Schas v. Equitable Life Insurance

81 S.E. 1014, 166 N.C. 55, 1914 N.C. LEXIS 344
CourtSupreme Court of North Carolina
DecidedMay 20, 1914
StatusPublished
Cited by28 cases

This text of 81 S.E. 1014 (Schas v. Equitable Life Insurance) is published on Counsel Stack Legal Research, covering Supreme Court of North Carolina primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Schas v. Equitable Life Insurance, 81 S.E. 1014, 166 N.C. 55, 1914 N.C. LEXIS 344 (N.C. 1914).

Opinion

Walker, J.,

after stating the case: This case has been tried upon the wrong theory. It is a mistake to suppose that a false representation of a material fact will not vitiate the policy unless it involves actual fraud or moral turpitude. This is not the rule we have adopted in such cases. We need not inquire whether there was a moral or intentional wrong, for if the representation made in the application was false and material, and the jury so find, and the company was ignorant of its falsity, and it is such representation as would have influenced the action of the company upon the application, in regard to whether or not it will grant the insurance, it will vitiate the policy, unless the company has in some way waived the benefit *58 of it by its conduct ánd with, knowledge of the facts. “A false 'representation avoids a contract of insurance when material, and wholly without reference to the intent with which it is made, unless it is otherwise provided by statute.” Yance on Insurance, p. 269. We need not inquire whether this rule is too broadly stated by Mr. Yance, as it applies, with the meaning intended by him, to the facts of this case, and it has been stated by this Court substantially in the same terms. Every fact which is untruly stated or wrongfully suppressed must be regarded as material, if the knowledge or ignorance of it would naturally and reasonably influence the judgment of the underwriter in making the contract at all, or in estimating the de-grep or character of the risk, or in fixing the rate of premium. 16 A. and E. Enc. of Law (2 Ed.), 933; Vance on Insurance, 284. This definition was adopted by us in Fishblate v. Fidelity Co., 140 N. C., 589, and has since been approved several times, and is also the definition of other courts. Bryant v. Insurance Co., 147 N. C., 181; Alexander v. Insurance Co., 150 N. C., 536; Annuity Co. v. Forrest, 152 N. C., 621; A. L. Insurance Co. v. Conway, 75 S. E. (Ga.), 915; Maddox v. Insurance Co., 65 S. E., 789; Tally v. Insurance Co., 111 Va., 778; Penn. M. Life Insurance Co. v. N. S. and Trust Co., 38 L. R. A. (N. S.), 33; 3 Cooley’s Briefs on Insurance, p. 1953; Vance on Insurance, pp. 267, 269.

It may be stated as a general rule that where, in an application for insurance, a fact is specifically inquired about, .or the question is so framed as to call for a true statement of the fact, or to elicit the information desired, reason and justice alike de.mand that there should be a full and fair disclosure of the fact, or at least a substantial one. 3 Cooley’s Briefs on Insurance, p. 2009 (d). Our case is not essentially different from Alexander v. Insurance Co., supra, in which the Court said: “The company was imposed upon (whether fraudulently or not is immaterial) by such representations, and induced to enter into the contract. In such case it has been said by the highest court that, Assuming that both parties acted in good faith, justice would require that the contract be canceled and premiums re *59 turned.’ Insurance Co. v. Fletcher, 117 U. S., 519, citing Bryant v. Insurance Co., supra, as decisive of tbe question. Our statute, Revisal 1905, sec. 4808, affirms this view, for w|iile it declares that all statements in an application for insurance shall be construed as representations merely, and not as warranties, it further provides that no representation, unless material or fraudulent, shall prevent a recovery, the meaning of which plainly is that a material representation shall avoid the policy if it is also false and calculated to influence the company, without. notice of its falsity, in making the contract, at all, or in estimating the degree and character of thé risk, or in fixing the premium. Bryant v. Insurance Co., supra. Our case is 'well within this rule.

■ It is not necessary, as said in Fishblate’s case, that the act or conduct of the insured, which was represented by him in the application, should have contributed in some way or degree to the loss or damage for which the indemnity is claimed". Whether it was material depends upon how, if .at all, it would have influenced the company in the respect we have just stated... The determining factor, therefore, in such ease is whether the answer would have influenced the company in deciding for itself, and in its own interest, the important question of accepting the risk, and what rate of premium should be charged. The questions generally are framed with a view to estimating upon the longevity of the applicant, and any answer calculated to mislead the company in regard thereto should be considered as material. There are some contingencies that cannot be provided against, but the company is entitled to have a fair and honest answer to every question which will enable it to exercise its judgment intelligently and to have the necessary information as a basis upon which to make its calculations, although its best deduction therefrom may only approximate the actual result in the particular case. 3 Cooley’s Briefs on Law of Insurance, pp. 1952, 1953; Insurance Co. v. Conway, 11 Ga. App., 557. The applicant is required to act in the utmost good faith in giving the in-1 formation. Insurance Co. v. Conway, supra. *60 Id. life insurance it is important for tbe company to know tbe individual bistory and characteristics of tbe applicant, bis idiosyncrasies, or the peculiarities of bis mental and physical constitution or temperament, and bis environment at tbe time of bis application. In no other way could tbe risk or hazard be well determined or tbe premium fixed. Is be weak in body or in mind? and if so, to what extent and in what particular way, and what are bis inherited traits or tbe mental and physical characteristics of bis progenitors? Tbe inquiry must be not only individual, but ancestral, and tbe investigation searching as to bis past life and future intentions, as experience has shown, in order to make anything like a reliable estimate of tbe risk incurred. And bis habits and surroundings are also to be known, considered, and weighed. Has be been exposed to any contagious, infectious, or transmissible disease, is a perfectly legitimate inquiry. Does be propose to change bis residence, so that bis exposure to climatic or other diseases will be greater and tbe hazard correspondingly increased? These and many other questions of like kind any prudent man engaged in tbe business of life insurance would be more than likely to ask, and tbe answers to them would surely tend to shape tbe judgment of tbe underwriter and influence bis decision in regard to tbe risk. Any insurance company that would issue a policy or contract for insurance upon any other basis and without proper inquiry would be so reckless as to forfeit tbe confidence of tbe public.

Tbe foregoing was tbe language we used in Gardner v. Insurance Co., 163 N. C., 367, and as it is closely applicable to this case, we repeat it here. We need only add what was decided by this Court in Bryant v. Insurance Co., 147 N. C., 181, as follows:

1. Under Revisal, sec.

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Bluebook (online)
81 S.E. 1014, 166 N.C. 55, 1914 N.C. LEXIS 344, Counsel Stack Legal Research, https://law.counselstack.com/opinion/schas-v-equitable-life-insurance-nc-1914.