Quinn v. Mutual Benefit Health & Acc. Ass'n of Omaha

55 N.W.2d 546, 244 Iowa 6, 1952 Iowa Sup. LEXIS 459
CourtSupreme Court of Iowa
DecidedNovember 11, 1952
Docket48124
StatusPublished
Cited by15 cases

This text of 55 N.W.2d 546 (Quinn v. Mutual Benefit Health & Acc. Ass'n of Omaha) is published on Counsel Stack Legal Research, covering Supreme Court of Iowa primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Quinn v. Mutual Benefit Health & Acc. Ass'n of Omaha, 55 N.W.2d 546, 244 Iowa 6, 1952 Iowa Sup. LEXIS 459 (iowa 1952).

Opinion

Mantz, J.

This is an equitable action growing out of a claim made by plaintiff on a health and accident policy issued to plaintiff, Mary F. Quinn, by the Mutual Benefit Health and Accident Association, of Omaha, Nebraska.

In her petition plaintiff alleges, among other things, that by mutual mistake the company failed to issue to her the policy of insurance ordered and promised and that the one issued contained therein certain restrictions and exclusions not eontem- *8 plated by her when the policy was ordered. She asked that the policy be reformed and that she be awarded certain cash benefits which she claimed were dne her thereunder. The defendant denied her claim and alleged that she received the policy ordered and contemplated and that plaintiff was not entitled to a reformation of the policy issued or any other relief as prayed for.

The court tried the case and found for the plaintiff, ordered reformation of certain parts of the policy as set forth in its findings of fact and awarded her a money judgment against the defendant. This appeal followed.

I. The evidence in this case is not extensive and basically there is little conflict therein.

Plaintiff, Mary F. Quinn, desired a policy of insurance and in order to secure one she, by her agent and in person, contacted a representative of the defendant, one Emmett Sullivan, of Waukon, Iowa. That plaintiff wanted a certain kind of a policy with a certain coverage and so advised the representative of the defendant is abundantly shown. That there were discussions and conferences between the parties as to the kind of policy and the coverages-sought and the assurance of the representative that the company had and would issue such a policy was also fully shown. It further shows without serious conflict that at the .request of the representative of the company plaintiff went to his office where the agent prepared and filled out an application and plaintiff signed the same without reading and understood that the policy would not issue until the same was approved by defendant. It further shows that a policy was issued and was sent to the representative, who in turn delivered it to plaintiff; that she did not read it and placed it in her lockbox; that both plaintiff and the representative then understood it was the policy she desired.

The policy was issued July 6, 1945, and about December 1947 plaintiff had an operation involving female organs. Later, with the aid of the representative, she made out a claim for benefits which claim the company refused to pay on the grounds that such was not covered by the policy and was one within the exclusion clause. The evidence shows that this was the first time plaintiff was advised that the policy did not cover such kind of claim.

*9 The policy issued was an exhibit in the trial of the cause. The controverted part of the policy is as follows: “This policy does not cover death, disability or other loss * * * resulting from pregnancy, childbirth, or complications arising therefrom or from any disease of organs which are peculiar to women.”

One of the witnesses for the plaintiff was James Hart, an attorney, of Waukon, Iowa. He was an officer in the Waukon Investment & Trust Corporation. Emmett Sullivan of Waukon was the active manager of that company. Hart and Sullivan had separate offices in the same building. Sullivan was the local representative of defendant-company. Hart talked with Sullivan and told him that plaintiff was interested in getting a policy of insurance. Hart testified he told Sullivan that plaintiff wanted insurance but she wanted some that would protect her the same as a man and “she didn’t want any that would have any exceptions” because of her being a woman, and she wanted insurance which would pay for medical and hospital expenses. He claims that he said, “Now, Emmett [Sullivan], have you got any kind of a company that has such insurance?” Sullivan said “yes” and then referred to defendant-company. We quote from Hart’s testimony: “I want it understood that this policy that you are going to get here in this company will apply to her and that there won’t be any restrictions because of the fact that she is a woman, it will cover any accident and any kind of sickness that she may have; and I also want a policy for her that will pay her hospital and her medical expenses without any limitations on that. And he said ‘yes’ that this company would give her that kind of a policy, and I said, ‘Well, you get it ready- and have her come in whenever you want her to sign the application’, and that was the first conversation I had with him about it.”

Hart further testified that aborrt a week later he again talked to Sullivan about the policy which plaintiff wanted and in that talk Sullivan said he had word from defendant there was “ ‘a different kind of a policy now that is of more benefit to the policyholder’ ” and would pay longer than the other policy talked about, and he thought “ ‘it would be a good idea for her to take it.’ ” Hart then asked Sullivan: “Would it protect her for any kind of sickness and any kind of accident and would it pay her hospital and medical expenses? *•* * If it wouldn’t she doesn’t *10 want it * * Sullivan answered, “ ‘Yes, it would protect her for any sickness and any accident, and would pay her hospital and medical expenses.’ ” Hart testified that he then told Sullivan, “If it would do that, why, make it out for that policy.”

Plaintiff testified that sometime in June 1945 she arranged with James Hart to obtain for her a health and accident policy; that Hart told her to see Sullivan; that she went to see Sullivan and. told him that she wanted “such a policy that would cover everything, female trouble, and would take care of all sickness and things like that.” She said that he asked her a few questions; that she signed an application without reading it, and paid him; that later he gave her the policy; that she put it in her bank box without reading it, and she says that she “took his word for it.” Later Sullivan helped her fill out the claim, which the company refused. She says she understood that an application had to go in before the policy issued.

After the claim had been sent in and rejected a representative from the company at Omaha, a Mr. Eischeid, came to Wau-kon and with Sullivan, Hart and plaintiff had a conference. The Omaha man said “the claim would not be paid” because the policy did not cover it, at that time. Hart testified that he knew now such was in the policy, but that was not the kind of a policy ordered and “it wasn’t the kind of a policy * * * I thought she was getting. Then I went on and told him just the'conversation between Sullivan and me, the two conversations, and Sullivan was there, and I said to Sullivan, ‘Isn’t that the way it was?’ and he said, ‘Yes, those were the talks we had.’ ”

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Bluebook (online)
55 N.W.2d 546, 244 Iowa 6, 1952 Iowa Sup. LEXIS 459, Counsel Stack Legal Research, https://law.counselstack.com/opinion/quinn-v-mutual-benefit-health-acc-assn-of-omaha-iowa-1952.