Mercier v. John Hancock Mutual Life Insurance

44 A.2d 372, 141 Me. 376, 1945 Me. LEXIS 29
CourtSupreme Judicial Court of Maine
DecidedOctober 19, 1945
StatusPublished
Cited by4 cases

This text of 44 A.2d 372 (Mercier v. John Hancock Mutual Life Insurance) is published on Counsel Stack Legal Research, covering Supreme Judicial Court of Maine primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Mercier v. John Hancock Mutual Life Insurance, 44 A.2d 372, 141 Me. 376, 1945 Me. LEXIS 29 (Me. 1945).

Opinion

Manser, J.

The defendant company issued a life insurance policy of $1,000 to Dennis Pignoni, son of the plaintiff, who was named as beneficiary. The application was written by an authorized resident agent at Waterville on April 15, 1943. No medical examination was required. The young man was 24 years of age, 5 ft. 10 in. in height and weighed 155 lbs. The evidence, unquestioned, shows that he was apparently in good health. He died July 11, 1943 from pneumonia due to tuberculosis of uncertain duration. He received medical attention for eleven days.

The defendant company contested payment upon the ground that Pignoni made false representations to the effect that no albumin or sugar had ever been found in his urine, and that he had never been told that he had symptoms of diabetes, when in truth he had been diabetic for ten years and had used the insulin treatment therefor. Also that he stated his brother was in good health, when he was at the time a patient in a [378]*378tuberculosis sanitarium, and died soon thereafter. From the evidence adduced during the trial, it was stipulated by the parties that Pignoni did not know at the time of the application that he himself was afflicted with tuberculosis.

The position of the plaintiff was that the agent was explicitly informed of the diabetes. The stepfather of the young man, speaking of the visit of the agent to solicit insurance, said:

“Well, he wanted to sell him a policy, and I told him, “No,” I said, “because he has got diabetes; you can’t sell no insurance to a man who has got diabetes.” But he said, “That won’t make no difference; he may never die on account of it, and he may live to be 90 years old.”

This epitomizes the testimony of both Mr. and Mrs. Mercier on the point, who said they were present at the time the young man was interviewed.

With relation to all the questions concerning the physical history of the applicant, the testimony for the plaintiff is that no questions were asked of the applicant by the agent except as to whether he had had a surgical operation, and that no question was asked him concerning the condition of health of his brother.

The testimony of the agent was taken by deposition in Alaska. He testified that he read each question to the applicant, whom he did not know prior to taking the application; that the interview was with him alone; that he had no previous knowledge of any physical ailment nor did he learn of any except as to an appendectomy; that the answers as written by him were as given by the applicant. In rebuttal to this, the mother and stepfather testified they were both present during the entire interview and that the agent had known both Pignoni boys since childhood, had seen them frequently up to 1940, and had called them by nicknames.

The issues presented to the jury were whether there were, [379]*379in fact, any material misrepresentations or concealments by or on behalf of the applicant; whether the agent knew or was informed of the diabetes and took the responsibility of assuring the applicant that it made no difference and need not be mentioned in the application; and again whether the agent failed to ask the question as to the health of the brother of the applicant, and instead assumed the responsibility of inserting a favorable answer.

The testimony was flatly contradictory. The instructions by the presiding Justice were clear and lucid upon the factual issues. It was for the jury to determine as to the credibility of witnesses and the weight of the evidence. The record would not warrant a ruling by this Court that the verdict was manifestly wrong.

This brings us to a consideration of the exceptions. These were taken as a result of the refusal by the presiding Justice to give certain instructions, in the form requested, and which were as follows:

“1. The statute C. 56, Sec. 55,1944 Revised Statutes does not apply to the insurance contract before you, if you find that it is a Massachusetts contract, unless it is proved that Massachusetts has a similar statute.
2. The statute, C. 56, Sec. 55,1944 Revised Statutes applies to contracts of insurance “effected” by agents.
It does not apply if the contract is not closed by the agent. Taking the application is not enough, for the contract is not completed until acceptance by the insurance company.
3. The statute does not apply if the effect of application of it in this case would be to permit a fraud to be practiced upon the insurer.
4. The statute does not apply if there is collusion on [380]*380the part of the applicant or the beneficiary or both, and on the part of the agent.
5. This contract is a Massachusetts contract.”

As background for the consideration of the legal questions thus arising, we must consider the effect of our statutory provisions relating to out of State companies.

The provisions of R. S., C. 56, §§38-57 inclusive, have application to foreign insurance companies, which by definition mean companies not incorporated in this State. Under the conditions, limitations and restrictions there imposed, such insurance companies are permitted to carry on their business and procure insurance from residents of Maine. To protect the rights of Maine residents, definite requirements are made. Such companies must first secure from the Commissioner of Insurance license to do business in this State. They must qualify in accordance with the specific provisions of our law. They must employ resident agents. These agents must be licensed by the State. They must submit to the jurisdiction of our Courts in all litigation with the residents of Maine. No conditions, stipulations or agreements shall deprive Courts of this State of jurisdiction of actions. Notice of process may be served upon any agent or upon the Commissioner.

Then, of paramount importance, comes the positive provision of §55 of the Chapter,

“Such agents and the agents of all domestic companies shall be regarded as in the place of the company in all ' respects regarding any insurance effected by them. The Company is bound by their knowledge of the risk and of all matters connected therewith. Omissions and misdescriptions known to the agent shall be regarded as known by the company, and waived by it as if noted in the policy.”

[381]*381This law does not discriminate against foreign companies.

“The simple purpose of the statute is that those seeking insurance and those afterwards holding policies, may as safely deal with the agents, with whom alone they ordinarily transact their business, as if they were dealing directly with the companies themselves.” Maxwell v. Insurance Co., 114 Me., 170 at 176; LeBlanc v. Standard Insurance Co., 114 Me., 6.

The first of these cases was against a Maine Company and the second against a foreign company. The phrase that the agent shall be regarded as in the place of the Company has been interpreted as meaning that the agent “is the company in all respects regarding ahy insurance effected by him.” Cases above cited.

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363 A.2d 951 (Supreme Judicial Court of Maine, 1976)
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Cite This Page — Counsel Stack

Bluebook (online)
44 A.2d 372, 141 Me. 376, 1945 Me. LEXIS 29, Counsel Stack Legal Research, https://law.counselstack.com/opinion/mercier-v-john-hancock-mutual-life-insurance-me-1945.