Mickel v. Mutual Life Insurance

213 N.W. 765, 204 Iowa 1266
CourtSupreme Court of Iowa
DecidedMay 13, 1927
StatusPublished
Cited by8 cases

This text of 213 N.W. 765 (Mickel v. Mutual Life 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
Mickel v. Mutual Life Insurance, 213 N.W. 765, 204 Iowa 1266 (iowa 1927).

Opinion

Evans, C. J.

This is an action upon" a policy of life insurance issued by defendant-appellee on December 11, 1922, upon the life of Anderson E. Mickel, and payable tó his wife, Hattie B. Mickel, plaintiff herein.' The answer of the defendant admits the execution of the policy. The only defense presented for our consideration is predicated upon the claim that; after the date of the medical examination and of the application by the insured, and after the date of the actual execution of the policy at the hoMe office, and before the delivery thereof to the insured, such insured had undergone a material and radical change of health, thereby he had become f atally ill, and that the purported delivery of the policy, under1 such circumstances, was ineffective, under the terms of the policy, to create'an insurance contract. The following facts May be' regarded as indisputably proved: The insured sighed the application for insurance on DeceMber 2, 1922, and‘submitted hiMself to a medical examination by Dr. *1268 Johnson, the medical examiner of the defendant insurance company. His application was approved by the medical examiner, and was sent by the local agent to the Des Moines office. ■ The application was approved at the home office in New York on December 11,1922, and the policy was executed on the same date, and returned for delivery. It was delivered by the local agent at Marshalltown on December 14th. This delivery was made by leaving the policy at the place of business of the insured, with one of his employees, who immediately delivered the same to the beneficiary of the policy, being the wife of the insured. On December 6th, the insured became violently ill, and underwent a surgical operation on the following day. This operation disclosed a gangrenous condition and infection of the gall bladder. The surgeon testified:

“There was an infection of the gall bladder. It had extended to the liver from continuity. The liver was discolored and black, and looked very bad.”

On December 9th, a second operation was performed. Sometime later, pneumonia developed, doubtless induced by the surgical operation and by septicaemia. Death resulted on December 22d.

The application signed by the insured contained the following proviso:

“The proposed policy shall not take effect unless and until the first premium shall have been paid during my continuance in good health, nor unless also the policy shall have been delivered to and received by me during my continuance in good health; except in case a conditional receipt shall have been issued as hereinafter provided.”

The following from the defendant’s answer comprises the defense now relied on:

“Defendant avers and alleges that the aforesaid policy never became effective and never was and particularly is not now a binding contract, nor enforcible, for the reason that the same was not delivered to nor received by the said Anderson E. Mickel during his continuance in good health.” '

To meet this defense, the plaintiff relies upon Section 1812, Code of 1897, being Section 8770 of.the present Code. The record discloses no evidence of fraud or concealment of any kind. It will be noted from the foregoing that the defense here consid *1269 ered is not that there was no delivery of the policy, but that there was no delivery thereof to the insured during his continuance in good health.

Section 1812, Code of 1897 (Section 8770, Code of 1924), is as follows:

“In any case where the medical examiner, or physician acting as such, of any life insurance company or association doing business in the state shall issue a certificate of health or declare the applicant a fit subject for insurance, or so report to the company or association or its agent under the rules and regulations of such company or association, it shall be thereby estopped from setting up in defense of the action on such policy or certificate that the assured was not in the condition of health required by the policy at the time of the issuance or delivery thereof, unless the same was procured .by or through the fraud or deceit*of the assured. ’ ’

The question presented, therefore, is not whether the defendant-company could have refused delivery, upon discovering the changed condition of health of the insured, but whether, notwithstanding the delivery of the policy, the defendant-company retained the right to challenge the validity of the contract and of the delivery thereof upon the ground that the insured had suffered a change of condition of health after the medical examination and before the delivery of the policy.

At the close of the evidence, both parties moved for a directed verdict. The motion of the defendant was sustained. The question presented involves the construction of the section of the statute above quoted.

This statute has been frequently referred to and construed by this court, but the precise question presented upon this appeal has not apparently previously been passed upon, viz.: Does the estoppel created thereby preclude the insurer from setting up the provisions of the application quoted above, the fatal illness having been contracted subsequent to the date of the medical examination and the report thereof to the company of the examining physician, and prior to the delivery of the policy to the insured f But for the statute, the terms of the application might be pleaded by the company as a defense. Wilson v. Interstate Bus. Men’s Acc. Assn., 160 Iowa 184; Peterson v. Des Moines Life Assn., 115 Iowa 668; Beyer v. Central Life Ins. Co., 199 Iowa *1270 245; Wilkinson v. Connecticut Mut. Life Ins. Co., 30 Iowa 119; Hruska v. Prudential Ins. Co., 203 Iowa 1165.

The estoppel created, by the statute is broad and sweeping, and in express terms includes both the time of issuance and the time of the delivery of the policy. The purpose thereof, as stated in Weimer v. Economic Life Assn., 108 Iowa 451:

. • is to prevent the defeat of recovery on any policy, where the company has, by its skilled agent, examined and passed upon the fitness of the applicant for insurance. The estoppel is directed to inquiry as to the condition of health, and it is quite immaterial what representations have been made or warranties given. The company, having investigated, and for itself ascertained and declared the condition of the assured to be such as required by its rules and regulation's, will not be permitted to interpose-as a-defense the physical infirmities of the deceased, of which it knew, or might have known, as the result of its examination ; and the- fraud or deceit referred to is that of procuring -the report or certificate of the physician, and not the policy, and there is no averment to the effect that the examiner was misled or deceived in any way, or that the report was the result of collusion between him and-the assured.” ■ :-

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Bluebook (online)
213 N.W. 765, 204 Iowa 1266, Counsel Stack Legal Research, https://law.counselstack.com/opinion/mickel-v-mutual-life-insurance-iowa-1927.