Mutual Life Insurance v. Long

12 Ohio App. 252, 31 Ohio C.C. (n.s.) 49, 31 Ohio C.A. 49, 1919 Ohio App. LEXIS 180
CourtOhio Court of Appeals
DecidedOctober 9, 1919
StatusPublished
Cited by6 cases

This text of 12 Ohio App. 252 (Mutual Life Insurance v. Long) is published on Counsel Stack Legal Research, covering Ohio Court of Appeals primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Mutual Life Insurance v. Long, 12 Ohio App. 252, 31 Ohio C.C. (n.s.) 49, 31 Ohio C.A. 49, 1919 Ohio App. LEXIS 180 (Ohio Ct. App. 1919).

Opinion

Ferneding, J.

The original action was upon an insurance policy issued by the plaintiff in error upon the life of William E. Long. The policy was made payable upon death of the assured to the defendant in error as beneficiary. The policy was issued on November 27, 1916. The assured died on September 25, 1917. The answer contains three defenses. The first is an admission of certain facts; followed by a general denial. The second asserts a claim that by a condition of the policy it was to become void if the assured at the time of the application and delivery of the policy was not in good health; also, that as a matter of fact the assured was not at said time in good health. The third defense is that the application contained certain representations which were wilfully false.

The trial resulted in a verdict and judgment for the plaintiff in the amount of the policy.

The plaintiff in error insists, first, that the trial court erred in allowing plaintiff below to open and close the case; second, that the court erred in several respects in its charge to the jury; and, third, that the verdict and judgment were against the weight of the evidence on both the second and third defenses.

This case was fully argued and the oral argument was supplemented by elaborate and painstaking briefs analyzing the evidence and authorities bearing upon the issues represented in the review of this case. We have carefully considered the record and the authorities cited.

Upon the right to open and close the case we have reached the conclusion that the burden of [254]*254proof upon all the issues tendered by the pleadings of plaintiff was upon the plaintiff and not the insurance company.

The plaintiff alleged in the petition that she had complied with all the conditions of the policy. This averment was not admitted. It therefore fell within the general denial of the answer. Accordingly, it was incumbent upon the plaintiff to offer some evidence upon this averment. The plaintiff offered the application for the policy, and the policy itself, and then rested. While this averment of the petition was not the foundation of the real controversy, nevertheless, from a technical standpoint, the burden of proof was upon the plaintiff. The action of the trial court in putting the burden of proof and conferring the right to open and close the case upon the plaintiff was not erroneous.

Upon examination of the general charge, as well as the request for special charges, we are of opinion that there was no prejudicial'error in respect to the charge.

The most difficult questions presented in the case are those involving the weight of the evidence upon the second and third defenses.

The second defense challenges the good health of the assured at the time of the application and issuance of the policy. We think this was a question of fact to be determined by the jury. The burden of proof upon the merits of the case rested with the insurance company. The question was in the first instance one for the jury. The jury were entitled to consider the evidence of physicians, and others, having a direct bearing upon [255]*255the question, and also the circumstances of the case.. It must be kept in mind that the assured who made the application and procured the insurance was dead and his testimony unavailable. The insurance company was under the obligation to investigate the risk at the time of the application and issuance of the policy. The fact that it did make the investigation and did conclude to accept the risk is some evidence, we think, in favor of the plaintiff, and called upon the insurance company for evidence to overcome the effect of this presumption. In the case of Mumaw v. The Western & Southern Life Ins. Co., 97 Ohio St., 1, Judge Johnson speaks of “the difficulties and impracticable character” of compelling the beneficiary after the death of the assured to undertake the task of producing evidence of the good health of the assured at the time of the application and issuance of the policy.

!He makes the following observations, at page 11:

“It is also common knowledge that policies are issued at the solicitation of the company, and it may well be said that it is the duty of the insurance company not to enter into a contract of such a character until it is convinced that the insured is in good health. It would seem to be a just and reasonable proposition that the insured has a right to believe that the company has become so convinced, and to rely on his contract, in the absence of fraud or misrepresentations on his part, or a failure of some warranty made by him. In such case the company is not denied any proper defense; but, if it asserts a defense, it must assume [256]*256the burden of proving it. The time to demand from the insured such satisfactory evidence is when the contract is being made and while the insured is alive.”

Dr. Hatcher, wrho was called as a witness by the insurance company, testifies as follows:

‘T said to him [Long] that he had better consult his physician and see whether or not he could not have his blood pressure reduced, feeling that it was not an organic type, and that if he was properly dieted and medicated that the blood pressure could be, reduced and that he might be a favorable risk after that treatment.”

If Dr. Hatcher, who had been especially consulted by Mr. Long, and who had the advantage of a personal examination, was of the opinion that the high blood pressure was not of an organic type and might be subject to treatment, certainly it would not be a far inference to assume that the assured himself felt that it was not a serious ailment or disease and might yield to a course of treatment.

Dr. A. H. Dunham was called by the insurance company as a witness. He made an examination of the assured prior to the present application for insurance. He testifies in full as to the nature and extent of his personal examination, and states he found nothing wrong with the heart or with any of the other organs and that the insured was in his opinion a good insurance risk.

Dr. D. B. Conklin made the medical examination upon which the insurance policy was issued. He testifies to the extent of his examination and his opinion as to the assured’s good health.

[257]*257Dr. Metier also testifies that Mr. Long was in splendid physical condition.

The insurance' company for its defense relies largely upon the testimony of Dr. Clark Sullivan, who was the physician of the assured and treated him at different times for what he called “mitral valve lesion of the heart.” Dr. Sullivan’s testimony was by deposition, and in his opinion the assured had been suffering from the affliction described.

The conflict in the testimony of these several physicians therefore became one of credibility and fell within the peculiar province of the jury.

The third defense, based upon misrepresentation, is subject to the following statute:

“Sec. 9391.

Free access — add to your briefcase to read the full text and ask questions with AI

Related

Garner v. Lee
908 F.3d 845 (Second Circuit, 2018)
Penn Mutual Life Insurance v. Lindquist
266 N.W. 600 (Nebraska Supreme Court, 1936)
Thomas v. New York Life Insurance
260 N.W. 605 (North Dakota Supreme Court, 1935)
Scott v. New England Mutual Life Insurance
256 N.W. 910 (Nebraska Supreme Court, 1934)
New York Life Ins. Co. v. Snyder
158 N.E. 176 (Ohio Supreme Court, 1927)
Federal Life Ins. Co. v. Roberts
1923 OK 357 (Supreme Court of Oklahoma, 1923)

Cite This Page — Counsel Stack

Bluebook (online)
12 Ohio App. 252, 31 Ohio C.C. (n.s.) 49, 31 Ohio C.A. 49, 1919 Ohio App. LEXIS 180, Counsel Stack Legal Research, https://law.counselstack.com/opinion/mutual-life-insurance-v-long-ohioctapp-1919.