Kay v. Occidental Life Insurance

183 P.2d 181, 28 Wash. 2d 300, 1947 Wash. LEXIS 419
CourtWashington Supreme Court
DecidedJuly 3, 1947
DocketNo. 30156.
StatusPublished
Cited by31 cases

This text of 183 P.2d 181 (Kay v. Occidental Life Insurance) is published on Counsel Stack Legal Research, covering Washington Supreme Court primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Kay v. Occidental Life Insurance, 183 P.2d 181, 28 Wash. 2d 300, 1947 Wash. LEXIS 419 (Wash. 1947).

Opinion

Hill, J.

Only one question is here presented: Was there any credible evidence from which a jury could have determined that certain false representations or warranties in the application for a policy of life insurance were made without intent to deceive? The trial court answered no and took the case from the jury.

The falsity of certain representations is conceded, but it is appellant’s position that a jury could find from the evidence that they were not made with intent to deceive.

We have a statute which provides:

“Warranty not to avoid policy unless deceptive. No oral or written misrepresentation or warranty made in the negotiation of a contract or policy of insurance, by the assured or in his behalf, shall be deemed material or defeat or avoid the policy or prevent it attaching, unless such misrepresentation or warranty is made with the intent to deceive.

. . . ” Rem. Rev. Stat., § 7078 [P.P.C. § 645-11],

Liability on an insurance policy cannot be avoided unless it appears that untrue representations were knowingly made in the application for the policy and that, in making those representations, the applicant had an intent to deceive the company. Houston v. New York Life Ins. Co., 159 Wash. 162, 292 Pac. 445, 166 Wash. 611, 8 P. (2d) 434; *302 Great Northern Life Ins. Co. v. Johnson, 187 Wash. 347, 60 P. (2d) 109; Miller v. United Pac. Cas. Ins. Co., 187 Wash. 629, 60 P. (2d) 714.

However, where a false statement has been knowingly made, there is a presumption that it was made with intent to deceive. Quinn v. Mutual Life Ins. Co., 91 Wash. 543, 158 Pac. 82; Day v. St. Paul Fire & Marine Ins. Co., 111 Wash. 49, 189 Pac. 95; Equitable Life Ins. Co. v. Carver, 17 F. Supp. 23.

We have frequently held that a presumption is not evidence (Gardner v. Seymour, 27 Wn. (2d) 802, 180 P. (2d) 564); and, when we have said that the presumption must be overcome by evidence establishing an honest motive or an innocent intent, as was said in Day v. St. Paul Fire & Marine Ins. Co., supra, and Hayes v. Automobile Ins. Exch., 126 Wash. 487, 218 Pac. 252, we meant only that the burden of going forward with the evidence is upon the assured or the beneficiary seeking to enforce the policy. The bare affirmation that there was no intent to deceive is not credible evidence of good faith, and, in the absence of credible evidence of good faith, the presumption would warrant a dismissal. Day v. St. Paul Fire & Marine Ins. Co., supra. As was said in Mutual Life Ins. Co. v. Campbell, 170 Wash. 485, 16 P. (2d) 836:

“It profits him nothing to say that he did not by his . representations intend to deceive. A statement that is obviously factitious cannot be accepted as being true on its face.”

If, however, there is credible evidence from which the trier of the facts could conclude that the misrepresentations were made without intent to deceive the insurance company, the burden is upon the insurance company to prove that there was a fraudulent intent to deceive it on the part of the assured. Equitable Life Assur. Soc. v. MacDonald, 96 F. (2d) 437.

In the case just cited, Judge Denman, speaking for the ninth circuit court of appeals, said:

“There being such evidence of innocence, the question then is: ‘What is the law of Washington with regard to the *303 burden of proof when the insurance company has proved the insured’s knowingly having made the false and fraudulent representations?’ The Washington Supreme Court holds that it raises a presumption, which it describes as follows: ‘The proof of making of false and fraudulent representations raises a presumption of dishonest motive which must be overcome by evidence establishing an honest motive.’

“Great Northern Life Ins. Co. v. Johnson, supra, 187 Wash. 347, 60 P. 2d 109, 112.

“Under the Washington law a presumption is not evidence and does not shift the burden of proof, but merely shifts to the party against which it exists the duty of going forward with the evidence. The presumption here disappears when there is evidence on the subject which, in its [sic] absence of the presumption, would warrant the inference of an innocent intent.

“In Anning v. Rothschild & Co., 130 Wash. 232, 235, 226 P. 1013, 1014, the Supreme Court of Washington says:

“ ‘In Scarpelli v. Washington Water Power Co., 63 Wash. 18, 114 P. 870, we quoted and adopted the following from the language of the Supreme Court of South Dakota (Peters v. Lohr, 24 S. D. 605, 124 N. W. 853):

“ ‘ “A presumption is not evidence of anything, and only relates to a rule of law as to which party shall first go forward and produce evidence sustaining a matter in issue. A presumption will serve as and in the place of evidence in favor of one party or the other until prima facie evidence has been adduced by the opposite party; but the presumption should never be placed in the scale to be weighed as evidence. The presumption, when the opposite party has produced prima facie evidence, has spent its force and served its purpose, and the party then, in whose favor the presumption operated, must meet his opponents’ prima facie evidence with evidence, and not presumptions. A presumption is not evidence of a fact, but purely a conclusion. Elliott, Ev. §§ 91, 92, 93; Wigmore, Ev. §§ 2490, 2491.” ’ ”

To the same effect and relying on the same authorities, see Gardner v. Seymour, supra.

And in another ninth circuit court case construing our statute, Judge Garrecht said:

“Ordinarily, the intent to deceive in misrepresenting past illnesses is a question for the jury.” Prudential Ins. Co. v. Winn, 71 F. (2d) 126, 135.

*304 Having in mind the rules of law applicable to a case of this character, we turn now to a consideration of the facts, which are substantially undisputed. In September, 1943, George C. Kay, a foreign-born Chinese, applied to the Prudential Insurance Company of America for a ten-thousand-dollar policy and was, after physical examination, rejected by that company, no reason being given. Thereafter, on April 5,1944, he was contacted by a representative of the Occidental Life Insurance Company, the respondent here, and, after some discussion, made application for a twenty-year-endowment policy in the amount of ten thousand dollars. He disclosed the rejection by the Prudential company the previous year and was subjected to three or four examinations (the first one on April 11, 1944) before his application was accepted. He died June 12, 1945, and, proof of loss having been made by the beneficiary, his wife, the appellant here, payment was refused by the respondent except as to the amount of the premiums paid. She then brought this action to recover on the policy.

Respondent, in its brief, listed seven questions which it contends were answered falsely in the application, as follows:

“(1) (Par.

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Bluebook (online)
183 P.2d 181, 28 Wash. 2d 300, 1947 Wash. LEXIS 419, Counsel Stack Legal Research, https://law.counselstack.com/opinion/kay-v-occidental-life-insurance-wash-1947.