Smith v. Globe Life Insurance

565 N.W.2d 877, 223 Mich. App. 264
CourtMichigan Court of Appeals
DecidedJuly 16, 1997
DocketDocket 177201
StatusPublished
Cited by15 cases

This text of 565 N.W.2d 877 (Smith v. Globe Life Insurance) is published on Counsel Stack Legal Research, covering Michigan Court of Appeals primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Smith v. Globe Life Insurance, 565 N.W.2d 877, 223 Mich. App. 264 (Mich. Ct. App. 1997).

Opinion

Markey, J.

Plaintiff appeals as of right from an order granting defendant’s motion for summary disposition pursuant to MCR 2.116(C)(10) and dismissing plaintiff’s claim. We reverse and remand.

Debra L. Smith, as the personal representative of the estate of her father, Robert A. Smith, deceased, filed suit against defendant Globe Life Insurance Company after Globe refused to pay credit life insurance benefits following Robert A. Smith’s death. Defendant claimed no coverage existed because the decedent misrepresented the state of his health at the time he applied for the credit life insurance policy.

*267 In December 1992, the decedent was forty-seven years old and working full-time. On December 4, 1992, the decedent purchased a new vehicle. As part of the financing package he received from Ford Motor Credit Company (fmcc), he was offered and agreed to purchase a combined credit life and credit disability insurance policy issued by defendant. Only the credit life insurance policy, which provided in part that the insurance would pay off the balance due on the loan if the insured died during the policy’s term, is at issue in this appeal.

The decedent made two payments on the FMCC loan before he unexpectedly died in January 1993 from a heart attack. After being appointed the personal representative of her father’s estate, plaintiff notified defendant of the decedent’s death and asserted a claim for benefits pursuant to the certificate of insurance. Defendant denied plaintiff’s claim asserting that the decedent had misrepresented the state of his health when he applied for the policy. Thus, the policy was voided, and defendant rescinded the insurance coverages by refunding to the car dealership the premium that it had received on the decedent’s behalf.

As a consequence of the denial, plaintiff filed a two-count complaint against defendant for breach of contract and for violation of the Michigan Consumer Protection Act (mcpa), MCL 445.901 et seq.; MSA 19.418(1) et seq.

Defendant moved for summary disposition pursuant to MCR 2.116(C)(10), asserting that no genuine issue of a material fact existed as a matter of law because defendant would not have agreed to insure *268 the decedent if it had known the true state of the decedent’s health at the time he applied for coverage.

On.his application for the insurance, the decedent allegedly denied having been diagnosed with and treated for heart disease. The decedent’s medical records, submitted in support of defendant’s motion, showed that the decedent had been diagnosed with coronary artery disease in December 1986 for which he was still being treated at the time of his death. Furthermore, the decedent denied being a diabetic; however, in answers to interrogatories, plaintiff responded that the decedent was, in fact, an insulin-dependent diabetic.

In further support of its motion, defendant submitted an affidavit from a former underwriter for defendant who stated that if defendant had known the true state of the decedent’s medical condition at the time he applied for coverage, defendant would not have issued its certificate of insurance to the decedent.

The certificate of insurance provides in relevant part:

What we will not pay:
Non-Eligible. We will not pay any claim for benefits on insurance for which you or your Co-Debtor were not eligible. (See “who is eligible”.) Such insurance never takes effect, but we will refund any premium paid for it. (See “REFUNDS”.) . . .
* * *
Wiiat the contract is and how your statements affect it: The attached Application for Insurance (if any) by you and any Co-Debtor, the Group Policy, and the Application for the Group Policy are the complete contract of insurance. All statements made in the Application for Insurance are considered to have been made to the best of the knowledge *269 and belief of you and any Co-Debtor. No statement can be used to void the insurance in effect or deny a claim under it, unless that statement is in the Application for Insurance. After two years from the Date in the Application, no statement made by you or any Co-Debtor in any Application can be used to void the insurance in effect or deny a claim under it unless that statement was made fraudulently.

The application for insurance contained a section inquiring about the applicant’s health and, in bolder print, asked the applicant to “read carefully and check yes or no” regarding the following questions:

1. Have you been medically diagnosed as having and are you receiving treatment for:
a. Any condition of the heart, brain, liver, kidney, lungs, cancer or any malignant growth?
b. Diabetes, high blood pressure, circulatory disorders, neurological disorders, mental disorders or disorders of the back or neck?

Both the “no” boxes answering these two questions were checked. After the questions, just above the signature line, the application for insurance contained the following relevant provision:

Answer all questions honestly and truthfully, misrepresentation IS A BASIS FOR DENIAL OF BENEFITS. ANY UNDERWRITING DECISION BASED ON THIS EVIDENCE OF INSURABILITY SHALL BE MADE WITHIN 60 DAYS FROM THE DATE OF THIS APPLICATION.

In rendering its decision in favor of defendant, the trial court agreed that General American Life Ins Co v Wojciechowski, 314 Mich 275; 22 NW2d 371 (1946), controlled. In General American, id. at 281, 284, our Supreme Court found that a material, false misrepresentation on an insurance application permitted an insurer to cancel the policy if the misrepresentation *270 materially affected the insurer’s decision to accept the risk posed by the insured, and that the insurer was not statutorily obligated to attach a copy of the application to a group life insurance certificate. Here, the trial court concluded that the decedent had “not truthfully answered the [inquiries] in the application” because the decedent had had cardiac catheterizations performed, was taking medication prescribed for treatment of heart problems, and was an insulin-dependent diabetic. The court noted that although the parties agreed that the signature on the application appeared to be the decedent’s, there did exist some question whether the decedent had marked the boxes in response to the health questions.

The trial court also granted summary disposition with respect to plaintiff’s claim under the mcpa, finding this Court’s decision in Kekel v Allstate Ins Co, 144 Mich App 379; 375 NW2d 455 (1985), to be controlling. Thus, the trial court granted defendant’s motion for summary disposition with regard to both counts of plaintiff’s complaint and dismissed the case. Arguing that the trial court improperly granted defendant’s motion for summary disposition, plaintiff raises several points.

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Bluebook (online)
565 N.W.2d 877, 223 Mich. App. 264, Counsel Stack Legal Research, https://law.counselstack.com/opinion/smith-v-globe-life-insurance-michctapp-1997.