Reserve Life Insurance Company v. Ferebee

118 S.E.2d 675, 202 Va. 556, 1961 Va. LEXIS 143
CourtSupreme Court of Virginia
DecidedMarch 6, 1961
DocketRecord 5197
StatusPublished
Cited by7 cases

This text of 118 S.E.2d 675 (Reserve Life Insurance Company v. Ferebee) is published on Counsel Stack Legal Research, covering Supreme Court of Virginia primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Reserve Life Insurance Company v. Ferebee, 118 S.E.2d 675, 202 Va. 556, 1961 Va. LEXIS 143 (Va. 1961).

Opinion

Spratley, J.,

delivered the opinion of the court.

On January 21, 1957, Earl H. Ferebee, at the solicitation of Eddie A. Brown, an agent of the Reserve Life Insurance Company, signed a written application for an insurance policy, effective as of January 25, 1957. On March 24, 1958, fourteen months thereafter, when the policy was in effect, Ferebee was hospitalized and underwent surgery *557 for the removal of a kidney stone. His hospital and surgical expenses amounted to $539.90. Payment of that amount was refused by the insurance company, and Ferebee instituted this action. The company denied liability on the ground that the application for the policy contained answers that were material to the risk and were untrue. Virginia Code, 1950, § 38.1-336. Upon trial by jury, a verdict was rendered in favor of Ferebee. Judgment was entered accordingly, and to review that judgment this writ was awarded the insurance company.

The evidence will be stated as follows:

The application for the insurance contained, among other provisions, the following questions and answers:

“6. Are you and all other members of the Family Group to be insured now in good health and free from any physical or mental defect? YES.”
“8. Llave you, or any member of the Family Group to be insured, ever had any disease of the heart, lungs, kidneys, stomach, or bladder; or high blood pressure, paralysis, arthritis, syphillis, cancer, diabetes, hernia, goitre, or rectal disease? YES. If answer is ‘yes,’ give full details.....................................................
“9. Have you, or any member of the Family Group to be insured, received medical or surgical advice or treatment within the past three years? YES. If answer is ‘yes,’ give details below:
NATURE OF DATE WHICH ILLNESS OR DOCTOR _MEMBER? ACCIDENT_ 7/31/56 Operated T. Elmore on for Hernia on Jones left side ”

Ferebee testified that Eddie A. Brown, agent of the insurance company, came to his home and solicited his application for a hospital and surgical expense policy; that he gave his full and complete medical history to Brown; and that his answers to Brown’s interrogatories were inserted in the application by Brown. Specifically, he said he told Brown that he had been, within the three years, twice hospitalized for influenza; once for “twitching of his legs;” once for kidney colic (ureteral calculus); once for the repair of a hernia; and

*558 for emphysema, which he described as “a shortness of breath caused by a defect of the lungs.” He said he never knew he suffered from hypertension; but thought it might be connected with the “twitching of his legs;” that he was not able to read the answers inserted by Brown on the application, because he was fifteen or twenty feet away; and that after writing the answers, Brown placed the application form on his chair, and he, Ferebee, signed it without reading it.

Ferebee testified that he did not recall Question No. 6; but that if he had been asked if he was in good health, and free from any physical and mental defect, at that time, he would have answered “Yes,” because he thought that was his condition. He admitted that he knew that Brown, in answer to Question No. 8, had underscored only the word “hernia,” and did not put on the application the other illnesses he had mentioned.

Ferebee’s medical record showed that he had been hospitalized in 1942, 1945, 1948, and 1949, for pneumonia, hernia, and hydrocele of cord; that he had received medical or surgical treatment within the past three years: in March, 1954, for bronchitis and influenza; in June, 1955, for hypertension, psychoneurosis; in March, 1956, ureteral calculus; in July, 1956, operation for hernia; and in January, 1957, for systenial vinal infection and chronic pulmonary emphysema. We are not told the nature of systenial vinal infection; but reference is made to influenza. Ferebee was last discharged from the hospital on January 10, 1957.

Another exhibit, a medical report on Ferebee, dated April 25, 1958, stated that when he was admitted to a hospital on March 24, 1958, “he apparently had been in fairly good health prior to the developing of a right upper quadrant mass. No history of hematuria.”

Ferebee further said that when he conferred with Brown after the refusal of the insurance company to pay his hospital expenses, and asked Brown why he had not supplied the company with the information he had been given, Brown replied that he remembered something about it; but did not know why he had not inserted it in the application.

Brown testified that, “to the best of my knowledge, I put down exactly what Ferebee told me.” However, he stated that he was unable to remember whether Ferebee told him about having emphysema, and that if he had told him, he would not have known what it meant, and added “Shortness of breath certainly wouldn’t be sickness; not with us.”

*559 Brown said that he underlined the word “hernia,” in Question No. 8, because that was “the normal way” of his company to have an answer set out; that it was “the custom of his company” to insert the details in the two empty lines under that question; and, if there was not enough room on those lines for the details, such details were to be put on the back of the page. He said he thought that after underlining the word “hernia,” it was not necessary to repeat it in the detail lines. He did not explain why he inserted only one illness in answer to Question No. 9.

Brown had authority to solicit risks for his company, receive applications therefor, and forward them to his company. His employment carried with it the implication of authority to fill out an application, and to do all those things needful in perfecting it.

When an agent of an insurance company, who fills out an application for an insurance policy is duly informed of the facts and fails to state them in the application, the actual knowledge of the agent will be held to be the knowledge of the company, where there is good faith on the part of the applicant. Harrison v. Provident Relief Ass'n, 141 Va. 659, 669, 126 S. E. 696, 40 A. L. R. 616; Royal Indemnity Co. v. Hook, 155 Va. 956, 965, 157 S. E. 414; Va. Auto Mut. Ins. Co. v. Brillhart, 187 Va. 336, 345, 46 S. E. 2d 377; 10 Mich. Jur., Insurance, § 49, pages 348 and 349; 29 Am. Jur., Insurance, §§ 1019 and 1020, pages 192 et seq.

In Lynchburg Fire Ins. Co. v. West, 76 Va. 575, 580, 44 Am. Rep. 177, we said that an applicant for insurance, when called upon to make answers to interrogatories, has a right to presume that the agent is competent to understand their meaning and effect as well as the meaning and effect upon the provisions of the policy bearing upon the disclosures made.

In Modern Woodmen v. Lawson, 110 Va. 81, 86, 87, 65 S. E. 509, this is said:

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118 S.E.2d 675, 202 Va. 556, 1961 Va. LEXIS 143, Counsel Stack Legal Research, https://law.counselstack.com/opinion/reserve-life-insurance-company-v-ferebee-va-1961.