Howard v. Aid Ass'n for Lutherans

272 N.W.2d 910, 1978 Minn. LEXIS 1213
CourtSupreme Court of Minnesota
DecidedDecember 8, 1978
Docket47804
StatusPublished
Cited by25 cases

This text of 272 N.W.2d 910 (Howard v. Aid Ass'n for Lutherans) is published on Counsel Stack Legal Research, covering Supreme Court of Minnesota primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Howard v. Aid Ass'n for Lutherans, 272 N.W.2d 910, 1978 Minn. LEXIS 1213 (Mich. 1978).

Opinion

WAHL, Justice.

Plaintiff Wallace Howard, the named beneficiary of a life insurance policy issued by defendant Aid Association for Lutherans on the life of his son, Avery Howard, appeals from the judgment entered in the Dakota County District Court granting defendant’s motion for summary judgment. Plaintiff not only seeks review of the judgment, the effect of which precludes recovery on the policy, but also of a prior order of the court directing response to a request for admissions and denying his assertion of medical privilege. We affirm.

The underlying facts are not in serious dispute. On February 3, 1974, Leonard Gangelhoff, defendant’s agent and decedent’s future father-in-law, met'with Avery Howard and assisted him in completing a standard application for life insurance in the amount of $25,000. An attached declaration of insurability required the applicant to respond to a series of questions. His responses, which ultimately served as the basis of this action, are set forth in pertinent part as follows:

“(2)(1) Have you ever been treated for or ever had any known indication of excessive use of alcohol, tobacco or any habit forming drug?
“Answer: No.
“(3) Are you now under observation or taking treatment?
“Answer: No.
“(4) Other than the above, have you within the past 5 years:
“(a) Had any mental or physical disorder not listed above?
“Answer: No.
“(b) Had a checkup, consultation, illness, injury, surgery?
“Answer: No.
“(c) Been a patient in a hospital, clinic, sanatorium or other medical facility?
“Answer: No.
“(d) Had electrocardiogram, x-ray or other diagnostic test?
“Answer: No.
“(e) Been advised to have any diagnostic test, hospitalization or surgery which was not completed?
“Answer: No.”

The policy, containing a double indemnity clause, issued thereafter upon defendant’s acceptance of the application.

On May 2, 1975, Avery Howard died as the result of a bullet wound to the head inflicted by a co-worker. While the circumstances of his death are not illuminated by the record, they are not material to this action. However, the violent nature of the death apparently prompted defendant to *912 fully investigate its insured. The investigation disclosed an extensive history of chemical abuse of decedent, including his use of amphetamines, cocaine, and heroin.

Specifically, defendant discovered that Avery had voluntarily entered Hastings State Hospital on January 11, 1972, receiving treatment for multiple drug dependency as an inpatient until April 10, 1972; his recorded prognosis was not favorable. The investigation further revealed sporadic treatment for a period commencing in September 1973 and again in May 1974. Noticeably, decedent’s negative responses to defendant’s inquiries relating to medical treatment and drug abuse were recorded in the midst of his treatment participation. Further, the record evidences that Avery’s dependence upon and use of illicit narcotic drugs was present throughout this period.

1. The first issue raised by plaintiff requires our examination and determination as to whether a misrepresentation of a required disclosure on an insurance application voids the policy without regard to whether the facts misstated ultimately related to the insured’s cause of death.

In general, we have held that an insurer has the option to void an insurance contract once it discovers that the insured has wil-fully made a false representation which is material and which increases the contractual risk undertaken by the insurer. Minn.St. 61A.11. 1 See, also, Mack v. Pacific Mut. Life Ins. Co., 167 Minn. 53, 208 N.W. 410 (1926); Shaughnessy v. New York Life Ins. Co., 163 Minn. 134, 203 N.W. 600 (1925); Taylor v. Grand Lodge A. O. U. W., 96 Minn. 441, 105 N.W. 408 (1910); Mattson v. Modern Samaritans, 91 Minn. 434, 98 N.W. 330 (1904).

A review of authorities analyzing the effect of an insured’s misrepresentation upon the insurer’s coverage obligation reveals two distinct approaches to materiality. Plaintiff urges our adoption of the minority position that coverage may only be defeated when the facts misrepresented specifically relate to the cause of death. See, e. g., Central National Life Ins. Co. v. Peterson, 23 Ariz.App. 4, 529 P.2d 1213 (1975), and National Old Line Ins. Co. v. People, 256. Ark. 137, 506 S.W.2d 128 (1974). He asserts that since there exists no causal connection between a failure to disclose a history of drug abuse and an accidental shooting death, it is consistent with public policy to enforce the terms of the insurance contract.

However, a majority of jurisdictions, including this court, has measured the materiality of a misrepresentation by the extent to which the disclosure influenced the insurer’s decision to initially assure the risk of coverage, not by the degree of causal connection between the false statement and the loss protected by the policy. Neither decisional nor statutory authority in this state requires more than that an insured wilfully misstate necessary information or intentionally mislead the insurer into issuing a policy for coverage. Minn.St. 61A.11. In Shaughnessy v. New York Life Ins. Co., supra, we concluded that false responses to insurance application inquiries precluded recovery under the policy. The facts presented indicated that the deceased insured failed to disclose conditions of anemia and headaches, the latter having been diagnosed as related to syphilis. We held that while the insured’s death was caused by a brain tumor and had no relationship to the matters concealed, the insured was obliged to truthfully detail her medical condition. A breach of that fundamental obligation affects the very essence of the insurer’s decision to offer coverage and was therefore held material.

In conclusion, it is our view that the focal examination must be whether an omission or misrepresentation substantially affects or impairs an insurer’s ability to *913 make a reasonable decision to assume the risk of coverage. See, Empire Life Ins. Co. v. Jones, 14 Ga.App. 647, 82 S.E. 62 (1914). Particularly, as discussed in Hofmann v. John Hancock Mutual Life Ins. Co., 400 F.Supp. 827, 834 (D.Md.1975), relying upon Metropolitan Life Ins. v. Samis, 172 Md. 517, 192 A. 335 (1937):

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Bluebook (online)
272 N.W.2d 910, 1978 Minn. LEXIS 1213, Counsel Stack Legal Research, https://law.counselstack.com/opinion/howard-v-aid-assn-for-lutherans-minn-1978.