Moore v. New York Life Ins.

90 F.2d 760, 1937 U.S. App. LEXIS 3945
CourtCourt of Appeals for the Tenth Circuit
DecidedJune 12, 1937
DocketNo. 1488
StatusPublished

This text of 90 F.2d 760 (Moore v. New York Life Ins.) is published on Counsel Stack Legal Research, covering Court of Appeals for the Tenth Circuit primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Moore v. New York Life Ins., 90 F.2d 760, 1937 U.S. App. LEXIS 3945 (10th Cir. 1937).

Opinion

LEWIS, Circuit Judge.

Appellee filed its bill of complaint in the court below on August 23, 1935, seeking rescission and cancellation of its 14-year term policy of insurance issued to Walter W. Moore in the sum of $15,000 and naming his wife as beneficiary to whom it agreed to pay the amount named if the insured should die within 14 years from the date of the policy. The policy was dated and issued on September 5, 1933, and by its terms took effect on August 26, 1933, on which date application for the policy by Moore was made out by written answers put down by the hand of an examining physician. The questions propounded to the applicant' were on a printed form. The insured died on May 20, 1935. He left his widow, the beneficiary, surviving to whom he was married in January, 1916, and they had lived to- . gether thereafter until his death. The policy states:

“This Contract is made in consideration of the application therefor and of the payment in advance of the sum of $252.45, the receipt of which is hereby acknowledged, constituting the first premium * * *.”

A like sum was to be paid each year thereafter until fourteen such payments should be made. Another provision of the policy is this:

“This Policy and the application therefor, copy of which is attached hereto, constitute the entire contract.”

As a basis for rescission and cancellation the bill of complaint charges:

“(d) That, in and by his said written application, the said Walter W. Moore, declared in substance and effect that he did-not, at the time of said application, drink beer, wine, spirits or other intoxicants, in any frequency or quantity, and that he had not drunk them in the past in any greater frequency or quantity than an occasional drink, and that during the then last past five years he had not drunk any of them to excess; and declared further, in substance and effect, that he had never consulted a physician or practitioner for nor suffered from any ailment or disease of the intestines, or the eyes, and declar[761]*761ed further, in substance and effect, that, within the then past five years he had not consulted, been examined by, nor been treated by, any physician or practitioner, except Dr. C. B. Elliott of Raton, New Mexico, in January, 1933, for influenza; and, in immediate connection with his said declarations, did make further declaration in these words: ‘On behalf of myself and of every other person who shall have or claim any interest in any insurance made hereunder, I declare that I have carefully read .each and all of the above answers, that they are each written as made by me, and that each of them is full, complete and true, and agree that the Company believing them to be true shall rely and act upon them;’ all of which declarations will appear by a reference to said Exhibit A;

“(e) That the said declarations were false in this: that in the past, and within five years next prior to the making of his said application, said Walter W. Moore, had used and drunk intoxicants to excess; that within five years next prior to the making of his said application, he had suffered from ailments or diseases of the eye, of the intestines, of the prostate gland and from an abscessed condition in the rectal region; and that within five years next pri- or to the making of his said application he had consulted, been examined by, and been treated by a physician or physicians for said disease or ailment of the prostate gland and for said abscessed condition in the rectal region; that the complainant did believe the said declarations to be true, and did rely upon their truth in issuing the said policy; and that the falsity of said declarations, as herein above alleged, was a fraud upon the complainant.”

Appellant, defendant below, having answered, the cause went to final hearing. The court found the facts, stated its conclusions of law, and entered decree that the policy be rescinded and surrendered to the clerk of court for cancellation, and that the clerk pay to defendant or to her attorney the amount of premiums that had been paid by insured then on deposit in the registry of the court with interest, which had theretofore been tendered by the insurer.

No proof was introduced tending to support the charges of the bill that the insured had used intoxicants to excess at any time, nor that he had suffered any ailment or disease not stated in his application, or been treated by any physician or practitioner therefor, nor of the other charges, except treatment by Dr. Elliott for abscesses in the region of the rectum, and except the testimony of Dr. Smith that he treated insured for prostatitis, within five years prior to insured’s application for the policy.

Dr. Elliott testified that the abscesses were not of any considerable seriousness but were purely a local condition; that the insured was engaged in the live stock business, was of large physique, and the rubbing of the saddle would cause them.

The District Judge, when he came to pass on the merits, found that the abscess condition was in the region of the rectum, not in the rectum; and that said abscesses were not of a serious nature but of minor importance and did not affect the general health of the insured. See Cooley’s Briefs on Insurance (2d Ed.) Vol. 4, p. 3394 et seq. Moreover, counsel for appellee in objecting to an interrogatory propounded to a witness called for appellant said:

“No issue is made of his physical condition, but that this answer, or these answers which counsel is about to read, has no tendency to dispute the testimony of Dr. Smith, that he treated the insured during the periods from 1931 to 1932, 1933, for prostatitis, which is the only issue in the case.”

There is then left for consideration, as just indicated, whether there is substantial, unequivocal and convincing evidence that insured in his application made false answers which did not disclose the fact, if it were a fact, that Walter W. Moore had prostatitis and that within the five years he had been treated for it by Dr. M. F. Smith.

The particular questions in the application relied on and the answers thereto are these:

“10. Have you ever consulted a physician or practitioner for any ailment or disease not included in your above answers?” Answer: “No.”

Prostatitis was not specified in the ailments referred to in the above question.

“11. What physicians or practitioners, if any, not named above, have you consulted or been examined or treated by within the past five years?”

Answer: “Dr. C. B. Elliott, Raton, N. Mex. Jan. 1933. Influenza. 2 or 3 days. Recovery.” [762]*762The name of Dr. M. F. Smith was not included in the answer.

The District Judge in finding the facts said:

“That the answers of said Walter W. Moore to questions ten and eleven (10 and. 11) aforesaid, were not full, complete and true, and were knowingly false in this: * * * and that said Walter W. Moore had consulted and had been treated by Dr. M. F. Smith, a duly licensed physician of Raton, New Mexico, several times in August and September, and on October 31st, on December 1st, and on December 15th all in 1931, on March 1st, and on May 15th in 1932, and on March 1st, on March 15th, and on April 1st in 1933, for chronic prostatitis.”

The substance of that finding is the sole basis set up in the bill and relied upon at the .trial in support of appellee’s claim to right of rescission and cancellation of the policy. Dr.

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Bluebook (online)
90 F.2d 760, 1937 U.S. App. LEXIS 3945, Counsel Stack Legal Research, https://law.counselstack.com/opinion/moore-v-new-york-life-ins-ca10-1937.