Northwestern Mut. Life Ins. Co. v. Yoe's Ex'r

154 S.W.2d 559, 287 Ky. 590, 1941 Ky. LEXIS 591
CourtCourt of Appeals of Kentucky (pre-1976)
DecidedSeptember 26, 1941
StatusPublished
Cited by4 cases

This text of 154 S.W.2d 559 (Northwestern Mut. Life Ins. Co. v. Yoe's Ex'r) is published on Counsel Stack Legal Research, covering Court of Appeals of Kentucky (pre-1976) primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Northwestern Mut. Life Ins. Co. v. Yoe's Ex'r, 154 S.W.2d 559, 287 Ky. 590, 1941 Ky. LEXIS 591 (Ky. 1941).

Opinion

Opinion op the Court by

Sims, Commissioner

— Reversing.

This is a second appeal and as the issues raised by the pleadings and the evidence adduced thereon in the first trial appear in the former opinion reported in 283 Ky. 406, 141 S. W. (2d) 554, it will not be necessary to restate them. In the first opinion it was written that' the falsity of the insured’s statements as contained in her application was admitted, and as there was no conflict in the evidence as to such false representations being material, there was nothing to submit to the jury,, and a peremptory instruction should have been given in favor of the company. The court having reached the conclusion in the former opinion that the falsity and materiality of the representations contained in the insured’s application were not denied in the proof, it was not deemed necessary to determine whether or not such representations were fraudulent, and that question was expressly reserved.

On the second trial plaintiff introduced evidence to the effect that the false representations were immaterial and the case was submitted to the jury under appropriate instructions on that issue as well as on the issue of whether such 'representations were fraudulently made by Miss Yoe. A verdict was returned for the full amount of the policy, $2,000.

The company is insisting upon a reversal of this judgment' upon two grounds. First, the two witnesses, Drs. McCarty and Jefferson, who testified for the executor that the false representations were not material, did not qualify as knowing the practice prevailing among life insurance companies generally in determining what risks were desirable and what were undesirable; and *592 they did not testify as to what was the practice of life insurance companies generally in passing upon such risks, citing New York Life Ins. Co. v. Long, 211 Ky. 656, 277 S. W. 978; Provident Sav. Life Assur. Co. v. Whayne’s Adm’r, 131 Ky. 84, 93 S. W. 1049, and other like cases. The company contends no competent evidence was introduced by the executor that the representations were immaterial and the company’s proof shows they were material, hence it was entitled to a peremptory instruction under the first opinion that the false representations were material. Second, the court should have sustained its motion for a peremptory instruction at the conclusion of all the evidence since it was shown without contradiction that the policy was obtained by the false and fraudulent misrepresentations of Miss Yoe.

Insofar as we are able to determine, the only difference in the evidence heard on the second trial from that introduced on the first is insured’s executor proved on the second trial by Drs. McCarty and Jefferson that they were medical examiners in Louisville for life insurance companies and had they known the truth relative to the false representations contained in the application they would have recommended that Miss Yoe’s application be accepted. In other words, they testified that the false representations were not material to the risk. The company vigorously objected to the competency of the testimony of these two doctors on the two grounds set out in the preceding paragraph. As we have arrived at the conclusion that such false statements were knowingly made by Miss Yoe, therefore the insurance contract was made void by her fraudulent representations, it is unnecessary for us to determine whether or not the testimony of Drs. McCarty and Jefferson was competent. As stated in the former opinion, the rule is “that where a misrepresentation is fraudulently made by the insured to procure a policy of insurance the element of materiality is unnecessary and that the element of fraud is unnecessary when the representation is material to the risk.” [283 Ky. 406, 141 S. W. (2d) 555.]

In Metropolitan Life Ins. Co. v. McDonald, 246 Ky. 109, 54 S. W. (2d) 625, 627, the rule is clearly and succinctly stated as to what constitutes a fraudulent representation in an application for life insurance.

*593 “If the insured’s declaration in his applications in reference to his not having certain specific disease was untrue and was known to him at the time of the making of the applications, or receipt of the policies to be untrue, and was made by him for the purpose of deceiving the insurance company and procuring the policies thereby, and the company relying thereon was deceived into issuing the policies by such untrue declaration, the policies are to be regarded as obtained by fraud and are void. ’ ’

The former opinion states Miss Yoe’s representations in her application were false as to the number of physicians she consulted within five years before applying for the insurance, the number of visits paid the one physician she named, and as to the indisposition from which she was suffering at the time she was under his treatment. That these representations made by Miss Yoe were false is now the law of this case. The uneontradicted testimony of Dr. Westrand, medical examiner for the company, and of Mr. Eyan, who assisted him in passing upon applications, is that the company in issuing the policy relied upon the false representations made by Miss Yoe. We must now determine if there is any contrariety in the evidence as to whether or not Miss Yoe knew her statements were false and made them to deceive the company into issuing the policy.

There is no conflict in the evidence as to the ailments from which Miss Yoe had suffered, the treatment and advice received and the physicians who gave same, or as to the answers she made to the questions contained in the application. Dr. McCarty testified that in the proof of loss he signed as attending physician it was shown Miss Yoe had consulted him for stomach trouble and nervousness for the past three years and that she had some symptoms of gastro-intestinal disorders with nausea, etc., for two or three years. As the application was dated Dec. 24, 1936, and the death certificate, Nov. 2, 1938, the symptoms of gastro-intestinal disorders and the nausea must have occurred so shortly before application was made for the insurance as to make it inconceivable that Miss Yoe could have forgotten them when she stated Dr. McCarty had treated her for a transient cold.

Her omission to state that she had been treated by Drs. Noland and Pickett, as well as by Dr. McCarty, *594 within the last five years was perhaps not as strong evidence of her fraudulent intent as her statement that Dr. McCarty had treated her for a transient cold of several days’ duration, when in fact she complained to him of menstrual disorder, of overweight, stomach trouble, nausea, nervousness and disclosed to him that Dr. Noland had found she possessed a low metabolism. We regard as quite significant the fact that she mentioned this cold for which Dr. McCarty treated her while no mention was made of the more serious maladies about which she complained to him, or of the fact that in 1933 Dr. Noland recommended a vaginal examination be made. In the former opinion it was written this statement no doubt threw the company off guard and caused it to make no inquiry through Dr. McCarty. Dr. Noland testified he considered her refusal to follow his advice 'and have a vaginal examination was because of modesty and he sent her to Dr. Pickett, a woman doctor. She refused to let Dr. Pickett make a vaginal examination yet no mention was made of Dr. Pickett in her application

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Bluebook (online)
154 S.W.2d 559, 287 Ky. 590, 1941 Ky. LEXIS 591, Counsel Stack Legal Research, https://law.counselstack.com/opinion/northwestern-mut-life-ins-co-v-yoes-exr-kyctapphigh-1941.