Pennsylvania Life Insurance Co. v. McReynolds

440 S.W.2d 275, 1969 Ky. LEXIS 341
CourtCourt of Appeals of Kentucky (pre-1976)
DecidedMarch 28, 1969
StatusPublished
Cited by15 cases

This text of 440 S.W.2d 275 (Pennsylvania Life Insurance Co. v. McReynolds) 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
Pennsylvania Life Insurance Co. v. McReynolds, 440 S.W.2d 275, 1969 Ky. LEXIS 341 (Ky. 1969).

Opinions

MILLIKEN, Judge.

This is an appeal from a summary judgment for the claimant, the insured, under two nonmedical accident and health policies issued to him by the appellant, Pennsylvania Life Insurance Company, upon the signed representation of the insured, in his application for the insurance, that he had never had heart disease, high blood pressure or diabetes. The policies were issued by the Company on January 26, 1966, and the insured suffered a severe stroke a month later, on February 27, which apparently resulted in total disability.

The Company refused to pay the benefits under the policies, tendered its check for premiums paid, and in its answer and counter-claim prayed that the policies be cancelled or rescinded. The pleadings, the deposition of the claimant taken on discovery, and the deposition of the physician who had treated the claimant for several years, were the basis for motion for summary judgment and for judgment on the pleadings by both the claimant and the Company, and the trial court granted summary judgment for the claimant.

The insured, Willie McReynolds, said in his deposition taken on discovery, that the Insurance Company’s soliciting agent, Bur-chell, and several other men who represented the Company, had rented accommodations at McReynolds’ motor court, and that Burchell called McReynolds to his car at the Scottsville livestock yard where McReynolds had taken a calf to sell. McReynolds said that he sat in the car with Burchell who immediately sought to sell him insurance and asked him certain questions about his health. When asked whether he had high blood pressure, Mc-Reynolds testified he said, “Not to amount to anything * * *. He asked if it run very high or up to 200, or something like that, and I said, no, it don’t.” When Mc-Reynolds told Burchell that he had diabetes “in a mild form”, Burchell asked, “What do you mean by a mild form?” and Mc-Reynolds answered, “I control it by taking tablets and watching my diet.” Mc-Reynolds said Burchell then asked, “Have you ever had insulin ?” When Mc-Reynolds answered, “No, I never had a shot of insulin in my life,” he said Bur-chell commented, “Well, we’ll put ‘no’ ”, and McReynolds continued, saying, “and that’s what was done and I did not have to take many of them tablets, but he knew that; he’d had it explained to him.” When queried as to why he signed the application with the answers “no” as to whether he had diabetes and high blood pressure, when the answer to the questions should have been “yes”, McReynolds said, “I told him (Burchell) the truth, and he done that. That’s his business.”

Apparently, Burchell was a young man as compared to fifty-seven-year-old Mc-Reynolds, and was competing in a Company sales contest at the time he sold the policies to McReynolds.' One may view the conduct of Burchell and McReynolds in several different ways — as collusive, as fraudulent on the part of either or both, or [277]*277as just an instance of an eager-beaver selling health and disability insurance to a man who thought he needed it. We are inclined to the more tolerant view of the transaction because of the tenor of the McReynolds testimony, the fact that on his signed applications for the insurance he authorized the insurer to procure his medical record from his physician, and the subsequent conduct of Burchell as related by McReynolds after the stroke had disabled him.

Had the insurance carrier interviewed McReynolds’ physician as permitted by the applicant, it would have found that Dr. Holcomb, who had been McReynolds’ physician since 1948, would reveal that he first found McReynolds had a mild-to-moderate diabetes in 1958 and prescribed orinase for it and never gave him a shot of insulin until after his stroke in 1966; that Mc-Reynolds had blood pressure of 180/90 in 1952 when normal pressure for a man of his age was 150/90, and that he prescribed no treatment for the blood pressure except cautioning him to watch his diet and get more rest; that in April of 1965, Mc-Reynolds’ blood pressure was 170/90 and in December 1965, a few weeks before the application for insurance, it was a normal 150/90. This is the essence of Dr. Holcomb’s deposition introduced by Mc-Reynolds in support of his case, but Dr. Holcomb deposed also that he did not believe that McReynolds’ blood pressure or diabetes had any direct connection with the thrombosis which felled him — that that could happen to anyone. McReynolds said Burchell came to see him a day or two after his stroke and said he checked to see if the insurance was in effect and said, “You are lucky, and you haven’t got anything to worry about as far as our insurance is concerned * * *. Everything will be taken care of.”

