Metropolitan Life Insurance Co. v. Marshall

16 S.E.2d 83, 65 Ga. App. 696, 1941 Ga. App. LEXIS 370
CourtCourt of Appeals of Georgia
DecidedJuly 31, 1941
Docket28858.
StatusPublished
Cited by15 cases

This text of 16 S.E.2d 83 (Metropolitan Life Insurance Co. v. Marshall) is published on Counsel Stack Legal Research, covering Court of Appeals of Georgia primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Metropolitan Life Insurance Co. v. Marshall, 16 S.E.2d 83, 65 Ga. App. 696, 1941 Ga. App. LEXIS 370 (Ga. Ct. App. 1941).

Opinions

Stephens, P. J.

Mrs. Mary E. Marshall brought suit on February 27, 1940, against the Metropolitan Life Insurance Company on a policy of insurance in which her husband was the insured and plaintiff the beneficiary. It appeared from the petition that the policy had been written August 1, 1938; that it provided that the company would pay to the plaintiff $1010 “upon receipt of due proof of the death of the insured and upon the surrender of this policy;” that on October 7, 1939, the insured died; that at the time of his death all premiums on the policy had been paid and it Was in effect; that on October 10, 1939, the defendant was furnished with due proof of death and the policy was surrendered to it; that on October 24, 1939, the defendant acknowledged receipt of due proof of death and of the plaintiff’s claim under the policy; that on January 10, 1940, the defendant refused to pay the claim, and that such refusal to pay was in bad faith, and the defendant is indebted to the plaintiff, in addition to the principal amount of the policy, in the further sum of 25 per cent, thereof as damages together with $350 as reasonable attorney’s fees for the prosecution of this suit.

The defendant denied liability and alleged that the policy had been issued on the insured’s two-part application, dated July 22, 1938, for a policy in the amount of $1064, and that a true copy of the application was attached to the policy as an “integral and *697 ■component part” of it; that the application was sent to defendant’s home office in New Tork City, and that in reliance on the truth and correctness of all the statements made in the application the defendant issued the policy; that the contract between it and the insured consisted of the application and the policy; that by an amendment to the application by the insured, made August 1, 1938, the application was changed so as to apply for $1010 of insurance instead of $1064; that payment of the policy was refused by the defendant on the ground of incorrect and untrue answers made by the insured to questions propounded in the application as to prior illnesses, time lost from work on account thereof, and as to what physicians the insured had been treated by within the past five years; that in the application following the answers of the insured to such questions and over his signature there was this recital: “I hereby certify that: (1) I have read the answers to the questions in part A and part B hereof, before signing; (2) they have been ■correctly written, as given by me; (3) they are full, true, and complete; and (4) there are no exceptions to any such answers other than stated herein;” that in the amendment of August 1, 1938, to the application it was recited as follows: “The undersigned hereby amends the application for life insurance made to your company, ■on date stated above, in the following particulars: these amendments and declarations are to be taken and considered as part of the said application and subject to the agreements, covenants, and statements therein contained, and the said application, together with these amendments is to be taken as a whole and considered as the basis of and as a part of the contract of insurance; by reducing the amount of insurance to $1010. In all other respects, ■said application is correct and true, and I hereby ratify and affirm the statements therein made as of the date hereof;” and that by reason of the above facts the false statements and material misrepresentations made by the insured in his application were repeated and affirmed by him.

The defendant further alleged that the questions asked of the insured were material in ascertaining the nature and extent of the risk to be assumed by it, and good faith required full, true, and ■correct disclosures and answers thereto; that the insured at the time of making the application knew of the untruth and falsity of his answer to such questions; that the defendant relied on the cor *698 xeetness and good faith of such answers, and issued the policy in-reliance thereon; that had the defendant known, from true and full answers in good faith to these questions, the true nature and extent of the risk it was being asked by the insured to assume it would not have issued the policy at all; that the insured lived only a short space of eleven months or so after the policy was issued to-him; that it was not until the death of the insured and just after the plaintiff filed her claim for payment under the policy that the-defendant learned of the untruth and falsity of the answers made by the insured to the questions asked of him in the application, and that by reason of the misrepresentations and false and untrue-statements made by the insured with knowledge “it would be unconscionable and unjust to defendant’s other policy-holder members to make any payment thereon, and plaintiff should not recover-in any amount.” It was further alleged that the total amount paid the defendant as premiums was $70, repayment of which has-been tendered to and refused by the plaintiff, and that the defendant makes this its continuing tender of payment of this amount, to the plaintiff “and further shows that it has acted in the utmost good faith.”

