National Life Accident Ins. Co. v. Shermer

1932 OK 864, 17 P.2d 401, 161 Okla. 77, 1932 Okla. LEXIS 447
CourtSupreme Court of Oklahoma
DecidedDecember 20, 1932
Docket22699
StatusPublished
Cited by10 cases

This text of 1932 OK 864 (National Life Accident Ins. Co. v. Shermer) is published on Counsel Stack Legal Research, covering Supreme Court of Oklahoma 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. Shermer, 1932 OK 864, 17 P.2d 401, 161 Okla. 77, 1932 Okla. LEXIS 447 (Okla. 1932).

Opinion

ANDREAVS, J.

This is an appeal from a judgment of the district court of Se-quoyah county in favor of the defendant in error, the plaintiff in that court. The parties will be referred to as they appeared in the trial court.

The plaintiff instituted this action to recover a money judgment on a policy of life insurance issued by the defendant on the life of Eulalali v. Shermer. The defense offered to the action was fraud, concealment, and misrepresentations of the insured as to the condition of her health in her application for insurance, and that she was not in good health at the time of the delivery of the policy.

The defendant contends that the trial court erroneously instructed the jury in defining “sound health.” On that point the court instructed the jury as follows:

“You are instructed that by ‘sound health’ as used in the insurance policy sued upon means a state of health free from known disease or ailment that affects seriously the general healthfulness of the system and not temporary disturbance or disorders.”

The defendant contends that if the insured was not in sound health on the date of the application and knew it, or if she was not in sound health on the date the policy was delivered, whether she knew it or not, the defendant would not be liable on the policy or otherwise except for the return of the premiums paid. It contends that the jury was not properly instructed as to the meaning of “sound health,” and that for that reason the verdict does not settle the question as to whether or not the insured, in good faith, thought herself to be in sound health when the application was made. The attack upon the instruction is on the words “known disease or ailment.” A requested instruction, which was denied by the court, was as follows:

“You are 'instructed that the expression *78 ‘sound health’ used in the insurance policy sued upon herein means a state of health free from any disease or ailment that affects seriously the general soundness and healthfulness of the system, and not merely such temporary disturbances ' or disorders, which yield readily to treatment and do not tend to weaken or undermine the constitution.”

The requested instruction has the effect of instructing- the jury that if it found that the insured was not in good health at the time she signed tho application, it could find her statement to be false and fraudulent, whether she knew of her condition or not. That effect is in conflict with former holdings of this court.

In Sovereign Camp W. O. W. v. Brown, 94 Okla. 277, 221 P. 1017, 1021, this court quoted with approval from the case of Greenwood v. Royal Neighbors, 118 Va. 329, wherein it was said:

“The phrase ‘good health,’ as used in its common and ordinary sense by a person speaking of his own condition, undoubtedly implies a state of health unimpaired by any serious malady of which the person himself is conscious. He does not mean that lie had no latent disease of which he is wholly unconscious. If by the phrase ‘good health’ an insurance company desires lo exclude every disease, though latent and unknown, it must do so by distinct and unmistakable language.”

Tins court therein held:

“To be in ‘sound bodily health’ is a comparative term, and a man with a temporary indisposition, such as to cause no apprehension of anything serious, can accept a policy of insurance ‘in sound bodily health’ without being considered to have perpetrated any fraud upon the company or to have rendered his insurance contract void by reason of a violation of its terms.”

’That holding was cited with approval in Mid-Continent Life Ins. Co. v. House, 156 Okla. 285, 10 P. (2d) 718.

In New York Life Ins. Co. v. Smith, 133 Okla. 256, 271 P. 1037, this court held:

“In a suit on an insurance policy, where it is contended that a false and fraudulent misrepresentation or concealment of a material fact by the insured has rendered the contract for insurance void, and where the evidence is conflicting, or where different inferences may be legitimately drawn from the evidence, the question should be submitted to tile jury under instructions which take into account the materiality of the misrepresentation and the fraudulent purpose or intent- of the insured to deceive.”

The objection made to instruction No. 5 is that the court failed to instruct the jury that-, if It found from the evidence that at the time the application for insurance was made or at the time the policy was delivered the insured was afflicted with chronic nephritis, it should find for the defendant. That contention is based on the terms of the policy which require the insured to be in good health at the time the policy is delivered in order to make the policy binding and the insurer liable. That, 'in effect, would make the statements in the application amount to a warranty and a condition precedent to any effective contract of insurance. The policy does not provide that “all statements -made by the insured shall, in the absence of fraud, be construed as representations and not warranties,” as provided in many insurance policies, but section 10519, O. S. 1931 (section 6728, O. O. S. 1921) so provides, where no previous examination was had, as in the instant case.

In Mid-Continent Life Ins. Co. v. House, supra, there was a similar provision in the application, which provided that no liability would occur until the policy had been accepted by the insured during her lifetime and while she was in good health. In that case this court held:

“* * * That such a provision is for the benefit of the insurer to protect such company against a contingency which might arise in that interim during which the insured might become seriously ill. suffer a severe injury impairing her health, and to guard against the delivery of such policy in the event of the death of the insured.”

This court did not hold, as contended herein, that the good health of the insured, at the time of the delivery of the policy, was a condition precedent to any obligation on the part of the defendant. This court held:

“When a life insurance policy containing such a provision as set forth in paragraph. 1 of the syllabus has been delivered and the first premium paid, the burden of proof is upon the defendant insurance company to prove that the policy was delivered while the insured was not in good health.”

The defendant, in attempting- to show the condition of the insured’s health at the time of the signing of the application and at the time of the delivery of the policy, offered testimony of Hr. Charles F. Holt, as follows:

“Q. Then she could not have been in sound health either on the 5th day of December, 1927, or on November 21, 1927? A. I would hate to — that is my opinion, with blood pressure of — I pay more attention to blood pressure — with blood pressure of *79 240 over 120 — I wouldn't think so. I would not say it wasn’t possible.”

The disease coinplained of was that of nephritis. Dr. T. E. Wood testified that the insured could not have been in sound health on November 21, 1027, if she had chronic nephritis four months before.

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Bluebook (online)
1932 OK 864, 17 P.2d 401, 161 Okla. 77, 1932 Okla. LEXIS 447, Counsel Stack Legal Research, https://law.counselstack.com/opinion/national-life-accident-ins-co-v-shermer-okla-1932.