Spann v. Southern Life & Health Insurance

43 Fla. Supp. 191
CourtPalm Beach County Court
DecidedMarch 2, 1976
DocketNo. 75-500-CC
StatusPublished

This text of 43 Fla. Supp. 191 (Spann v. Southern Life & Health Insurance) is published on Counsel Stack Legal Research, covering Palm Beach County Court primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Spann v. Southern Life & Health Insurance, 43 Fla. Supp. 191 (Fla. Super. Ct. 1976).

Opinion

DANIEL T. K. HURLEY, Judge.

This cause came on for trial before the court and from the evidence and testimony adduced therein, the court makes the following —

FINDINGS OF FACT

1. On December 2, 1974, Angelo F. Aloia, a soliciting agent for defendant, Southern Life and Health Insurance Company, met with Rufus Carson for the purpose of completing an application for an industrial whole life insurance policy.

[192]*1922. On December 2, 1974, Carson was active and in apparent good health. Nonetheless, and unbeknown to him, he was afflicted with hepatic cirrhosis which resulted from chronic alcoholism.

3. On the policy application Carson answered in the affirmative the question whether he was then in good health and free from all disease. He answered in the negative the question, “Have you ever suffered from . . . alcoholism?”

4. Defendant’s agent could have required Carson to undergo a physical examination prior to the issuance of the policy. Based on his observations of Carson and considering the amount of the policy, the soliciting agent elected not to require a physical examination. Where an examination is not conducted, the company charges a higher premium which further reduces the risk.

5. Carson named the plaintiff, Verzel Spann, as the beneficiary of the policy.

6. The application was submitted to the home office of the defendant insurance company and was approved. Policy No. 13323297 was issued by Southern Life and Health Insurance Company on December 9, 1974, and Carson commenced paying the premiums thereon.

7. On December 9, 1974, the date of the issuance of the policy, Carson was active and in apparent good health. Nonetheless and unbeknown to him, he was afflicted with hepatic cirrhosis due to chronic alcoholism.

8. On February 24, 1975, the insured, Rufus Carson, died at the Veterans Administration Hospital in Miami, