Mrs. Seena H. Quillin v. Prudential Insurance Company of America

280 F.2d 771, 1960 U.S. App. LEXIS 4089
CourtCourt of Appeals for the Fourth Circuit
DecidedJune 30, 1960
Docket8045_1
StatusPublished
Cited by5 cases

This text of 280 F.2d 771 (Mrs. Seena H. Quillin v. Prudential Insurance Company of America) is published on Counsel Stack Legal Research, covering Court of Appeals for the Fourth Circuit primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Mrs. Seena H. Quillin v. Prudential Insurance Company of America, 280 F.2d 771, 1960 U.S. App. LEXIS 4089 (4th Cir. 1960).

Opinion

HAMLEY, Circuit Judge.

Seena Quillin, beneficiary under a $10,-000 policy of insurance on the life of her husband, brought this action to recover the proceeds of the policy. Jurisdiction in the district court rests on diversity of citizenship. Defendant, The Prudential Insurance Company of America, denied liability on the ground that the application contained untrue statements material to the risk. 1

Judgment was entered for defendant, save for the return of $43.60 in premiums, on a directed verdict entered at the close of the evidence. Plaintiff appeals. She argues here that there was substantial evidence tending to counter the company’s defense and that the case therefore should not have been taken from the jury.

On November 27, 1957, Jack Quillin, the insured, consulted Dr. Joseph Bein-stein. This doctor testified that the patient complained primarily of bleeding and loss of weight. Dr. Beinstein further testified that upon his initial examination he found that the insured was anemic and had an enlarged spleen. It was also his testimony that the results of a complete blood count disclosed that the “blood picture was very abnormal at this time.” In his notes made at that time Dr. Beinstein named lympho-blastoma as a diagnostic possibility. This is a tumor-related condition arising from the blood-forming organs and in- *773 eludes many diseases, of which leukemia is one.

Dr. Beinstein testified that, “not wanting to alarm the patient at this time to any extent, I asked Jack to come back for а, [sic] one or two additional studies. We wanted to check the prostate and the rectal canal to make sure that these were normal.” Quillin next saw Dr. Beinstein on December 2, 1957. Examination of the prostate and rectal canal revealed no serious condition. Dr. Beinstein testified that he then recommended hospitalization for further study by hematologists. Quillin went to George Washington University Hospital on December 5, 1957.

Dr. Pearl Holly, a hematologist, examined Quillin at the hospital on December б, at which time she performed peripheral blood tests and a bone marrow study. Dr. Holly testified that it was then medically apparent that Quillin had a malignant blood disease, the indication being that it was leukemia or myeloid meta-plasia. The insured left the hospital on December 8.

Dr. Beinstein was called to Quillin’s home on the evening of December 16, 1957. The doctor found that Quillin had come down with a fever, was suffering from chest pains, and had begun to cough up rusty sputum. Returning to Quillin’s home the following morning. Dr. Bein-stein found no improvement and symptoms highly suggestive of acute pneumonia. The doctor recommended immediate hospitalization.

The insured was admitted to George Washington University Hospital on December 19, 1957, and remained there until December 28,1957. On March 8,1958, he entered Mount Alto Veterans Hospital. He died there on April 23, 1958, from subacute monocytic leukemia.

The application for the policy in question is dated December 17, 1957. Appellant testified, however, that it was actually filled out on December 14 or 15, 1957. The application was filled out by Mrs. Hilma I. Joerg, an agent of the company, while the applicant, Jack Quillin, and appellant were seated on either side of her. The agent read each question aloud and upon the applicant making oral answer thereto made a notation at the appropriate place in the application. After the application had been completely filled out it was signed by Quillin.

Appellant does not deny that the statements in the application on which appel-lee relies are material to the risk. She argues, however, that as to some there was evidence which presented a jury question as to whether the statements were untrue. Concerning the remaining statements, falsity is conceded. Appellant contends, however, that there was evidence which presented a jury question as to whether the company was entitled to rely on such falsity in denying liability.

We will first consider the contention that a jury question was presented as to the truth or falsity of some of the statements contained in the application.

In question 5a of part 2 of the application the insured was asked to- indicate how much his weight had changed in the last year. The answer indicated in the completed application is “none.”

Appellant concedes that this is a correct recording of the oral answer which the applicant had given to the insurance agent. It is her contention, however, that under the evidence the jury should have been permitted to find whether the answer is true or false.

There unquestionably is substantial evidence tending to show that the answer is untrue. Dr. Beinstein testified that when the insured consulted him on November 27, 1957, he complained of a very marked loss of weight “over the preceding two and a half to three years.” The complained-of drop in weight, according to Dr. Beinstein, was from around 200 pounds down to about 145 pounds. Dr. Donald R. Belky testified that on December 5, 1957, he was told by Quillin that the latter had experienced an “increasing weight loss of fifty pounds in the last two years.”

*774 The testimony given by appellant, however, constitutes substantial evidence to the contrary. She testified that her husband had not lost weight within the year preceding December 14 or 15, 1957. It was her testimony that his loss of weight had been about twenty pounds and had occurred prior to May 1956, when her husband had a tonsillectomy. After that operation, she testified, his weight remained steady. Further disputing Dr. Beinstein, appellant testified that her husband had never weighed over 170 pounds.

In view of this direct conflict in the evidence, the question as to the truth or falsity of the statement in the application concerning Quillin’s weight was for the jury.

Question 13 of part 2 of the application inquired of the applicant whether he had ever (1) “been treated for,” or (2) “had any known indication of” any disease or disorder of any parts of the body thereafter enumerated. Among the parts of the body which were enumerated were “blood, or blood vessels.” The answer indicated in the completed application is “no.”

Appellant does not deny that this is a correct recording of the oral answer which her husband had given to the insurance agent. But, as in the case of the answer to question 5, she argues that under the evidence the jury should have been permitted to find whether the answer is true or false.

It will be noted that question 13 consists of two parts. The first, in so far as here pertinent, inquires as to whether the applicant had ever been “treated for” any disease or disorder of the blood or blood vessels. There was considerable medical testimony to the effect that within the weeks and even days immediately prior to applying for the insurance policy Quillin was subjected to extensive diagnostic procedures relative to a serious abnormality in his blood. There seems to be no specific testimony, however, to the effect that he was actually “treated” for any such blood condition prior to the time Quillin applied for life insurance. Dr.

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Bluebook (online)
280 F.2d 771, 1960 U.S. App. LEXIS 4089, Counsel Stack Legal Research, https://law.counselstack.com/opinion/mrs-seena-h-quillin-v-prudential-insurance-company-of-america-ca4-1960.