National Life Accident Ins. Co. v. Cummings

172 So. 353, 27 Ala. App. 355, 1937 Ala. App. LEXIS 12
CourtAlabama Court of Appeals
DecidedFebruary 2, 1937
Docket6 Div. 981.
StatusPublished
Cited by5 cases

This text of 172 So. 353 (National Life Accident Ins. Co. v. Cummings) is published on Counsel Stack Legal Research, covering Alabama Court of Appeals primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
National Life Accident Ins. Co. v. Cummings, 172 So. 353, 27 Ala. App. 355, 1937 Ala. App. LEXIS 12 (Ala. Ct. App. 1937).

Opinion

*357 SAMFORD, Judge.

The policy sued on' was issued by the defendant on the 22d 'day of September, 1930, insuring the life of Alfred Cummings and naming as beneficiary thereunder Willie Cummings, the plaintiff in this case. In the face of the policy and as a part thereof there appears the following condition: “No obligation is assumed by the Company prior to the date hereof, nor unless on said date the insured is alive and in sound health. Should the proposed insured not be alive or not be in sound health on the date hereof any amount paid to the Company as premium hereon shall be returned.”

The proof of death filed with the company by the beneficiary discloses that on June 25, 1932, Alfred Cummings, the insured, died of pulmonary tuberculosis, which fact was certified by the attending physician whose knowledge extended for twelve months prior to the death of the insured. It is testified to and not disputed that in the summer of 1929 insured had pulmonary tuberculosis in such advanced state as that he had at least one severe hemorrhage from the lungs, and was removed to the Baptist Hospital where he underwent treatment for a period of about three weeks. After leaving the hospital, he was treated by the same doctor until some time in February, 1930. During which time insured was doing some kind of light work in the L. & N. Shops. Dr. Nall, who treated insured to February, 1930, testified that: “Pulmonary tuberculosis is lung tuberculosis. As general rule it extends over a period of several years, for an indefinite period, and always follows a well defined course. It commences with night sweats, then a slight cough. The cough increases when the tubercular bacilli goes further into- the lungs : you have a cavity formation. If a cavity forms, if a patient can be walled off no further progress ensues then, but a break down is liable to take place, and whether it is going to be a hasty -death or a long drawn out affair depends on how large the cavity is and how progressive that particular case may be, but it always follows a very definite course and might be for months or might be for ten or even more years an active case of tuberculosis, and further that bacilli may be confined during, over that period, even until it breaks the patient down: hence people having a stronger constitution may work on a job and die that night.”

The brother-in-law and sister of the insured at whose house he lived and finally died testified to a continuation of the symptoms indicating tuberculosis from the time he left the hospital until the end came, and Dr. Macklin, who was the family physician, certified to the tubercular condition as having existed at least twelve months prior to death. Of which condition, the disease itself, would probably have given notice to the insured, in addition to which the insured was specifically informed that he had tuberculosis, and was warned as to how to protect the other members of the household. ■ There was some evidence on the part of the plaintiff tending to prove that the insured was on the pay roll of the L. & N. Railroad Company as an engine wiper or oiler and that he did some work during the period from February, 1930, until he died and that he worked continuously enough to keep him on the pay roll of the company. There is some evidence that from October, 1930, to February, 1931, the insured was treated by a Dr. Harris for arthritis and chills and fever and this doctor testifies that he did not find any evidence of tuberculosis, but he did not testify as to having examined insured for evidence of this dis *358 ease. So that we have positive undisputed evidence that the insured was seriously affected with pulmonary tuberculosis from the summer of 1929 to February, 1930; that the symptoms continued from that time on as tesified to by nonexperts, and the undisputed evidence of an expert physician with a personal knowledge of insured’s condition for twelve months before death, that insured died of the disease in June, 1932. So we have' a period from February, 1930, to June, 1931, during which plaintiff contends that insured was cured of the disease and contracted it again after the application for insurance in this case was made.

It is the law in this state, many times decided, that a clause in a life insurance policy to the effect that no obligation is assumed by the insurer unless on the date of the delivery of the policy insured is alive and in sound health is, in legal effect, a warranty within the terms of section 8364 of the Code of 1923, and if the unsoundness in health consists "of pulmonary tuberculosis, the court takes judicial knowledge of the fact that it does increase the risk of loss. Independent Life Ins. Co. v. Seale, 219 Ala. 197, 121 So. 714; Mutual Life Ins. Co. v. Mandelbaum, 207 Ala. 234, 92 So. 440, 29 A.L.R. 649; Southern Life & Health Ins. Co. v. Morgan, 216 Ala. 529, 113 So. 540; Brotherhood of Railway & S. S. Clerks v. Riggins, 214 Ala. 79, 107 So. 44.

The policy in the instant case was issued by the company without medical examination based upon an application therefor signed by the insured in which there were certain representations made by the insured to induce the issuance of the policy. These representations were made the bases of defendant’s pleas on the trial of the case and will be adverted to and treated in the following opinion:

Being set up as fraudulent representation in defense to the action on the policy of insurance, it must be shown that such answers as appear in the application as false statements have been made with the intent to deceive and that they relate to matters intrinsically material to the risk and that the insurer relied thereon. This is the commonly accepted doctrine as declared in Empire Life Ins. Co. v. Gee, 171 Ala. 435, 55 So. 166; Massachusetts Mut. L. I. Co. v. Crenshaw, 195 Ala. 263, 70 So. 768.

In the application for insurance to the question “Are you insured in this Company?” the insured answered, “No.” Under the plea of the general issue, in short, by consent the defendant insists that this answer was fraudulent, with the intent to deceive and that therefore the policy issued is void. The evidence tending to prove this plea is without dispute that at the time the policy sued on in this case was issued, under the date of September 22, 1930, there were three outstanding policies of insurance issued by this defendant on the life of the insured. That these three policies continued in force to the time of the death of the insured ánd upon death were paid. Replying to this, the plaintiff introduced evidence tending to show that notwithstanding the answers of the insured that he had no outstanding policies in the defendant’s company, the defendant with a full knowledge of such misstatement continued to collect monthly the premium due on the policy in the instant case and is thereby estopped from setting up that defense. In undertaking to make this proof, the plaintiff offered evidence relative to the agency of the defendant’s manager . in Birmingham, but plaintiff utterly failed to prove that the manager was such officer of defendant’s company authorized to waive that condition in 'the policy. National Life & Acc. Ins. Co. v. Cummings, 26 Ala.App. 481, 162 So. 560.

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

Related

Bankers Life Casualty Company v. Long
266 So. 2d 780 (Court of Civil Appeals of Alabama, 1972)
Mims v. Houston Fire & Casualty Insurance Company
362 S.W.2d 880 (Court of Appeals of Texas, 1962)
Brown Service Ins. Co. v. Childs
38 So. 2d 737 (Alabama Court of Appeals, 1948)

Cite This Page — Counsel Stack

Bluebook (online)
172 So. 353, 27 Ala. App. 355, 1937 Ala. App. LEXIS 12, Counsel Stack Legal Research, https://law.counselstack.com/opinion/national-life-accident-ins-co-v-cummings-alactapp-1937.