Missouri State Life Ins. v. Young

38 F.2d 399, 1930 U.S. App. LEXIS 2310
CourtCourt of Appeals for the Ninth Circuit
DecidedFebruary 21, 1930
DocketNo. 5899
StatusPublished
Cited by2 cases

This text of 38 F.2d 399 (Missouri State Life Ins. v. Young) is published on Counsel Stack Legal Research, covering Court of Appeals for the Ninth Circuit primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Missouri State Life Ins. v. Young, 38 F.2d 399, 1930 U.S. App. LEXIS 2310 (9th Cir. 1930).

Opinions

WILBUR, Circuit Judge.

This is an appeal from a judgment in an action upon an accident insurance policy for $30,000' issued to George U. Young in favor of his wife, the appellee. The insurance policy was applied for December 20, 1924, and issued January 10, 1925, and renewed for another year by payment of premium in January, 1926. The insured suffered an injury to his foot on December 15, 1925, and died on the 24th of November, 1926. The appellant life insurance company defends the action upon the ground that the accidental injury was not the cause of death but that the death was occasioned by myocardial failure superinduced by long existing kidney disease and diabetes; and, furthermore, that the insured was not wholly and continuously disabled from the date of the accident and upon the further ground that the policy was procured by fraudulent misrepresentation of the insured.

One of the principal questions in the case is the admissibility of declarations of the insured made before and after the issuance of the policy concerning his state of health both before and after the date of the policy. The issue of fraud is based upon statements made by the insured in the application for the policy in question. The insured, in his written application, stated that he had never had diabetes and answered in the negative the following question: “Have you within the past five years had medical or surgical advice or treatment or any departures -from good health? If so, state when and what, and duration.” With reference to these answers of the insured in his application it is alleged in the answer that the insured, during the five years prior to the date of the application, had had medical advice or treatment and had had departures from good health; and had diabetes; and that the representations made in the application were known by the insured to be false and made with the intention of deceiving the defendant; that such representations were material.

This issue of fraud was submitted to the jury upon the evidence under the following instructions:

[400]*400“If you find and believe from the evidence that on or about the 20th day of December, 1924; at the time of making- the application for the poliey of aeeident insurance introduced in evidence, George U. Young was or had been suffering from diabetes and within five years prior to the time of such application had had medical or. surgical advice or treatment and substantial departures from good health and, if you find that in such application George U. Young stated that he had not had diabetes and stated that he had not within the previous five years had medical or surgical advice or treatment or any departure from good health and, if you find that said answers so made were false and untrue and that George U. Young did, at the time of making same, know them to be false and untrue and made such answers with the intention to deceive the defendant and to induce it to rely upon such false and fraudulent statements, if you find they were false, and to issue a policy, and, if you find that the defendant did believe such false and fraudulent statements, if you find, them so to be, to be true and relied upon and was deceived thereby and that defendant, without knowledge of the falsity of such statements or any of them, if they were false, made, executed- and delivered the poliey of accident insurance introduced in evidence and, if you find further that such false and fraudulent representations, if any, so made and believed and relied upon, materially affected the acceptance of the risk or the hazard assumed by the defendant, then you are instructed that the poliey contract was void from the date of issuance and that the beneficiary cannot claim any relief thereunder and plaintiff cannot recover herein from the defendant.”
‘You are instructed that mere temporary afflictions or ailments not of a serious or damaging character which pass away and are likely to- be forgotten, because they do not affect the general healthfulness of the system, are not to be regarded as departures from good health, within the meaning of the policy of insurance offered for evidence in this case.
“The failure of an applicant for insurance to state that he- had consulted a physician about some slight or immaterial ailment which did not seriously affect the general healthfulness would not necessarily — the general healthfulness of the system seriously would not necessarily be a fraudulent statement, within the meaning of this policy but it must be something substantial — something of some importance or serious character. -It is not the duty of an applicant for insurance to advise the insurance company of every time he consults his physician for some temporary indisposition but is his duty to advise them, in answer to that question, every time he has consulted his physician relative to any serious ailment.
“You are instructed that, if the defendant company seeks to avoid the payment of the policy on the ground that the deceased had been guilty of material misrepresentations and fraud, the burden of proof is upon the defendant company. It is not to be assumed upon doubtful evidence or circumstances of mere suspicion. The law never presumes fraud but the presumption is always in favor of innocence and honesty until the contrary is shown.
“You are instructed that the law presumes that the acts of all men are honest until otherwise proven and, in this connection, you are instructed that the burden of proof on the issue of fraud is upon the defendant to show by a preponderance of the evidence that George U. Young -was guilty of fraud in the procurement of the poliey in question and by a preponderance of evidence is meant that evidence which is the more satisfactory and which carries with it the greater weight.
• ‘You are further instructed that the burden of proof is upon the defendant, upon every issue of fraud, to show by a preponderance of evidence that the statements made by the said George U. Young, which are alleged to be false, were, in fact, false; that he knew them to be false when he made them; that he made them for the purpose of misleading the defendant and inducing it to enter" into the contract of insurance and that the defendant was, in fact, mislead thereby to such extent that it would not have entered into the contract of insurance if the said George D. Young had given true statements, with reference thereto.
“I charge you that should you find that a statement made by the deceased in his application for a policy was false, yet that would not necessarily presume. that it was made with intent to- deceive. It is the duty of the defendant alleging fraud to prove it by a preponderance of testimony 'and it must go further and prove that such statements were made with intent to deceive, knowing at the time the statements to be false and I charge you here also- in this connection that the evidence to establish fraud must be clear and convincing and satisfactory and such as to lead you, as I have above stated, to come to the conclusion that the greater weight of [401]*401evidence is in favor of the proposition of fraud.”

Considerable evidence was adduced as to the ill health of the deceased during the year 1924.

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Related

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66 F.2d 56 (Ninth Circuit, 1933)

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Bluebook (online)
38 F.2d 399, 1930 U.S. App. LEXIS 2310, Counsel Stack Legal Research, https://law.counselstack.com/opinion/missouri-state-life-ins-v-young-ca9-1930.