The defendant amended its answer, and after striking the original allegations as to the false answers of the insured to the questions propounded in the application, alleged that the insured made-incorrect and untrue answers to the questions in the application-substantially as follows: To the question “What is your present condition of health?” the insured answered only “Good.” This answer was incorrect and untrue in that the insured knew and failed to disclose that for a year or more he had been suffering from-recurring and periodic mild pains in his chest which especially came on after exertion. To the question “Have you ever changed' your residence or your occupation or' left your work for more than one month on account of your health?” the insured answered “No.”' This answer was not correct in that the insured was absent from his usual work for a period of fifty-nine consecutive days on account of illness with gastric hyperacidity. To the question “How much time have you lost from . . work through illness during the last five years?” the insured only answered “Twenty-seven days, October, 1937. Tonsillectomy.” This was an untrue answer in that the insured was absent from his work on account of influ *699 <enza from February 13, 1935, until February 20, 1935; from January 2, 1936, until March 1, 1936, on account of gastric hyper-acidity; from November 7, 1936, until November 19, 1936, on ae-count of influenza; and from October 6, 1937, until November 5, 1937, on account of chronic tonsillitis, during which time the ton-silleetomy above referred to was performed. To the question “Have you any physical or mental defect or infirmity?” the insured answered “No.” This answer was untrue in that the insured knew that he was suffering from and complaining of, and for some time had been suffering from and complaining of, recurring and periodic mild pains in his chest, which especially came on after exertion, which condition had continued for a period of two years before the '■time of his answering the questions. Such answer was also untrue ■because the insured knew that he was suffering and complaining of •an acid condition of the stomach, dull aching pains in the region •of his gall bladder, and neuritis in his right shoulder, all over a period of several years before the time of answering such question.

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

Related

Sanders v. SOUTHERN FARM BUREAU LIFE INSURANCE COMPANY
332 S.E.2d 33 (Court of Appeals of Georgia, 1985)
LaCount v. United Insurance Co. of America
226 S.E.2d 307 (Court of Appeals of Georgia, 1976)
Carreker v. National Diversified, Inc.
218 S.E.2d 117 (Court of Appeals of Georgia, 1975)
Gordon W. Kilgore v. United States
467 F.2d 22 (Fifth Circuit, 1972)
Srochi v. Kamensky
174 S.E.2d 263 (Court of Appeals of Georgia, 1970)
Aetna Life Insurance Co. v. Cash
172 S.E.2d 629 (Court of Appeals of Georgia, 1970)
American Oil Co. v. McCluskey
167 S.E.2d 711 (Court of Appeals of Georgia, 1969)
Patterson v. Cotton States Mutual Insurance
148 S.E.2d 320 (Supreme Court of Georgia, 1966)
Gilham v. National Life & Accident Insurance
122 S.E.2d 164 (Court of Appeals of Georgia, 1961)
Globe Indemnity Company v. Hall
95 S.E.2d 759 (Court of Appeals of Georgia, 1956)
Lawler v. Life Ins. Co. of Georgia
83 S.E.2d 281 (Court of Appeals of Georgia, 1954)
Metropolitan Life Insurance Co. v. Milton
38 S.E.2d 885 (Court of Appeals of Georgia, 1946)

Cite This Page — Counsel Stack

Bluebook (online)
16 S.E.2d 83, 65 Ga. App. 696, 1941 Ga. App. LEXIS 370, Counsel Stack Legal Research, https://law.counselstack.com/opinion/metropolitan-life-insurance-co-v-marshall-gactapp-1941.