Mutual Benefit Health & Accident Ass'n v. Bell

176 S.E. 124, 49 Ga. App. 640, 1934 Ga. App. LEXIS 521
CourtCourt of Appeals of Georgia
DecidedMarch 26, 1934
Docket23516
StatusPublished
Cited by40 cases

This text of 176 S.E. 124 (Mutual Benefit Health & Accident Ass'n v. Bell) is published on Counsel Stack Legal Research, covering Court of Appeals of Georgia primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Mutual Benefit Health & Accident Ass'n v. Bell, 176 S.E. 124, 49 Ga. App. 640, 1934 Ga. App. LEXIS 521 (Ga. Ct. App. 1934).

Opinion

Sutton, J.

The plaintiff made application to the defendant insurance company for a policy of health and accident insurance, which was issued to him, the application being attached to and made a part of the policy. Thereafter plaintiff became totally disabled as a result of diabetes. His demand upon the insurer for payment under the policy was refused, and he brought suit on the [642]*642policy. The defendant contended that the policy was void because the plaintiff' had, in answer to a question propounded, in the application, failed to disclose that he had other health and accident insurance, and had failed to disclose that he had been treated by a physician prior to his application for this insurance. The trial resulted in a verdict for the insured for the full amount sued for, with twenty-ñve per cent, damages and attorney’s fees, as provided by section 2549 of the Civil Code (1910). The defendant moved for a new trial, the motion was overruled, and to this judgment it excepted.

It is insisted by counsel for the insurance company that the trial court erred in permitting the plaintiff, the insured in .a policy of health and accident insurance, to testify that when he stated, in answer to the question propounded to him in the application for the policy, as to whether he had other health and accident insurance, that he had a policy of health and accident insurance with the Gem City Life & Accident Insurance Company, without disclosing to the insurance company that he also had at that time two policies of life-insurance, each containing a total-disability clause, he did not consider these two policies of life-insurance, with total-disability clauses, health and accident insurance, and therefore did not inform the insurer thereof in the answer to said question; this testimony being objected to upon the ground that such failure on the part of the plaintiff to disclose, in his answer to this question, that he had such two policies of life-insurance, with total-disability clauses, constituted such a material variation from the truth as avoided the policy of insurance sued on, in that such failure to supply in full the information sought by this question in the application was such a variation from the truth as to change the nature, extent, or character of the risk, and voided the policy regardless of whether the answer was made in good faith, without knowledge of its untruth or not. The application for insurance in this case was attached to and made a part of the contract of insurance. In other words, the insurance company contends that the question of good faith or motive does not enter into the question at all; but that where an applicant for insurance fails to state a material fact in his application, which is made a part of the policy, such omission voids the policy, -if the fact omitted is material to the risk, whether the failure to state the same is wilful and fraudulent or in good faith [643]*643by reason of an oversight or of mistaken judgment as to its materiality.

At the outset it is well to note that prior to the act of August 17, 1906, the answers to material questions in the application for insurance were considered as covenants and warranties on the part of the applicant. Southern States Life Ins. Co. v. Wilkinson, 53 Ga. 535 (10), 550. However, this'act, now embodied in section 2471 of the Code of 1910, is in the nature of the statute of frauds and was designed for the protection of persons insuring their lives or property. The portion of this statute pertinent for our consideration is as follows: “All life insurance . . policies issued upon the life . . of persons within this State . . which contain any reference to the application for insurance . . shall contain, or have attached to said policy, a correct copy of said application signed by the applicant, . . and unless so attached . . such application” shall not “be considered a part of the policy or contract between such parties.” Civil Code (1910), § 2471. Under this section, the application on which an insurance policy is based is not to be considered as a part of the insurance contract, unless a copy of the application is attached to or accompanies the policy; and this is true though it be sought by the express terms of the policy itself to make such unattached application a part of the agreement. Bankers Health & Life Ins. Co. v. Murray, 22 Ga. App. 495 (96 S. E. 347); Wilkins v. National Life & Acc. Ins. Co., 23 Ga. App. 191 (97 S. E. 879); Interstate Life & Acc. Ins. Co. v. Bess, 35 Ga. App. 723 (134 S. E. 804), and cit.; Couch v. National Life & Acc. Ins. Co., 34 Ga. App. 543 (130 S. E. 596); Ætna Life Ins. Co. v. Foster, 43 Ga. App. 658, 662 (159 S. E. 882); Johnson v. American &c. Ins. Co., 134 Ga. 800 (68 S. E. 731). Therefore statements made in the application are not to be treated as warranties or covenants, on account of the failure or falsity of which the policy may be avoided, unless a copy of the application is attached to the policy or accompanies it, though representations contained in tlie application, if fraudulently made, may give to the insurance company the right to avoid the policy. Thus, it has been held that while it is true that the representations as made in such an unattached application can not be treated as part of the contract, and are not to be taken as covenants or warranties, still if such statements furnished the actual basis on which [644]*644the policy was issued, and they were not only false but were also fraudulently made by the applicant acting for himself, the insurer may set up such facts as a means of avoiding the policy, not under and by virtue of the terms of the contract, but for the reason that the insurance is thus shown to have been fraudulently procured. Bankers Health & Acc. Ins. Co. v. Murray, supra; Wilkins v. National Life & Acc. Ins. Co., supra; Life Ins. Co. v. Pate, 23 Ga. App. 232 (97 S. E. 874). The effect of noncompliance with the above section of the code on the part of the insurance company is that the application shall not be considered a part of the insurance contract. Southern Life Ins. Co. v. Logan, 9 Ga. App. 503 (71 S. E. 742); Southern Life Ins. Co. v. Hill, 8 Ga. App. 857 (70 S. E. 186).

We will consider first the effect of an actual misrepresentation made by the assured, in answer to a question propounded to him in the application for the insurance, as to a matter material to the risk, where the application is attached to and made a part of the policy of insurance sued on. In the early case of Southern Life Ins. Co. v. Wilkinson, supra, it was ruled that applications for insurance, under the provisions of our code, “must not only be made in the utmost good faith, but the representations contained therein are covenanted to be true by the applicant.

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Bluebook (online)
176 S.E. 124, 49 Ga. App. 640, 1934 Ga. App. LEXIS 521, Counsel Stack Legal Research, https://law.counselstack.com/opinion/mutual-benefit-health-accident-assn-v-bell-gactapp-1934.