Mills v. Reserve Life Insurance Company

335 S.W.2d 955, 1960 Ky. LEXIS 309
CourtCourt of Appeals of Kentucky (pre-1976)
DecidedMay 20, 1960
StatusPublished
Cited by30 cases

This text of 335 S.W.2d 955 (Mills v. Reserve Life Insurance Company) 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
Mills v. Reserve Life Insurance Company, 335 S.W.2d 955, 1960 Ky. LEXIS 309 (Ky. 1960).

Opinions

STEWART, Judge.

This is an appeal from a summary judgment entered by the Fayette Circuit Court against appellant, Henry Y. Mills, on motion of appellee, Reserve Life Insurance Company. The court also issued an order sustaining appellee’s motion to strike all affidavits filed by appellant in opposition to appellee’s motion. This appeal is from these rulings of the lower court.

On August 3, 1955, appellant, an illiterate person who was then 58 years of age, executed applications for insurance with ap-pellee which resulted in the issuance of three contracts described as (1) an accident policy, (2) a medical surgical policy, and (3) a hospital and surgical expense policy. No medical examination was required. On January 17, 1957, due to injuries sustained at the junk yard where he worked, appellant became totally and permanently disabled. He undertook to collect from appel-lee on his policies. Appellee declined to pay, and this action ensued in which appellant claimed he was entitled to receive benefits under the three policies for the total sum of $7000.

In the lower court, appellee defended its refusal to pay appellant on the ground that he made false answers to the same questions in each of the three written applications signed by him, which answers were material to the risk assumed under the contracts of insurance.

Appearing, among other questions, on each of the applications, was the following one, and we give the particular part that is pertinent: “Have you * * * ever had * * * diabetes?” Appellant’s response was “No.” It was stipulated by the parties hereto that on August 3, 1955, when appellant applied for these three policies, he knew he was suffering from diabetes.

Another significant question in each of the applications was: “Have you * * * received medical or surgical advice or treatment within the past three years?” Appellant’s answer to this question in each instance was “No.” On this point there appears in the record this agreed order: “It is further stipulated that the plaintiff was a patient in the Hurst Snyder Hospital in Hazard, Kentucky from January 3, 1955 to January 20, 1955 and was receiving medical care and treatment during that period for diabetes, regulation of his diet and regulation of the correct insulin dosage for the treatment of diabetes.”

The applications, which were made a part of each policy, contain no notice to the insured in respect to any limitations on the power of the insured’s agent. However, each of the policies does set forth language to the effect that the insured’s agents have no “authority to change this policy or to waive its provisions.”

The reply filed by appellant alleged his inability to read and write the English language and his dependence upon the superior knowledge of appellee’s agent when [957]*957he made the application for insurance. He further averred he 'was only asked by the agent his name, age, place of employment, marital status, and whether he had the amount of the first premium on his person. He denied he was ever asked if he had the illness known as diabetes. He claimed he was told to sign each application at a place marked “x”, and that the terms and conditions of each application were not read to him before or after he signed it.

As the falsity of the answers to each of the questions quoted in the signed applications is admitted, one of the primary issues raised is, even if the agent put down untruthful answers when the insured told him the truth, may the insured recover on the policies?

The recent case of Reserve Life Insurance Company v. Thomas, Ky., 310 S.W. 2d 267, 269, involved a contract of hospitalization insurance practically identical to one of the policies now being considered. The policy there was placed in force pursuant to an application in every respect similar to those embraced in the record before us. In the Thomas case recovery was sought on the basis that the insured explained his illness to the insurer’s agent and the latter failed or wilfully refused to put down truthful answers in the application the insured signed. Although the insurer admitted the agent may have made false insertions, this Court, in reversing a judgment based upon a verdict the jury returned against the insurer, held:

“ * * * If the agent of the Company put down wrong answers in order to sell the policy, the applicant nevertheless signed the application. Was there a duty on the applicant’s part to read the application which was filled in by the agent? Or is the applicant entitled to rely upon the agent, who is presumably experienced in the field of insurance, and to take for granted that the agent acted properly within the scope of his authority? The answers to these questions are important because a hard and fast rule on the subject could lead to an insurance company unjustly avoiding payment on a policy as well as affording an opportunity to an applicant to obtain insurance when he was not entitled to it.
“The misrepresentations here involved were made in the inception of the insurance contract, and parol evidence should be admitted to show the circumstances under which the insurance policy — the contract — was procured. The courts of the country do not agree * * * on the effect of the insured’s failure to read either the policy or the application for it. See Vance on Insurance (1951 Hornbook), Section 44. This court recently has placed more responsibility on an applicant for insurance to see to it that his representations to the company approach the truth, Commonwealth Life Insurance Co. v. Keen, 1950, 331 [313] Ky. 301, 231 S.W.2d 78; Metropolitan Life Insurance Co. v. Tannenbaum, 1951, Ky., 240 S.W.2d 566; National Life and Accident Insurance Co. v. Scott, 240 S.W.2d 849, and, according to Vance, the trend in recent cases is in this direction.”

The only difference between the Thomas case and the one at bar is that Thomas, the insured in that case, could read, whereas the insured with whom we are dealing maintains he could neither read nor write. He argues in this connection he was unable to see to it that his representations appearing in the applications approximated the truth. This contention is specious. A handicap which makes it more difficult for one to fulfill a duty does not have the effect of excusing the duty. This principle of law taken from 12 Am.Jur., Contracts, sec. 137, p. 630, is in full force in this jurisdiction and answers the point raised by appellant:

“If a person can not read the instrument, it is as much his duty to procure some reliable person to read and ex[958]*958plain it to him, before he signs it, as it would be to read it before he signed it if he were able to do so, and his failure to obtain a reading and explanation of it is such gross negligence as will estop him from avoiding it on the ground that he was ignorant of its contents.”

See also Metropolitan Life Insurance Co. v. Tannenbaum, Ky., 240 S.W.2d 566, 567, where this Court ruled that an illiterate person was “bound to take notice” of the terms of the application he signed.

KRS 304.656

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Bluebook (online)
335 S.W.2d 955, 1960 Ky. LEXIS 309, Counsel Stack Legal Research, https://law.counselstack.com/opinion/mills-v-reserve-life-insurance-company-kyctapphigh-1960.