Joplin v. John Hancock Mutual Life Insurance

200 N.W.2d 607, 55 Wis. 2d 650, 1972 Wisc. LEXIS 1033
CourtWisconsin Supreme Court
DecidedOctober 3, 1972
Docket116
StatusPublished
Cited by4 cases

This text of 200 N.W.2d 607 (Joplin v. John Hancock Mutual Life Insurance) is published on Counsel Stack Legal Research, covering Wisconsin Supreme Court primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Joplin v. John Hancock Mutual Life Insurance, 200 N.W.2d 607, 55 Wis. 2d 650, 1972 Wisc. LEXIS 1033 (Wis. 1972).

Opinion

Wilkie, J.

Two issues are raised by this appeal:

1. Is the insurance company estopped from asserting that misrepresentations had been made to it?

2. Should the trial court have directed the verdict that Thelma Joplin’s misstatements increased the risk to the John Hancock Mutual Life Insurance Company?

Alleged estoppel.

Mrs. Joplin asserts that John Hancock is in no position to pursue its main contention that the trial court should have directed a verdict that Thelma Joplin’s misstatements increased the risk to it, Mrs, Joplin claiming *655 that the company is estopped from taking this position (1) by the conduct of its soliciting agent in stating that it was okay for Thelma Joplin to not report his hospitalization, and in writing up the application without indicating this hospitalization in the application; and (2) by the failure of the examining physician to obtain details of X-ray and other examinations of the applicant. But Mrs. Joplin did not plead estoppel in connection with her complaint as is required of a party who raises the issue and relies on that estoppel. 6 Es-toppel was not raised here until the appeal. Because of Mrs. Joplin’s failure to plead estoppel or to raise the issue in the trial court we do not reach the merits of this contention on this appeal. Furthermore, there was no waiver here by John Hancock because John Hancock’s ignorance of material facts relating to Thelma Joplin’s health negatived a waiver. 7

Directed verdict.

The trial court should have directed a verdict that Thelma Joplin’s misstatements increased the risk to John Hancock. In reviewing the allegation that the trial court erred in refusing to direct a verdict, this court has stated many times:

“. . . (1) a jury verdict will not be upset if there is any credible evidence which under any reasonable view fairly admits of an inference supporting the findings, (2) this is particularly true when the verdict has the blessing of the trial court, and (3) the evidence is to be viewed in the light most favorable to the verdict.” 8 *656 In other cases we have said:
“In determining whether or not the trial court was in error in failing to direct the verdict, this court must take that view of the evidence which is most favorable to the party (the plaintiff in this case) against whom the verdict was sought to be directed. Schumacher v. Klabunde (1963), 19 Wis. (2d) 83, 87, 119 N. W. (2d) 457; Mueller v. O’Leary (1935), 216 Wis. 585, 587, 257 N. W. 161. If there is any evidence to sustain a defense or a cause of action, the case must be submitted to the jury. Kielich v. Whittaker (1924), 183 Wis. 470, 198 N. W. 270. The weight and sufficiency of the evidence is for the jury (Jolitz v. Fintch (1938), 229 Wis. 256, 261, 282 N. W. 87), as is the weight to be given ■to the witness’ positive or negative testimony. Conrardy v. Sheboygan County (1956), 273 Wis. 78, 82, 76 N. W. (2d) 560. Furthermore, it is basic that the credibility of the evidence and the inferences to be drawn therefrom are matters for the jury. Braatz v. Continental Casualty Co. (1956), 272 Wis. 479, 487, 76 N. W. (2d) 303. If there is any evidence other than mere conjecture or incredible evidence to support a contrary verdict, the case must go to the jury. Larson v. Splett (1954), 267 Wis. 473, 66 N. W. (2d) 181. Incredible evidence is evidence in conflict with the uniform course of nature or with fully established or conceded facts. Davis v. Skille (1961), 12 Wis. (2d) 482, 107 N. W. (2d) 458; Czerniakowski v. National Ice & Coal Co. (1948), 252 Wis. 112, 31 N. W. (2d) 156.” 9
and further:
“A case should be taken from the jury and a verdict directed against a party:
“ ‘ “. . . only when the evidence gives rise to no dispute as to the material issues or only when the evidence is so clear and convincing as reasonably to permit unbiased and impartial minds to come to but one conclusion.” ” Anderson v. Joint School Dist. (1964), 24 Wis. (2d) 580, 583, 129 N. W. (2d) 545, 130 N. W. (2d) *657 105, citing Smith v. Pabst (1940), 233 Wis. 489, 288 N. W. 780, and Rusch Sentinel-News Co. (1933), 212 Wis. 530, 533, 250 N. W. 405.
“Also:
‘A verdict ought to be directed if, taking into consideration all the facts and circumstances as they appear in evidence, there is but one inference or conclusion that can be reached by a reasonable man.’ Milwaukee v. Bichel [(1967), 35 Wis. (2d) 66], 150 N. W. (2d) 419.” 10

In Delaney, 11 a case very similar to this one, we were confronted with misrepresentations as to the number of hospitalizations of Mrs. Delaney as an applicant for hospitalization coverage. She failed to mention 12 of her previous 14 hospitalizations. At trial, two of Prudential’s underwriters and its medical director unequivocally testified that they would not have issued the policy had they been aware of Mrs. Delaney’s hospitalizations for angina pectoris, asthma or tachycardia. Further, all three concurred that the 14 hospitalizations themselves would have caused the application’s rejection on the basis that she was either hospital prone or a hypochondriac. To raise a jury question on the issue of increased risk, Mrs. Delaney elicited testimony from her physician to the effect that none of her hospitalizations were serious and her health was good at the time of her insurance application.

On appeal, this court held that a jury question was not presented. The court stated:

“. . . In the absence of qualified testimony to the effect that persons engaged in the same type of insurance business, acting reasonably and naturally in accordance with the practice usual in the insurance industry, would have issued the policy even in the face of these misrepresentations, there is no basis for draw *658 ing any such inference and no jury question is presented.” 12

The court further noted that Mrs. Delaney’s attempt to contradict, with evidence of her good health, the Prudential underwriters’ testimony that the policy would not have been issued ignored the testimony that the 14 hospitalizations themselves would have been sufficient to defeat the application.

In the instant case, two physician-underwriters, Dr. Frank Kefferstan and Dr.

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Cite This Page — Counsel Stack

Bluebook (online)
200 N.W.2d 607, 55 Wis. 2d 650, 1972 Wisc. LEXIS 1033, Counsel Stack Legal Research, https://law.counselstack.com/opinion/joplin-v-john-hancock-mutual-life-insurance-wis-1972.