Ivory v. Reserve Life Insurance Company

101 N.W.2d 517, 78 S.D. 296, 1960 S.D. LEXIS 14
CourtSouth Dakota Supreme Court
DecidedMarch 11, 1960
DocketFile 9789
StatusPublished
Cited by11 cases

This text of 101 N.W.2d 517 (Ivory v. Reserve Life Insurance Company) is published on Counsel Stack Legal Research, covering South Dakota Supreme Court primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Ivory v. Reserve Life Insurance Company, 101 N.W.2d 517, 78 S.D. 296, 1960 S.D. LEXIS 14 (S.D. 1960).

Opinion

ROBERTS, P. J.

This action was brought against the Reserve Life Insurance Company by plaintiff -claiming indemnity for hospital and surgical expenses. Plaintiff had a verdict for $734 and defendant appeals from the judgment rendered thereon.

Defendant denied liability in its answer alleging that plaintiff made certain false and fraudulent statements in *298 his application, for tlhie insurance upon which the defendant had relied and that if his answers to questions in the application had been truthful the policy would not have been issued. George Goetz, an agent represientating the defendant 'company, solicited plaintiff for the sale of a policy. On January 26, 1956, plaintiff signed ¡an application which includes the folio wing questions and answers:

“6. Are you and all other members of the Family Group to be insured now in good health and free from any physical or mental defect? Yes
“8. Have you, any member of the Family Group to be insured, ever had any disease of the heart, lungs, kidneys, stomach, or bladder; or high blood preasure, paralysis, arthritis, syphilis, Cancer, diabetes, hernia, goitre, or rectal disease? No. * *
“9. Have you, or any member of the Family Group to be insured, received medical or surgical advice or treatment within the past three years? No.”

Defendant company accepted the application and issued to plaintiff a policy without a medical examination. Plaintiff testified that in 1936 he consulted a physician. The doctor informed him that be had a duodenal ulcer and prescribed the taking ¡of Sippy powders. Because of this ailment, plaintiff was1 discharged from the army in September, 1943. About a year later, corrective surgery for the duodenal ulcer was performed. Plaintiff further testified that in the fall of 1953 he went to see a doctor who gave Mm “some tablets laying on bis desk some agent had left” and told him “to take them try thew and he said if they do you any good you can buy them down here” at the drug store. On cross-examination, plaintiff testified:

“Q. Actually, Mr. Ivory, you have told us that you had an ulcer condition since 1936, is that correct? A. That’s right.
*299 “Q. And you’ve 'had these pains ever since that time off and on had you not? A. Yes.
“Q. And you knew that in 1944 you’d had an operation for an ulcer? A. Yes.
“Q. And when you had these pains as you did in ’53 you decided that possibly you were getting to the point where you should look into this thing again, isn’t that correct? A. Yes.
“Q. So that you Went to Dr. Kegaries and consulted him in connection with this condition, right? A. Yes.
“Q. Now you attributed -these pains to the fact that you had had this previous condition of an ulcerated stomach or intestine, didn’t you? A. Yes.
“Q. And Dr. Kegaries confirmed that for you. A. Yes.
“Q. So that in 1953 on the occasion you have told us about when you went t'o -see Dr. Kegaries you knew that you had ulcer. A. Well, I wouldn’t necessarily say I had an ulcer, no, at that time. I had an ulcer 'before.
“Q. Well, you just told me, Mr. Ivory, that you attributed these gas pains to an Ulcerated stomach or intestine? A. Yes.
“Q. Yes. So that in your mind at least you were pretty well convinced you probably had an ulcer, weren’t you? A. Why, sure.”

Plaintiff and his wife testified that plaintiff told the soliciting agent Goetz thait he had had an u'lcer and about the operation in 1944, and that he would “take out” a policy “providing there are no riders”. In January, 1958, plaintiff suffered a severe ulcer attack, entered a hospital and -an operation was performed and it is in this -Connection that the claim in the present action was made.

