Norvill v. Mutual Benefit Health & Accident Ass'n of Omaha

14 Tenn. App. 396
CourtCourt of Appeals of Tennessee
DecidedDecember 18, 1931
StatusPublished
Cited by14 cases

This text of 14 Tenn. App. 396 (Norvill v. Mutual Benefit Health & Accident Ass'n of Omaha) is published on Counsel Stack Legal Research, covering Court of Appeals of Tennessee primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Norvill v. Mutual Benefit Health & Accident Ass'n of Omaha, 14 Tenn. App. 396 (Tenn. Ct. App. 1931).

Opinion

SENTER, J.

The complainant, Thomas B. Norv'ill, filed the original bill in this cause in the Probate Court of Dyer County (which court by special statute has equity jurisdiction) against the Mutual Benefit Health & Accident Association of Omaha, to recover for the loss of an eye on a policy insuring against accident and sickness, and also to recover for statutory penalties.

A jury w'as called for to try the issues of fact submitted by the court, and upon the finding of the jury on the issues of fact a judgment was decreed in favor of complainant and against defendant for the sum of $500 for the loss of the eye, and the sum of $125 penalty, and the costs of the cause.

The case was tried on oral evidence, and motions for a new trial and non obstante veredicto by the defendant were overruled. Upon the action of the court in overruling its motion for a new trial and its motion non obstante veredicto and in rendering judgment against the defendant, the defendant prayed and was granted an appeal to this court. The appeal was duly perfected and errors assigned.

The original bill alleged the issuance of the policy of insurance sued on, and that the premium thereon had been paid; that complainant suffered an injury to his right eye, resulting in the eye having to be taken out; that this injury was caused by a scale of iron or some other [398]*398object or substance flying into his eye while he was scraping the lid of a stove at his restaurant in Dyersburg; that an abscess formed in the eye because of said injury, necessitating the removal of the eye. The bill further alleges that the policy provides payment in the sum of $500 for the total loss of either eye. The bill further alleges that complainant had fully complied with the provisions of the policy in making and submitting proofs of the injury, and that defendant wil-fully and without any good or sufficient cause refused payment, and as a result, complainant has been put to the expense of employing counsel and other expenses, amounting to the twenty-fiv'e per cent penalty provided by statute.

The defendant answered the bill and denied that the injury to the eye was the result of a scale or other foreign substance getting into complainant’s eye as alleged in the bill, and alleged that complainant had made material misrepresentations in the application which he submitted to the defendant and upon which the policy of' insurance was issued by defendant, and alleged that complainant misrepresented and concealed the true condition in said application, which application was copied into the policy of insurance and made a part thereof.

The answer denied that defendant was liable to complainant for any amount under said policy, and denied that its failure and refusal to pay for the loss of the eye under said policy was not in good faith, but to the contrary, the defendant had a good and sufficient defense to said suit.

At the trial of the cause both parties were requested by the trial judge to prepare and tender issues of fact to be submitted to the jury. After some discussion of the issues tendered by the respective parties, the trial judge made up and submitted to the jury the following issues of fact:

“1. Did the defendant, the Mutual Benefit Health & Accident Association contract and agree to indemnify the complainant against the loss of said eye, in the way and manner set out in the policy exhibited to complainant’s bill?” To this issue the jury answered, “Yes.”
“2. Was the policy in force and effect at the time of the alleged accident?” To this issue the jury answered, “Yes.”
“3. Did the complainant, through accidental means, independent and exclusive of disease and all other causes, lose the sight of his right eye?” To this issue the jury answered, “Yes.”
“4. Did the complainant make material misrepresentations about his physical and mental condition on December 5, 1930?” To this issue the jury answered, “No.”
[399]*399“5. Did the complainant make material misrepresentations as to medical and surgical advice and treatment prior to December 5. 1930?’' To tbis issue tbe jury answered, “No.”
‘ ‘ 6. Was the refusal of the defendant to pay made in good faith ? ’ ’ To this issue the jury answered, “No.”
“7. If the refusal was not made in good faith, what additional expense, loss and injury was thus entailed?” To this issue the jury answered, “$125.”

The material facts, supported by a preponderance of the evidence, as we think, may be stated as follows:

The agent of the defendant Insurance Company solicited complainant to take out the policy, and at the time he solicited the policy he asked the complainant a few questions with reference to his age and place of residence, but did not ask him any questions with reference to his state of health, and did not make out any application, nor did complainant sign any application for the insurance. It appears that within a few days after the agent solicited the policy, the defendant issued the policy sued on. The material portions of the policy and accident indemnities necessary to be noticed are as follows:

“Part A: If the insured shall, through accidental means, sustain bodily injuries as described in the insuring clause, which shall, independent and exclusive of disease and all other causes, immediately, continuously and wholly disable the insured from the date of the accident and result in any of the following specific losses within thirteen weeks, the Association will pay, “Loss of . . . either eye $500.” • • ‘ -

Under the heading “Additional Provisions;” Sub-section 0;' contained in the policy, it is provided:

‘ ‘ The copy of the application endorsed hereon is hereby- made a part of this contract and this policy is issued in consideration of the statements made by the insured in the application and the payment in advance of Twelve and 50/100 Dollars ($12.50) as first payment; and the paymént in advance of Ten Dollars ($10) quarterly beginning with April 1, 1931. . . :”

There follows in the policy copy of the application, which purports to have been signed by the complainant, Thomas B. Norvill. In the copy of this application only two questions and answers are questioned, 11 and 13. Question 11 is: “Are you sound- physically and mentally?”' Answer to éach, “Yes.” “Are you maimed 'or deformed?” Answer to each, “No.” “Have you any impairment of sight or hearing?” Answer to each, “No;” ■

[400]*400Question 13 is as follows: “Have you received medical or surgical advice or treatment or had any local or constitutional disease within the past five years?” The answer to this question is, “No.”

As before stated, w'e think it clear from the record that the complainant did not sign this application, a copy of which is carried into the policy, but it was evidently signed by the insurance agent, and without the knowledge, acquiescence or consent of complainant. The complainant testified that when the policy was delivered to him he took it to his home and put it among his papers without reading it, and explained that he knew that it was a policy for accident and sick benefits and that he relied upon the agent’s statements with reference to the policy. He did not know that a copy of an application was included in the policy.

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Bluebook (online)
14 Tenn. App. 396, Counsel Stack Legal Research, https://law.counselstack.com/opinion/norvill-v-mutual-benefit-health-accident-assn-of-omaha-tennctapp-1931.