Pacific Mutual Life Ins. v. Barnes

25 Ohio C.C. Dec. 380, 15 Ohio C.C. (n.s.) 407, 1910 Ohio Misc. LEXIS 389
Lucas Circuit Court·Decided February 26, 1910·Published

Opinion

WILDMAN, J.

Charles "W. Barnes sued the plaintiff in error in the court of common pleas upon an accident insurance policy, and olu tained a verdict and judgment for $1,500 and some interest. To reverse this judgment a proceeding in error was instituted here. We have had before us at the present term another proceeding between these parties for a reversal of another judgment, and perhaps some of the principles announced in that case have application to the case at bar. It is urged, however, that the cases are not in all respects upon the same footing, and that the judgment of the court in this ease should be reversed .upon some grounds not urged in the other.

The defendant company, for defense against the claim of the plaintiff, insists that he is not entitled to recover, first by reason of breaches of certain warranties alleged to be incorporated in the policy of insurance attached to the plaintiff’s petition and made part thereof; second, that the plaintiff has •offered no proof of one fact vital to his recovery, to wit, that proofs of the accident, after preliminary notice to the company, were filed with the company or furnished to it at its proper •office at Los Angeles, California, within twenty days from the time of the accident. It is claimed also that the plaintiff’s injuries were not caused by accidental means, but that they were voluntarily incurred by him, and further that it does not appear that the loss of the plaintiff’s arm, which was the serious injury sustained, arose solely from an accident. I have stated these claims in general terms and without any effort to express with fullness the assertions of the defendant. The substantial errors claimed and relied on are that the court should have arrested the case from the jury upon the motion of the defendant, that the court should have granted a new trial when it was asked for, and that the court erred in rendering judgment for the plaintiff below upon the verdict.

As to the alleged breaches of warranties said to be incorporated in this policy, it is true that the policy, which is before me and which is made a part of the plaintiff’s petition in the court below, contains what the policy calls a “schedule of warranties.”

[382] The caption, in those words, “Schedule of Warranties,”' followed by Art. 7:

It is agreed that the following statements, together witb the payment of the stated premium, are the consideration for1 the issuance of this policy, and said statements are made by the insured and warrantied by him to be complete and accurate.”

Now it will be noted at the outset in the consideration, of these statements, that they are not said to be a part of the contract; they are said to be 'warranties by the party insured,, to be statements by him. In other words, they are the counter agreements on his part, not the contract of the insurance company. It seems to me that this distinction as to what is contracted by the insurance company and what’ is agreed or promised by the insured is of consequence in considering whether or not the statute enacted by our legislature, Sec. 3625 R. S. (Sec. 9391 G-. C.) has any application. That statute is as follows:

“No answer to any interrogatory made by an applicant,, in his or her application for a policy, shall bar the right to recover upon any policy issued thereon, or be used in evidence upon any trial to recover upon said policy, unless it be clearly proved that such answer is willfully false, was fraudulently made, that it is material, and induced the company to issue the policy, and that but for such answer the policy would not have been issued; and, also that the agent or company had no-knowledge of the falsity or fraud of such answer.”

In the case at bar there is no independent application for a policy. The statements are not in the form of answers to interrogatories.

In the case of North American Accident Ins. Co. v. Sickles. 13-23 O. C. C. 594 (3 N. S. 222), when Judges Parker, Haynes: and. Hull constituted the members of this court, a case was before it in which there had been an application for a policy, but the statements made by the insured in that application were-not in the form of answers to interrogatories. There were no interrogatories in the application, but the statements were declarations of certain alleged facts. Without discussing the case, it suffices to say that this court held upon elaborate reason[383] ing and citation of authorities, that while there were no formal answers’ to interrogatories, the statements made by the insured were equivalent to such: they were the considerations for the policy, they were statements upon which the policy was issued. They were made by the assured for the purpose of giving information to the company unquestionably sought by it as the basis for its determination whether or not it would issue the policy.

While perhaps extending the statute somewhat beyond its letter, but considering its manifest purpose and spirit, we think that the statements made by the insured in the policy before us, although not in the form of an application, but embodied in the policy itself, are nevertheless the statements of the insured such as the legislature had in contemplation when this enactment was made. There is no principle which could apply to the formal written application as a reason for such legislation that would not apply to similar statements made by the insured and embodied in the policy of the insurance company which signs the policy; which says that they are the statements of the insured and that they are the consideration for the policy, but as they say, statements by the insured which they claim amount to warranties, but which we think the legislature has said are not to be deemed warranties and are not to invalidate the policy unless they are falsely, fraudulently made, and the insurance company clearly shows such facts, and also that it relied upon such statements and would not have issued the policy but for them.

There is, however, in the answer of the defendant here an allegation that at the time of the making of these statements the assured knew them to be false; that is, that he made certain representations in these statements as to his not having made application for other insurance, and having been rejected, etc., and they say that he knew at that time, and they did not know, that these statements were not correct and were untrue, thereby perhaps bringing their defense, so far as it is stated in the answer, within the terms of the statute. There is, however, such a denial in the reply as imposed upon the defendant the burden [384] of proving this, and this matter became then upon the evidence a question for the jury.

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Pacific Mutual Life Ins. v. Barnes, 25 Ohio C.C. Dec. 380, 15 Ohio C.C. (n.s.) 407, 1910 Ohio Misc. LEXIS 389 (Ohio Super. Ct. 1910).

25 Ohio C.C. Dec. 380 (Pacific Mutual Life Ins. v. Barnes) — published by Counsel Stack Legal Research, free access to 12M+ legal documents.