Jackson v. Unity Industrial Life Ins. Co.

142 So. 207
CourtLouisiana Court of Appeal
DecidedMay 16, 1932
DocketNo. 14211.
StatusPublished
Cited by15 cases

This text of 142 So. 207 (Jackson v. Unity Industrial Life Ins. Co.) is published on Counsel Stack Legal Research, covering Louisiana Court of Appeal primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Jackson v. Unity Industrial Life Ins. Co., 142 So. 207 (La. Ct. App. 1932).

Opinions

JANVIER, J.

In a policy of insurance issued to Willie Jackson,' Unity Industrial Life Insurance Company, Inc., agreed that for and in consideration of the specified premium it would insure the life of the said Jackson. In the policy it was stipulated that if Jackson should, during the life of the policy, permanently lose the sight of both eyes, the company would pay to him one-half the face of the policy and would issue to him, without further cost, a paid-up life policy for such amount as would have been payable under the original policy, less the amount already paid for the permanent total disability resulting from total blindness.

Claiming that he has permanently lost the sight of both eyes, and alleging that defendant insurer has refused to comply with the above referred to provision of the policy, Jackson asks for judgment against defendant for $158, with interest .from judicial demand. The claim is made up as follows:

One-half face of policy.$ 61.59

Double indemnity as provided by Act 310 of 1910...... 61.50

Attorney’s fees to which petitioner claims he is entitled under the Act of: 1910, and which he fixes at. 35.00

Total.' $158.00

Judgment below was for $148.

That the policy was issued is admitted, and that Jackson is not totally and permanently blind is well established. Defendant, however, seeks to justify its refusal to pay the claim on two grounds:

(1) That in his application for the issuance of the policy Jackson fraudulently set forth his age as 43, whereas he was, in fact, 53 years old; that the latter age is beyond the maximum age at which defendant accepts applications for insurance.

(2) That Jackson was totally blind at the time he made the said application and fraudu: lently failed to disclose this fact to defendant’s solicitor.

Counsel for plaintiff counters with the following contentions:

(a) That the alleged false statement as to age was neither indorsed upon nor attached to the policy and that, therefore, under section 2 of Act No. 227 of 1916, amending and re-enacting Act No. 52 of 1906, the said statement, even if made -and even if false, cannot be used in defense of a claim made on the policy.

(b) That when the policy was applied for and issued no medical examination was required and, therefore, under Act No. 97 of 1908, the insurer may not set up as a defense any physical defect alleged to have existed at the time the policy was issued, since the agent had full opportunity to ascertain the true condition of the applicant and might with reasonable diligence have ascertained the existence of any such extreme abnormality as total blindness.

(c) That even if such misstatement was made in the application and even if such fraudulent failure to disclose his physical condition was resorted to, nevertheless these facts may not now be availed of by the insurer, since the policy has been in force more than two years; it being stipu’ated in the policy that “this policy shall be incontestable after two years from date, except as stated in condition 5, and for non-payment of premium.”

It is conceded that the premiums were paid and that the exceptions stated in condition 5 ' have no bearing on the present litigation.

Conceding, arguendo, that there was misrepresentation as to claimant’s age, we find that no statement with regard to the age is indorsed on or attached to the policy, and our Supreme Court, in a case which, on this point, cannot be distinguished from the one at bar, in referring to Act No. 227 of 1916, amending and re-enacting Act No. 52 of 1906, said:

“By the provisions of this act-it is necessary that the Statement relied upon as a defen se be contained in a written'application for the *209 policy, and, if it be so contained, then that the statement be indorsed on the policy at the time it is issued, or else that the application containing the statement be attached to the policy at that time.” Whitmeyer v. Liberty Indust. Life .Ins. Co., Inc., 166 La. 328, 331, 177 So. 268, 269.

In Thomas et al. v. Shreveport Mut. Ben. Ass’n, 17 La. App. 412, 415, 136 So. 217, 219, our brothers of the Second Circuit held that the act of 1916 was not applicable to mutual benefit associations, but recognized that, to an insurance corporation, no such defense as is now under discussion is available. They said:

“The plaintiff refers to Act No. 227 of 1916, as announcing the policy of this state that no statement of the insured shall be used in defense of a claim under the policy, unless it is contained in a written application attached thereto.
“We accept this rule of law as governing contracts of insurance between life insurance corporations and claimants under the terms of policies issued by said corporations. * * * ”

In Williams v. Unity Indust. Life Ins. Co., 14 La. App. 680, 130 So. 561, 562, we said:

“ * * * In an action brought by a beneficiary on a life policy, where the Insurance company defends on the ground that the assured had, at the time of the issuance of the policy, represented herself to be in a good state of health, whereas in truth she was then suffering from an incurable disease, the defendant is not permitted to adduce any evidence of such misrepresentation other than the written application therefor, which must either be embodied in, or annexed to, the policy itself.” (Citing many authorities.)

Therefore, that claimant may have misstated his age is not now available to the insurer as a defense.

Nor is insurer’s position with reference to the claim that blindness existed when the policy was issued any more tenable because here, again, an insurmountable obstacle is encountered in Act No. 97 of 1908. by which it is provided that, where no medical examination is required before the. issuance of the policy, “ * ⅜ * It shall also be presumed that the company has waived its rights to claim a forfeiture of the policy based on the ground that the assured did not make true and full answers in the application as to the health, habits or occupation whenever it shall appear that tthe agent of the company knew, or might have ascertained with reasonable diligence, the true condition of the applicant’s health. * * * ”

That a charge that a defective physical condition existed prior to the issuance of the policy may not be resorted to as a defense, where no examination was made and where the company’s agent had full opportunity to observe and inspect the applicant, was held by us many times, notably in Williams v. Unity Industrial Life Ins. Co., supra, and in Evans v. Orleans Industrial Life, etc., Ben. Ins. Co. (La. App.) 140 So. 507, 509.

If it be conceded — and in the face of the above authority such a concession is difficult to imagine — that the prior condition of claimant’s eyes may be made the subject of inquiry, we feel that insurer’s position would not be improved because we find from the record that the agent who procured the application for the policy states in rather positive terms that the said claimant was not blind. He says:

“ * * ⅜ If the application shows that Mr.

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142 So. 207, Counsel Stack Legal Research, https://law.counselstack.com/opinion/jackson-v-unity-industrial-life-ins-co-lactapp-1932.