Hardin v. Combined Insurance Co. of America

528 S.W.2d 31, 1975 Tenn. App. LEXIS 197
CourtCourt of Appeals of Tennessee
DecidedMarch 26, 1975
StatusPublished
Cited by22 cases

This text of 528 S.W.2d 31 (Hardin v. Combined Insurance Co. of America) is published on Counsel Stack Legal Research, covering Court of Appeals of Tennessee primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Hardin v. Combined Insurance Co. of America, 528 S.W.2d 31, 1975 Tenn. App. LEXIS 197 (Tenn. Ct. App. 1975).

Opinion

OPINION

SANDERS, Judge.

The Defendant has appealed from a decree of the Chancery Court for the proceeds of a life insurance policy which Defendant refused to pay because of alleged misrepresentations as to medical history.

On February 2, 1970, the Defendant, Combined Insurance Company of America, issued its policy of life insurance on the life of Robert L. Hardin for the sum of $2,400.00. It was a non-medical policy which the agent had authority to issue without a medical examination upon collecting a six-month premium. The policy remained in force until the insured’s death on August 19, 1973.

After the death of the insured the Plaintiff, Bertie L. Hardin, as beneficiary, filed a claim for the face amount of the policy, but the Defendant declined to pay on the theory that at the time the policy was issued the insured had made material misrepresentations concerning his prior health and medical care and that such misrepresentations influenced the Defendant’s judgment in issuing the policy and materially increased the risk of loss.

The Plaintiff filed suit in the Chancery Court for Carter County and the case was tried by the Chancellor on oral testimony.

The Chancellor found the issues in favor of the Plaintiff and the Defendant has appealed and assigned error.

The Defendant’s assignment of error is: “The trial court erred in finding material evidence to support the contentions of plaintiff and in awarding benefits under the life insurance policy in view of the material misrepresentations made by the insured in his Application for Insurance when such application was attached to and made a material part of the policy, and when the medical history and treatment misrepresented, as a matter of law, increased the insurer’s risk of loss.”

The proof shows that on the day the policy was issued the Defendant’s agent, Mr. Chester R. Gillis, went to the home of the Plaintiff and the insured for the purpose of trying to sell both of them a life insurance policy. After some discussion among the agent, the insured and his wife, it was decided that the Plaintiff would take out a policy of insurance on the life of the insured and that she would pay the premium and own the policy.

Before the policy could be issued it was necessary that certain information concerning the insured’s health and medical history be furnished and recorded on the policy. In the interview the Plaintiff and/or the insured gave the agent the information concerning the insured’s medical history and the agent recorded certain information on the application.

After the application had been filled out it was signed by the Plaintiff. She issued her check to the agent for $70.00 which was for the first six months’ premium.

The agent issued to her a policy of insurance on the life of the deceased, with a copy of the application attached.

*33 The provisions of the application for insurance, as pertinent here, are as follows:

"I hereby apply for the above-described policy on the basis of the statement regarding the Insured's health given in Part I of this Application and I hereby further apply for the benefits provided under Section A of the policy on the basis of the information regarding the Insured's health given in Part II of this Application."
"PART I — POLICY QUALIFICATION STATEMENT— READ CAREFULLY.
To the best of my knowledge the Insured has not had any advice or treatment for stroke, heart attack or other heart condition, cancer, or any malignant growth within the last five years.
"PART II — SECTION A QUALIFICATION QUESTIONS.
2. Within the last 5 years, has the Insured consulted a physician for a checkup, physical defect, or for any nervous or mental disorder, injury, or sickness? .Yes
3. Does the Insured now have any physical defect, nervous or mental disorder, injury or sickness? .Yes Explain below a 'YES' answer to Questions 2 or 3; ..."

The explanation to Question 2 is shown to be that the insured had a physical examination in December, 1971, but he had no surgery nor was he still under medical treatment.

The only explanation as to the answer of Question 3 was that the insured was a diabetic.

At the bottom of the application, immediately above the signature of the applicant or owner, it says:

"IMPORTANT READ CAREFULLY — I represent and affirm the following:
"A. I have read the statement in Part I of this Application and it is true to the best of my knowledge.
"B. The information I have given as recorded on this Application is true and complete to the best of my knowledge."

Just below this it was executed by the Plaintiff signing the name of the insured.

The application shows that within the past five years the insured had not had any advice or treatment for stroke, heart attack or other heart condition nor did he have any physical defects except being a diabetic. He had a physical examination in December, 1971, and was not under any medical treatment.

The proof shows this information to be inaccurate and incomplete. The proof shows the insured had been retired from his employment with Beaunit Fibers due to total permanent disability beginning December 29, 1970.

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Bluebook (online)
528 S.W.2d 31, 1975 Tenn. App. LEXIS 197, Counsel Stack Legal Research, https://law.counselstack.com/opinion/hardin-v-combined-insurance-co-of-america-tennctapp-1975.