The jury found against the defendant. It is defendant’s -claim that the evidence was such that -it was *300 entitled to a directed verdict. We think it necessary only to consider the effect of plaintiff’s answer to the ninth question. It is the settled law that a material misrepresentation made by an applicant in reliance on wihich a policy is issued to 'him avoids the policy. Damgaard v. South Dakota Benev. Soc., 62 S.D. 533, 254 N.W. 924; Life Benefit, Inc. v. Elfring, 69 S.D. 85, 7 N.W.2d 133; Williams v. Black Hills Benefit Life Ass’n, 70 S.D. 611, 19 N.W.2d 769; see also Hohenthaner v. Mutual Life Ins. Co. of New York, 62 S.D. 8, 250 N.W. 370; Waltner v. Educational Mut. Ben. Ass’n, 66 S.D. 405, 284 N.W. 776. This is the application of the general rule in the law of contracts that where a party is induced to enter into a transaction with another party which he was under no duty to enter by means of fraud or material misrepresentation the transaction is voidable.

An annotation discussing the question of the materiality of a representation as to whether an insured has consulted a physician within a specified time prior to making application for insurance, 131 A.L.R. 618, states: “The importance of a false statement by an applicant for a policy of insurance as to whether he has consulted physicians lies in the fact that be conceals from the insurer the fact of such consultations and thus deprives it of the opportunity of making an independent investigation and of obtaining further information, so as to enable it to decide for itself, in the 'light of the additional information, whether to enter into the proposed contract or what premium to charge.”

The consultation with or attendance by a physician contemplated by a question in an application for insurance refers to a consultation or attendance for such an ailment as would affect the contract and not to include a consultation or attendance for a minor or temporary ailment. See annotation in 63 A.L.R. 846. There could be no question of the serious nature of the ailments and the materiality of the representations in such cases as Damgaard v. South Dakota Benev. Soc., supra, (a heart disease *301 o£ Which the insured died shortly after issuance of policy) and Life Benefit, Inc. v. Blfrimg, supra, (known lump in breast Which proved to be cancer). False representation in an application for insurance is material to the risk if -it is such as would reasonably influence the decision of the insurer as to whether it would accept or reject the risk. Penn Mutual Life Ins. Co. v. Mechanics’ Savings Bank & Trust Co., 6 Cir., 72 F. 413, 38 L.R.A. 33; Metropolitan Life Ins. Co. v. Carter, 252 Mich.432, 233 N.W. 370; Geer v. Union Mut. Life Ins. Co., 273 N. Y. 261, 7 N.E.2d 125; Lawien v. Metropolitan Life Ins. Co., 211 Minn.211, 300 N. W. 823.

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

Related

De Smet Farm Mutual Insurance Co. of South Dakota v. Busskohl
2013 SD 52 (South Dakota Supreme Court, 2013)
Braaten Ex Rel. Estate of Braaten v. Minnesota Mutual Life Insurance Co.
302 N.W.2d 48 (South Dakota Supreme Court, 1981)
Herdman v. National Reserve Life Insurance Co.
209 N.W.2d 364 (South Dakota Supreme Court, 1973)
Norwick v. United Security Life Company
152 N.W.2d 439 (South Dakota Supreme Court, 1967)
Tsosie v. Foundation Reserve Insurance Company
427 P.2d 29 (New Mexico Supreme Court, 1967)
D & P Terminal, Inc. v. Western Life Insurance
250 F. Supp. 388 (D. South Dakota, 1966)
Bushfield v. World Mutual Insurance
123 N.W.2d 327 (South Dakota Supreme Court, 1963)
Bushfield v. WORLD MUT. HEALTH & ACC. INS. CO. OF PA
123 N.W.2d 327 (South Dakota Supreme Court, 1963)

Cite This Page — Counsel Stack

Bluebook (online)
101 N.W.2d 517, 78 S.D. 296, 1960 S.D. LEXIS 14, Counsel Stack Legal Research, https://law.counselstack.com/opinion/ivory-v-reserve-life-insurance-company-sd-1960.