Peoples Life Insurance v. Craven

56 S.E.2d 50, 190 Va. 124, 1949 Va. LEXIS 267
CourtSupreme Court of Virginia
DecidedNovember 21, 1949
DocketRecord No. 3538
StatusPublished
Cited by3 cases

This text of 56 S.E.2d 50 (Peoples Life Insurance v. Craven) is published on Counsel Stack Legal Research, covering Supreme Court of Virginia primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Peoples Life Insurance v. Craven, 56 S.E.2d 50, 190 Va. 124, 1949 Va. LEXIS 267 (Va. 1949).

Opinion

Eggleston, J.,

delivered the opinion of the court.

This is an action at law instituted by notice of motion for judgment by Bernice Craven against the Peoples Life Insurance Company of Washington, D. C., to recover on a life insurance policy issued by that company insuring the life of John W. Reese of Kenbridge, Lunenburg county, Virginia, in favor of his daughter, the plaintiff, in the sum of $500.

The contract of insurance is what is commonly known as an industrial policy, on which there was a fixed weekly premium. No medical examination was required as a condition to the issuance of the policy, but it was based on a [126]*126written application made and signed by the insured on November 26, 1947. The application disclosed that in reply to certain questions the insured stated, among other things, that he had never had “high blood pressure,” that he had received no “medical attention” during the past five years, and had last consulted a physician in 1935 for a “cold.”

The policy was issued on December 8, 1947, and the insured died on December 17, 1947.

Shortly after the death of the insured, the beneficiary named in the policy filed with the Insurance Company a written proof of claim, signed by herself, to which was attached a certificate signed by Dr. H. B. Showalter of Ken-bridge who had attended the insured during his last illness. The physician’s report showed that the insured had died of a cerebral hemorrhage to which hypertension or high blood pressure was a contributing cause. The report also stated that within two years of the date of the issuance of the policy the same physician had treated the insured for a “cerebral hemorrhage (small).”

On the first page of the policy the following provision is printed in plain type:

“POLICY WHEN VOIDABLE: This policy shall not take effect if the Insured has died before its date, in which event premiums paid will be refunded. Subject to the provision entitled ‘Incontestable After Two Years,’ this policy will be voidable by the Company if, within two years prior to its date, the Insured has been ill, consulted a physician, or received treatment for any illness, injury or disease, unless reference to such illness, consultation or treatment is endorsed on this policy by the Company (except when such illness, consultation or treatment is referred to in the application for this policy) or was not material to the risk. If this policy is so voided, premiums paid will be refunded.”

Upon receipt of the attending physician’s report, accompanying the proof of claim, the Insurance Company denied liability on the policy beyond the sum of $7.20, that being the amount of the premiums which had been paid, and [127]*127which sum it tendered to the beneficiary. This tender was declined and the present suit was instituted.

In advance of the trial the Insurance Company filed written grounds of defense in which it asserted, (1) that it had elected to avoid the policy under the above provision, that pursuant to this provision its liability was limited to the amount of the premiums paid, and that this sum had been. tendered and paid into court; and (2) that the policy was void in that it had been procured upon the basis of statements made by the insured in the application which were false, fraudulent and material to the risk assumed.

The trial resulted in a verdict and judgment in favor of the plaintiff beneficiary for the sum of $500, that being the face amount of- the policy. To review that judgment the present writ was awarded the Insurance Company, which makes before us the same contentions advanced and determined adversely to it in the court below.

In our opinion the first defense asserted by the Insurance Company is determinative of its liability, and, therefore, it will not be necessary that we consider the second.

The record shows that the insured suffered a stroke on December 10, 1947, and died one week later. Dr. Showalter, a local physician who attended the insured during his last illness, testified that his death was due to subarachnoid hemorrhage, or a rupture of a blood vessel in the brain, which was “brought about by high blood pressure.”

This physician further testified that on April 30, 1947, the insured called at his office; that he “complained of being dizzy;” that he showed “a weakness in his right arm and right leg, and some difficulty with his speech.” The physician examined the insured, found that his blood pressure was high, and diagnosed his trouble as “a slight stroke” occasioned by a small cerebral hemorrhage. He gave the insured a prescription “to bring his blood pressure down and told him to go home and go to bed.” Beyond this, the physican did not indicate to the insured, so far as the [128]*128record discloses, the result of the diagnosis and the seriousness of his condition.

The chief underwriter at the home office of the Insurance Company testified that under no circumstances would the company have issued the policy if it had known that the insured showed a tendency to hypertension, or high blood pressure, and had suffered and been treated for a cerebral hemorrhage. The report of Dr. Showalter which accompanied the proof of claim was, the underwriter said, the first information the company had that the insured had been treated for a cerebral. hemorrhage within a few months of the issuance of the policy.

There was, of course, no endorsement on the policy showing the consultation by the insured of the physician, or the treatment for his illness on April 30, 1947.

The evidence is conflicting as to what occurred 'when the application for the policy, was taken and signed on November 26, 1947. The soliciting agent who filled out the application, and another representative of the Insurance Company who was then present, testified that answers, as given by the insured, were correctly written in the application; and that in reply to the several inquiries whether he had had .“high blood pressure,” “heart trouble,” etc., the insured answered, “No.”

The beneficiary, Mrs. Craven, who was likewise present, testified that in response to each of these inquiries the insured (her father) replied: “Not to. my knowing of.”

Likewise, the representatives of the Insurance Company testified that in response to the inquiry as to when the insured had last consulted a physician, what was the doctor’s name, address, and what was the nature of the insured’s illness, and date of the treatment, the insured replied that he had been last treated by “Dr. Jones” of Petersburg for a “cold” in 1935.

On the other hand, Mrs. Craven testified that in response to this question her father said that “it had been about ten [129]*129years except for a cold that he had been to a doctor for any illness.”

There is no evidence whatsoever that at the time the application was taken the insured told or indicated to the soliciting agent that he had consulted and been treated by Dr. Showaiter on April 30, 1947.

Thus, it is uncontradicted that within two years of the issuance of the policy the insured had consulted a physician and received treatment for á serious illness of the same nature as that of which he shortly thereafter died; that there had been no disclosure of such illness, consultation, or treatment to the Insurance Company, and consequently no endorsement of it on the policy; and that such illness, consultation and treatment were material to the risk.

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Cite This Page — Counsel Stack

Bluebook (online)
56 S.E.2d 50, 190 Va. 124, 1949 Va. LEXIS 267, Counsel Stack Legal Research, https://law.counselstack.com/opinion/peoples-life-insurance-v-craven-va-1949.