Kincaid v. Equitable Life Assurance Society of the United States

183 S.E. 40, 116 W. Va. 672, 1935 W. Va. LEXIS 153
CourtWest Virginia Supreme Court
DecidedDecember 3, 1935
Docket8108
StatusPublished
Cited by4 cases

This text of 183 S.E. 40 (Kincaid v. Equitable Life Assurance Society of the United States) is published on Counsel Stack Legal Research, covering West Virginia Supreme Court primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Kincaid v. Equitable Life Assurance Society of the United States, 183 S.E. 40, 116 W. Va. 672, 1935 W. Va. LEXIS 153 (W. Va. 1935).

Opinion

Hatcher, Judge:

This action involves the effect on a life and disability insur- *673 anee policy of untrue health statements in the application for the policy. The plaintiff is the holder of such a policy, and recovered a judgment thereon against the defendant.

The plaintiff is a farmer. He was solicited in June, 1931, to make application for the policy by Page Morrison and T. B. McQuain. Morrison was “insurance salesman” and “soliciting agent” of defendant. He also was a district supervisor in charge of defendant’s local agents. (His district comprised all of West Virginia and parts of three other states.) McQuain was a local soliciting agent of defendant. Plaintiff testified that when approached by the two, he informed them he did not consider himself a desirable insurance risk because he had suffered a fractured skull in 1929 serious enough to require hospitalization for several days. However, he had been in seemingly sound health since the injury; so the insurance agents insisted that he submit to a physical examination by Dr. Rymer, the defendant’s physician, which the plaintiff did. In connection therewith the doctor read to plaintiff certain questions on defendant’s printed application form, respecting plaintiff’s past health and medical treatment, purported to record plaintiff’s answers thereon and had him sign the application. Both Morrison and McQuain countersigned the application. Plaintiff testified that in response to Dr. Rymer’s interrogation he related to the doctor his injury and consequent treatment in 1929. The answers written in the application by the doctor negatived any past injury. The application was forwarded to the defendant and was attached to and made a part of the policy in question. Morrison and McQuain delivered the policy to plaintiff, and congratulated him on passing a favorable physical examination. The plaintiff testified that he did not read the application when he signed it and did not read either the application or the policy until this controversy arose.

Morrison paid the first (annual) premium ($434.40) for plaintiff, accepting the latter’s notes (without interest) which were later paid. When the second premium became due, plaintiff considered letting the policy lapse; but both McQuain and Morrison urged him to pay the premium, saying that he could not buy another policy “as good” as the instant one, *674 and that if he did not have the full ¿mount of the premium, arrangements could be made with the defendant to carry him, which was. done. Plaintiff commenced to suffer mental disturbances in the fall of 1932, which incapacitated him from regular work. His malady continued and in the spring of 1933, he filed with defendant a disability claim which was rejected. The ■ defendant also notified him that, having learned of the falsehood of certain material answers made by him to questions in his application for insurance, the disability and double indemnity provisions of his policy were rescinded. The defendant tendered plaintiff the premiums paid for those provisions, which tender was refused. Plaintiff was examined shortly before the trial herein (July, 1934) by a neurologist who testified that, in his opinion, the plaintiff had neurasthenia, which permanently disabled him from performing any sustained physical or mental work, and that there was no causal connection between plaintiff’s injury in 1929 and his present condition. No testimony opposed this opinion.

Dr. Rymer denied that he was informed by plaintiff of his 1929 injury and treatment when the latter was answering the questions in his application for the policy. Morrison testified that the plaintiff’s testimony was “substantially correct”; that plaintiff did inform the witness and McQuain of his injury and treatment in 1929, but that the witness did not impart the information to the defendant because, as he said, “that was out of my authority.” McQuain was not called as a witness.

The jury found a general verdict for plaintiff and in addition thereto answered in his favor a special interrogatory asking if he informed Dr. Rymer of the 1929 accident and the treatment incident thereto.

The defense is based on certain provisions in the application and policy. The application is in two parts. Part 1 contains the following covenant: “I hereby agree * * * that no agent or other person except the President, Vice-President, the Secretary, the Treasurer or a Registrar of the Society has power to make or modify any contract on behalf of the Society or to waive any of the Society’s rights or require *675 ments, and that no waiver shall be valid unless in writing and signed by one of the foregoing officers. All of the foregoing answers and all those contained in Part II hereof are true, and are' offered to the Society as an inducement to issue the policy or policies for which application is hereby made.”

The policy covenants that it and the application (attached to the policy) constitute the entire contract between the parties, and that all statements made by the insured shall, in the absence of fraud, be deemed representations and not warranties.

The defendant’s brief contends that because of those covenants, the' false answers in the application defeat plaintiff’s right of recovery. Numerous cases are cited in the brief as supporting the contention. The citations are not apposite, however, because they present facts or policies or both which are materially different from those here. For example, in our own cases of Myers v. Ins. Co., 83 W. Va. 390, 98 S. E. 424; Harris v. Ins. Co., 86 W. Va. 638, 104 S. E. 121; Woody v. Ins. Co., 105 W. Va. 215, 141 S. E. 880, and Stockton v. Ins. Co., 105 W. Va. 240, 141 S. E. 878 (all cited by defendant), truthful answers were not given the medical examiner by the applicant. Here, the verdict of the jury says that the plaintiff spoke the truth to the examiner. Again, in Shamblen v. Woodmen, 105 W. Va. 252, 142 S. E. 447 (especially relied upon by defendant), both the facts and the policy provisions were materially variant from those here. There, false answers were intentionally made by the applicant at the suggestion of the representative of the Woodmen. After which, the answers were read to the applicant, who then signed a certificate (required by, and a part of, the policy) stating that he had verified each answer and that each was true; and agreeing that the exact truth of the answers should be a condition precedent to a binding insurance contract, and that no information given to the soliciting agent should bind the insurer. Here, the application did certify that the answers were true, but contained none of the other rigid covenants of the Shamblen application.

Counsel for plaintiff point out that he does not claim a modification or waiver by defendant’s agents of any of the *676 policy requirements (which the application forbids); that the policy herein does not repudiate information given to the soliciting agents, or provide that it should be void if a false answer was recorded in the application (as did the policy in the Shamblen case).

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Cite This Page — Counsel Stack

Bluebook (online)
183 S.E. 40, 116 W. Va. 672, 1935 W. Va. LEXIS 153, Counsel Stack Legal Research, https://law.counselstack.com/opinion/kincaid-v-equitable-life-assurance-society-of-the-united-states-wva-1935.