Prudential Insurance Co. of America v. Cusick

120 N.W.2d 1, 369 Mich. 269, 1963 Mich. LEXIS 466
CourtMichigan Supreme Court
DecidedFebruary 7, 1963
DocketCalendar 7, Docket 49,057
StatusPublished
Cited by52 cases

This text of 120 N.W.2d 1 (Prudential Insurance Co. of America v. Cusick) is published on Counsel Stack Legal Research, covering Michigan Supreme Court primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Prudential Insurance Co. of America v. Cusick, 120 N.W.2d 1, 369 Mich. 269, 1963 Mich. LEXIS 466 (Mich. 1963).

Opinion

Kelly, J.

(dissenting). May 14, 1956, Jeannine M. Cusick, a 20-year-old single woman, submitted an application to plaintiff for $1,000 of insurance, naming her mother, defendant herein, as beneficiary. May 21,1956, plaintiff issued the policy of insurance. Defendant suggested to her daughter that she submit the application, as an earlier endowment policy with plaintiff had recently matured.

Five months later (October 21, 1956) Miss Cusick died of cancer of the brain.

The following questions and answers were contained in the application:

“19. Has person proposed consulted or been treated by a doctor or other practitioner or at a dispensary or clinic within past 5 years?

“No.

“20. Has person proposed had any injury, illness or operation within past 10 years?

“Yes. * * *

“22. Has person proposed ever had: * * * tumor' # * cancer * * * (The list includes a number of other ailments not pertinent here).

*272 “No. * * *

“24. Give full details for questions 14-23 if answered ‘yes-’ Include dates of commencement and recovery from illnesses and number of attacks.

“(Answer) Tonsillectomy Dee. 27, 1948 — Hospitalized 2 days — full recovery — no complication.”

The application also contained tbe following statement:

“I hereby declare that all statements and all the answers to the above questions are complete and true, and I agree that the foregoing, together with this declaration, shall constitute an application for insurance.”

Claim for payment of proceeds on the policy was denied and plaintiff filed its bill of complaint, with tender of premiums, seeking cancellation of the policy, claiming that constructive and/or actual fraud practiced upon it by “various misrepresentations” were made in the application “with intent to deceive the plaintiff and/or which materially affect the risk and hazard assumed by the plaintiff.”

Appellant appeals claiming the court erred in finding that plaintiff did not make out a case of constructive or actual fraud entitling it to a decree canceling its policy.

When the policy was issued (May 21, 1956), CL 1948, § 522.17 (Stat Ann 1943 Rev § 24.280) provided:

“The falsity of any statement in the application for any policy covered by this chapter shall not bar the right to recovery thereunder unless such false statement was made with actual intent to deceive or unless it materially affected either the acceptance of the risk or the hazard assumed by the insurer.”

In early 1954, after having graduated from high school, Miss Cusick was employed as a medical assistant by Dr. Wikiera, a practicing dermatologist, of Dearborn, Michigan, and assisted him in prepar *273 ing patients for examination and also surgical procedures.

Dr. Wikiera testified that Miss Cusick worked for tn'm approximately 2 years and was a very intelligent girl who acquired knowledge of the language of his profession; that she asked him to examine a lesion she had noticed was changing color, becoming redder and darker, and, upon examination, lie thought it best to remove it immediately; that what he would describe as an operation was performed in his office the same day (June 8,1955) and required about 15 minutes, and resulted in a cavity 2 to 3 inches long and 3/4 of an inch deep; that the operation required application of fresh dressings for a period of approximately 3 weeks, which was done either by Miss Cusick or her girl friends in the office; that she was able to leave the office after the operation and returned to work the next day; that he sent a tissue sample to the laboratory for analysis and on June 15, 1955, the laboratory sent him a written report 1 ; that he was “unhappy” when he received the laboratory report; that he showed the report to Miss Cusick the same day he received it and she read it and not only discussed it with him but with the office girls; that “she was told, like all patients are told, that malignant melanoma can occur any time, I mean can metastasize at any time; and then we did hope that this excision was early enough that such complications would not arise”; that there *274 was no treatment to prescribe as there was nothing to do bnt wait and see; that he didn’t remember whether he told her she had cancer bnt “I discussed the condition with her, the diagnosis with her, as a malignant melanoma. Now, we are using the word ‘cancer’ loosely here, and that denotes — I was speaking to her not as a layman. She knew something about medicine. She worked with me. She knew the word ‘melanoma’ much better than a person off the street”; that he called her father the same day he received the report and informed him that his daughter had cancer; “I discussed the problem with him; told him exactly what the biopsy read; the lesion, the melanoma was excised completely; but as far as the future was concerned, that was a matter of time; we would have to wait and see what happened.

Elizabeth Murphy, employed in May, 1956, by Dr. Wikiera, as the doctor’s assistant and still so employed at time of trial, testified that shortly after she went to work for the doctor, Miss Cusick showed her the biopsy or laboratory report and told her about the operation Dr. Wikiera had performed; that when she told Miss Cusick that “the words were out of my vocabulary” she (Miss Cusick) “explained certain things to me * * * well, she told me that it meant that she had cancer”; that she “showed it (the report) to me on several occasions.”

To establish its contention that the false statement materially affected the risk and hazard assumed by it, plaintiff offered uncontroverted proof from its underwriters that had they known of the operation for the removal of the cancerous tumor 11 months prior to the signing of the application they would have rejected it and they also expressed their opinion that similar action would have been taken by other life insurers.

*275 Defendant called 3 witnesses, namely, the father and mother of deceased, and Dr. Sage.

Dr. Sage testified that Miss Cusick had been his patient since March, 1947; that when she showed him the mole he said, “ ‘Jeannine, you work for a dermatologist. He can advise you what to do about it.’ I understand that she had had surgery and had the mole removed, and she told me that she was informed it had been removed in ioto, and that it had been a melanoma. I did not see a report on the tissue”; that he began treating her at her home in August, 1956, for Bell’s palsy because of paralysis of the face; that she was admitted to the hospital in September and, after hospitalization, she was in a semi-comatose condition and couldn’t carry on a conversation ; that he called in Dr. Maguire, a neurosurgeon; that he did not know whether he informed Dr. Maguire that she had a melanoma removed, “but I had made the addition — made the notation on her charts, on her hospital records. * * * I think a day after she had been admitted I made that notation on her chart, that she had had a melanoma removed.”

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Bluebook (online)
120 N.W.2d 1, 369 Mich. 269, 1963 Mich. LEXIS 466, Counsel Stack Legal Research, https://law.counselstack.com/opinion/prudential-insurance-co-of-america-v-cusick-mich-1963.