Lincoln American Life Insurance v. Stephens

445 S.W.2d 910, 60 Tenn. App. 221, 1969 Tenn. App. LEXIS 314
CourtCourt of Appeals of Tennessee
DecidedMay 15, 1969
StatusPublished
Cited by2 cases

This text of 445 S.W.2d 910 (Lincoln American Life Insurance v. Stephens) is published on Counsel Stack Legal Research, covering Court of Appeals of Tennessee primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Lincoln American Life Insurance v. Stephens, 445 S.W.2d 910, 60 Tenn. App. 221, 1969 Tenn. App. LEXIS 314 (Tenn. Ct. App. 1969).

Opinion

PURYEAR, J.

This is a suit on a policy of insurance upon the life of Cleveland Stephens, issued without medical examination, and we will refer to the parties herein as complainant and defendant as they were designated in the trial Court.

By written application dated October 7, 1965, the insured, Cleveland Stephens, then age 26, applied to the defendant insurance company for a policy of life insurance. On October 27,1965, the defendant issued its policy of life insurance numbered 25123 for the face amount of $7,381.00 upon the life of said Cleveland Stephens and the beneficiary named in said policy was the complainant herein, Rebecca Stephens, sister of the insured.

The annual premium for said policy was $302.51 payable for a period of twenty years. The insured executed a note for the first year’s premium, which note was eventually acquired by Roger Church, Inc.

On the 22nd day of January, 1966, the insured died and the complainant herein filed a claim to collect the proceeds of the policy, the payment of which claim was refused by the defendant upon the grounds the insured made a material misrepresentation of fact in the application for insurance by denying that he ever had tuberculosis.

Defendant tendered return of the first annual premium for $302.51, which tender was refused by complainant.

This suit was filed on March 8,1968, and in the original bill, the complainant sought recovery of the face amount of such policy, $7,381.00, together with interest, plus the [224]*224first annual premium and a twenty-five percent penalty. In her bill, complainant also prayed for a reformation of the incontestable clause of the policy, averring that said clause did not conform to the requirements of T.C.A. sec. 56-1111(3).

To this bill, the defendant filed a demurrer to the portion thereof seeking reformation of the policy, which demurrer was overruled.

The defendant then filed an answer in which it relied upon the defense that the policy was void because of a material misrepresentation made by the insured in his application for insurance to the effect that he had never had or been treated for tuberculosis, when, in fact, he had been admitted to the Tennessee Tuberculosis Hospital in 1960 with a far advanced active case of tuberculosis and had remained there until February, 1962.

In this answer, defendant further averred that the policy provisions were not in conflict with T.O.A. sec. 56-1111(3).

To the answer of defendant, the complainant filed a replication stating, among other things, that she did not admit the misrepresentation averred in defendant’s answer and that under the applicable law the defendant was barred from making such a defense.

The case was tried upon the pleadings, a written stipulation of facts and the oral testimony of two witnesses, one of whom was Mr. Owen C. Leslie, an official of another insurance company, Provident Life and Accident Insurance Company. However, the Chancellor held that the testimony of Mr. Leslie was incompetent and he therefore refused to consider it. So-, Mr. Leslie’s testi[225]*225mony is included, in tlie bill of exceptions only for the purpose of having it considered upon this appeal.

As a result of the trial, the Chancellor found in favor of the complainant and awarded her a decree for recovery of the face amount of the policy, $7,381.00, and interest from May 12, 1966, but denied recovery of penalty.

From this decree, the defendant has appealed and filed seven assignments of error insisting that the trial Court erred as follows:

(1) In holding as a matter of law that under the provisions of T.C.A. sec. 56-1103 the defendant was required to prove an actual intent to defraud before the misrepresentation made by the insured would void the policy of insurance. (2) In holding that the defendant failed to prove the insured made a material misrepresentation in his application for insurance. (3) In holding that the defendant was estopped from asserting its claim of forfeiture of the policy, since it was put on notice of such facts as would require it to make further investigation. (4) In failing to dismiss so much of complainant’s bill as sought to reform the insurance policy to conform with the requirements of T.C.A. sec. 56-1111(3). (5) In holding that the testimony of John Clay, the agent who sold the insurance policy, would have supported the complainant’s claim if the testimony of said agent had been offered. (6) In refusing to consider the testimony of Owen C. Leslie, Chief underwriter for Provident Life and Accident Insurance Company, regarding underwriting practices in the insurance industry. (7) That the evidence preponderates against the decree of the trial Court.

[226]*226The pertinent facts of the case are uncontroverted and appear from the record to be as follows:

In June, 1960, the insured, Cleveland M. Stephens, consulted with Doctor James M. Hayes of Chattanooga, Tennessee, and was diagnosed as having an advanced case of tuberculosis. Thereafter, in the year 1960, the insured was confined in Erlanger Hospital of Chattanooga for a period of time for which period of time he received treatment for tuberculosis.

On or about August 23,1960, the insured was admitted to the Tennessee Tuberculosis Hospital in Chattanooga with an admitting diagnosis of “fair advanced bilateral active pulmonary tuberculosis.” While in the hospital he had surgery for treatment of such tuberculosis on three occasions and, according to the hospital records he made a good recovery therefrom.

Because of his history of tuberculosis, the insured was checked by the Hamilton County Health Department on a regular basis between March, 1962 and June 18, 1963, but no- active pulmonary tuberculosis was indicated from examination by the Health Department on the last examination which was on June 18,1963.

On October 7, 1965, the insured applied to the defendant through one of its agents, John Clay, for a policy of life insurance in the amount of $7,381.00, but no medical examination was requested by the defendant or its agent.

The written application for such insurance policy contains the following question:

‘ ‘ Have you ever had or been treated for heart trouble or high blood pressure; cancer, diabetes, tuberculosis, [227]*227epilepsy or nervous disorder; stomach trouble or any ailment of the kidneys, gall bladder or liver!”

Opposite this question there appears in the application two boxes or check marks, one box being designated “yes” and the other designated “no” and a check mark appears in the box designated “no”.

The agent, John Clay, did not testify in the case and there is no evidence that he or any other representative of the company knew or had reason to believe that the insured ever had or was treated for tuberculosis.

At some time between the date of the application and the date the policy was issued, the defendant requested from the Memphis office of American Service Bureau a confidential nonmedical report on the insured which report includes questions about the financial status, health, personal habits and reputation of the insured.

The only pertinent portion of this report, which is dated October 2, 1965, is as follows: “He is in good health, but learned that he had a back ailment when living at permanent home address of 630 E. 5th St. Chattanooga, Tennessee.

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Related

State Farm Life Insurance Co. v. Lawless
586 S.W.2d 468 (Court of Appeals of Tennessee, 1979)
Milligan v. MFA Mutual Insurance Company
497 S.W.2d 736 (Court of Appeals of Tennessee, 1973)

Cite This Page — Counsel Stack

Bluebook (online)
445 S.W.2d 910, 60 Tenn. App. 221, 1969 Tenn. App. LEXIS 314, Counsel Stack Legal Research, https://law.counselstack.com/opinion/lincoln-american-life-insurance-v-stephens-tennctapp-1969.