Robert J. Jones v. Reliance Insurance Company

607 F.2d 1, 197 U.S. App. D.C. 20, 28 Fed. R. Serv. 2d 186, 1979 U.S. App. LEXIS 11542
CourtCourt of Appeals for the D.C. Circuit
DecidedSeptember 28, 1979
Docket78-1064
StatusPublished
Cited by12 cases

This text of 607 F.2d 1 (Robert J. Jones v. Reliance Insurance Company) is published on Counsel Stack Legal Research, covering Court of Appeals for the D.C. Circuit primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Robert J. Jones v. Reliance Insurance Company, 607 F.2d 1, 197 U.S. App. D.C. 20, 28 Fed. R. Serv. 2d 186, 1979 U.S. App. LEXIS 11542 (D.C. Cir. 1979).

Opinion

Opinion for the Court PER CURIAM.

PER CURIAM:

Robert J. Jones instituted this litigation against Reliance Insurance Company (Reliance) to recover benefits on an insurance policy providing for payment of $63,000 in the event that Jones failed to receive a flight engineers certificate — an annually renewable testament of physical health required of all flight engineers by the Federal Aviation Administration (FAA) in the interest of air safety. 1 After an initial mistrial, 2

Jones won a jury verdict, upon which the District Court entered judgment. 3 Reliance appeals, complaining of the District Court’s refusal to direct a verdict in its favor on grounds that Jones made material misrepresentations in his application for the insurance, 4 that the condition leading to withdrawal of Jones’ medical clearance preexisted the policy, 5 and that Jones failed to comply with the policy provision requiring timely notice of a claim of loss. 6 We affirm.

I

The evidence at trial, viewed favorably to Jones, 7 revealed the following facts. Jones worked as a flight engineer for Pan American World Airways for approximately twenty years. He first came to Dr. Sol Pollack, an FAA-approved physician, for a certifying checkup in 1955, 8 and visited Dr. Pollack almost annually thereafter through 1972. 9 On the 1969 visit, Dr. Pollack noted a slight irregularity in Jones’ heartbeat, a condition he described as “multiple, extra systoles.” 10 Dr. Pollack attributed this irregularity to Jones’ anxiety over his recent divorce, but out of an abundance of caution referred Jones to a cardiologist, Dr. Schwartzwald, who came to the same conclusion and so informed Pollack. 11 Dr. Pollack thereupon concluded that the extra systols were an innocuous and fleeting abnormality and certified Jones fit to fly. 12 In 1970, Dr. Pollack noticed an occasional extra systol, but found no signs of patholo *3 gy. 13 In 1971, Dr. Pollack examined Jones but made no finding specifically referable to his heart and certified him medically qualified. 14 In December, 1972, Dr. Pollack saw Jones for the last time, observed the same irregularity and advised him to see a cardiologist again. 15

Jones felt no adverse effects from his irregular heartbeat but, apprised of the irregularity at the 1969 FAA examination, he sought out the advice of Dr. Donald J. Cameron, a cardiologist, in September of that year. 16 Though Dr. Cameron noted no extra systols at that examination, he had Jones return in October. Then an irregularity was perceived 17 but, as Dr. Cameron was to testify, “in Mr. Jones the condition was relatively innocuous.” 18 Dr. Cameron saw Jones twice in 1970, and both times observed minor irregularities that “can occur in people who have entirely normal hearts.” 19 He again saw Jones on December 6,1972, following Dr. Pollack’s renewed suggestion that he consult a cardiologist. 20 Dr. Cameron found Jones’ condition unchanged, but recommended that he take inderal if he should feel his heart flutter. 21

Jones applied for the policy in suit on December 12, 1972, and the policy went into effect on the following February l. 22 In late January of 1973, Jones was grounded by FAA because inderal had been prescribed. 23 Jones then went back to Dr. Cameron, who took him off the drug, whereupon Jones regained his flight status. 24 In February, 1974, however, Jones failed to receive medical clearance and was grounded. 25 On the advice of an FAA-approved doctor, and in an effort to regain certification, Jones underwent a cardiac catheterization, which revealed “a very minimal degree of a condition called hypertrophic subaortic stenosis” 26 — a condition involving a thickening of part of the left ventrical muscle below the aortic valve. Informed of this finding, the Federal Air Surgeon on February 12, 1975, issued a final denial of Jones’ application for medical certification. 27 Jones notified Reliance by letter dated February 25,1975 of his claim for benefits under the policy. 28

II

Reliance moved for a directed verdict at the close of all of the evidence. 29 The District Court denied the motion 30 and submitted the case to the jury, which found for Jones. Reliance did not ask the court to enter judgment notwithstanding the verdict, nor did it move for a new trial, and that severely circumscribes our review.

The Supreme Court has more than once held that Rule 50(b) of the Federal Rules of Civil Procedure forbids a court of appeals from directing a verdict in favor of a party who fails to move following trial for judgment non obstante veredicto. 31 Appel *4 late relief is limited to ordering a new trial and, more importantly, the District Court’s refusal to direct a verdict is ground for a new trial only if the record reveals a complete absence of evidence to support a jury’s verdict. 32 For reasons now to be stated, that is not the situation here.

Ill

Reliance’s central claim is that Jones falsely answered two questions in his application for the policy and that accurate responses would have led it to deny Jones the coverage he sought. Had these assertions been unassailably proven 33 by the evidence adduced at the trial, a District of Columbia statute, 34 as authoritatively construed, 35

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607 F.2d 1, 197 U.S. App. D.C. 20, 28 Fed. R. Serv. 2d 186, 1979 U.S. App. LEXIS 11542, Counsel Stack Legal Research, https://law.counselstack.com/opinion/robert-j-jones-v-reliance-insurance-company-cadc-1979.