McNabb v. State Farm Life Ins.

116 F. Supp. 641, 1953 U.S. Dist. LEXIS 2278
CourtDistrict Court, S.D. Iowa
DecidedNovember 14, 1953
DocketCiv. No. 1-43
StatusPublished

This text of 116 F. Supp. 641 (McNabb v. State Farm Life Ins.) is published on Counsel Stack Legal Research, covering District Court, S.D. Iowa primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
McNabb v. State Farm Life Ins., 116 F. Supp. 641, 1953 U.S. Dist. LEXIS 2278 (S.D. Iowa 1953).

Opinion

RILEY, District Judge.

By a policy dated June 23, 1951, the defendant insured the life of Earl E. McNabb, age forty-one, for $5,000, and [642]*642agreed to pay that amount as a death benefit to plaintiff, his wife, as the named beneficiary; otherwise, to their children, Earl E. McNabb died December 17, 1952,-the defendant refused to perform and the beneficiary brings this action to compel defendant to pay.

The defendant declined to pay the amount of the insurance and tendered to plaintiff the premiums paid to it, because, of claimed material false statements and representations by the applicant and intentional, willful concealment of his true condition of health from defendant’s medical examiner and the latter’s reliance thereon. Defendant pleaded a rescission and denied all liability. The tender was kept good by paying into the registry of the court the amount of the premiums received by defendant from the insured.

The policy is dated June 23, 1951, but the medical examination of the insured, by the defendant’s medical examiner at Ottumwa, Iowa, was on June 28, 1951. The medical examiner’s report, in evidence as defendant's Exhibit 1, bears the same date.

The court finds from the record, and particularly from the testimony of the defendant’s medical examiner, Dr. Lawrence Nelson, that the required physical examination was made, that the medical examiner took and recorded the answers to the questions in the medical history, and wrote into the medical examiner’s report the information furnished to him by the applicant. Among other things in Exhibit 1 are the following questions and the answers given to the examining physician and entered by him in the original medical history:

“14. (d) Has Proposed Insured ever been under observation, care, or treatment in any hospital, sanitarium, asylum, or similar institution ? No
Yes or No”
“19. Has Proposed Insured lost any time from work during the past 3 years on account of illness or injury? (If so, explain) No
Yes or No”
“21. (a) Name and address of physician Proposed Insured usually consults: D. G. Emanuel, M. D., Ottumwa, Iowa.”
“21. (b) When and for what did Proposed Insured last consult him ? 1949 — sebaceous cyst removed, shoulder right.”
“25. Has a physician, specialist or other practitioner been consulted by or for the Proposed Insured, or has the Proposed Insured been under medical care, in the past 10 years?. Yes (If so, give
details below)
Yes or No

Disease, Date-Injury or Month Other Reasons and Year Duration and Compli- Date of cations Recovery Remaining Medical Attendant’s Effects Name and Address

Sebaceous 1949 cyst on right shoulder none 1-2 yrs. none D. G. Emanuel, M. D. Removed by Ottumwa, Iowa simple excision in office

Inguinal 1928 Hernia left none 1-2 yrs. none operation E. B. Howell, M. D. Ottumwa, Iowa”

[643]*643In the medical examiner’s report, signed by Dr. Nelson, on the reverse side of Exhibit 1 were the following questions and answers:

“11. (a) Are you satisfied as to Proposed Insured’s identity, and the substantial correctness of all answers? Yes.

“(a) Are there any conditions, even slight, not herein stated, which might have an effect upon the insurability of the risk? No.

“ (f) Do you unreservedly recommend this Proposed Insured as a first-class, average, or fair risk? Yes. (If other than first-class, give reasons)”

The evidence is uncontradicted that prior to giving the answers quoted above and furnishing to the medical examiner the information recorded by him, the applicant had been from his entrance on December 24, 1948, to his discharge on January 20, 1949, a patient at Retreat Hospital, Des Moines, Iowa, a hospital for the care and treatment of mental illness, and that while there the applicant was given six electric shock treatments as a part of his treatment. The hospital record, which was in evidence, contained these statements, among others:

“Insight and Judgment: Patient shows good insight into his condition. He realizes that he is sick and that he needs help. His judgment is good, considering his illness.”

“Summary

“This is a white male age thirty-eight who has no history of previous attack. This illness is of approximately one to two months duration, characterized by a progressive development of depression, retardation, ideas of self-condemnation, and indefinite suicidal ideas. He has good insight and good judgment into his condition.”

The discharge note contains the statement: “Manic depressive psychosis, depressed type.” The fact of this illness, diagnosis, confinement, care and treatment was never disclosed, but was concealed by the applicant from the defendant’s medical examiner. The examining physician testified, over objection, that at the time he recommended the applicant as a fit subject of life insurance he was deceived or misled. The testimony of the medical examiner was to the effect that he relied on the truth of the statements made to him by the applicant at the time he filled in the medical history. He testified that if he had known these matters not disclosed, he would not have recommended the applicant for insurance, nor would he have considered the applicant a fit subject for life insurance.

The law of Iowa is controlling in the situation here presented. The Iowa statute, Sec. 511.31 of the Code of Iowa 1950, I.C.A. (formerly Sec. 8770 of the Code of Iowa 1939), and upon which the defendant does and must rely for its defense, is discussed in Equitable Life Ins. Co. v. Mann, 233 Iowa 293, at page 295, 7 N.W.2d 566, at page 567, where the court said:

“Section 8770, Code of Iowa, 1939, provides that in any case where a medical examiner or physician of any life insurance company shall issue a certificate of health or declare the applicant a fit subject for insurance, or so report to the company, ‘it shall be thereby es-topped from setting up in defense of the action on such policy or certificate that the assured was not in the condition of health required by the policy at the time of the issuance or delivery thereof, unless the same was procured by or through the fraud or deceit of the assured.’
“We have frequently held that to establish the affirmative defense of fraud required by this section, the proof must be clear, satisfactory and convincing, and must show (1) a material representation of an existing fact, (2) its falsity, (3) scienter, (4) intent that it be relied upon, (5) that the examining physician relied and acted thereon, and (6) that the company was [644]*644thereby defrauded.” (Citing cases.)

Here the court must consider that the elements of proof described in the foregoing quotation have been satisfactorily established by the evidence in a manner that is clear, satisfactory and convincing to the court.

In the later case of New York Life Ins. Co. v. Hesseling, 236 Iowa 412, at page 418, 19 N.W.2d 191, at page 193, where the defense of fraud under Sec.

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Related

New York Life Insurance v. Rotman
3 N.W.2d 603 (Supreme Court of Iowa, 1942)
Olson v. New York Life Insurance
295 N.W. 833 (Supreme Court of Iowa, 1941)
Boos v. Mutual Life Insurance
216 N.W. 50 (Supreme Court of Iowa, 1927)
Equitable Life Insurance v. Mann
7 N.W.2d 566 (Supreme Court of Iowa, 1943)
New York Life Insurance v. Hesseling
19 N.W.2d 191 (Supreme Court of Iowa, 1945)

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Bluebook (online)
116 F. Supp. 641, 1953 U.S. Dist. LEXIS 2278, Counsel Stack Legal Research, https://law.counselstack.com/opinion/mcnabb-v-state-farm-life-ins-iasd-1953.