Moak v. Continental Casualty Co.

4 Tenn. App. 287, 1927 Tenn. App. LEXIS 190
CourtCourt of Appeals of Tennessee
DecidedMarch 5, 1927
StatusPublished
Cited by19 cases

This text of 4 Tenn. App. 287 (Moak v. Continental Casualty Co.) is published on Counsel Stack Legal Research, covering Court of Appeals of Tennessee primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Moak v. Continental Casualty Co., 4 Tenn. App. 287, 1927 Tenn. App. LEXIS 190 (Tenn. Ct. App. 1927).

Opinion

CROWNOVER, J.

This was a suit to recover sick benefits accruing to the assured under a disability policy issued by the defendant Insurance Company to the complainant.

The bill alleged that the defendant Insurance Company on January 16, 1920 issued to complainant a disability policy of insurance providing indemnity for certain losses caused by accidental means, and also for loss of time by sickness mentioned in the policy and which included permanent paralysis, at the rate of $25 per week for 104 weeks.

The bill further alleged that the original policy issued on January 16, 1920 for the period of one year, was renewed in December, 1920 for another year beginning January 16, -1921, and that on May 21, 1921 complainant was stricken with permanent paralysis resulting from causes or diseases against which he was insured by the terms of the policy, independently of other causes, from which complainant lost the use of one hand and one foot, and was otherwise seriously and permanently paralyzed, and was thus *289 rendered permanently unable to engage in any labor or occupation; that the Insurance Company was promptly notified and all proofs of loss were promptly furnished, and all things done that were required by the policy in order to fix liability; that a demand was made on the Company for payment but was arbitrarily refused and all liability denied.

The defendant answered and denied liability because the complainant was over 60 years of age and had misrepresented his age in the application in that he stated that he was 57 years of age when he was 59 years of age. It pleaded that the policy did not cover any one under 18 years of age or over 60 years of age, and that the application provided that if one or more of the statements made therein were intentionally false, or if the false statements materially affected the acceptance of the risk or the hazard assumed by the Company, then the policy was void. It further pleaded that the contract was entered into and the disability arose in the State of New York and was governed by the laws of that state.

The testimony of the complainant and his wife was taken and the defendant introduced no evidence. But the parties filed an agreement in which it was stipulated, (1) that all notices and proof of loss were furnished or waived by the Company; (2) that by the universal custom of insurance companies the assured’s age is treated as that nearest his 'birthday; (3) that the policy Avas issued and delivered in the State of New York and that complainant suffered the stroke of paralysis from which the disability arose in that State; (4) that this was a New York contract of insurance and that the policy is in accordance Avith the New York Standard Provision Law, section 107 of chapter 28 of the Acts of 1909 of the Consolidated LaAvs of NeAV York as shown by Parker’s New York Insurance Law, which book may be read and used as evidence in this suit Avithout further proof.

At the hearing the Chancellor held that the complainant was born on May 6, 1861, and Avas therefore not over the age of 60 years when he suffered the stroke of paralysis on May 21, 1921, from Avhich the disability arose. He further held that the soliciting agent filled out the application, and that the assured gave his correct age to the agent Avho incorrectly inserted his age in the application as 57 years, and that the soliciting agent was the agent of the Insurance Company and not the agent of the insured, therefore the Insurance Company Avas estopped to set up the acts of its OAvn agent to avoid the policy. He therefore rendered a decree against the Company for $2600, and interest thereon in the sum of $468, making a total of $3068.

*290 The defendant appealed and has assigned errors, the substance' of which' is that the Chancellor erred in rendering a decree and in finding that complainant was born on May 6, 1861, and did not misrepresent his age to the soliciting agent; that the Chancellor should have found that the policy was a New York contract and that the complainant was over 60 years of age, for insurance purposes, on the date of the renewal of the policy and at the time he was stricken with paralysis, and that complainant had with intent to deceive misrepresented his age in his statement made in the application, which statement was a condition precedent to the issuance of the policy and materially affected the acceptance of the risk and the hazard assumed by the Company, it being insisted that the insurance solicitor who filled out the complainant’s application was the agent of the assured and not the agent of the Company.

The facts as we find them, necessary to be stated, are that the complainant made a written application for the policy on January 16, 1920, which application was typewritten by the soliciting agent and signed by the complainant. The assured stated the answers to the questions to the soliciting agent who wrote them on the typewriter. There were several printed statements in the application, one of which is as follows:

“I have made the foregoing statements as representations to induce the issue of the policy for which I have made application and to that end I agree that if any one or more of them be false all right to recover under said policy shall be forfeited to the Company if such false statement was made with actual intent to deceive or if it materially affects either the acceptance of the risk or the hazard assumed by the company. ’ ’

There was also another provision which is as follows:

“I understand that the agents and solicitors of this Company are not authorized to extend credits, or waive, extend or change any of the terms, conditions or provisions printed herein, and I agree that this proposed insurance shall not take effect until after this application has been accepted by the Company and the policy issued.”

The application was sent in to the Company and on the same daj^ a disability policy of insurance was issued by the defendant Company, providing indemnity for certain losses caused by accidental means, and also for loss of time by sickness mentioned in the policy, which included permanent paralysis, at the rate of $25 per week during disability, but not extending beyond 104 weeks. The policy contained a provision, that the policy should not cover any person under the age of 18 years or over the age of 60 years, and the policy should remain in force for the period of one year.

*291 On December 8, 1920 tbe policy was renewed for another year beginning on January 16, 1921 for which the complainant paid $60.30 premium, and on May 21, 1921 complainant was stricken with permanent paralysis and lost the use of one hand and one foot, and was rendered permanently unable to engage in any labor or occupation, of which the Insurance Company had notice and was furnished with proof of loss. The policy was issued and the disability arose in the State of New York, and liability is governed by the laws of that State, as the- policy is a New York contract of insurance, it having been agreed by both parties that this was a New York contract of insurance, and should be governed by the insurance laws of New York as shown by Parker’s Insurance Laws.

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Cite This Page — Counsel Stack

Bluebook (online)
4 Tenn. App. 287, 1927 Tenn. App. LEXIS 190, Counsel Stack Legal Research, https://law.counselstack.com/opinion/moak-v-continental-casualty-co-tennctapp-1927.