Reserve Loan Life Ins. v. McCoy

15 F. Supp. 933, 1936 U.S. Dist. LEXIS 2135
CourtDistrict Court, E.D. Kentucky
DecidedAugust 8, 1936
DocketNo. 1342
StatusPublished
Cited by1 cases

This text of 15 F. Supp. 933 (Reserve Loan Life Ins. v. McCoy) is published on Counsel Stack Legal Research, covering District Court, E.D. Kentucky primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Reserve Loan Life Ins. v. McCoy, 15 F. Supp. 933, 1936 U.S. Dist. LEXIS 2135 (E.D. Ky. 1936).

Opinion

FORI), District Judge.

The cancellation of a life insurance policy on the life of William M. McCoy in the sum of $10,000 is the object of this suit.in equity filed by the issuing company against the widow of the assured, who is the designated beneficiary of the policy.

The application for the policy was made by the assured on June 19, 1930. The policy was prepared and dated July 14, 1930, but, on account of inability of McCoy to pay the initial premium, the policy was not then delivered to him.

On October 3, 1930, the assured was admitted to the United States Veterans’ Hospital at Chillicothc, Ohio, where he died on October 19, 1930.

[934]*934On October 8, 1930, about ten days before his death, while the assured was seriously ill in the hospital, his wife, the defendant, Claudia J. McCoy, the beneficiary of the policy, wrote to the plaintiff remitting sufficient money to cover the net initial premium on the policy and requesting its delivery, but gave the company no intimation that her husband was then confined in the hospital in Óhio with a critical illness. On the other hand, the letter purported to be signed by the assured in person and was sent-from his home at Toler, Ky. A few days thereafter the insurance policy was mailed by the company addressed to McCoy. The defendant thus secured possession of the policy.

The policy contained a clause making it incontestible under certain conditions after the expiration of a period of two years. Apprehending 'that the defendant would defer bringing action on the policy until the expiration of the two-year period, and averring that such delay would deprive it of an adequate and complete remedy at law, the plaintiff, by this action, invokes the jurisdiction of the court of equity seeking to be relieved of liability under the policy on the grounds (1)- that the policy was procured by fraudulent misrepresentation and concealment of material facts, which it was the duty of the applicant to disclose in his application, and (2) that said policy never became effective for want of proper delivery.

Making no question as to the jurisdiction of equity, the. defendant, by answer, traversed the allegations of the bill of complaint and by counterclaim asserted her cause of action upon the policy and seeks to recover the amount of insurance stipulated therein.

The record shows that, in answer to specific questions contained in his application, the assured represented that his health was not impaired in any way; that he was last attended by or consulted a physician in April, 1928, at which time he was attended by the examining physician, Dr. Tracy I. Doty, for influenza; that he never suffered from any ailments or disease of the heart, lungs, stomach, intestines, or the middle ear; that he had never had rheumatism, had never raised or spat blood; that he had never had an accident or injury; and that he had never consulted a physician for any ailment or disease other than for influenza in April, 1928.

Undoubtedly, these representations, made in response to specific inquiries, were material, both as a matter of law and as a matter of fact. Jeffries v. Economical Mutual Life. Insurance Co., 22 Wall. 47, 22 L.Ed. 833, and Norwich Union Indemnity Co. v. H. Kobacker & Sons Co., 31 F.(2d) 411, 87 A.L.R. 1069 (C.C.A.6).

That each of these representations was false and a gross misstatement of the facts is clearly established by the testimony. It is equally clear from the testimony that the insured and the medical examiner were both fully aware of the utter falsity of each of these representations, and, from the circumstances disclosed, the conclusion is inescapable that they were the result of deliberate and fraudulent collusion between the applicant and the medical examiner, his family physician, in an effort to suppress the true facts so as to fraudulently procure the issuance of the policy.

The following quotation from the brief filed herein on behalf of the defendant seems to make it unnecessary to fortify these conclusions by a review of the testimony bearing on 'the subject:

“Dr. Doty was the closest doctor to McCoy, had treated him and known him for three years. He had made out numerous reports for McCoy to get him admitted to Veterans Hospitals for treatment for trouble in his right ear, for rheumatism and arthritis; he had sent McCoy to Dr. Hall at Paintsville for treatment to his ear. He had written letters to Dr. Hall, to Cincinnati, to Chillicothe to procure pension for McCoy and his admission to Veterans Hospitals for treatment; he had made out claims for him for sick' benefits to some insurance company; had made reports of his physical condition to enable McCoy to collect pensions. In fact Dr. Doty was in position to and did know more of McCoy’s physical condition than McCoy himself could know. * * *
“ * * * The doctor made the examination while they were alone in McCoy’s home. He concluded it the next day in his office. He says he read the questions propounded in the application to McCoy. Such may have been his practice but in this instance it was an 'idle gesture, since he knew every fact pertaining to his physical condition of which the plaintiff now complains. He knew of the gun shot wound because he dressed it and attended McCoy; he knew of [935]*935the ear trouble, rheumatism, arthritis and all other conditions relating to or affecting his health.”

, Although the medical examiner wrote the answers of the applicant in the application, it is neither shown by the proof nor contended by the defendant that the answers made were improperly or incorrectly set down, nor that anything was done by any agent of the company to induce the assured to make false answers to the questions. Hence the case cannot be controlled by the line of authorities dealing with cases wherein it is shown that the innocent applicant made truthful statements which were improperly or incorrectly recorded by the company’s agents.

In view of the fact that the medical examiner, though the family physician of assured, also sustained the relation of agent to the plaintiff, the defendant, in seeking an avenue of escape from the results of the misrepresentations contained in the application, resorts to the general rule of law which imputes an agent’s knowledge to his principal, and upon that basis contends that, since Dr. Doty, the company’s agent, had full knowledge of the facts which were suppressed or untruthfully stated in the application, his knowledge was the knowledge of the company, and the company is therefore estopped to rely upon the falsity of such statements as a defense to the policy.

The Supreme Court dealt with a similar situation in the case of Mutual Life Insurance Company v. Hilton-Green, 241 U.S. 613, 623, 36 S.Ct. 676, 680, 60 L.Ed. 1202. In pointing out that the general rule does not apply under circumstances such as those here disclosed, the court said: '“The rule is intended to protect those who exercise good faith, and not as a shield for unfair dealing.” In the same case it is pointed out that, when an assured consciously permits his application containing material misrepresentations to be presented to the company by its subordinate agents, under circumstances plainly indicating that such agents, though acquainted with the actual facts, would not reveal them, the assured “could claim nothing because of such information in the keeping of unfaithful subordinates.”

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Related

Wabash Life Insurance Co. v. Maguire
461 S.W.2d 916 (Court of Appeals of Kentucky, 1970)

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Bluebook (online)
15 F. Supp. 933, 1936 U.S. Dist. LEXIS 2135, Counsel Stack Legal Research, https://law.counselstack.com/opinion/reserve-loan-life-ins-v-mccoy-kyed-1936.