Messer v. Washington National Insurance

11 N.W.2d 727, 233 Iowa 1372
CourtSupreme Court of Iowa
DecidedNovember 16, 1943
DocketNo. 46251.
StatusPublished
Cited by12 cases

This text of 11 N.W.2d 727 (Messer v. Washington National Insurance) is published on Counsel Stack Legal Research, covering Supreme Court of Iowa primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Messer v. Washington National Insurance, 11 N.W.2d 727, 233 Iowa 1372 (iowa 1943).

Opinion

Mantz, J.

This is an action in equity wherein Frank F. Messer, plaintiff, brought suit against the Washington National Insurance Company, defendant, on a disability insurance policy held by him in said company, claiming indemnity thereunder, alleging, in substance, that on July 27, 1941, while said policy was in force, he suffered an injury while riding a horse; that said injury was to his abdomen and as a result thereof *1373 plaintiff was taken to a hospital where he submitted to an abdominal operation on August 6, 1941, resulting in his total disability until October 1, 1941, and in partial disability thereafter until October 15, 1941; that plaintiff notified the defendant of said accident and filed proofs; that about November 10, 1941, an authorized representative of the company called upon plaintiff, admitted its liability under the policy, and represented, stated, and showed plaintiff that the policy provided $100 per month for total disability, $50 per month for partial disability, and $100 for an abdominal operation, and then and there stated, represented, and showed plaintiff that under the terms of Section VI of said policy plaintiff was entitled to $100 for total disability for one month and $100 for the abdominal operation, a total due under the policy of $200.

Plaintiff alleges that he was then unaware of the fact that because of his paying double premiums all benefits under the policy were to be doubled, and that under the admission and interpretation of defendant, plaintiff was entitled to receive $400 instead of $200; that relying on defendant’s representations, statements, and acts aforesaid, and due to mutual mistake and oversight on the part of plaintiff and defendant, or due to such mistake and oversight of plaintiff, and an intent to conceal, cheat, and defraud on the part of defendant, plaintiff accepted a $200 check and signed a receipt and some kind of a release for the defendant; that upon discovery by plaintiff of the true facts he made demand upon the defendant for the additional $200 in accordance with the terms of the policy but that defendant refused, basing its action on the ground that plaintiff had cashed the check and signed a release and receipt; that later plaintiff discovered that under the policy there was due and owing him $736.50.

Plaintiff further alleges that by the statements, acts, and conduct as alleged, and by other false and fraudulent statements, the defendant attempted to dispose of said claim by the payment of $200 instead of the amount actually due and to obtain a receipt and release thereof; that all was part of a plan and scheme to cheat and defraud plaintiff; that on account thereof the said plaintiff is entitled to a decree rescinding said transaction and setting aside any receipts or releases executed and to judgment *1374 for $736.50 with interest, allowing defendant a credit on such sum for the $200 already paid, and for such other relief as may be just and equitable in the premises.

Defendant answered that on July 27, 1941, plaintiff was the holder of a policy of accident insurance in its company and that during September of that year plaintiff made demand upon defendant for benefits under the policy on account of an accident on J uly 27, 1941; that subsequent thereto defendant caused an investigation to be made of said accident and claimed disability and operation resulting therefrom, and, pursuant to said investigation, determined that the claimed disability and operation performed upon plaintiff were not caused solely and directly by accidental means within the terms of the policy; that about November 10th, a duly authorized representative of defendant company, acting in good faith upon information and belief that the claimed disability and operation upon plaintiff were not caused solely and directly by accidental means but, on the contrary, were complicated by disease having no connection with the accident of July 27, 1941, denied any liability on the part of defendant for benefits as claimed by plaintiff. •

Defendant further alleged that after first making demand upon the insurance company in September 1941, and up to and including November 10, 1941, the plaintiff was claiming a sum in excess of $200 as being due him under said policy and at the time of the payment to plaintiff by defendant of the sum of $200 there was a dispute between plaintiff and defendant as to the amount due under the terms of said policy, and that the sum of $200 paid to plaintiff on November 10, 1941, was paid as consideration for full and complete settlement of a claim the amount of which defendant in good faith denied.

The defendant alleged that when the $200 was paid on November 10, 1941, as full consideration therefor, plaintiff executed and delivered to defendant a release in full of all claims, demands, and causes of action under said policy, and alleged that said release and the payment of the $200 as consideration therefor released all claims and demands of the plaintiff on account of injuries claimed to have been suffered by him on July 27, 1941. A copy of said release was attached to defendant’s answer and de *1375 fendant prayed that the claim of plaintiff be dismissed and judgment for costs be rendered against him.

The lower court found in favor of plaintiff, ordering that the release given by plaintiff to defendant on November 10, 1941, should be rescinded, canceled, set aside, and held for naught, and plaintiff was given judgment against defendant for $716.66 less a credit of $200 with five per cent interest from the date of judgment. Defendant has appealed.

Some of the facts are not in dispute; in others, there is a sharp conflict. We think the record fully sustains the following:

That on July 27, 1941, appellee was the holder of what is termed a “non-caneellable disability policy” issued by the Great Western Insurance Company (later assumed by defendant), which was then in full force and effect, and that by reason of the payment of double premiums appellee was entitled to double indemnities under the terms thereof; that the appellee, while in California, consulted a physician concerning his condition; that upon the advice of such physician he was taken to the Murphy Memorial Hospital at Whittier, California, on August 5th, and August 6th he was operated upon for an acute abscess, an abdominal incision being made; that he remained in the hospital until September 1st and remained at Whittier until September 14th or 15th, receiving regular medical attention, after- which he returned to his home in Iowa City and was treated there until the wound had fully healed. He was unable to work until about October 1st, and then worked part time until October 15th, following which he worked full time. About September 17th, he wrote to appellant advising it of his injury and disability, and, upon request of appellant, on September 30th sent to appellant a personal report of his claim and on October 4th he sent a further statement in which he enclosed a statement of his attending physician and a report from the hospital. The appellant acknowledged receipt of said claim and the attached statements and advised appellee that an investigation of his claim was being made.

It further appears that on the personal report of appellee there was the following question:

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Bluebook (online)
11 N.W.2d 727, 233 Iowa 1372, Counsel Stack Legal Research, https://law.counselstack.com/opinion/messer-v-washington-national-insurance-iowa-1943.