Parker v. Pacific Mutual Life Ins. Co. of Calif.

183 S.E. 697, 179 S.C. 117, 1935 S.C. LEXIS 164
CourtSupreme Court of South Carolina
DecidedJuly 30, 1935
Docket14117
StatusPublished
Cited by4 cases

This text of 183 S.E. 697 (Parker v. Pacific Mutual Life Ins. Co. of Calif.) is published on Counsel Stack Legal Research, covering Supreme Court of South Carolina primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Parker v. Pacific Mutual Life Ins. Co. of Calif., 183 S.E. 697, 179 S.C. 117, 1935 S.C. LEXIS 164 (S.C. 1935).

Opinions

The opinion of the Court was delivered by

Mr. M. M. Mann. Acting Associate Justice.

This action was instituted on July 18, 1933, by the plaintiff, John Williams Parker,- Jr., against the Pacific Mutual *118 Life Insurance Company of California, alleging total and permanent disability beginning March 1, 1927, and seeking recovery of $500.00 disability benefits for the month June 17 to July 17, 1933, under policies Nos. 4654797 and 4654798 issued on January 20, 1925, one policy carrying $300.00 per month and the other $200.00 per month disability benefits.

The defendant denied liability on the grounds hereinafter indicated. The case came on to be heard in the County Court before Judge- M. F. Ansel and a jury. At the close of the testimony, both plaintiff and defendant moved for directed verdicts. These motions were overruled and the case submitted to the jury, who returned a verdict for the plaintiff in the full amount claimed.

Defendant’s contention is that no reasonable conclusion could be drawn from the testimony other than: (1) That the disability from which the plaintiff claimed to be suffering resulted wholly or partly, directly or indirectly, from a sickness or disease contracted while he was engaged in military service in time of war and that this risk was expressly excluded from the insurance; (2) that the representations made by the plaintiff in his application for insurance regarding his health and medical treatment were false and materially affected the acceptance of the risk and the hazard assumed by the company, and that under the terms of the policies and the application this operated to bar recovery; (3) that the representations contained in the application were false and were made with intent to mislead and deceive the defendant company into issuing the insurance.

In order to arrive at a proper conclusion, it is necessary that the testimony in the case be fully considered.

Dr. Parker was a physician and a specialist in gastroenterology and intestinal troubles. Fie was engaged in the practice of medicine in Greenville prior to 1918.

On January 9, 1918, he entered the Army as a medical officer, and was stationed at Camp Wadsworth in Spartan- *119 burg. Subsequently, on January 15, 1918, he was stricken with a severe case of influenza and pneumonia, for which he received treatment over a period of 8 months at Camp Wadsworth, except for the period of 10 days (March 15 to March 25, 1918), when he was in Baltimore undergoing examination and treatment. He was discharged in September, 1918. Thereafter he returned to Greenville, and in April, 1919, he resumed the practice of medicine, specializing in gastroenterology, and v-ray, and was so engaged in January, 1925, when he applied for the insurance in question.

In January, 1925, Dr. Parker applied for the insurance in question and in the application agreed: “That the falsity of any answer in this application for insurance, or any answer made to the company’s medical examiner in continuance of this application for insurance, shall bar the right to recovery thereunder if such answer is made with intent to deceive or materially affects either the acceptance of the risk or the hazard assumed by the company.” (Italics mine.)

This application contained the following questions and answers:

Question No. 15: “Q. Have you ever had or have you now any bodily or mental infirmity or deformity (including hernia and rupture), or have you impaired hearing, any disease of either eye, lost a limb or the sight of an eye, or are you in any respect maimed or in unsound condition mentally or physically? A. No.”

Question No. 17: “Q. Do you agree that the falsity of any answer in this application for insurance or any answer made to the Company’s Medical Examiner in continuance of this application for insurance shall bar the right to recover thereunder if such answer is made with intent to deceive or materially affects either the acceptance of the risk or the hazard assumed by the Company?” To this applicant answered “Yes.”

The medical examiner’s report constituting a part of the application consists of printed questions with the answers of the applicant.

*120 Question No. 5 is, “Have you ever had or been treated for,” and there follows a long list of diseases, including, “C. Influenza, Pneumonia, Pleurisy, Bronchitis, Tuberculosis?” The plaintiff underscored “influenza” and “pneumonia,” answered “Yes,” and, under the instruction to “give name, history, date and duration of each disease or symptom,” answered, “Influenza and Pneumonia January, 1918, complete recovery.”

The sixth question called upon Dr. Parker to state what' illnesses or treatments by or consultations with physicians or practitioners he had had during the last seven years — to give particulars of each illness, consultations, or treatments— the date, the duration, the result, and the name and address of each physician. In reply to this question, Dr. Parker stated that he had had “influenza and pneumonia, January, 1918, with recurring attacks of influenza for eight months with 'complete recovery,’ ” and he gave as the names and addresses of the physicians “U. S. Army Surgeons — Camp Wadsworth.”

On the strength of the foregoing application and the medical examiner’s report, the two policies of insurance were issued. As will appear from the testimony to which we hereinafter refer, the statements contained in this report, which was signed by Dr. Parker and witnessed by Dr. Pack, the medical examiner, were unquestionably false.

In March, 1927, the plaintiff made application for the disability benefits under two policies and offered proof of total and permanent disability. After the time allowed for investigation as to whether he was in fact disabled, the company commenced to pay the monthly disability benefits of $500.00, and continued to pay such benefits until approximately $30,000.00 had been paid to Dr. Parker. In March, 1932, however, Dr. Parker brought suit in the United States District Court against the government on his war risk 'insurance policy, and in his verified complaint stated that his disability began in January, 1918, while he was in the *121 Army in the service of the government during a period of war, and that such disability had continued ever since. When some several months later the defendant insurance company learned of Dr. Parker’s suit against the government, it declined to make further payments of the disability benefits; and the plaintiff thereafter brought suit for said installments as they came due. The insurance company defended these suits on the ground that by the allegations of Dr. Parker’s complaint against the government there was no liability under the policies. Subsequently in May, 1933, prior to the trial of this case in the State Court, Dr. Parker filed a petition in the United States Court for leave to, and was allowed to, amend his complaint, by alleging that his disability had commenced in 1927, claiming that his attorneys had made a mistake in the original complaint in alleging disability ever since January, 1918.

In view of Dr.

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Bluebook (online)
183 S.E. 697, 179 S.C. 117, 1935 S.C. LEXIS 164, Counsel Stack Legal Research, https://law.counselstack.com/opinion/parker-v-pacific-mutual-life-ins-co-of-calif-sc-1935.