Lucas v. American Bankers' Ins.

141 So. 394
CourtLouisiana Court of Appeal
DecidedMay 4, 1932
DocketNo. 4180
StatusPublished
Cited by5 cases

This text of 141 So. 394 (Lucas v. American Bankers' Ins.) is published on Counsel Stack Legal Research, covering Louisiana Court of Appeal primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Lucas v. American Bankers' Ins., 141 So. 394 (La. Ct. App. 1932).

Opinion

CULPEPPER, J.

Defendant, an insurance company of Chicago, Ill., issued from its office in Chattanooga, Tenn., of date .October 21, 1930, an accident and health policy to Susan Lucas of Shrev'eport, La., upon her application taken and recommended by J. R. Billingsby, defendant’s local solicitor and agent at Shreveport. Ben Lucas, son of the insured and plaintiff herein, was named beneficiary in the policy.

Under the terms of the policy, in event of accidental death of the insured, the beneficiary was to receive the sum of $500; in event of sickness, or death from sickness, the insured was to receive certain stipulated sums as benefits. The policy provided that “after insured reached the age of 60 years or over, one-half above benefits will be paid, under Paragraph (I)” (which is the paragraph providing for payment on account of death from sickness).

On January 31, 1931, the insured was struck and injured by an automobile as she started to walk across one of -the streets of the city of Shreveport, and, as a result, she died the next day. Proof of death was furnished to defendant company with demand by plaintiff, the beneficiary, for settlement, which was refused, and this suit followed. From a judgment rejecting plaintiff’s demands he has appealed.

Defendant before answering moved to strike from plaintiff’s petition that portion demanding double the amount called for in face of the policy plus $150 as attorneys’ fees. The motion was overruled. These demands, however, have apparently been abandoned.

The defense is that there was fraud and collusion practiced upon defendant by plaintiff. It is averred that defendant’s agent, J. R. Billingsby, called at plaintiff’s home, where Susan Lucas resided, at plaintiff’s request, and was shown “a negro woman about 45 years of age, in good and sound health, Whose name is unknown, to — defendant, and was not Susan Lucas; that said negro woman made an application — for a . policy of insurance; that said applicant falsely and fraudulently gave her name as Susan Lucas.” Further answering defendant avers that Susan Lucas was a negro woman about 80 years of age, and “in truth and in fact she never made any application for insurance with your defendant,” and that because of the fraud and collusion practiced upon defendant in the substitution of a negro woman about 45 years of age in good and sound health, defendant was induced to issue the policy sued upon.

Upon trial, plaintiff testified that it was his mother, not some one else, who was present when the agent called and wrote out the application, and that the application was. written for her in her presence. The agent, Bill-ingsby, did not testify positively that the person who was present and for whom he wrote the application was or was not Susan Lucas. He testified that the. applicant appeared to him to be about 48 years of age. From .the testimony as a whole on this point it appears certain that the woman was Susan Lucas, and none other, who was present and for whom Billingsby wrote the application. In fact, this is not now seriously disputed by defendant. The proof shows, and it is conceded by both plaintiff and defendant, that Susan Lucas, the insured, was a very old'negro woman. Plaintiff, in his affidavit in proof of death and claim for payment under the policy, positively states his mother was 72 years of age at her death, which was but a little over three months after her application for insurance was written. Defendant in answer avers that her age was about 80 years. Dr. Butler, coroner, who viewed her body at death, testified that “she was a dried up, gray haired old negro woman.” He said he would hesitate to say how old she was, but would “classify her as being real old.” So, there can be no doubt that both defendant’s agent, Billingsby, and Ben Lucas, the plaintiff, who was present and answered questions asked him by the agent and pretended to give such information as he possessed regardin§ his mother’s age, state of health, and occupation, could not help knowing that Susan Lucas was a very old, “dried up, gray haired” woman. She was present at the time the application was made out, Signed it by mark, and Billingsby and plaintiff knew her age was by many years, more than a [396]*396score years, over the age fixed in the application hy Billingshy and agreed to hy plaintiff. It was they who discussed and agreed upon án age to be inserted, and not she.

Neither of these two men testified that Susan Lucas was even asked to state her age. Plaintiff contents himself by saying his mother did not know her age, but does not state he asked her at the time. Billingshy does not say he even asked her her age, hut is content to say that the woman for whom he wrote the application appeared to be about forty-eight. His testimony regarding the identity of the appliednt, her age, and relationship to plaintiff, shows plainly that he was endeavoring to evade the truth. He testifies that Ben Lucas appeared to be 45 years old, and says, “If I am not mistaken I think he represented this woman to be his sister.” Yet, in the application he fixes Ben’s age at 32 and his relationship to the woman as that óf son. He says he put Susan’s age at 48 at Ben’s request. If he had wanted her age, he could easily have asked Her. She doubtless would have given some sort of an answer, and given her approximate age. Ben himself could doubtless have told within a few years his mother’s age. 1-Ie too was evasive in his answers to questions regarding her age as well as that of his own. He was present, saw the application as it was being made out, knew and agreed for his mother’s age to go in at 48 and his own at 32, well knowing that both these were false and pure fabrications, and which could have no other purpose than to deceive defendant company into writing a policy, both as to health and accident, for his mother, and that in event of death by accident, he would be the beneficiary.

Prom the testimony as a whole, we can construe the actions of both plaintiff and the agent Billingshy as none other than a scheme to defraud the insurance company which the latter represented. If plaintiff did not conceive the idea, he participated in its execution and thereby became a party to it.

The policy recites that it was issued in consideration of the statements contained in the application, copy of which is attached “and which is made a material part” of the policy. It provides that an agent has no authority to change the policy or waive any of its conditions. It states that if the age of the insured is not correctly stated the amount payable under any clause will be such as the premium paid would have purchased at the true age; also, that the policy shall not be valid until countersigned by the duly authorized agent of the company at Chattanooga, Tenn. In the application the applicant expressly agreed that the statements therein made should constitute a part of the policy.

The general rule of law stated in 1 C. J. § •61, under Accident Insurance, is as follows:

“The application for insurance being considered as a part of the policy, it follows that the policy will be avoided where the applicant has made in his application false statements as to matters material to the risk, such as the mental 'or physical condition of the applicant, his state of health, his age, occupation, salary, or earning capacity, or existence vel non of other insurance.”

“A fair test for determining the materiality of a statement contained in an application for insurance is found in answer to the question whether reasonably careful and.

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

Related

Lamark v. Lincoln Income Life Insurance Company
169 So. 2d 203 (Louisiana Court of Appeal, 1965)
Covington v. Prudential Insurance Company
136 So. 2d 731 (Louisiana Court of Appeal, 1961)
Jacobs v. Metropolitan Life Ins. Co.
39 So. 2d 346 (Louisiana Court of Appeal, 1949)
Mothershead v. National Life & Accident Ins. Co.
165 So. 464 (Louisiana Court of Appeal, 1936)

Cite This Page — Counsel Stack

Bluebook (online)
141 So. 394, Counsel Stack Legal Research, https://law.counselstack.com/opinion/lucas-v-american-bankers-ins-lactapp-1932.