Lee v. Metropolitan Life Insurance

123 S.E. 737, 158 Ga. 517, 1924 Ga. LEXIS 290
CourtSupreme Court of Georgia
DecidedJune 20, 1924
DocketNo. 4056
StatusPublished
Cited by37 cases

This text of 123 S.E. 737 (Lee v. Metropolitan Life Insurance) is published on Counsel Stack Legal Research, covering Supreme Court of Georgia primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Lee v. Metropolitan Life Insurance, 123 S.E. 737, 158 Ga. 517, 1924 Ga. LEXIS 290 (Ga. 1924).

Opinion

Beck, P. J.

We are of the opinion that the questions numbered 1 and 2, set forth above, should be answered in the negative. In the case of Mutual Life Ins. Co. v. Bolton, 22 Ga. App. 566 (96 S. E. 442), it was said: “In general, it may be said that the test, in determining whether questions contained in an application for insurance are material, is whether knowledge or ignorance of the facts sought to be elicited thereby would materially influence the action of the insurer.” The rule thus tersely laid down followed the decision in the case of Empire Life Ins. Co. v. Jones, 14 Ga. App. 647 (82 S. E. 62). This latter case set forth and adopted as the test, in determining whether questions contained in an application for insurance are material, the rule and doctrine stated by well-known text-writers on the subject of insurance. The rule itself, as stated by the Court of Appeals and as laid down by text-writers, is thus set forth: “It is now generally well settled that a ihaterial representation is one that would influence a prudent insurer in determining whether or not to accept the risk, or in fixing the amount of the premium in the event of such acceptance; and, as observed in Richards’ Insurance Law (3d ed.), par. 99, p. 132, 'the materiality of a concealment or representation of fact depends, not on the ultimate influence of the fact upon the risk or its relation to the cause of loss, but on the immediate influence upon the party to whom the communication is made, or is due, in forming his judgment at the time of effecting the contract. The party thus sought to be influenced is generally the insurance company. Though the loss should arise from causes totally unconnected with the material fact concealed or misrepresented, the policy is void, because a true disclosure of the fact might have led the company to.decline the insurance altogether, or, to accept it only at a higher premium.’ See also the cases cited in support of this statement, and see 1 May on Insurance (4th ed.), par. 184, in which the author says: 'The test of the materiality of a misrepresentation or concealment is that it influences the insurer in determining whether to accept the risk, and what premium to charge.’ The same doctrine is laid down in 3 Cooley’s Briefs on the Law of Insurance, 1953, as follows: 'In general, it may be said that the test, in determining whether [521]*521questions contained in an application for insurance are material, is whether the knowledge or ignorance of the facts sought to be elicited thereby would materially influence the action of the insurer.’ This statement is approved by this court in Ætna Life Insurance Co. v. Conway, 11 Ga. App. 562 (75 S. E. 915), and numerous well-considered opinions from courts of last resort sustain the authors referred to.” And the rule thus laid down is well stated; and there is nothing in section 21 of the act of August 19, 1912 (Georgia Laws 1912, p. 119), requiring a restatement of the rule. In part, section 21 of the act of 1912 is in the following language: Such persons [applying for life insurance] shall submit to such reasonable rules and regulations as may be prescribed by such insurance companies for the purpose of making such examinations, and after a policy is issued on the life of such person, the beneficiary of such policy shall be entitled to collect the amount of such policy under the terms of the contract when it matures, unless the applicant or beneficiary has been guilty of actual fraud or has made material misrepresentations in procuring such policy, which misrepresentations change the character and nature of the risk as contemplated in the policy so issued by the company. All statements, covenants, and representations contained in applications for insurance shall never be held or construed to be warranties, but shall be held to be representations only.” And it is urged in the brief of counsel for plaintiff in error that this legislative enactment contained in the language just quoted materially changes the rule which existed prior to the passage of the act, and manifests an intention upon the part of the legislature to “further protect the insured and to make the payment of insurance more certain, and to do away with all possibility of a defense of fraud or misrepresentation of fact by the insured to the insurer where it did not materially increase the risk.” We can not agree with this contention. A policy of insurance is a contract between the insurer and the insured. If the insured in his application for insurance can make material false representations, that is, representations which are material in the sense of the rule stated above, defining the materiality of representations in an application for insurance, then a party to a contract of insurance, the insured, could, by fraud, or what would be fraud if used to procure .any other kind of a con[522]*522tract, secure a policy of insurance which would not have been issued to him by the insurance company but for fraudulent misrepresentations made in the application for insurance. It would require language too plain to need construction to justify us in imputing to the legislature'an intention to make permissible upon the part of one seeking to secure a contract of insurance conduct which would be deemed fraudulent if employed to secure a contract of any other kind. Section 21 of the act contains language which in itself prevents us from imputing to the legislature such an intention; for in the very section which plaintiff in error relies upon we find this language, after providing that the beneficiary of the policy shall be entitled to collect the amount of the policy according to its terms when it matures: “unless the applicant or beneficiary has been guilty of actual fraud or has made material misrepresentations,” etc. If fraudulent representations of material facts are made in an application for insurance, the materiality being tested by the rule stated above, the policy is void, and the insurer can defend upon the ground of the invalidity of such a policy, without proving “that if the representations had been true, the particular applicant would probably have had a longer expectancy of life, or that the alleged misrepresentations changed the character of the risk as to the particular applicant.” Nor would the insurer be required to prove, in order to maintain his defense based upon the ground that the policy was void because of fraud, that “some material fact which was misrepresented contributed or probably contributed toward producing the death of the insured or other event maturing the benefits of the policy in part or in whole earlier than would have been the case if the representation had been true.”

