Prudential Ins. Co. of America v. Winn

71 F.2d 126, 1934 U.S. App. LEXIS 3038
CourtCourt of Appeals for the Ninth Circuit
DecidedMay 31, 1934
DocketNo. 7331
StatusPublished
Cited by9 cases

This text of 71 F.2d 126 (Prudential Ins. Co. of America v. Winn) is published on Counsel Stack Legal Research, covering Court of Appeals for the Ninth Circuit primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Prudential Ins. Co. of America v. Winn, 71 F.2d 126, 1934 U.S. App. LEXIS 3038 (9th Cir. 1934).

Opinion

GARRECHT, Circuit Judge.

This action was brought in the superior court of the state of Washington to recover upon two policies of life insurance of $10,-000 and $15,000, respectively, written by the appellant November 28, 1930, upon the life of Joseph L. Winn, husband of appellee. The case was removed to the federal eourt. The amended answer of appellant admits the issuance of the policies and the payment of premiums, and seeks to avoid the policies on the ground of misrepresentations and concealments alleged to have been made by the insured in his medical examination.

The amended answer sets forth that the insured’s application for the insurance policies was the basis and chief inducing consideration for the issuance of said policies of insurance; that it relied implicitly on the statements and representations made by the insured in said application and in his answers made in his declarations to the medical examiner; that for the purpose of knowingly deceiving and misleading the appellant company into issuing said policies of insurance, the insured represented in said declarations that within three previous years immediately before making said declarations and signing said application he had been attended by no physician except Dr. Wm. Turner in 1929, who treated him for acute inflammation of the pharynx, and for which he was not disabled. Whereas, at the time of signing said application and making said declarations the insured knew that he had been under the eare and treatment of various physicians and surgeons ; that in December, 1927, he voluntarily submitted himself for examination to ascertain his condition, and that he was then advised that his trouble was due to peptic ulcers and chronic cholecystitis, and was at that time advised that an operation was necessary to cure or to cheek the advance of said diseases, and that his gall bladder was in a bad condition; that in the fall o£ 1928 the insured again submitted to a physical examination for the purpose of ascertaining the condition of his abdominal region, and was advised that he had ulcers of the bowels and colon and that a surgical operation was necessary to cheek or to cure said condition. In said written declarations in his medical examination the insured stated that he had never had any serious illness other than appendicitis in the year 1904.

Appellant further alleged on information and belief that the insured was from the 12th day of December, 1927, to the 28th day of November, 1928, and until the time of his death, seriously ill and afflicted with chronic cholecystitis and peptic ulcers, and had been advised to have a major operation for the remedying of his condition; and that the said insured concealed the fact of said sickness for the purpose of misleading the appellant and inducing it to write said policies.

The amended answer also alleges that insured’s death was directly caused from the advance of the diseases ho was afflicted with from and before 1927 to the time of his death, of which ho had full knowledge and information, and which he concealed and kept from the defendant, and by reason of which the said policies never became valid existing contracts. There were also allegations concerning misrepresentations with reference to the use of intoxicating liquor, which have been abandoned in this appeal.

The insured, Joseph L. Winn, at the time of his application for the policies was 57 years of age; he was actively engaged in business and was of robust physique and in apparent good health. All of the la.y testimony was to the effect that up to the time of his last illness the insured worked hard, enjoyed life, and had the appearance of one in the possession of good health; and that his reputation for truth and veracity was good.

Dr. J. M. Blackford, a specialist in diagnosis, called by appellant, testified that he was connected with the Virginia Mason Hospital and Clinic; that he examined decedent on December 5,1927, and again on December 10, 1927, in his office; that at the time of his visit insured was complaining of trouble with his stomach. He gave a history of an earlier attack of appendicitis and an operation some eighteen years before, from which he had a complete recovery, so far as he knew, and that his health had been excellent until six or seven years before his visit, when he began having attacks of stomach trouble [128]*128lasting up to a month; that he had been so bad the day before as to prevent his sleeping that night; and he further stated that an operation had been advised by some surgeon six years before. The doctor further testified that decedent stated that the pain was usually located in the upper abdomen; that he had never called a physician for these attacks; that soda usually relieved them by raising the gas; that the pain was so severe that he thought several times that it might kill him. He said that it usually followed overloaded stomaeh or the taking of iced drinks, and that he had noticed increasing shortness of'breath and palpitation. However, he played golf without difficulty and never suffered with any pain in the chest or arms with exercise.

The doctor further testified:

“I tentatively diagnosed Mr. Winn’s condition as peptic ulcers and chronic cholecystitis. The diagnosis was tentative because the objective evidence by X-ray of both stomach and gall bladder was quite inconclusive and yet he had definite and violent symptoms. By inconclusive I mean that under the X-ray the outline of the stomaeh and upper part of the intestines was normal and we could not make an objective diagnosis of ulcer of the stomaeh or duodenum. My diagnosis was made entirely upon what the partient told me.
“In making an X-ray of the gall bladder, certain dyes are given which are eliminated from the body exclusively by the liver, and those dyes are opaque to the X-ray and will throw a shadow if they are of sufficient concentration. If the gall bladder is working efficiently, concentrating bile, which is its function, — in an X-ray of the normal gall bladder, it shows up, but if abnormal it fails to show. This test, while strong presumptive evidence, is not always correct, and in this instance it showed once a rather faint shadow and the second time clearly, which would indicate that at that time the function of the gall bladder was good.”

On further cross-examination the doctor testified:

“An X-ray was taken of the stomach and duodenum and they did not show presence of any ulcers. In proper hands, an X-ray of the stomaeh for the purpose of determining ulcer, will be correct, about nine times out of ten. * * *
“My diagnosis of cholecystitis and peptic or pyloric ulcer was made largely on the subjective symptoms that the patient related to me. That is the way most diagnoses are made.”

In November of 1928 the insured again visited the elinie and on this occasion was examined by Dr. Dowling, who testified that at that time he was complaining of trouble with his stomaeh. The doctor testified that he got practically the same history of complaint that Dr. Blackford had. The interim history he gave was that he had been substantially the same, or possibly a little worse. The doctor testified further:

“From my examination I made a tentative diagnosis.

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Cite This Page — Counsel Stack

Bluebook (online)
71 F.2d 126, 1934 U.S. App. LEXIS 3038, Counsel Stack Legal Research, https://law.counselstack.com/opinion/prudential-ins-co-of-america-v-winn-ca9-1934.