Mousette v. Monarch Life Insurance

32 N.E.2d 1004, 309 Ill. App. 224, 1941 Ill. App. LEXIS 951
CourtAppellate Court of Illinois
DecidedMarch 1, 1941
StatusPublished
Cited by6 cases

This text of 32 N.E.2d 1004 (Mousette v. Monarch Life Insurance) is published on Counsel Stack Legal Research, covering Appellate Court of Illinois primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Mousette v. Monarch Life Insurance, 32 N.E.2d 1004, 309 Ill. App. 224, 1941 Ill. App. LEXIS 951 (Ill. Ct. App. 1941).

Opinion

Mr. Justice Culbertson

delivered the opinion of the court.

This is an appeal from a final decree of the city court of the city of East St. Louis, Illinois, entered March 13, 1940, against the defendant appellant, Monarch Life Insurance Company (hereinafter called the defendant), in the sum of $2,217.26, and costs for the principal, with interest, on a policy of life insurance upon the life of Peter A. Mousette. The suit was transferred from the law to the equity side of the court, in accordance with the provisions of section 44 of the Civil Practice Act.

The complaint was filed on November 17, 1939, by the plaintiff appellee, Anthony Mousette (hereinafter called the plaintiff), alleging that more than two and a half years prior thereto, namely: On April 13, 1937, his son Peter had died, and that a policy of insurance issued by the defendant was then in force upon his life. The complaint states that the policy was dated March 3, 1937, and provided for the payment of $1,000 upon the death of Peter, plus an additional $1,000 should death be caused by accidental means. Plaintiff asserted that only $50 had been paid under the policy and that $1,950 remained due, and asked judgment for that sum, plus interest at 5 per cent.

The answer of the defendant denied the existence of the policy; denied liability; and affirmatively alleged: (1) The release of the plaintiff’s claim; and (2) That Peter, the alleged insured, was of unsound health at the time the policy was delivered and the first premium thereon paid, contrary to a condition of the policy that no liability would exist thereunder “unless and until the policy be delivered, and the first premium thereon paid, during the lifetime and sound health of the applicant.” The provision of the policy and the release were set out in full.

The plaintiff filed a reply and an additional reply denying that the assured was of unsound health at the time of delivery of the policy and payment of the initial premium, and asserting that even if he were, this fact was known to defendant at that time, and that defendant was estopped to make that defense; and further set up in said reply the charge of fraud in the execution and procurement of the releases, .and asked that they be set aside and declared of no effect.

The facts in this case, in the main, are not in dispute. The evidence disclosed that Peter Mousette, the insured, who was referred to in the evidence as “Tony,” was 23 years of age; that he lived at home with his father, the plaintiff in this case, and was employed at a manufacturing plant near Bast St. Louis. The evidence further disclosed that on February 24, 1937, H. H. Hoffman, an agent of the defendant, operating out of its Bast St. Louis office, employed by the defendant to take applications for insurance, collect premiums therefor, mail such applications to the defendant, and receive and deliver the policies issued pursuant thereto, took Tony’s application for the policy of insurance here involved. The defendant, a Massachusetts corporation, issued the policy, but it was not delivered to the insured until April 8, 1937.

On April 2,1937, Tony was involved in an automobile accident, as a result of which he received a cut about 3 inches long between the wrist and the elbow of his left arm. He was taken to Christian Welfare Hospital where the wound was sutured and his arm bandaged. The next day he consulted Doctor T. Van Boyd, who found that the arm was so badly swollen that he cut the stitches to permit a draining of the wound. The doctor bandaged the arm from the elbow to the hand, and Tony visited the doctor’s office on the 5th, 7th, 9th, and 10th of April for treatment. The evidence disclosed there was redness about the wound and the swelling persisted, and pus continued to drain from the wound. This, the doctor testified, was evidence that the arm was infected. The doctor testified, however, that he did not think' the patient’s condition was serious and so advised him, and was of the opinion that Tony could return to his work in a short time. On April 8, Tony went to the place of his employment to obtain his pay check, and shortly after he had returned home, at about 1:30 in the afternoon, the defendant’s agent, Hoffman, and a Mr. Wes sell came to the home. The evidence disclosed that Mr. Hoffman, seeing Tony’s bandaged arm, at once inquired as to the cause thereof and he was told about the automobile accident, the visit to the hospital, and the treatment there, and that Tony was receiving daily treatments from Doctor Boyd. Tony told Mr. Hoffman that the doctor did not consider the injury as serious and had expressed the hope that he would soon be able to resume his employment. It appears from the evidence that the accident, injury, and the treatment thereof, were extensively discussed for approximately 20 minutes. Mr. Hoffman finally told Tony that he had a policy of insurance for him, and was advised by Tony that he had not as yet cashed his pay check, but would do so immediately. Tony then put his right arm into his coat sleeve, and threw the coat over his left shoulder because of the bandage on that arm, and accompanied by Mr. Hoffman and Mr. Wessell he went to a neighborhood grocery store, in Mr. Hoffman’s automobile, where the pay check was cashed. They then returned to the Mousette home where Mr. Hoffman delivered the policy to Tony and received the premium. The policy bears date of March 3, 1937, and the premium paid at the time of the delivery was for insurance coverage for a period of 3 months, beginning at the date of the policy.

The evidence further shows that on April 9, Doctor Boyd put a drain in the wound on Tony’s arm, and on the next day Tony’s condition became worse and a Doctor Molden was called into the case. Tony was removed to the hospital and his arm amputated. The amputation and a blood transfusion were futile, and on April 13 Tony died as a result of a pyogenic infection caused by the accident.

The plaintiff testified that he was 51 years of age at the time of the trial, and had been employed as a laborer since he was 16 years of age, and that his education was confined to a few years attendance at a country school, and that he had had no previous experience with insurance policies or insurance company adjusters. Plaintiff further testified that shortly after Tony’s death, he took the policy in question to the defendant’s East St. Louis office and made claim thereon, and within a few days a Mr. E. E. Post, defendant’s adjuster, came to the Mousette home. The evidence disclosed Mr. Post to be a university graduate, who had 9 years’ experience in investigating and adjusting claims for insurance companies.

Mr. Post inquired of plaintiff concerning the accident and plaintiff told him that he was not in the car at the time and had no personal knowledge thereof. Mr. Post then took a complete written statement of facts concerning the accident and the circumstances relative to the delivery of the policy, from Tony’s sister who was present when the policy was delivered. He visited the store where the pay check had been cashed and was apprised of all the facts relative thereto. He called upon Doctor Boyd and inquired of Trim as to the injury and treatment, and took a statement from Mr. Hoffman. He testified that Mr. Hoffman did not tell him that at the time the policy was delivered that Tony had made any representation that he was in good health. It appears that after Mr.

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Bluebook (online)
32 N.E.2d 1004, 309 Ill. App. 224, 1941 Ill. App. LEXIS 951, Counsel Stack Legal Research, https://law.counselstack.com/opinion/mousette-v-monarch-life-insurance-illappct-1941.