Mutual Life Insurance v. Muckler

21 P.2d 804, 143 Or. 327, 1933 Ore. LEXIS 147
Oregon Supreme Court·Decided April 4, 1933·Published·Cited by 12 cases

Opinion

CAMPBELL, J.

Plaintiff sues to have a policy of insurance for the sum of $2,500, in which defendant is beneficiary, issued by it on the life of Harold 0. Muckier, declared void and of no effect.

The application for this policy was made on May 11, 1928, and the policy delivered to the insured May 26,1928. The insured died January 28,1929, and proofs of death were thereafter made in compliance with the terms of the policy. Plaintiff bases the right to have the policy declared void, first, because of the answers made by the insured to certain questions propounded in the application; second, because the policy was not delivered to and received by the insured during the continuance of good health. The questions and answers referred to are as follows:

“16. What illnesses, diseases and surgical operations have you had since childhood? None.
“17. State every physician or practitioner who has prescribed for or treated you or whom you have consulted in the past five years for any ailment serious or not serious. None.
“20. Are you in good health? Yes”.

Questions 18 and 19 are simply repetitions of 16 and 17 in another form.

*329 Plaintiff alleges that the answers to the foregoing questions were knowingly false and made for the purpose of deceiving it, and were intended that it should rely thereon, and that it did rely thereon in executing the policy of insurance which it now asks to have canceled and declared void. It alleges wherein the answers were false, especially in that at the time said application was made and said answers were given, that the insured was suffering from the disease that later caused his death.

To the complaint, defendant filed an answer which in effect admits the allegations of the complaint except those imputing fraud to the insured, and denied that the insured was not in good health at the time he made the application and at the time the policy was delivered and received. By way of separate answer and counterclaim, defendant alleged, in effect, the execution and delivery of the policy of insurance, the payment and acceptance of all the premiums as they became due. Defendant also alleged that plaintiff was notified in the latter part of October of the illness and incapacity of the insured but, notwithstanding that knowledge, it accepted premiums as they fell due. Defendant further alleged facts constituting a full compliance with all the terms of the policy on the part of the insured, the death of the insured and the necessary proofs thereof being furnished to plaintiff and prayed for judgment in the full amount of the policy. Defendant also alleged that more than six months had elapsed since the proofs of death were made and asked for $500 attorney fees.

To this answer plaintiff filed a reply which was, in effect, a denial of all the new matter alleged in the answer except such as was in conformity with the allegations of the complaint.

*330 The cause went to trial before the court, -without a jury, who found in favor of defendant, dismissed plaintiff’s complaint, gave defendant judgment for the full amount of the policy, with interest, costs and attorney fees. Plaintiff appeals.

The insured was an accountant in the employ of a railroad company. He had been so engaged for about 23 years. During all of this time he was absent from his employment less than one week from all causes. Sometime in May or June of the year 1928, his immediate superior began to observe that the insured was slowing up in his work. He was unable to accomplish the results that he had theretofore. He had difficulty in getting his accounts to balance and make reports on time. In the latter part of June, 1928, the official in charge of the office where he worked insisted that he take a leave of absence for three months, to begin July 1,1928. The insured protested that he was feeling fine, and did not wish to leave his work, and would only accept such vacation on condition that he would be reinstated in his position when he should return at the end of that time.

The insured died on January 28, 1929, of chronic leptomeningitis.

The court was justified in finding from the evidence that if the insured was suffering from any disease at the time of making the application for the policy of insurance, he had no knowledge of such fact.

There was testimony that sometime before making the application, the insured had to be away from his work one day on account of a fainting spell. It is not at all likely that when deceased stated he had no illness or disease within five years he would consider an indisposition causing the loss of but one day from his employment as an illness or disease.

*331 The law in effect when the application was made required the policy issued to provide therein:

“That all statements made by the insured shall, in the absence of fraud, be deemed representations and not warranties; * * *”. Oregon Code 1930, section 46-506.

The policy contained a clause in conformity with this law. The alleged false statements by the insured in the application are representations and before plaintiff could avail itself of the falsity as a cause for cancellation, it must show that such statements, if false, were made knowingly. Knowledge of the falsity of the representations is a necessary element of an action for false representations. Palmiter v. Hackett, 95 Or. 12 (185 P. 1105, 186 P. 581); 12 R. C. L. 392, § 82.

The medical witnesses, reputable physicians of Portland, Oregon, all testified that the disease was in all probability present in the insured for some time before he made application for the insurance. They testified with equal assurance that the insured or anyone else might be afflicted with such disease for many years, “five, ten, fifteen or even twenty,” and show no outward indications thereof, and that the person afflicted might be totally unaware of its presence in his system.

The preponderance of the evidence shows that the insured did not know he was afflicted with any disease at the time of makinig his application or at the time of the receipt of the policy, and that all the answers made to the questions asked, either by the medical examiner, or in the application, were made in good faith and to the best of his knowledge. Mutual Life Insurance Co. v. Chandler, 120 Or. 694 (252 P. 559).

*332 The policy issued contained the following provision :

“The proposed policy shall not take effect unless and until delivered to and received by the insured, the beneficiary or by the person who herein agrees to pay the premiums during the insured’s continuance in good health, and unless and until the first premium shall have been paid during the insured’s continuance in good health; except in case a conditional receipt shall have been issued as hereinafter provided”.

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Mutual Life Insurance v. Muckler, 21 P.2d 804, 143 Or. 327, 1933 Ore. LEXIS 147 (Or. 1933).

21 P.2d 804 (Mutual Life Insurance v. Muckler) — published by Counsel Stack Legal Research, free access to 12M+ legal documents.

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