Pitt v. Metropolitan Life Insurance

171 S.E. 488, 161 Va. 599, 1933 Va. LEXIS 350
CourtSupreme Court of Virginia
DecidedNovember 16, 1933
StatusPublished
Cited by3 cases

This text of 171 S.E. 488 (Pitt v. Metropolitan Life Insurance) 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
Pitt v. Metropolitan Life Insurance, 171 S.E. 488, 161 Va. 599, 1933 Va. LEXIS 350 (Va. 1933).

Opinion

Gregory, J.,1

delivered the opinion of the court.

Lillie Pitt, as administratrix of Alice B. Pitt, instituted an action by notice of motion against the Metropolitan Life Insurance Company to recover upon a life insurance policy for the death of Alice B. Pitt. The case was tried bj1- a jury and a verdict was found in favor of the plaintiff for $420.00, the full amount of the policy. The defendant moved to set it aside as being contrary to the law and the evidence and without sufficient evidence to support it. [602]*602The trial court sustained the motion, set aside the verdict and rendered judgment for the defendant insurance company. The action of the trial court in this regard is the sole assignment of error.

The parties will he referred to in the position they occupied in the trial court—that is, as plaintiff and defendant, respectively.

On October 6, 1930, the defendant issued and delivered a policy of life insurance upon the life of Alice B. Pitt. On July 9, 1931, she died suddenly of acute indigestion. A portion of the pertinent provision which is the foundation of the defendant’s refusal to pay the amount of the policy is as follows:

“If * * * the insured * * * within two years before the date hereof, (has) been attended by a physician for any serious disease or complaint, or, before said date, has had any pulmonary disease * * * unless such * * * medical attention or previous disease is specifically recited in the space for endorsements on page 4 in a waiver signed by the secretary * * * then * * * this policy and the liability of the company, * * * in case of any claim under this policy, shall be limited to the return of premiums paid on the policy * * *.”

There was not recited in the space far endorsements on page 4 any medical attention or previous disease of the insured and consequently there was no waiver signed1 by the secretary.

The defendant in its grounds of defense claimed that the insured was not in sound health when the policy was issued; that she had been, within two years, attended by a physician for a serious disease, to-wit: Lobular pneumonia and tuberculosis; that such medical attention was not specifically recited in the space for endorsements on page 4 of the policy in a waiver signed by the secretary; and that the beneficiary knew that the insured had been treated by a physician for a serious disease or complaint^ to-wit: Lobular pneumonia and tuberculosis, within two years before October 6, 1930, the date of the policy.

[603]*603At the trial of the case the plaintiff called upon the defendant to produce the policy which previously had been delivered to it and also to produce the written application the insured had signed and the written report of the medical examination which was made for the benefit of the company, at the time tlie policy was written. The defendant produced the policy, but failed to produce either tlie written application or the medical examiner’s report. The attorney for the defendant stated that no application and no medical examination was required before the issuance of tlie policy, but there is direct evidence in the record which conclusively shows that an application for the policy was made in writing and signed by the insured. It also shows that a medical examination of the insured was had and a report of it made by a physician for the defendant. The evidence showing these facts is not denied or contradicted by any other evidence offered. The defendant contends that by the express terms of the policy, it constituted the entire contract and therefore the application and medical report are not any part of the contract.

The evidence shows clearly and conclusively that when the policy was issued, the insured was in good health and regularly employed as a school teacher; that she worked every day, including the day on which she died; that she died suddenly of acute indigestion; that proof of her death was duly furnished the defendant company; that all of the premiums due had been fully paid; that the defendant company refused to pay the amount of the policy, but only offered to return the premiums paid. This evidence and the policy made a prima facie case for the plaintiff, and the burden of showing that some material provision of the contract had been violated was upon the defendant. In its grounds of defense it had claimed that the insured, within two years of the date of the policy, had been treated for pneumonia and tuberculosis; that these diseases were not specifically endorsed on the policy and that the defendant company therefore had not executed [604]*604tlie waiver contemplated in the policy. It was also claimed that the beneficiary knew that the insured had these diseases.

When the evidence is examined it will be found that there is no competent or admissible evidence in the record which establishes that the insured had, within two years before the date of the policy, either pneumonia or tuberculosis. It does not show that she had been treated for any serious disease or complaint. Her mother testified that in April, 1930, she (the insured) had been sick and attended by a physician, but that she was sick for only two weeks, suffering from nervousness and a “run down condition.” The mother expressly stated that the insured did not have pneumonia. The confusion begins when we examine the testimony of the only other witness who testified, He was the physician who treated the insured and was placed upon the stand as a defendant’s witness. In a short time after he began to testify it was apparent that he was an adverse witness and counsel requested the privilege of cross-examining him. The court allowed the request and he was subjected to cross-examination by counsel for the defendant. The witness was asked what he treated the insured for when he called to see her on April 13, 1930, and he replied:

“Well, she was a school teacher and she had been exposed in the country, and she came home and she was running a temperature around about 102 and was suffering with pains through the chest, and I watched her for two or more days and I came to the conclusion, as I thought, pneumonia, but on further examination and following the case up, why, I decided that she had only a deep cold, and she was highly nervous and practically run down in health, and so I advised her mother to send her away somewhere that she might get rest and at the same time build herself up. Well, now, we have no place for our group for nervousness in sanatoriums, so the Piedmont-Sanatorium was the only place we could send her. Of course, we understand—

[605]*605“The Court: I can’t hear.

“(Continuing.) The sanatorium was the only place we could send her and the mother sent her there, and she stayed there—”

After the physician had given the foregoing answer describing her condition and stating that she did not have pneumonia, counsel for the defendant attempted to impeach the witness by showing a medical statement, in writing, which he had made and signed after the death of the insured and in which he had stated that he had treated the insured for pneumonia from April, 1930, to May 4, 1930, a period of some five weeks. This medical report was made for the defendant. Later he was asked if that “is correct,” to which he replied, “yes.” Of course, if it were true that he had treated her for pneumonia for five weeks, then his prior answer which has been set forth above is untrue.

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Cite This Page — Counsel Stack

Bluebook (online)
171 S.E. 488, 161 Va. 599, 1933 Va. LEXIS 350, Counsel Stack Legal Research, https://law.counselstack.com/opinion/pitt-v-metropolitan-life-insurance-va-1933.