Metropolitan Life Insurance v. Trunick's Administrator

16 S.W.2d 759, 229 Ky. 173, 1929 Ky. LEXIS 688
CourtCourt of Appeals of Kentucky (pre-1976)
DecidedMarch 15, 1929
StatusPublished
Cited by6 cases

This text of 16 S.W.2d 759 (Metropolitan Life Insurance v. Trunick's Administrator) is published on Counsel Stack Legal Research, covering Court of Appeals of Kentucky (pre-1976) 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. Trunick's Administrator, 16 S.W.2d 759, 229 Ky. 173, 1929 Ky. LEXIS 688 (Ky. 1929).

Opinion

Opinion of the Court by

Judge Thomas

Reversing.

Celester A. Trunick, a midwife by profession, died intestate and a resident of Louisville, Ky., on May 15, *174 1925. She was 62 years of age at the time of her death, and on November 17, 1924, she made written application to appellant and defendant below, Metropolitan Life Insurance Company, for two industrial insurance policies on her life of $200 each payable to her estate, and on December 15 thereafter the policies were issued and delivered. This action was filed in the Jefferson circuit court by appellee and plaintiff beloAV, Ben J. Johnson, as her qualified personal representative, to recover the amount of the two policies which defendant refused to pay because of material false statements contained in the written applications as an inducement for it to issue the policies. It defended upon that ground, and in its answer-set out the false statements relied on, among which was that the insured had never been afflicted with cancer, when in truth and in fact she Avas so afflicted and was treated therefor in July, 1924, and up to a short while before the date of the applications, and that other false answers concerning her health, treatment by physicians, and confinement in hospitals Avere also relied on. The reply denied that the insured made 'such statements, answers, or representations, and denied that the applications were read to her; but plaintiff nowhere in that pleading, or in any other, alleged any fraud on the part of defendant’s agent who solicited and procured the insurance. In other words, the reply was, in legal effect, no more than a denial that the statements were made, although it was conceded that the insured, who could not write, procured her daughter to subscribe her name to the applications'and to which the latter made her mark, and the proof conclusively established such to be the fact. The reply also sought to avoid some of the relied on statements by averring that defendant’s agent knew that insured had been confined in an infirmary for a short while during the summer of 1924 and that she had been given electrical treatments for some sort of ailment, but there was no effort to plead that the agent knew anything concerning the nature of such affliction, much less that it was a cancer.

Proper pleadings made the issues, and upon the first trial the court sustained defendant’s motion for a peremptory instruction, but later sustained plaintiff’s motion for a new trial and set aside the verdict returned and the judgment rendered on that hearing, to which defendant objected and excepted, and it then filed its bills of exceptions and evidence. At a second trial the court *175 overruled defendant’s motion for a peremptory instruction and instructed the jury to find for plaintiff the amount of the policies, unless it believed that the alleged false statements (setting them out) were made by the insured, in which event the verdict should be for defendant, unless, further, that the jury should believe from the evidence that the agent of defendant made the statements without asking insured anything with reference thereto, and that she signed the applications without reading them or having them read to her, in which latter event the jury was instructed to find for plaintiff. In other words, the instruction submitted to the jury facts in avoidance of the statements contained in the applications, as constituting either a waiver by defendant or an estoppel against it through fraudulent conduct of its agent in inserting the statements in the applications, without any pleading relying upon any such avoiding-facts, and which in effect was a holding that they could be proven by plaintiff and he obtain the benefit of them under a general denial that the statements were made by his decedent, notwithstanding it was admitted that she in a recognized legal manner subscribed her name to the applications containing them.

In an effort to sustain the judgment, learned counsel for plaintiff cites and relies on a number of opinions of this court wherein it appeared that the false statements rendering* the policies void, and relied on by defendant in defense of the action based upon the policies, were either inserted by the agent without the knowledge or consent of the insured and of Ms own accord or volition, or by his writing- in the policy or application statements contrary to those actually made by the insured and about which he was specifically inquired. There is no doubt that under such conditions the relied on false statements are not available to the defendant, unless the evidence is sufficient to show a collusion between the agent and the insured whereby the insurer is deceived into issuing the policy and but for which it would not have done so. In a great number of the cited opinions, it ■appears that such avoiding facts were specifically pleaded and relied on so as to permit the introduction of evidence to prove them, and we are quite sure that the few opinions wherein it does not so appear such a special plea, was made. Two of the cases most strongly relied upon by plaintiff’s counsel are Standard Automobile Insurance Association v. Russell, 199 Ky. 470, 251 S. W. 628, and *176 Standard Automobile Ins. Ass’n v. Henson, 201 Ky. 230, 256 S. W. 414.

It was also contended by the defendant in the Russell case that plaintiff had not alleged that the false statements relied on in defense of the action were fraudulently made by the agent which plaintiff contended was true. The pleading of plaintiff upon that phase of the case did not expressly employ the words “fraud” or “fraudulently,” but the opinion held that it was not necessary to do so if all the facts sufficient to create the fraud were alleged and which the opinion held had been done in that case. It will therefore be seen that, instead of that opinion sustaining the practice employed in this case, it is an authority expressly upholding the contention of defendant’s counsel to the effect that such avoiding facts must be specially pleaded and relied on.

In the Henson case the opinion refers to such avoiding facts as constituting a waiver by, or an estoppel against, the insurer and which it is held may be proven by parol without violating the rule against modifying or altering a written contract by that character of testimony. It is the well-settled rule in this jurisdiction that both wqiver- and estoppel must be pleaded before testimony can be admitted to establish them. See Union Gas & Oil Co. v. Indian-Tex Petroleum Co., 202 Ky. 236, 259 S. W. 57; Lacey v. Layne, 190 Ky. 667, 228 S. W. 1; Loy v. Nelson, 201 Ky. 710, 258 S. W. 303; Hitchcock v. Tackett, 208 Ky. 803, 272 S. W. 52. It is equally well settled that extrinsic evidence may be heard to impeach a writing the execution of which is admitted or proven, under a pleading averring its execution through fraud or mistake ; but such evidence is not admissible unless preceded by a pleading to that effect, and which rule is so universally applied that we deem it unnecessary to cite sustaining cases.

The case of McGregor v. Metropolitan Life Insurance Co., 143 Ky. 488, 136 S. W. 889, involved the same rule of practice now under consideration.

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Bluebook (online)
16 S.W.2d 759, 229 Ky. 173, 1929 Ky. LEXIS 688, Counsel Stack Legal Research, https://law.counselstack.com/opinion/metropolitan-life-insurance-v-trunicks-administrator-kyctapphigh-1929.