McDaniel v. Physicians Mutual Insurance Co.

621 S.W.2d 391, 1981 Tenn. LEXIS 479
CourtTennessee Supreme Court
DecidedAugust 3, 1981
StatusPublished
Cited by16 cases

This text of 621 S.W.2d 391 (McDaniel v. Physicians Mutual Insurance Co.) is published on Counsel Stack Legal Research, covering Tennessee Supreme Court primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
McDaniel v. Physicians Mutual Insurance Co., 621 S.W.2d 391, 1981 Tenn. LEXIS 479 (Tenn. 1981).

Opinions

OPINION

FONES, Justice.

This is a suit to recover benefits allegedly due the policyholder under an accident and sickness insurance policy.

The trial court held as a matter of law that plaintiff had made a misrepresentation by his failure to disclose the fact that he had additional insurance with another insurance company, but that this misrepresentation did not increase the risk of loss to defendant. The only issue submitted to the jury was whether plaintiff made the false statement with actual intent to deceive defendant. The jury returned a verdict in favor of plaintiff and defendant appealed.

Two members of the Court of Appeals held that the issue of whether there had been a misrepresentation should have been submitted to the jury, and that it was error on the part of the trial judge to exclude defendant’s agent’s testimony concerning the manner in which the controverted question was posed to plaintiff. The third judge concurred, but went further, stating that the trial judge erred in concluding the statements made by plaintiff, if false, did not increase the risk to defendant.

Defendant appealed to this Court, claiming that the majority of the Court of Appeals erred in holding there was a factual issue as to whether there had been a misrepresentation and erred in failing to reach the issue of whether the misrepresentation increased the risk of loss to defendant. Plaintiff also appealed, claiming the controlling statute in this case should have been T.C.A. § 56-26-119 and not § 56-7— 103.

I.

The record reveals that plaintiff began working for the Civil Aeronautics Adminis[392]*392tration as an air traffic controller in 1955; he served in that capacity until he was disqualified for medical reasons in 1976.

On May 19, 1975, plaintiff applied for insurance with Charter National Life Insurance Company. Plaintiff was issued an insurance policy from Charter National dated June 23, 1975, which remained in effect for all relevant periods involved in this case. The policy basically provided coverage for total and partial disability due to injuries and for total disability due to sickness. “Disability” was defined as the “inability of the insured to engage in his occupation,” or loss of time spent in the “usual daily performances of the duties of his occupation.” This policy was to pay him $650 per month while totally disabled.

At some point, the exact date of which does not appear in the record, plaintiff received some literature in the mail from defendant, Physicians Mutual, inquiring about his need for insurance. Plaintiff filled out the questionaire and returned it to defendant. Plaintiff was subsequently contacted by defendant’s agent, Mr. Tram-mell, who arranged a meeting with plaintiff at his (plaintiff’s) home. At this meeting Trammell recorded the information elicited from plaintiff on defendant’s application form. Question three of this application appeared as follows:

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

Related

Ron Jobe v. Erie Insurance Exchange
Court of Appeals of Tennessee, 2024
The Estate of Clint Wallace v. NewRez, LLC
Court of Appeals of Tennessee, 2022
Chuck's Package Store v. City of Morristown
545 S.W.3d 398 (Tennessee Supreme Court, 2018)
Pavement Restorations, Inc. v. Thomas E. Ralls
Court of Appeals of Tennessee, 2017
Edith Johnson v. Mark C. Hopkins
432 S.W.3d 840 (Tennessee Supreme Court, 2013)
Acuity Mutual Insurance v. Frye
699 F. Supp. 2d 975 (E.D. Tennessee, 2010)
Tennessee Farmers Mut. Ins. Co. v. Farrar
337 S.W.3d 829 (Court of Appeals of Tennessee, 2009)
Royal Surplus Lines Insurance v. Sofamor Danek Group, Inc.
303 F. Supp. 2d 897 (W.D. Tennessee, 2003)
Cummings v. Federal Kemper Life Assurance Co.
908 F. Supp. 512 (E.D. Tennessee, 1995)
Jacobs v. Life Insurance Co. of North America
710 F. Supp. 521 (S.D. New York, 1989)
Bush v. Washington National Insurance
534 N.E.2d 1139 (Indiana Court of Appeals, 1989)
Garde v. Country Life Insurance Co.
498 N.E.2d 302 (Appellate Court of Illinois, 1986)
McDaniel v. Physicians Mutual Insurance Co.
621 S.W.2d 391 (Tennessee Supreme Court, 1981)

Cite This Page — Counsel Stack

Bluebook (online)
621 S.W.2d 391, 1981 Tenn. LEXIS 479, Counsel Stack Legal Research, https://law.counselstack.com/opinion/mcdaniel-v-physicians-mutual-insurance-co-tenn-1981.