Provident Life & Accident Ins. v. Ivy

73 S.W.2d 706, 18 Tenn. App. 106, 1933 Tenn. App. LEXIS 105
CourtCourt of Appeals of Tennessee
DecidedJuly 1, 1933
StatusPublished
Cited by3 cases

This text of 73 S.W.2d 706 (Provident Life & Accident Ins. v. Ivy) is published on Counsel Stack Legal Research, covering Court of Appeals of Tennessee primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Provident Life & Accident Ins. v. Ivy, 73 S.W.2d 706, 18 Tenn. App. 106, 1933 Tenn. App. LEXIS 105 (Tenn. Ct. App. 1933).

Opinion

CROWN OVER, J.

This was a suit for rescission of an insurance contract and for the recovery of $3,750 which had already been paid under the policy.

The original and amended bills alleged three grounds for cancellation and recovery, to-wit: (1) Failure to disclose, in answer to question No. 11 of the application for insurance, that insured had been paid indemnity for a previous accident by two insurance companies other than the one stated in answer to said question; (2) failure to disclose, in answer to question 12, that said three insurance policies of defendant had been cancelled; (3) the disability of defendant for which payments had been made under the policy, was not within the terms of the policy, the policy containing a clause providing against loss of time “resulting without other contributing cause from the bodily injury . . . which is effected solely by the happening of a purely accidental event,” whereas defendant’s disability was contributed to by disease or the after effect of a previous accident.

Defendant answered denying all misrepresentations, and charged that complainant through its agent was fully advised of the facts relative to answers to questions Nos. 11 and 12, referring par *108 ticularly to cancellation of policies and former injuries suffered in 1916; that said insurance company, having full knowledge of all the facts through its agent, was estopped to make the contention relied on relative to misrepresentations. He also filed a cross-bill seeking to recover the unpaid disability payments accruing under the policy and statutory penalty for refusal to pay.

The chancellor found and decreed as follows:

"The court further finds by preponderance of the evidence that on the date that the application was taken for the accident insurance policy in question, the defendant Ivy had fully recovered from the accident of 1916. That the accident of 1916 did not in any way contribute to defendant’s injury of August 26, 1929. That the disability defendant suffered in 1929 and the disability which he has since suffered Avas not partly by disease nor from bodily disease ha.d prior to the accident of 1929.
"The court finds that while the answer to question eleven does not recite all of the insurance companies in which defendant carried insurance, it does state that he drew compensation from one of said companies for the injury in 1916; that he had fully recovered therefrom.
"The court further finds that the answer to question twelve is not wholly correct, but that it is not wholly incorrect, however the policies terminated because of the accident of 1916, and the Provident Life & Accident Insurance Company was so advised on the date the application for the policy was made.
"The court further finds that while the answers to eleven and twelve in the application for insurance were not wholly correct, there was no intentional misrepresentation made by defendant to obtain any undue advantage or deceive the complainant in obtaining the accident policy.
"The two questions relative to the application, and the basis of the suit at bar are as follows:
" ‘Q. 11. Have you ever claimed or received indemnity for any injury or illness? A. $400.00 T. P. A. Injury. Full Recovery.
" ‘Q. 12. Has any accident or health or life insurance company or association ever rejected or postponed your application, can-celled your policy, or certificate, or declined to renew same? (If so state what company or association did it, when and Avhy.) A. No.’
"1. ‘The court is of the opinion that where a question in an application for insurance merely asks, as it does in question eleven in the application under consideration, to Avit:
" ‘Have you ever claimed or received indemnity for an injury or illness?’
"and applicant ansAvers:
" ‘$400.00, T. P. A., Injury, Fully Recovered.’
*109 “Although, applicant had carried accident insurance in other companies in which he received indemnity for the same accident, the failure of applicant to state the other indemnities received for the same injury is not such a misrepresentation as will justify a rescission or cancellation of the insured policy, and this is especially true in the absence of intentional misrepresentation as is found in this case.
“2. The court is further of the opinion that where a question in an application for insurance is so framed that it would require several distinct answers, as in question twelve in the application in this cause, to-wit:
“ ‘Q. Has any accident or health or life insurance company or association ever rejected or postponed your application, cancelled your policy, or certificate, or declined to renew same? (If so, state what company or association did it, when and why.) A. No.’ and the applicant’s answer is true in part and untrue in part, it will not be construed as an incorrect answer or as a misrepresentation.
“If the misrepresentations of which the complainant insurance company complains were fully disclosed to its agent, prior to -the taking of the application, and where the record further discloses that the whole matter terminated by reason of one accident, of which the company had knowledge, and since the defendant had fully recovered from the accident which terminated the policy, as disclosed in this record, the answer to question twelve becomes immaterial and the insurance company could not be heard to complain or permitted to cancel its contract with the insured.
“But if this were not true, the court is of the opinion that the knowledge and information which complainant received from the defendant through its agent, as well as on the face of the application, was direct knowledge of defendant’s insurance and accident of 1916, and had this knowledge and information been pursued, it could have easily found out the condition of complainant’s health in 1916 as well as the accident which occurred and the policies carried. Complainant company did not do this. It did not take advantage of the knowledge and information it had. This together with other attending facts and circumstances constitute an estoppel as against complainant’s right to a rescission or cancellation of its policy as against the rights of defendant policy holder.”

The chancellor decreed that defendant Ivy should recover of complainant insurance company the sum of $3,694.96, but denied the recovery of penalty.

Complainant appealed from said decree to this court, and has assigned errors, which are, in substance, as follows:

(1) The defendant, Ivy, should not recover, because he failed to carry the burden of establishing that he is disabled solely as the *110 result of tbe injuries received in the last fall after the policy was delivered in 1929.

(2) The defendant, Ivy, cannot recover because of misrepresentation as to payments of indemnity heretofore received in the year 1916 under other policies.

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Related

Henderson v. Lawrence
369 S.W.2d 553 (Tennessee Supreme Court, 1963)
Prudential Ins. Co. of America v. Gang
197 S.W.2d 806 (Tennessee Supreme Court, 1946)
Williams v. General Accident Fire & Life Assurance Corp.
62 P.2d 866 (Supreme Court of Kansas, 1936)

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Bluebook (online)
73 S.W.2d 706, 18 Tenn. App. 106, 1933 Tenn. App. LEXIS 105, Counsel Stack Legal Research, https://law.counselstack.com/opinion/provident-life-accident-ins-v-ivy-tennctapp-1933.