Neada v. State Farm Life Insurance

36 N.W.2d 904, 324 Mich. 233, 1949 Mich. LEXIS 431
CourtMichigan Supreme Court
DecidedApril 11, 1949
DocketDocket No. 58, Calendar No. 44,254.
StatusPublished
Cited by6 cases

This text of 36 N.W.2d 904 (Neada v. State Farm Life Insurance) is published on Counsel Stack Legal Research, covering Michigan Supreme Court primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Neada v. State Farm Life Insurance, 36 N.W.2d 904, 324 Mich. 233, 1949 Mich. LEXIS 431 (Mich. 1949).

Opinion

Carr, J.

In this case the trial court, on motion, rendered judgment on the pleadings in favor of the defendant. Motion to vacate said judgment was denied, and plaintiff has appealed. No proofs were submitted on the hearing of the motion. The questions at issue must be determined on the material averments of'fact set forth in the pleadings.

The declaration alleged that on July 21, 1943, the defendant executed a life insurance policy in the sum of $2,000, the insured being Laura Neada, wife of the plaintiff who was the beneficiary named in said policy. Mrs. Neada died on December 19, 1943. Defendant denied liability on the policy. The declaration' further alleged that the application for the *235 policy was filled out by defendant’s agent, that in response to a question the name and address of the physician usually consulted by the insured was inserted, but an inquiry as to when and for what insured last consulted such physician was not answered. Question 15, which is particularly material in the instant case, read as follows:

“Have you consulted a physician or have you been under medical care in the past 10 years?”

The declaration averred that the insured told the agent of consultations with her physician on four occasions, but that the agent wrote a negative answer to the question. It also alleged that said question called for a detail of any diseases or injuries involved therein, as to date, complications, duration of the illness, remaining effects and medical attendant’s name. The declaration averred, also, that the insured died of an acute heart ailment which had no causal connection with any of the matters concerning which she had consulted a physician. . Plaintiff claimed that if any error occurred in the application it was the fault of the agent, rather than of the plaintiff or the insured.

Defendant by answer admitted the execution of the policy, asserting, however, that it was not liable thereunder because said policy was issued in reliance on the application, certain statements in which were untruthful, false and fraudulent, and operated to falsely and fraudulently conceal material facts. Defendant’s position was set forth in the following language:

“Defendant further alleges in support of its denial of liability under said policy that it had no knowledge whatever until after the death of Laura Neada as to the aforesaid untruthful, false and fraudulent warranties and representations and concealment of certain material facts in her application *236 for • insurance; that these warranties, representations and concealments deceived defendant and that defendant would not have issued said policy of insurance upon the life of Laura Neada had it known the truth concerning Laura Neada’s previous complaints or diseases, her then health, present and previous treatments and care by physicians and treatment in hospitals.
“Defendant further says that a copy of the written application above referred to was securely attached to the policy issued by it and is now in possession of defendant. * * *
“Answering paragraph 7, defendant admits the allegations as to question 12 (a) and the answer thereto as contained in the application for insurance, but denies the allegations pertaining to question 15, and in support of this denial states that neither Laura Neada nor plaintiff advised defendant’s agent of the medical consultations and examinations referred to; that they unqualifiedly answered question 15 by saying, ‘No,’ and that the insured and plaintiff, with the intent to deceive defendant, fraudulently concealed the material fact that Laura Neada and within 10 years prior to the application which is dated July 21, 1943, [had?] been treated by various physicians and was hospitalized at the University of Michigan Hospital for 16 or 17 days in August or September of 1942 for an incurable disease known as lupus erythematosis desseminata which directly contributed to the death of Laura Neada.”

Plaintiff filed a reply to defendant’s answer, asserting that the insured’s illness in 1942 was merely temporary, that she recovered therefrom, and that it did not in any way contribute to her death. Aside from such allegations the reply asserted that the defendant, prior to the starting of the suit on the policy, had denied liability on the ground that “insured had made alleged misrepresentations which were material to the risk,” and that because of the *237 specific ground so specified defendant was estopped to raise other defenses indicated by the answer.

The motion for judgment on the pleadings was based on the failure of the plaintiff to deny the affirmative matter set up in the answer. In passing-on the motion the trial court assumed that the insured had made full, disclosure to the agent and that there was no intent, on the part of either the insured or the agent, to deceive the defendant. The propriety of such assumption is not questioned. On the record it appears with reasonable clarity that the averments in the answer asserting fraud and intentional deceit may not be regarded as admitted, especially in view of the claim of estoppel raised by the reply. The court concluded, however, that the misrepresentation in the answer to question 15 of the application was of such materiality, as a matter of law, as to constitute a complete defense to the action on the policy. Judgment was entered accordingly.

On appeal it is claimed on behalf of plaintiff that the trial court was in error in granting defendant’s motion for judgment because the interpretation of the application, and of ambiguities therein, must favor the insured; that the burden of proof to show the materiality of the answers in the application was on the defendant; that it was the duty of the court to construe the facts in the light most favorable to the plaintiff; that such facts, properly construed, did not support the judgment; and that it could not be assumed, as a. matter of law, that defendant relied on specific statements in the application. In substance, it is the claim of the defendant that under the facts admitted in the pleadings it was entitled to judgment in its favor.

The answer to the declaration specifically averred that the misrepresentation in the application, with reference to the information called for by question *238 15, involved the concealment of material facts; and that the policy would not have been issued had the question been truthfully answered. As before pointed out, such averments were not denied by plaintiff’s reply. Michigan Court Rule No. 23, § 2 (1945), provides in part as follows:

“Every answer shall contain an explicit admission or denial of each allegation in the declaration or bill of complaint as to which the defendant has knowledge or belief. But as to matters charged in the declaration or bill as to which the defendant avers he has no knowledge or information sufficient to form a belief, he shall not be required to admit or deny the same, but shall state his want of such knowledge. Every material allegation in the declaration or bill to which the defendant shall not make answer shall be taken as admitted by the defendant.”

Rule No.

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Cite This Page — Counsel Stack

Bluebook (online)
36 N.W.2d 904, 324 Mich. 233, 1949 Mich. LEXIS 431, Counsel Stack Legal Research, https://law.counselstack.com/opinion/neada-v-state-farm-life-insurance-mich-1949.