New England Mutual Life Insurance v. Bank of Illinois in Dupage

994 F. Supp. 970, 1998 U.S. Dist. LEXIS 1895, 1998 WL 69389
CourtDistrict Court, N.D. Illinois
DecidedFebruary 20, 1998
Docket96 C 4090
StatusPublished
Cited by10 cases

This text of 994 F. Supp. 970 (New England Mutual Life Insurance v. Bank of Illinois in Dupage) is published on Counsel Stack Legal Research, covering District Court, N.D. Illinois primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
New England Mutual Life Insurance v. Bank of Illinois in Dupage, 994 F. Supp. 970, 1998 U.S. Dist. LEXIS 1895, 1998 WL 69389 (N.D. Ill. 1998).

Opinion

MEMORANDUM OPINION AND ORDER

ALESIA, District Judge.

Before the court is plaintiff New England Mutual Life Insurance Company’s motion for summary judgment. For the reasons that follow, the court grants plaintiffs motion.

I. BACKGROUND 1

On January 22, 1994, Fred Penoyer (“Penoyer”) met with insurance salesman Michael Carbon (“Carbon”) in Lombard, Illinois. At that time, Penoyer and Carbon together filled out a two-part application for a life insurance policy from defendant New England Mutual Life Insurance Company (“New England Mutual”).

Part II of the application asked for certain medical information. Part II was filled out as follows: Carbon would read the question to Penoyer; Penoyer would respond either “yes” or “no”; and then Carbon would write down Penoyer’s responses on the application. Question 45(b) of the application asked: “Have you ever been treated or diagnosed as having: ... High blood pressure; stroke; or disease of heart, blood or circulatory system?” Penoyer responded “no.” Question 46 asked: “Other than abové, have you within the past 5 years: had a checkup or consultation; been a patient in a medical facility; or been advised to have any diagnostic test, hospitalization or surgery?” Penoyer responded “no.” Finally, question 47 asked Penoyer to “[g]ive details to each Yes answer to questions 42 through 46.” Nothing was filled in on question 47.

After completing the application with Carbon, Penoyer executed the application in Carbon’s presence. The application contains the following declaration: “To the best of my knowledge and belief, the answers recorded are true and complete.” Penoyer signed the application and dated it January 22, 1994.

On February 8, 1994, Penoyer met with Dr. Julie Levering for the purpose of undergoing a physical examination. During the examination, the paramedical portion of the application was completed as follows: Dr. Levering would ask Penoyer the question; Penoyer would respond; and then Dr. Levering would write the responses on the application. Question 2(d) of the paramedical portion asked: “Have you ever been treated for or ever had any known indication of: ... Rheumatic fever or other severe infection; high blood pressure, heart murmur, chest pain, heat attack, varicose veins, phlebitis or other disorder of the heart or blood vessels?” Penoyer responded “no.” Questions 4(a), (b), *973 and (d) asked: “Other than above, have you within the past 5 years: Had any mental or physical disorder? Had a checkup, consultation, illness, injury or surgery? ... Had an electrocardiogram, x-ray, or other diagnostic test?” Penoyer responded “yes” to all three of those questions.

Dr. Levering asked Penoyer to explain any affirmative answers given in response to the questions asked, including any diagnoses, dates, duration, and names and addresses of all attending physicians and medical facilities. As to questions 4(a), (b), and (d), Penoyer explained that in 1992, he was treated at Thunderbird Hospital in Phoenix, Arizona for gallbladder removal; in 1993, he had a “chest x-ray” which was “negative”; and in 1994, he underwent “lumbar series x-rays” which were “negative” and an “IVP” which was' “negative.” As to other affirmative answers, Penoyer identified Dr. Barry Lewis as his personal physician who treated him for possible pneumonia in 1991, pneumonia in 1993, possible kidney stones in 1994, and muscle spasms in 1994. Penoyer also disclosed that he had been treated in 1960 for a bruise to the kidney that resulted from a football injury.

After completing the paramedical portion of the application, Penoyer reviewed that portion of the application. The document contained the following declaration: “I declare that my answers to the foregoing questions are true and complete and are correctly recorded to the best of my knowledge and belief.” Penoyer signed directly below this declaration.

After receiving the application and payment of a premium, (Pl.’s Ex. 1 (Joint Stipulation of Uncontested Facts) (hereinafter “J. Stip.”) ¶ 41), New England Mutual prepared and issued its Ordinary Life Policy, Number .8821001 (“the policy”), designating Penoyer as the insured, in the face amount of $750,000 with an additional protection amount of $250,000. The policy contains a provision which states that the policy is' issued “in reliance on the statements made in the Application for the insurance.” (Pl.’s Ex. 7 at 4.) The date of issue of the policy was July 28, 1994.

Penoyer died on January 4, 1996, which was within the two-year period of contestability. Because Penoyer died within the two-year contestability period, New England Mutual conducted an investigation into the actual health of Penoyer prior to the dates on which he applied for the policy. The investigation uncovered the following medical history which was not disclosed by Penoyer on the application to New England Mutual for the policy:

1. In June and July of 1989, Dr. G. Martin Mullen examined Penoyer at the Loyola Medical Center Outpatient Clinic for multiple complaints, including a complaint of chest pain and exhaustion. Based on Penoyer’s description of the chest pain, Dr. Mullen diagnosed Penoyer as having “atypical chest pain.” Penoyer told Dr. Mullen that he had this “ ‘atypical chest pain’ for ‘more than five years.’ ”
Dr. Mullen then performed a physical examination on Penoyer, which revealed “mildly elevated” blood pressure readings which “could be a significant risk factor for cardiovascular complications.” Dr. Mullen also performed a cardiac examination, which revealed an “irregular rhythm, a slightly accentuated second heart sound and the presence of an abnormal cardiac murmur suggestive of aortic valve leakage.”
Pursuant to Dr. Mullen’s orders, Penoyer underwent a number of diagnostic tests, including a chest x-ray, a Doppler echocardiogram, and a two-dimensional echocardiogram. The chest x-ray revealed an elongated and prominent aorta, which confirmed Dr. Mullen’s diagnosis of aortic regurgitation murmur. The Doppler and two-dimensional echocardiograms confirmed that Penoyer had aortic valve disease.
On July 7, 1989, Penoyer again saw Dr. Mullen. At that time, Dr. Mullen discussed his diagnosis of aortic valve disease with Penoyer. Dr. Mullen recommended that Penoyer return to see him in three months to monitor the aortic valve regurgitation murmur and its effect on his left ventricle and aorta. (Pl.’s 12(M) Statement ¶ 39; Pl.’s Ex. 10 at C6; J. Stip. ¶ 16.)
*974 2. On March 17, 1992, in Sun City, Arizona, Penoyer underwent a cardiac catheterization and an echocardiogram.
3. On March 25, 1992, Penoyer went to see Dr. Moran for a second opinion concerning some pains and the cardiac catheterization that was done on March 17, 1992. (Pl.’s 12(M) Statement ¶40; J. Stip. ¶ 18.) Penoyer provided Dr. Moran with a personal and medical history, which included the fact that he (1) was an x-ray technician; (2) had a history of cardiomegaly for over twenty-five years; and (3) had undergone a number of diagnostic tests in Sun City, Arizona, which included an echocardiogram and a cardiac catheritization. Penoyer also told Dr.

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Bluebook (online)
994 F. Supp. 970, 1998 U.S. Dist. LEXIS 1895, 1998 WL 69389, Counsel Stack Legal Research, https://law.counselstack.com/opinion/new-england-mutual-life-insurance-v-bank-of-illinois-in-dupage-ilnd-1998.