Scott v. Missouri Insurance

233 S.W.2d 660, 361 Mo. 51, 1950 Mo. LEXIS 699
CourtSupreme Court of Missouri
DecidedOctober 9, 1950
Docket41742
StatusPublished
Cited by34 cases

This text of 233 S.W.2d 660 (Scott v. Missouri Insurance) is published on Counsel Stack Legal Research, covering Supreme Court of Missouri primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Scott v. Missouri Insurance, 233 S.W.2d 660, 361 Mo. 51, 1950 Mo. LEXIS 699 (Mo. 1950).

Opinion

*54 DALTON, J.

[ 661] This cause was heard and determined in the St. Louis Court of Appeals (222 S.W. (2d) 549) but, upon the order of this court, the cause was transferred here and-it will be decided as though the appeal had properly come to this court in the first instance. Sec. 10, Art. V. Const. of Mo. 1945.

The facts are fully stated in the opinion of the Court of Appeals to which reference is had for a detailed statement. Briefly, the facts are that this is a suit on an industrial twenty-five year endowment insurance policy issued July 21, 1947, on the life of Gertrude Watts for $500, and in which the plaintiff, Alice. Scott, is named as beneficiary. The insured died on December 7, 1947. The defense was based on a good health provision of the policy and alleged misrepresentations wilfully made in the application therefor and upon a release executed by the beneficiary after the death of the insured. The policy provided that it should not take effect if the insured die before the date thereof, or if on such date the insured be not in good health, but in either event the premiums paid thereon, if any, should be returned.

The issuance of the policy sued upon and the death of the insured on December 7, 1947, were admitted. Plaintiff-beneficiary offered the policy in evidence and evidence tending to show that she reported the insured’s death to defendant’s office .and signed papers showing such death; that [662] at first she was told she would receive $500, the face amount of- the policy;, that she was subsequently told she could only get the amount paid in, $12.76, which sum was paid to her; that she signed the release pleaded by defendant; that the *55 defendant’s supervisor wrote out the release and told her to sign it; that she did so, but that she didn’t read it. Plaintiff’s evidence further tended to show (by lay witnesses) that the .insured was in good health when the policy was issued; that she worked every day up to the day of her death; that she was able to do hard work; that, on November 25, 1947, the automobile in which she was riding collided with another automobile; that, prior to this automobile accident she was in good health, but, thereafter, she complained of “headache and sickness”; and that she took sick about 3 p.m., on December 7, and was sick about five hours before she died. Plaintiff’s evidence did not show the nature of the illness from which the insured died.

Defendant offered a copy of insured’s application for the policy, a copy of the release pleaded and relied upon by the. insurer, a certified copy of the record of the Bureau of Vital Statistics showing that the immediate cause of insured’s death was “chronic myocarditis, chronic aortitis,” the insurer’s premium book for insured’s policy showing the payment of $11.76 in premiums, the hospital records from the Homer Gr. Phillips Hospital concerning insured’s last illness and the testimony of certain medical experts, which tended to shoAv that the insured had suffered from heart trouble over a long period of time prior to the making of the application for this policy of insurance; and that she had been advised of such fact.

The insured’s application for insurance states that she had never had héart disease, that she had had no medical or surgical attention in the last five years, and further contained the following clause: “I hereby apply for the above mentioned Policy with the Missouri Insurance Company, St. Louis, Missouri, and declare that the statements recorded above and on the reverse side hereof are true and complete and I agree that any misrepresentation wilfully ma'de shall render the Policy void and that the Policy shall not be binding upon the Company unless upon its date I shall be alive and in sound health.”

Defendant’s evidence further shoAved a denial of all liability under the policy, except for the return of the premiums received, and that at the time the release Avas signed, only the return of premiums was mentioned to plaintiff, although defendant’s evidence at the trial tended to show that the amount actually paid and receipted for in the release was $1.00 in excess of the amount of the premiums paid in on the policy. There was no evidence of any discussion of settlement or compromise prior to the execution of the release, but only a denial of liability, the assignment of ground thereof and an offer to return the amount of premiums. The evidence tended to show that an amount referred to as premiums paid was tendered to and accepted by plaintiff and the release signed.

*56 There was also evidence that, prior to defendant’s denial of liability and the refund of premiums, the defendant had made an investigation to determine whether or not defendant was liable; that on the basis of such investigation defendant determined that it was only liable for the refund of the premiums as the disability preceded the date of the policy; and that the manager of defendant’s Industrial Claim Department so advised the plaintiff. For the alleged purpose of showing what facts were then avaiable to defendant and that a bona fide dispute existed as to liability when the claim was denied and the relea'se executed, the defendant further offered a report of the Retail Credit Company showing the results of an investigation made for defendant, but the tendered exhibit was excluded as hearsay.

The jury returned a verdict for plaintiff for a total of $499.44, including interest, upon which judgment was entered and defendant appealed to the St. Louis Court of Appeals. That court reached the conclusion that the cause should be reversed and remanded for a new trial on account [663] of error in the giving of plaintiff’s instructions 1 and 2, but overruled other assignments.

Appellant sought a rehearing in that court and a transfer to this court on the ground that the opinion erroneously approved the trial court’s exclusion of the mentioned evidence as hearsay and, further, failed to give effect to the condition of the policy that it should not take effect unless upon the date it was issued the insured was in good health.

In the briefs filed in the Court of Appeals and transferred to this court, the appellant assigns error on the trial court’s action (1) in overruling defendant’s motion for a directed verdict; (2) on the exclusion of the Retail Credit Company’s report of its investigation made at defendant’s direction; and (3) in giving Instructions 1 and 2 requested by the plaintiff.

Defendant’s motion for a directed verdict at the close of all the evidence was based upon two propositions (1) that the evidence as a matter of law shows a valid compromise and settlement of plaintiff’s claim; and (2) that the evidence shows as a matter of law that the insured was not in good health on the date the policy in suit was issued, but was on that date suffering from heart disease from which she died.

The validity of the alleged compromise and settlement was for the jury. On defendant’s own evidence, defendant’s agent at the time the release was signed represented to plaintiff that the $12.76 paid to her was a refund of premiums paid on the policy and that the payment being made was due. Liability was admitted in any event to that extent.

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Bluebook (online)
233 S.W.2d 660, 361 Mo. 51, 1950 Mo. LEXIS 699, Counsel Stack Legal Research, https://law.counselstack.com/opinion/scott-v-missouri-insurance-mo-1950.