Martin v. Ore Insurance Co.

375 P.2d 75, 232 Or. 197, 1962 Ore. LEXIS 422
CourtOregon Supreme Court
DecidedOctober 10, 1962
StatusPublished
Cited by5 cases

This text of 375 P.2d 75 (Martin v. Ore Insurance Co.) is published on Counsel Stack Legal Research, covering Oregon Supreme Court primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Martin v. Ore Insurance Co., 375 P.2d 75, 232 Or. 197, 1962 Ore. LEXIS 422 (Or. 1962).

Opinion

ROSSMAN, J.

This is an appeal by the plaintiff Theron F. Martin from a judgment which the circuit court entered in favor of the defendant Ore Insurance Company in an action instituted by the plaintiff upon a policy of accident insurance which the defendant had issued to the plaintiff. The parties waived trial by jury.

One Howard Kasch was the employer of the plaintiff Martin. He had discussed with defendant’s representative, Darrell Sanders, the possibility of obtaining for Ms (Kasch’s) employees insurance that would afford coverage comparable to that paid out of the State Industrial Accident fund. The negotiations cul *200 urinated on February 11,1960, in the signing by Martin of an application for insurance with the defendant. The application contained queries as to the health and background of the applicant, and was designed to procure information vital to the defendant’s determination of the nature of the risk involved. The questions material to the case are:

“15. Have you had any disease or disorder of:
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(e) The genito-urinary organs (kidney trouble, prostatitis, diabetes * * *) ?
# * #
“17. Have you had any disease or disorder not mentioned in questions 15 or 16?
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“19. During the past 5 years have you consulted a physician or practitioner?”

Each of the above questions was answered in the negative. Martin’s signature appears at the bottom of the application, representing that to the best of his knowledge each answer was true.

Although the parties agree that these questions materially affected the defendant’s decision to grant Martin a policy and that they were not true, they are in sharp disagreement as to where the responsibility for the untruthfulness lies. Sanders, the agent, claims that he asked Martin each question itemized on the application form, and that he inserted only the answers which Martin gave him. At the trial he testified as follows:

“Q Would you explain to us how you went over the application with him?
“A Tes. To begin with I asked Mr. Martin his name, address, birthdate, place of birth—well, his age, I stated that, sex, race, height, how much he *201 weighed, his occupation, his duties, where he was employed, business address, and to whom he wished to name beneficiary. Then I went further and asked Mr. Martin these questions here which I’ve checked here. I asked him each question, if any of these— if he had any of these illnesses to which he replied in the negative * * *.
“Q Mr. Sanders, do you recall asking him whether during the past five years he had consulted a physician or practitioner?
“A Yes, I did.
“Q What answer did he give you?
“A No.
m # *
“THE COURT: And every place that you’ve checked off as no,---
“THE WITNESS: Yes, sir.
“THE COURT:---he gave the positive answer ‘no’?
“THE WITNESS: Yes, he did.”

Martin, on the other hand, claims that Sanders asked bim only one question relating to his health and that he (Martin) answered that truthfully. An excerpt from his testimony follows:

“Q Mr. Martin, did Mr. Sanders make any inquiry concerning the condition of your health at the time you signed this application for insurance?
“A Yes.
“Q What was that inquiry?
“A He says, ‘How’s your general health?’
“Q Did he ask you specifically if you had ever suffered from certain-named diseases?
“A No.
“Q Did he ask you specifically if you had seen a doctor or had had an operation---
“A No.
*202 “Q - - - within the last five years or any questions of that type?
“A No, nothing except, ‘How’s your general health?’ ”

After Martin had signed the application it was submitted by Sanders to the defendant’s home office in San Francisco. The defendant refused to issue a policy for the requested coverage. A letter dated February 25,1960, notified Martin of its decision in the following language:

“We are in receipt of application for Accident Policy calling for a Principal Sum of $5,000.00, $150.00 monthly indemnity for disability caused by accident, plus $10 per day hospital Rider.
“We have considered the application and we are sorry to advise it will not be possible for us to accept it for the coverage requested. However, we are agreeable to considering the application for a Principal Sum of $3,000.00, $150.00 monthly for disability from accident, plus $5 per day Hospital benefit, at a monthly premium of $5.67 per month.
“If this is agreeable to you, please advise and we shall change the application accordingly, and will also refund to you the difference in premium paid, unless you prefer to have it applied toward next month’s premium.”

It is clear from that language that the defendant suggested the new figures on the basis of the application which had been submitted.

Sanders received a carbon copy of that letter. After conferring with Martin and Kaseh he secured their oral approval of the proposed alterations and so advised the defendant in a letter to his home office. With his letter he also returned the cqrbon copy of *203 the letter of February 25, upon which he had handwritten the following:

“Mr. Martin wishes the coverage as outlined here.”

Accordingly, the defendant altered the application to comply with the coverage that it had suggested.

After further processing Martin’s application defendant mailed to him a letter dated March 24, 1960, enclosing its policy for the coverage which had orally been agreed upon. The letter stated that the policy was effective retroactively to March 7, 1960. Attached to the policy was a photostatic copy of the application which Martin had signed. The alterations which the defendant made are clearly visible thereon. The original entries are likewise plainly visible.

On March 15, prior to his receipt of the policy but subsequent to its effective date, Martin sustained the injury which led to this litigation. He entered a hospital on March 17, and was not discharged therefrom until April 7, 1960.

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Bluebook (online)
375 P.2d 75, 232 Or. 197, 1962 Ore. LEXIS 422, Counsel Stack Legal Research, https://law.counselstack.com/opinion/martin-v-ore-insurance-co-or-1962.