Pyramid Life Insurance Company v. Mildred S. Curry

291 F.2d 411
CourtCourt of Appeals for the Eighth Circuit
DecidedJuly 19, 1961
Docket16695
StatusPublished
Cited by18 cases

This text of 291 F.2d 411 (Pyramid Life Insurance Company v. Mildred S. Curry) is published on Counsel Stack Legal Research, covering Court of Appeals for the Eighth Circuit primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Pyramid Life Insurance Company v. Mildred S. Curry, 291 F.2d 411 (8th Cir. 1961).

Opinion

VAN OOSTERHOUT, Circuit Judge.

This is an appeal by defendant from a judgment against it upon a life insurance policy it issued to Thomas C. Curry on April 1, 1956. The action is brought by Mildred S. Curry, surviving spouse and the beneficiary named in the policy. The insured died on April 15, 1957. The issuance of the policy, the insured’s death and payment of premiums are conceded. The defense is that the policy was procured by fraud in that the insured had falsely represented in his application that he was in good health, that he never had or had been told that he had high blood pressure and that he had consulted no *412 physician within the past five years, except in connection with a tonsillectomy.

Plaintiff denied the allegations supporting the fraud defense and claimed defendant had by its conduct waived the defense of fraud. The insured had stated in his application that he had been refused insurance by State Farm Life Insurance Company in 1955 for reasons unknown. Before the issuance of the policy involved in this suit, defendant had obtained a MIB report stating that a policy had been refused the insured by State Farm Life Insurance Company because of high blood pressure and slight enlargement of the heart.

We have previously considered this case upon a former appeal. Curry v. Pyramid Life Insurance Co., 8 Cir., 271 F.2d 1. The issues and the material facts are set out in that opinion. The case had been tried to the court without a jury, the court finding for the defendant. We reversed and remanded upon the basis that the plaintiff was entitled to a jury trial.

Upon remand, this ease was tried to a jury. The jury found for the plaintiff. Defendant moved for a directed verdict at the close of all the evidence. The trial court withheld ruling and submitted the case to the jury. After the verdict for plaintiff, defendant moved for judgment n. o. v. in accordance with its motion for directed verdict. The substance of the motion is that the evidence conclusively established all of the elements of actionable fraud, and that there is no substantial evidence of defendant’s knowledge of the insured’s physical impairment or that defendant waived its right to rely upon the insured’s representations. The motion was overruled, the court stating:

“Defendant has filed motion for judgment notwithstanding the verdict and for new trial. I am of the opinion that the various fraud issues involved in this case properly were matters of fact for submission to a jury. Although, as is apparent from an earlier trial of this case, I am not in agreement personally with the decision of the jury, that furnishes no basis for setting it aside.”

This appeal is taken from final judgment for plaintiff, based upon the jury’s-verdict.

It is the defendant’s primary contention upon this appeal that the court erred in overruling its motion for directed verdict and for judgment n. o. v., the defendant contending that the uncontradicted evidence established that the policy was procured by fraud and that there was no proof of waiver or knowledge of the-fraud by the defendant.

While upon the former appeal, the-principal issue discussed in the opinion was the plaintiff’s right to a jury trial, we are satisfied that the issue of whether the plaintiff had made out a submissible case was presented. Defendant in its brief filed on the former appeal urged that the only possible factual issue was-whether hypertension contributed to the insured’s death, and that the evidence upon such issue was undisputed and favorable to the defendant.

The policy specifically provides: “All statements made in applying for this policy shall, in the absence of fraud, be-deemed representations and not warranties.” To avoid liability on this type of policy, the insurer must prove all elements of fraud. Toler v. Missouri Ins. Co., Mo.App., 243 S.W.2d 788, 791; Danaher v. United States, 8 Cir., 184 F.2d 673, 675.

Section 376.580, V.A.M.S., provides:

“No misrepresentation made in obtaining or securing a policy of insurance on the life or lives of any person or persons, citizens of this state, shall be deemed material, or render the policy void, unless the matter misrepresented shall have actually contributed to the contingency or event on which the policy is to become due and payable, and whether it so contributed in any case shall be a question for the jury.”

Where the plaintiff has made a prima facie case and the defense is fraudulent representation, the case is usually one for the jury. State ex rel. Dyer v. Blair, 352 Mo. 584, 178 S.W.2d 1020, *413 1023; Dyer v. Kansas City Life Ins. Co., Mo.App., 188 S.W.2d 758.

The death certificate signed by Dr. Lilley, D. 0., stated the cause of death to be “coronary occlusion due to hypertension.” Mr. Curry was dead upon Dr. Lilley’s arrival. Dr. Lilley had not seen Mr. Curry since March 10 when he had treated him for an ear irritation. He did not see his patient alive after the supposed heart attack and performed no autopsy. He conceded that he had no direct physical evidence of the cause of death. There is professional evidence that sudden death can be brought about by many causes and that coronary occlusion can be caused by factors other than hypertension, and that in a situation such as here presented, the cause of death cannot be satisfactorily determined without an autopsy.

In 5B C.J.S. Appeal and Error § 1832, pp. 208 and 209, it is stated:

“Questions necessarily involved in the decision on a former appeal will be regarded as the law of the case on a subsequent appeal, although the questions are not expressly treated in the opinion of the court, as the presumption is that all the facts in the case bearing on the points decided have received due consideration whether all or none of them are mentioned in the opinion. The records on a former appeal may be looked into for the purpose of ascertaining what facts and questions were then before the court, so as to see to the correct application of the rule; and where the first judgment is a general reversal and remanding, on the second appeal the court may look at the opinion rendered previously to ascertain the real ground of decision.”

The determination of the issue of whether the plaintiff had made a case on defendant’s liability under its policy was necessarily involved in our prior appeal. Rule 61, Federal Rules of Civil Procedure, 28 U.S.C.A., provides that a harmless error shall be disregarded and that “the court at every stage of the proceeding must disregard any error or defect in the proceeding which does not affect the substantial rights of the parties.”

Defendant, in its brief upon the former appeal, stated:

“Since there was no factual issue made by the evidence on whether hypertension or high blood pressure contributed to cause Mr.

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Bluebook (online)
291 F.2d 411, Counsel Stack Legal Research, https://law.counselstack.com/opinion/pyramid-life-insurance-company-v-mildred-s-curry-ca8-1961.