Knight v. Continental Casualty Co.

485 P.2d 403, 259 Or. 46, 1971 Ore. LEXIS 354
Oregon Supreme Court·Decided May 26, 1971·Published·Cited by 8 cases

Opinions

O’CONNELL, C.J.

This is an action to recover benefits under a health and accident insurance policy. The jury returned a verdict for plaintiff. On defendant’s motion, the trial court entered a judgment notwithstanding the verdict in favor of defendant. Plaintiff appeals.

The day after the policy went into effect plaintiff fell and injured a disc in her back. The injury required surgery. When defendant refused to make payment under the policy, plaintiff brought this action.

Defendant set up an affirmative defense alleging that plaintiff had given a false answer to one of the questions in the application for insurance. The application included the following questions:

“10. Have you or any dependents named, ever been medically treated or medically advised for any of the following:
[48]*48“Asthma, tuberculosis or any other respiratory or lung disorder; ulcer of the stomach or intestines; or any liver, digestive, intestinal or rectal disorder?
“11. Have you or any dependent named had medical or surgical advice or treatment, or been hospital confined during the past 5 years other than stated above?
“12. To the best of your knowledge and belief have you or any dependents named ever had any physical impairment, deformity, or disease other than stated above?”

The foregoing questions were answered “No” in the application.

The evidence shows that plaintiff had been treated by Dr. Howard Osborne when she had visited him “complaining of pain in the pit of the stomach” and the doctor made the following diagnosis: “Duodenal irritability, hyper-rugosity and tenderness sufficient to warrant a diagnosis of peptic duodenitis without ulcer crater.” Plaintiff was put on a strict ulcer diet program. She continued to see Dr. Osborne about every two weeks for six months. Plaintiff testified that after the six months period she was “healed.”

1. Plaintiff and her husband testified that the answer to these questions and the other questions in the application were entered in the application by insurer’s agent Weber after he had put the questions to them. They did not read the application before signing it. They testified, in effect, that they answered all of the questions truthfully. It is plaintiff’s position that if the answers given in the application were false, the misrepresentations were attributable to defendant’s agent Weber and not to plaintiff or her husband and [49]*49that therefore defendant should be estopped by the agent’s conduct.

The trial court ruled that the estoppel issue was controlled by Comer v. World Insurance Co., 212 Or 105, 318 P2d 916 (1957),

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Knight v. Continental Casualty Co., 485 P.2d 403, 259 Or. 46, 1971 Ore. LEXIS 354 (Or. 1971).

485 P.2d 403 (Knight v. Continental Casualty Co.) — published by Counsel Stack Legal Research, free access to 12M+ legal documents.

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Knight v. Continental Casualty Co.
485 P.2d 403 (Oregon Supreme Court, 1971)