Hamer v. Globe Mutual Life Insurance

243 Ill. App. 109, 1926 Ill. App. LEXIS 149
CourtAppellate Court of Illinois
DecidedDecember 29, 1926
DocketGen. No. 31,072
StatusPublished
Cited by6 cases

This text of 243 Ill. App. 109 (Hamer v. Globe Mutual Life Insurance) is published on Counsel Stack Legal Research, covering Appellate Court of Illinois primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Hamer v. Globe Mutual Life Insurance, 243 Ill. App. 109, 1926 Ill. App. LEXIS 149 (Ill. Ct. App. 1926).

Opinion

Mr. Justice Thomson

delivered the opinion of the court.

By this appeal the defendant company seeks to reverse a judgment for $2,213.80, recovered against it by the plaintiff in an action brought by the latter in the circuit court of Cook county, based upon an insurance policy issued by the defendant company to the plaintiff’s husband. The issues were submitted to the trial court without a jury, resulting in a finding for the plaintiff and the entering of the judgment appealed from.

In support of its appeal the defendant contends that the trial court erred in denying its motion for a finding in its favor, at the close of the plaintiff’s evidence, on the ground that the plaintiff had failed to make out a prima facie case, inasmuch as she submitted no evidence showing or tending to show that her husband was in sound health on the date of the policy. This contention was based upon a paragraph in the policy which was entitled, “Preliminary Provisions,” which provided that “This policy shall not take effect if the insured, on the date hereof, is not in sound health, or if before its date the insured has been rejected by any company, association, or society, or has been attended by a physician for any serious disease or complaint, or has had before said date any pulmonary disease, chronic bronchitis, cancer or disease of the heart, liver or kidneys, unless otherwise stated in the application, copy of which is hereto attached as evidence thereof, or if payable to a person having no insurable interest in the life of the insured.” It is the defendant’s position that this paragraph, being included in the policy itself, it was a necessary part of the plaintiff’s prima facie case to show that her husband was in sound health on the date of the policy. It is the contention that the sound health of the insured on the date of the policy was a condition precedent, within the definition of that expression as set forth in the textbooks on the law of insurance, referring to the subject. Cooley’s Brief on the Law of Insurance, Vol. 2, p. 1151; 1 Joyce on Insurance, secs. 97a, 1951a.

In the first place it should be noted that although the plaintiff alleged in her declaration that her husband, “during his lifetime, in all respects complied with the conditions of the policy of insurance,” the defendant did not file a plea of the general issue, but, by a special plea, alleged that the policy provided that it would not take effect if the insured, “before or on the date of the policy, was not in sound health,” and then averred that “the insured was not in sound health upon the date of the policy but on the contrary was in unsound health, and that the policy never took effect.” This pleading would indicate that the defendant was treating this matter as an affirmative defense, on which it had the burden of proof.

In support of its contention the defendant cites Daniels Motor Sales Co. v. New York Life Ins. Co., 220 Ill. App. 83, and other similar cases. There the contract of insurance contained a clause appearing in the application, which presumably was signed by the insured, in which the latter agreed “that the insurance hereby applied for shall not take effect unless the first premium is paid and the policy delivered to and received by me during my lifetime and good health.” It was provided that the application should form a part of the contract of insurance. It was held that the clause quoted amounted to a condition precedent making it incumbent upon the plaintiff to prove affirmatively that the insured was in good health at such time, before it could recover upon the policy.

In our opinion the “Preliminary Provisions” paragraph appearing in the policy involved here may not reasonably be given that effect. A document appearing in this record, and referred to by counsel for the defendant, at the time it was offered, as “the regular application, ’ ’ contains a number of questions with the answers given by the insured and written down by the medical examiner and thereafter signed by the insured. One of these was, “Are you now in sound health?” The answer given was, “Yes.” Another question was whether the insured was or had even been affected by any of 17 specified diseases, to which the answer given was, “No.” Another question asked the insured was whether he had ever had any serious illness or disease other than such as may.have been specified in the answer to the question just referred to, and the answer was, “No.” Another question asked the insured was when was he last attended by a physician and the answer given was, “Eighteen years ago. ’ ’ The insured was then asked for what complaint he was then treated and he answered, “Abdominal pain.” It was said by the Supreme Court in Continental Life Ins. Co. v. Rogers, 119 Ill. 474, that “the rule seems to be well settled in this State that it is not necessary for the plaintiff, in an action on the policy, to either allege or prove such matters as appear in the application, only. To be availed of as a defence, without regard to whether they are warranties, or representations, merely, their falsity or breach by the assured must be set up and proved by the defendant, as a matter of defence.” The statement appearing in the “Preliminary Provisions” paragraph of the policy involved here is merely a statement by the Insurance Company of substantially what the assured agreed to in connection with his application when he signed a statement immediately following the questions and answers above referred to, which statement was to the effect that the parties agreed “that the above questions and answers * * * are material to the risk, and any untrue or false statement or answer made to the examining physician, agent or other person, shall make the policy null and void.” In this statement signed by the assured in connection with his application, he further declared that the answers to the foregoing questions were true and that they were to form the basis of the contract of insurance proposed to be issued and “that if a contract of insurance is issued it shall not be binding on the Association (defendant) unless upon its date and delivery, I shall be alive and in sound health.” It is the long established rule in this State, as pointed out in the Rogers case, supra, that representations or warranties made by the insured, in answer to questions put to him in connection with his application, and making up a part of that application, if in fact untrue, to be availed of by the insurer as a defense, must be set up and proved by the defendant insurer. In our opinion the insurer may not reverse that rule as to burden of proof, by including a clause in the body of the policy which amounts to a restatement in the language of the insurer, of the agreement to which the insured has subscribed in making his application. If such were the effect of a paragraph like the one involved here, and it should be held that by reason of that paragraph appearing in the body of the policy, it was a part of the plaintiff’s prima facie case, in an action on the policy, to show that the insured was in sound health on the date of the policy, it would necessarily also have to be held that for a similar reason it was a further part of the plaintiff’s prima facie case to show that before the date of the policy the insured had not been rejected by any company; had not been attended by a physician for any serious illness; had never had “any pulmonary disease, chronic bronchitis, cancer or disease of the heart, liver or kidneys, unless otherwise stated in the application,” and that the policy was payable to one who, had an insurable interest in the life of the insured.

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Bluebook (online)
243 Ill. App. 109, 1926 Ill. App. LEXIS 149, Counsel Stack Legal Research, https://law.counselstack.com/opinion/hamer-v-globe-mutual-life-insurance-illappct-1926.