National Life & Accident Ins. Co. v. Ware

1934 OK 547, 37 P.2d 905, 169 Okla. 618, 1934 Okla. LEXIS 448
CourtSupreme Court of Oklahoma
DecidedOctober 16, 1934
Docket22792
StatusPublished
Cited by5 cases

This text of 1934 OK 547 (National Life & Accident Ins. Co. v. Ware) 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. Ware, 1934 OK 547, 37 P.2d 905, 169 Okla. 618, 1934 Okla. LEXIS 448 (Okla. 1934).

Opinion

PER. CURIAM.

The plaintiff instituted this action to recover a money judgment on a policy of life insurance issued by the defendant on the life of Gene Carolyn Ware, the infant daughter of the plaintiff, Bessie Mary Ware, who was named as beneficiary therein. The defense to the action was -fraud, deceit, and misrepresentations of the plaintiff as to the health of the insured, and that the insured was not in “sound health” at the time of the execution of the policy. The policy was executed in pursuance of a written application made by the plaintiff, but which was not attached to or made a part of the policy, and upon physical examination made by a physician selected and authorized by the insurance company. The application, among other things, contained this question and answer:

“24. What medical or surgical attention have you had in the last five years? No.”

Certain premiums were paid to'the agent with the application. The policy when issued subsequent to the application and medical examination contained this express provision :

“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 premiums hereon shall be returned.” ■' •

The evidence showed without controversy that some six months prior to the date of the application the insured child .vomited and the plaintiff consulted one Dr. Lowry about it, who took the child out to his hospital for observation, but she did not go to bed or exhibit any serious symptoms, and the doctor did not disclose the result of his diagnosis; in fact, said he did not know what was the cause of the condition, but recommended a diet, which was followed, and the child apparently recovered. At the time of the application she was in apparent sound health, going to school, playing with other children and was robust and two pounds overweight for her age.

The plaintiff testified that the manner of making the application was, that the agent of the defendant would read the questions, she would announce her answers, and he would put them down, and when finished she signed it without reading it, assuming that he had correctly propounded the questions. That the agent read the question as if it stated, “Has she ever had any contagious) diseases or surgical operations?’’ To which she answered “No,” and truthfully so. The agent denied this.

The insured child died about six months after the execution of the policy after an illness of several days. The cause of death was a puzzle to the attending physicians, and apparently out of their own curiosity they held a post mortem autopsy. Dr. Lowry testified that he did not participate in the autopsy, but learned from the pathologists of the hospital that the child, had gastric hemorrhages and an enlarged spleen. This witness gave it as his opinion, based *620 lipón the autopsy and his previous connection with the case, that the child was not in good health at the time of the execution of the policy. The plaintiff testified that she knew nothing of the condition until after the death of the child. That the child was in apparent good health, eating regularly, attending school regularly, and was strong- and robust.

On this record the defendant requested a peremptory instruction for a verdict in its behalf on the theory that the uncontro-verted evidence was that the plaintiff’s answer to question 24 was false and material to the risk, and that the uneontroverted evidence was that the insured was not in sound health at the date of the execution of the policy, and that the policy was a conditional contract of insurance subject to avoidance at any time independently of the question of fraud and acceptance of the risk upon proof that the insured was not in sound health when it was issued. The defendant also requested the court' to submit to the jury the question of whether the insured was, as a matter of fact, in sound health when the policy was issued, independently of the question of fraud or intent to deceive or knowledge of the plaintiff as to the latent malady of which she may have died.

The court refused these requests and submitted the case to the jury upon the question of fraud. We have examined the instructions which were given, and find that they fairly submit this question to the jury. The evidence is sufficient to sustain the verdict. In an action at. law, where there is Competent evidence which reasonably tends to support the verdict of the jury, and no prejudicial errors are shown in the instructions of the court or the admission of evidence, the finding of the jury will not be disturbed on appeal.

However, it is Seriously contended that there was no final acceptance of the risk by the insurance company; that the policy was a conditional contract of insurance subject to be, avoided at any time, independently of the question of fraud, upon proof that the insured was not in sound health as a matter of fact at the time of execution of the policy; that the question of whether or not the insured was an insurable risk remained an open question to be determined at any time, even by post mortem autopsy after the policy had matured into a mortality claim.

We are unable to agree with this contention. The application was made on July 31st. The' medical examination was made a few days later. The policy was issued on August 19th. The provision above quoted, to the effect that the company assumed no liability prior to the date thereof, and not then unless the insured was alive and in “sound health,” and agreeing to return the premium which had been collected, was intended to protect the company against any change of condition or discovery of any additional information material to the risk in the interim between the application and issuance of the policy. The phrase “sound health,’’ as used, means a state of health unimpaired by any serious malady of which the insured or applicant had knowledge. If an insurance company desires to exclude from the coverage of the policy latent and unknown bodily conditions, they should use more apt language for that purpose. National Life & Accident Insurance Co. v. Shermer, 161 Okla. 77, 17 P. (2d) 401; Pritchard v. American National Insurance Company of Galveston, Tex., 139 Okla. 248, 281 P. 774.

In the case of Sovereign Camp, W. O. W. v. Brown, 94 Okla. 277, 221 P. 1017, this court quoted with approval from the ease of Greenwood v. Royal Neighbors, 118 Va. 329, 87 S. E. 581, 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 he has no latent disease of which he is wholly unconscious. If by the phrase ‘good health,’ an insurance company desires to exclude every disease, though latent and unknown, it must do so by distinct and unmistakable language.’’

In the syllabus of Sovereign Camp W .O. W. v. Brown, supra, this court held:

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Bluebook (online)
1934 OK 547, 37 P.2d 905, 169 Okla. 618, 1934 Okla. LEXIS 448, Counsel Stack Legal Research, https://law.counselstack.com/opinion/national-life-accident-ins-co-v-ware-okla-1934.