Leola Blair v. The Prudential Insurance Co. Of America

472 F.2d 1356, 153 U.S. App. D.C. 281, 1972 U.S. App. LEXIS 6094
Court of Appeals for the D.C. Circuit·Decided December 29, 1972·No. 71-1096·Published·Cited by 20 cases

Opinions

FRANK A. KAUFMAN, District Judge:

On May 1, 1968, one of defendant insurance company’s agents visited the [1358] home of Melvin and Leola Blair in the District of Columbia and obtained from Melvin, employed as a security guard, an application for an insurance policy on Melvin’s life pursuant to which Leola, his wife, the manager of a government agency’s snackbar, was the named beneficiary. The policy, which called for premiums of $12.73 per month, was issued on May 20, 1968. After Melvin died on February 16, 1970, defendant refused to make payment under the policy, on the ground that there had been material misrepresentations in and material omissions from Melvin’s application in connection with his medical history. Defendant’s tender of payment of the total amount of the premiums ($208.06) paid prior to Melvin’s death was refused by Leola Blair, who instead instituted suit in the court below seeking damages in the amount of $12,752.-73.

The policy contains the usual provisions that no agent “has authority * * * to bind the Company by making any promise or representation or by giving or receiving any information,” and that “[t]he policy, together with the application, * * * constitutes the entire contract.” While counsel for plaintiff contended otherwise in this Court, it is clear, as the court below found upon granting defendant’s motion for summary judgment and denying plaintiff’s similar motion, that the application “contained material misrepresentations affecting the acceptance of the risk.” Specifically, , the application failed to reveal that from November, 1966 to November, 1967 Melvin Blair was treated regularly by a doctor for high blood pressure, hypertension and obesity, and that the doctor prescribed medicine for that high blood pressure and advised Blair to go on a diet.1 Further, Mrs. Blair seemingly concedes the truth of the alleged omitted facts. However, she has stated in an affidavit filed in this case that her husband orally informed defendant’s agent of all of those facts on May 1, 1968, when the application form was being jointly worked on, discussed between, and completed by that agent and her husband in her presence in the Blairs’ home; that the agent at that time requested Melvin Blair to sign the application form in blank, prior to its being completed; that Melvin Blair executed the application in blank; that

[a]fter my husband signed the papers [the agent] laid the paper out on the table and orally asked my husband questions and in response thereto my husband orally answered the questions, and [the agent] in his handwriting made recordings on the form;

and that

[a]fter my husband and I orally answered the questions asked by [the agent], which he was writing on the application, [the agent], did not show him the application he had completed, nor did he ask my husband to read the answers [the agent] had written on the application.

Mrs. Blair contends that the agent’s knowledge of the actual facts of Melvin Blair’s medical history is chargeable to the defendant insurer and that therefore the latter cannot avoid liability under the policy because of the misstatements in and the omissions from the application. In response, the defendant asserts that once Melvin Blair signed the application and declared under oath that the statements and answers given therein were correct and complete, it, as an insurance company, was entitled to rely upon that declaration, any oral statements by Mr. or Mrs. Blair, to the agent notwithstanding. In that connection, while it contends that such oral statements, if any, are immaterial, the defendant does not concede that any such oral statements were in fact made or that the agent acted and/or directed as plaintiff has stated under oath.

[1359] The record in this case is devoid of facts establishing whether the policy application was accepted by defendant within the District of Columbia, or outside of the District, as, for instance, in New Jersey, Prudential’s state of incorporation. However, all relevant and material acts and statements, agreed or alleged to have occurred, took place within the District of Columbia. Where “the laws of two jurisdictions are involved,” in this Circuit the rule is that “the forum applies the law of the state which has the ‘more substantial interest in the resolution of the issue.’ ” 2 That jurisdiction is clearly the District of Columbia, rather than New Jersey or any other state. However, because of the absence of any ease law precedents in the District of Columbia as to the substantive question posed herein, the decisions of other courts, including those of New Jersey, have been carefully considered by this Court in this case.

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Leola Blair v. The Prudential Insurance Co. Of America, 472 F.2d 1356, 153 U.S. App. D.C. 281, 1972 U.S. App. LEXIS 6094 (D.C. Cir. 1972).

472 F.2d 1356 (Leola Blair v. The Prudential Insurance Co. Of America) — published by Counsel Stack Legal Research, free access to 12M+ legal documents.

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