Metropolitan Life Insurance v. Johnson

94 N.E. 785, 49 Ind. App. 233, 1911 Ind. App. LEXIS 223
CourtIndiana Court of Appeals
DecidedApril 19, 1911
DocketNo. 6,915
StatusPublished
Cited by32 cases

This text of 94 N.E. 785 (Metropolitan Life Insurance v. Johnson) is published on Counsel Stack Legal Research, covering Indiana Court of Appeals primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Metropolitan Life Insurance v. Johnson, 94 N.E. 785, 49 Ind. App. 233, 1911 Ind. App. LEXIS 223 (Ind. Ct. App. 1911).

Opinion

Felt, J.

Action by appellee against appellant to recover upon a policy of industrial insurance issued upon the life of appellee’s wife. There was a judgment for $137.79, from which this appeal is taken.

The complaint is in one paragraph and. in the usual form. Appellant filed affirmative answers in three paragraphs. These answers admit the main allegations of the complaint, but seek to avoid liability by special averments relating to the application and policy.

The first paragraph of answer avers in substance that the contract expressly provides as a condition precedent to the execution of a valid contract of insurance upon the life of appellee’s wife, that

“no obligation is assumed by the company prior to the date hereof, nor unless on said date the insured is alive and in sound health”

and also, that the policy is issued and accepted upon the conditions following:

[236]*236“First. This policy is issued upon application which omits the warranty usually contained in applications, and contains the entire agreement between the company and the assured and the holder and owner hereof. * * * Second. Unless otherwise stated in the blank space below, in a waiver signed by the secretary, this policy is void if the insured before its date * * * has been attended by a physician for any serious disease or complaint, or has had before said date * * * cancer, or disease of the heart, liver or kidneys.”

Appellant avers that on September 5, 1904, said insured was not in sound health, and she had been for more than one year prior to said date constantly attended and treated by a physician for a general syphilitic condition of her system, seriously affecting and imperiling -her health, and for fibroma, or tumor of the uterus, and for a most serious and usually fatal disease, to wit, cancer of the uterus, seriously affecting her health and imperiling her life, and of which malady she died on March 27, 1905, which conditions of said policy and contract were not waived by appellant.

The second paragraph is the same as the first, except that it alleges that on August 27, 1904, the assured, knowing she was not in sound health, but afflicted as aforesaid, applied for insurance to appellant, and in her application, in answer to the question, “Names of all physicians who have attended within two years, and for what complaints,” she stated, “None,” when in truth and fact she had been under constant medical treatment by two physicians for the diseases aforesaid for more than one year continuously next preceding said date; that her answers were knowingly false, and that she fraudulently eonce'aled the truth from appellant for the fraudulent purpose of procuring the insurance; that the policy was issued on September 5, 1904, in ignorance of the facts and of said false representations aforesaid, and that it would not have been issued but for said concealment and false representations aforesaid.

The third paragraph of answer differs from the first, in [237]*237this, that it makes a copy of the application a part of the pleading, and avers that it was the basis on which the policy was issued; that decedent was asked, and that she answered the question shown in the second paragraph; that from May 7, 1903, to the time of making the application for said insurance, she had been attended by two physicians and treated for subinvolntion of the uterus, and for fibroma or tumor of the uterus, and for carcinoma or cancer of the uterus, a most serious, dangerous and fatal disease, of so grave a character as to require an operation on December 17, 1904, for the removal of part of the organ; that her death on March 27, 1905, resulted from said diseases from which she was suffering when the insurance policy was issued to her; that it was provided in said policy

“that said contract shall be void, if the insured, before its date, has been attended by a physician for any serious disease or complaint, or has had, before said date, and * * * cancer, * * * unless upon a disclosure of said conditions, a waiver thereof be signed by the secretary of the defendant;”

that when said policy was issued said insured was not in sound health, but was then, and had been for eighteen months, suffering from, and receiving treatment for a most serious and fatal disease, to wit, cancer of the uterus, which conditions were not disclosed by her, and were not disclosed until after her death, and that appellant had no notice or knowledge thereof, and did not waive the conditions so existing.

Demurrers for want of facts were addressed to each paragraph of the special answers, and overruled as to the first and second and sustained as to the third. Appellee replied to the answers by general denial and by special reply in two paragraphs.

The second paragraph of reply to the first paragraph of the answer alleges, in substance, that the insured did not make application to become a policy holder of appellant, but [238]*238she was repeatedly importuned by appellant to execute the insurance contract sued on, and finally yielded and consented to the execution of the policy; that the insured was examined on August 27, 1904, by a physician employed by appellant, for the purpose of ascertaining the state of her health, and this physician, after having made such examination, recommended to appellant that she was in good health and a first-class risk; that the cost of the insurance was twenty-five cents a week during.the continuance of the policy ; that the contract of insurance was executed and delivered on September 5, 1904; that appellant knew the state of health of the insured before and after the policy was executed and delivered, accepted payment from the insured of all the premiums and did not make any objection to her state of health or cancel the policy, but continued to collect the premiums, collecting the last one on March 27, 1905, the day she died, at which time appellant promised appellee that the policy would be paid within three days; that appellant frequently saw and talked with the insured, and on October 31, 1904, the insured gave notice to appellant that she was sick, but appellant took no steps to cancel said policy, but continued to collect the premiums as hereinbefore recited, thus treating the policy as valid. Appellee expressly denies that the insured was not in sound health on September 5, 1904, and prior thereto, and denies also that the insured was treated by a physician for the diseases alleged in appellant’s answer, and affirms that the insured was not under the care of any physician, and that no physician ever disclosed to the insured that she was afflicted with such diseases. Appellee also denies all other material allegations contained in the first paragraph of answer, not already admitted as true, and avers that by collecting and retaining the premiums appellant caused the insured to believe that the policy was valid, and has not returned or offered to return said premiums.

The third paragraph of reply is addressed to appellant’s [239]

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Bluebook (online)
94 N.E. 785, 49 Ind. App. 233, 1911 Ind. App. LEXIS 223, Counsel Stack Legal Research, https://law.counselstack.com/opinion/metropolitan-life-insurance-v-johnson-indctapp-1911.