Odom v. Insurance Company of State of Pa.

441 S.W.2d 584, 1969 Tex. App. LEXIS 2448
CourtCourt of Appeals of Texas
DecidedMay 14, 1969
Docket11672
StatusPublished
Cited by13 cases

This text of 441 S.W.2d 584 (Odom v. Insurance Company of State of Pa.) is published on Counsel Stack Legal Research, covering Court of Appeals of Texas primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Odom v. Insurance Company of State of Pa., 441 S.W.2d 584, 1969 Tex. App. LEXIS 2448 (Tex. Ct. App. 1969).

Opinion

HUGHES, Justice.

This suit was brought by the Insurance Company of the State of Pennsylvania for a declaratory judgment declaring that a policy of liability insurance issued by it to Larry Dean Koestler was void from its inception and that it had no obligation to defend actions brought against the administrator of Larry Dean Koestler, deceased, by William L. Hardy, Barbara Maycock, surviving spouse of Bennie Lee Maycock, deceased, for damages arising out of an automobile collision allegedly caused by the negligence of Larry Dean Koestler. The parties or their legal representatives, named above, were named defendants as well as Criterion Insurance Company, alleged to be a necessary party.

Summary judgment was granted declaring the insurance policy issued by appellee null, void and of no force and effect from its inception. The basis for this ruling was that the insured, Larry Dean Koestler, had made material false statements in his application for the insurance.

Insured answered “No” to questions on the insurance application inquiring whether he had been convicted of a moving violation in the past 36 months and whether he had been involved in an accident in the past 36 months. It is undisputed that these statements were false in that insured during such 36 month period had been convicted of seven moving traffic violations and was involved in two automobile accidents.

Appellants have two points the first of which is that summary judgment was improper because an issue of fact as to whether the admittedly false statements were made willfully and with the design to deceive or defraud.

*586 The application signed by the insured 1 and incorporated in and made a part of the policy contained this provision:

“I hereby warrant the truth of the above statements and I declare that I have not withheld any information whatever which might tend in any way to increase the risk of the company or influence the acceptance of this application, additionally, I warrant that my automobile will be operated only by persons holding valid drivers’ licenses. I understand that any false statement by me will constitute a breach of warranty and cause the policy to be void as provided by the conditions of the policy. I agree that this application shall be the basis of the policy between me and the company.”

The policy issued pursuant to this application contained these provisions:

“THE INSURANCE COMPANY OF THE STATE OF PENNSYLVANIA
PHILADELPHIA, PA.
(A stock insurance company, herein called the company)
Agrees with the insured, named in the declarations made a part hereof, in consideration of the payment of the premium and in reliance upon the statements in the declarations and subject to all of the terms of this policy: * * *
By acceptance of this policy, the insured named in Item 1 of the Declarations agrees that the statements in the Declarations are his agreements and representations, that this policy is issued in reliance upon the truth of such representations and that this policy embodies all agreements existing between himself and the company or any of its agents relating to this insurance.
******
Changes: Notice to any agent or knowledge possessed by any agent or by any other person shall not effect a waiver or a change in any part of this policy or estop the company from asserting any right under the terms of this policy; nor shall the terms of this policy be waived or changed, except by endorsement issued to form a part of this policy.”

Appellant cites Clark v. National Life and Accident Ins. Co., 145 Tex. 575, 200 S.W.2d 820, (1947) and Occidental Life Ins. Co. of California v. King, 365 S.W.2d 815, Tex.Civ.App. San Antonio, writ ref., n. r e. (1963), both life insurance cases, to sustain this point.

In King, a summary judgment case, the question on the application falsely answered was whether applicant had other insurance. The Court held that whether this misrepresentation was material to the risk or actually contributed to the contingency or event on which the policy became due and payable was a question of fact not conclusively established by the record. Art. 21.16, Vernon’s Ann.Tex.Civ.St. of the Insurance Code, Vol. 14A was cited. This Art. provides, “Any provision in any contract or policy of insurance issued or contracted for in this State which provides that the answers or statements made in the application for such contract or in the contract of insurance, if untrue or false, shall render the contract or policy void or voidable, shall be of no effect, and shall not constitute any defense to any suit brought upon such contract, unless it be shown upon the trial thereof that the matter or thing misrepresented was material to the risk or actually contributed to the contingency or event on which said policy became due and payable, and whether it was material and so contributed in any case shall be a question of fact to be determined by the court or jury trying such case.”

In Clark the questions alleged to have been falsely answered pertained to the health of the applicant. The case was tried to. a jury but no issues were submit *587 ted regarding the applicant’s health. The Court held that since the evidence did not conclusively show that applicant knew he was in bad health this was a matter for the jury and since the company did not discharge its burden of procuring a favorable jury finding on this issue the insured was entitled to recover.

It is our opinion that these cases do not sustain appellant here for the reason that it appears, as a matter of law, that the insured knew that the answers he gave to the questions stated above were false and that, as a matter of law, such questions and answers were material to the risk assumed by appellee in the policy.

While subjective evidence of the state of mind of Larry Dean Koestler when he made application for this insurance is now impossible to obtain it is inconceivable that he did not know the falsity of the answers given by him to the questions shown above. If he was a normal human being, and there is no evidence that he was not, he could not have failed to remember that he was involved in two accidents and that he had been convicted of seven moving violations within the past thirty six months. Such answers were, therefore, knowingly false as a matter of law.

In Harris v. Allstate Ins. Co., 249 S.W. 2d 669, Tex.Civ.App. Texarkana, writ ref. (1952) the Court stated:

“In 29 Am.Jur., p. 475, § 586, it is said: ‘A statement by an applicant for insurance as to prior applications or rejections is material as a matter of law, and if false, avoids the policy regardless of the good faith of the applicant and regardless of whether the statement constitutes actual fraud.

Free access — add to your briefcase to read the full text and ask questions with AI

Related

Kirk v. Kemper Investors Life Insurance
448 F. Supp. 2d 828 (S.D. Texas, 2006)
Pankow v. Colonial Life Insurance Co. of Texas
932 S.W.2d 271 (Court of Appeals of Texas, 1996)
Askanase v. Fatjo
828 F. Supp. 465 (S.D. Texas, 1993)
Koral Industries v. Security-Connecticut Life Insurance Co.
802 S.W.2d 650 (Texas Supreme Court, 1990)
Koral Industries, Inc. v. Security-Connecticut Life Insurance Co.
788 S.W.2d 136 (Court of Appeals of Texas, 1990)
Washington v. Reliable Life Insurance Co.
581 S.W.2d 153 (Texas Supreme Court, 1979)
First Continental Life & Accident Co. v. Bolton
524 S.W.2d 727 (Court of Appeals of Texas, 1975)
James K. Bettes v. Stonewall Insurance Company
480 F.2d 92 (Fifth Circuit, 1973)
Federal Deposit Insurance v. Lott
460 F.2d 82 (Fifth Circuit, 1972)
Odom v. Insurance Company of State of Penn.
455 S.W.2d 195 (Texas Supreme Court, 1970)

Cite This Page — Counsel Stack

Bluebook (online)
441 S.W.2d 584, 1969 Tex. App. LEXIS 2448, Counsel Stack Legal Research, https://law.counselstack.com/opinion/odom-v-insurance-company-of-state-of-pa-texapp-1969.