The legislative policy of this State is declared in KRS 304.656 which provides:

“All statements or descriptions in any application for an insurance policy or in negotiations therefor, by or in behalf of the insured, shall be deemed to be representations and not warranties. Misrepresentations, unless material or fraudulent, shall not prevent a recovery on the policy.”

On the basis of the testimony in this record, it is apparent that McReynolds made no misrepresentation when he answered Burchell’s questions, that any misrepresentation which eventuated, originated in the judgment of the soliciting agent, Burchell, and not with the applicant, Mc-Reynolds, whose signatures to the applications followed the implied assurance that the low degrees of McReynolds’ diabetes and high blood pressure made them inconsequential.

. In the application forms filed in this record there is no notice to the applicant that the soliciting agent’s authority was limited in any way, so we are not bound by that aspect of our reasoning enunciated in cases where the application form contained notice of the limitations on the authority of the Company’s soliciting agent. Connecticut Fire Ins. Co. v. Roberts, 226 Ky. 534, 11 S.W.2d 148 (1928); Prudential Ins. Co. of America v. Lampley, 297 Ky. 495, 180 S.W.2d 399 (1944); Commonwealth Life Ins. Co. v. Bruner, 299 Ky. 335, 185 S.W.2d 408 (1945); Metropolitan Life Ins. Co. v. Tannenbaum, Ky., 240 S.W.2d 566 (1951); Mills v. Reserve Life Ins. Co., Ky., 334 S.W.2d 955 (1960); We have held, in the instance of the last two cases cited, that even illiterates were bound by the notice on the application of the soliciting agent’s lack of authority to waive any of the requirements of the application. In Kentucky Central Life Ins. Co. v. Combs, Ky., 432 S.W.2d 415 (1968), where false answers were written on an application for an illiterate, allegedly by the soliciting agent, we held the answers were a material misrepresentation regardless of who inserted them, and denied recovery. A corollary of the principle that an applicant is bound by actual or constructive notice of the limitations on the authority of the agent was stated in Paxton v. Lincoln Income Life [278]*278Insurance Company, Ky., 433 S.W.2d 636

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

Related

Koch v. Owners Insurance
996 F. Supp. 2d 531 (W.D. Kentucky, 2014)
Jones v. Monumental Life Insurance
502 F. Supp. 2d 601 (E.D. Kentucky, 2007)
Cook v. Life Investors Insurane Co. of America
126 F. App'x 722 (Sixth Circuit, 2005)
Continental Casualty Co. v. Smith
617 S.W.2d 48 (Court of Appeals of Kentucky, 1980)
General Electric Co. v. Martin
574 S.W.2d 313 (Court of Appeals of Kentucky, 1978)
Ketron v. Lincoln Income Life Insurance Co.
523 S.W.2d 228 (Court of Appeals of Kentucky, 1975)
George Washington Life Insurance Co. v. Adams
514 S.W.2d 205 (Court of Appeals of Kentucky, 1974)
Knappenberger v. Cascade Insurance Company
487 P.2d 80 (Oregon Supreme Court, 1971)
Bunn v. MONARCH LIFE INSURANCE COMPANY
478 P.2d 363 (Oregon Supreme Court, 1970)
Pennsylvania Life Ins. Co. v. Mattingly
464 S.W.2d 632 (Court of Appeals of Kentucky, 1970)
Osborne v. American Select Risk Insurance
414 F.2d 118 (Sixth Circuit, 1969)
Pennsylvania Life Insurance Co. v. McReynolds
440 S.W.2d 275 (Court of Appeals of Kentucky (pre-1976), 1969)

Cite This Page — Counsel Stack

Bluebook (online)
440 S.W.2d 275, 1969 Ky. LEXIS 341, Counsel Stack Legal Research, https://law.counselstack.com/opinion/pennsylvania-life-insurance-co-v-mcreynolds-kyctapphigh-1969.