Life Ins. Co. of N. Am. v. Cichowlas

659 So. 2d 1333, 1995 WL 521231
CourtDistrict Court of Appeal of Florida
DecidedSeptember 6, 1995
Docket93-1892
StatusPublished
Cited by8 cases

This text of 659 So. 2d 1333 (Life Ins. Co. of N. Am. v. Cichowlas) is published on Counsel Stack Legal Research, covering District Court of Appeal of Florida primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Life Ins. Co. of N. Am. v. Cichowlas, 659 So. 2d 1333, 1995 WL 521231 (Fla. Ct. App. 1995).

Opinion

659 So.2d 1333 (1995)

LIFE INSURANCE COMPANY OF NORTH AMERICA, Appellant,
v.
Ewa A. CICHOWLAS, Appellee.

No. 93-1892.

District Court of Appeal of Florida, Fourth District.

September 6, 1995.

Robert D. McIntosh and Kimberly W. Cocalis of Fleming, O'Bryan & Fleming, P.A., Fort Lauderdale, for appellant.

Laurie S. Moss of Esler, Petrie & Salkin, Fort Lauderdale, for appellee.

*1334 ON MOTION FOR REHEARING

PER CURIAM.

We withdraw our previous opinion and substitute the following in its place.

Life Insurance Company of North America (LINA) appeals from a summary judgment awarding benefits to its insured's widow. We reverse because the insured did not satisfy the requirement, explicitly stated in the application, that he be still insurable on the effective date of the policy.

The one-page insurance application at issue asked five questions and required the applicant to sign under a statement reading in pertinent part,

To the best of my knowledge and belief, the information on this application ... is true and complete. I understand that the information is being relied on to issue insurance and that my insurance can be voided if any of the information I provide is not true... .
I further understand that, if my application is accepted, coverage will go into effect on the effective date shown on my certificate of insurance provided I am still insurable on that date and provided LINA receives my first premium payment during my lifetime.

It is undisputed that Mr. Waldemar Cichowlas answered all five questions truthfully "no" as of the application date, including one which asked if he had been hospitalized during the past five years and one which asked if he had ever had or been treated for several enumerated ailments including lung disease. It is also undisputed that Mr. Cichowlas was hospitalized for chest pains three days after filling out the application, some three weeks before the policy took effect. He had been having pains prior to his filling out the insurance application. As a result of his hospitalization, Mr. Cichowlas was diagnosed as suffering from chronic obstructive pulmonary disease. Mr. Cichowlas did not inform the insurance company of his hospitalization. The uncontradicted testimony on behalf of LINA established that Mr. Cichowlas was not insurable on the effective date of the policy because of the diagnosis. Mr. Cichowlas died three months later of other causes.

Mr. Cichowlas' policy contained a clause requiring that he be "still insurable" on the effective date of the policy. Clauses requiring that an applicant remain insurable between the filing of the application and the delivery of the policy have traditionally been approved by Florida courts. They are generally in the form of statements that the policy shall not take effect unless it is delivered during the continued insurability or sound health of the applicant. E.g., Mathews v. Metropolitan Life Ins. Co., 89 So.2d 641 (Fla. 1956); Gulf Life Ins. Co. v. Green, 80 So.2d 321 (Fla. 1955); Wolk v. Lamar Life Ins. Co., 202 So.2d 617 (Fla. 3d DCA 1967). Thus, as the evidence was uncontradicted that Mr. Cichowlas was not insurable on the effective date of the policy, the "still insurable" clause precluded recovery for appellee pursuant to its terms.

Reversed and remanded for judgment in favor of appellant.

GLICKSTEIN, J., concurs.

WARNER, J., concurs specially with opinion.

ALVAREZ, RONALD V., Associate Judge, dissents with opinion.

WARNER, Judge, concurring specially.

I agree that reversal for a judgment in favor of the appellant is required based upon the "still insurable" clause in the policy. However, I would also contend that the insured had a duty to update his application for insurance with the information that he was hospitalized and that his failure to do so was grounds for rescission of the policy.

Mr. Cichowlas clearly knew that he had been hospitalized, which would have required a change in at least one of the five answers upon which he understood that LINA was relying its decision whether to approve his *1335 application. Had LINA known of the hospitalization, the testimony reveals that LINA would have obtained the records and discovered the diagnosis. It is uncontested that LINA would not have agreed to insure Mr. Cichowlas had it known of the hospitalization and diagnosis.

The application itself is not the contract between the parties. It is only an offer for a contract of insurance. It sets forth the terms upon which the insurer can accept or reject the risk. See Rosin v. Peninsular Life Ins. Co., 116 So.2d 798 (Fla. 2d DCA 1960). Thus, a concealment of a material fact by non-disclosure in the interval between the application and the issuance of the policy may void the policy. See Massachusetts Bonding & Ins. Co. v. Hoxie, 129 Fla. 332, 336-37, 176 So. 480, 482 (1937) ("`A Policy of Life Insurance is not binding until the premium is paid — such a clause being contained in the application. And it is the duty of the assured to communicate to the Company, any material change in his health, in the interval between the application and the completion of the contract by the payment of the premium.'") (quoting Whitley v. Piedmont & Arlington Life Ins. Co., 71 N.C. 480). This is so because such information changes the terms of the offer before its acceptance.

That an applicant for insurance must communicate changes in health between the application and the issuance of the policy is not a novel proposition in insurance law. Indeed, the authorities are replete that there is a duty to disclose newly discovered matters which render the applicant's answers untrue. See Stipcich v. Metropolitan Life Ins. Co., 277 U.S. 311, 48 S.Ct. 512, 72 L.Ed. 895 (1928); Jacobson v. Equitable Life Assur. Soc. of United States, 381 F.2d 955 (7th Cir.1967); Disposable Servs., Inc. v. ITT Life Ins. Co. of New York, 453 F.2d 218 (5th Cir.1971); 9 George J. Couch, Couch on Insurance 2d § 38:21, at 388 (1985) ("[T]here is a continuing duty on the part of an applicant to disclose newly discovered matters arising between the application for, and the confirmation of, the contract where they come to the applicant's knowledge and render his former answers no longer true."); 1A John A. Appleman et al., Insurance Law & Practice § 249, at 158-60 (1981) ("The rule there is that the insured must inform the company of any change in his physical condition of which he becomes cognizant after making application for the policy and prior to the delivery thereof. This duty to disclose any change of health may exist regardless of whether there is a provision in the policy requiring such disclosure.")

The general standard for accuracy by an insurance applicant is set forth in section 627.409(1), Florida Statutes (1989), which provides that incorrect statements shall not prevent recovery under a policy unless:

(a) They are fraudulent;
(b) They are material either to the acceptance of the risk or to the hazard assumed by the insurer; or

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Bluebook (online)
659 So. 2d 1333, 1995 WL 521231, Counsel Stack Legal Research, https://law.counselstack.com/opinion/life-ins-co-of-n-am-v-cichowlas-fladistctapp-1995.