From what is said above it will be seen that the rule stated in the third question for determining the materiality of a representation in an application for life insurance is the correct rule, and is not changed by section 21 of the act of August 19, 1912.

The failure of an insurance company, “other than one writing policies of insurance on the industrial plan,” to have made a strict medical examination of an applicant for life insurance will not prevent the insurer from setting up, as a defense to an action upon the policy written upon such application, that the applicant was guilty of actual fraud, or made material misrepre[523]

Free access — add to your briefcase to read the full text and ask questions with AI

Related

McLeod v. United Presidential Life Insurance
136 F. Supp. 2d 1313 (N.D. Georgia, 2000)
Meyers v. State Farm Fire & Casualty Co.
801 F. Supp. 709 (N.D. Georgia, 1992)
Haugseth v. Cotton States Mutual Insurance
386 S.E.2d 725 (Court of Appeals of Georgia, 1989)
James B. Woods, Sr. v. Independent Fire Insurance Company
749 F.2d 1493 (Eleventh Circuit, 1985)
Sentry Indemnity Co. v. Brady
264 S.E.2d 702 (Court of Appeals of Georgia, 1980)
Bourne v. Balboa Insurance Co.
240 S.E.2d 261 (Court of Appeals of Georgia, 1977)
AVEMCO INSURANCE COMPANY v. Rollins
380 F. Supp. 869 (N.D. Georgia, 1974)
State Farm Mutual Automobile Insurance v. Anderson
130 S.E.2d 144 (Court of Appeals of Georgia, 1963)
Weekes v. Fuller
128 S.E.2d 715 (Supreme Court of Georgia, 1962)
Kennesaw Life & Accident Insurance v. Hubbard
127 S.E.2d 845 (Court of Appeals of Georgia, 1962)
General Assurance Corp. v. Roberts
90 S.E.2d 70 (Court of Appeals of Georgia, 1955)
Metropolitan Life Insurance Co. v. Milton
38 S.E.2d 885 (Court of Appeals of Georgia, 1946)
Preston v. National Life & Accident Insurance
26 S.E.2d 439 (Supreme Court of Georgia, 1943)
Commercial Casualty Insurance v. Jeffers
24 S.E.2d 815 (Court of Appeals of Georgia, 1943)
Metropolitan Life Insurance Co. v. Marshall
16 S.E.2d 83 (Court of Appeals of Georgia, 1941)
Thompson, Et Vir v. N.Y. Life Ins. Co.
197 So. 111 (Supreme Court of Florida, 1940)
Bankers Health & Life Insurance v. Glisson
7 S.E.2d 32 (Court of Appeals of Georgia, 1940)
Vaughn v. National Life & Accident Insurance
5 S.E.2d 238 (Supreme Court of Georgia, 1939)
Golden v. National Life & Accident Insurance
5 S.E.2d 198 (Supreme Court of Georgia, 1939)
Bankers Health & Life Insurance v. Hamilton
193 S.E. 477 (Court of Appeals of Georgia, 1937)

Cite This Page — Counsel Stack

Bluebook (online)
123 S.E. 737, 158 Ga. 517, 1924 Ga. LEXIS 290, Counsel Stack Legal Research, https://law.counselstack.com/opinion/lee-v-metropolitan-life-insurance-ga-1924.