SOUTHLAND LIFE INSURANCE COMPANY v. Donati

114 S.E.2d 595, 201 Va. 855, 1960 Va. LEXIS 170
CourtSupreme Court of Virginia
DecidedJune 13, 1960
DocketRecord 5086
StatusPublished
Cited by13 cases

This text of 114 S.E.2d 595 (SOUTHLAND LIFE INSURANCE COMPANY v. Donati) is published on Counsel Stack Legal Research, covering Supreme Court of Virginia primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
SOUTHLAND LIFE INSURANCE COMPANY v. Donati, 114 S.E.2d 595, 201 Va. 855, 1960 Va. LEXIS 170 (Va. 1960).

Opinion

Miller, J.,

delivered the opinion of the court.

Action was instituted against Southland Life Insurance Company by Inez A. Donati, beneficiary in an insurance policy issued upon the life of David C. Donati, her husband. In its grounds of defense Southland admitted issuance of the policy sued upon and death of insured, but asserted that the policy was not in force or effect *856 because insured obtained its issuance by fraud. It is stated in the grounds of defense that (a) he obtained the policy by “malting knowingly false and fraudulent answers” to questions contained in his written application and that the policy would not have been issued had the questions been answered truthfully, and (b) that insured was not in good health at the time of the execution of the written application or when the policy was issued and delivered to him, and that good health was “a condition precedent to the policy becoming in force.”

Inez A. Donati denied the charge of fraud in the procurement of the policy and asserted that the company was estopped to claim that the policy was not in force and effect because a copy of the written application containing the statements upon which it relied had not been attached to the policy and made a part thereof as required by § 38.1-393, Code 1950. She also moved for summary judgment against the company. After hearing argument, the court concluded that the company was estopped to assert the defense of fraud in the procurement of the policy, and there being no material fact in dispute, summary judgment was entered in favor of plaintiff for the sum of $12,100, with interest from September 11, 1958.

The policy does not have a copy of the written application attached thereto, nor was the application filed or made a part of the record, but the litigants concede that the statements and misrepresentations, if any, were contained in the application signed by insured.

Section 38.1-393, Code 1950, relied upon by Inez A. Donati, follows:

“In each such policy there shall be a provision that the policy, or the policy and the application therefor if a copy of the application is endorsed upon or attached to the policy when issued, shall constitute the entire contract between the parties, and that all statements made by the insured shall, in the absence of fraud, be deemed representations and not warranties, and that no such statement or statements shall be used in defense of a claim under the policy unless contained in a written application and unless a copy of such statement or statements be endorsed upon or attached to the policy when issued.”

The sole question presented is one of law, i.e., whether or not the defense made by the company of fraud in the procurement of the policy is available to it when it omitted to endorse upon or attach *857 to the policy when issued a copy of the statement or statements contained in the application made by insured and relied upon by it to establish the alleged fraud.

The company insists that the requirements and limitations imposed in § 38.1-393 upon the use of insured’s statements in defense of a claim under the policy are qualified by the phrase, “in the absence of fraud,” and that the subsequent phrase, “that no such statement or statements shall be used in defense,” is applicable only “in the absence of fraud” and does not forbid proof of fraudulent statements made to induce the contract—fraud in the procurement—contained in an application that is not endorsed upon or attached to the policy.

We are reminded by Inez A. Donati that the statute is remedial, enacted for the benefit of the insured, and should be liberally construed to effect its evident purposes, which are to declare what shall constitute the contract between the insurer and insured and eliminate defenses available to the insurer unless the statements relied upon are made in the manner and incorporated into the contract in the mode prescribed. She then argues that when the character and purpose of the statute are kept in mind, it is evident that the phrase, “in the absence of fraud,” refers to and qualifies only that part of the statute which declares that all statements of insured shall be deemed representations and not warranties, and that the subsequent phrase, “no such statement or statements shall be used,” is clearly intended to forbid and is sufficient to preclude the use of statements in the application as a defense unless endorsed upon or attached to the policy.

Section 38.1-393 has not been applied or construed in any decisions of this court. In Gilley v. Union Life Insurance Co., 194 Va. 966, 76 S. E. 2d 165, the allegedly fraudulent statements were made by the beneficiary and not by the insured, and thus this section which applies only to statements of the insured was inapplicable.

It is apparent from the cases reported and discussed in 93 A. L. R. 374 that there is conflict in the decisions that construe and apply similar or like statutes. This conflict is also commented upon in 29 Am. Jur., Insurance, § 173, p. 192, and 44 C. J. S., Insurance, § 258 (b), p. 1043.

An examination of decisions on this subject discloses that some of the statutes provide that no representations or warranties made by insured shall be used as a defense to the policy unless contained in a written application while some provide that no statements con *858 tained in an application shall be used in defense against the policy unless attached to the policy. It should, however, be observed that the Virginia act goes further and is more stringent, for § 38.1-390 provides that no policy of the character here sued on “shall be delivered or issued for delivery in this state unless it contain in substance all of the provisions prescribed in” § 38.1-393. Then, in turn, § 38.1-393 not only requires that the statements be contained in a written application, but also forbids use of the statements in defense of a claim under the policy unless endorsed upon or attached to it. The provisions of these two interlocking sections are definitely indicative of an intent to restrict the insurer in the use of statements made by the insured in defense of a claim under the policy unless they be incorporated into the contract in the mode prescribed.

Statutes strikingly similar to § 38.1-393 are found in several of the states, i.e., Michigan, Louisiana, Minnesota, Tennessee, and in the decisions of the courts of those states construing and applying their statutes, it has been held that unless the application is endorsed upon or attached to the policy, the defense of fraud is not available to the company and cannot be used to defeat recovery under the policy.

In New York Life Insurance Co. v. Hamburger, 174 Mich. 254, 140 N. W. 510, the Michigan statute provided that every policy issued or delivered within the state by a life insurance corporation shall contain the entire contract and nothing incorporated therein by reference unless the same be endorsed upon or attached to the policy when issued.

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Bluebook (online)
114 S.E.2d 595, 201 Va. 855, 1960 Va. LEXIS 170, Counsel Stack Legal Research, https://law.counselstack.com/opinion/southland-life-insurance-company-v-donati-va-1960.