N.W.2d 56 (Nebraska Supreme Court, 1945)
Gillan v. Equitable Life Assurance Society
10 N.W.2d 693 (Nebraska Supreme Court, 1943)

Cite This Page — Counsel Stack

Bluebook (online)
6 N.W.2d 782, 142 Neb. 497, 1942 Neb. LEXIS 60, Counsel Stack Legal Research, https://law.counselstack.com/opinion/gillan-v-equitable-life-assurance-society-neb-1942.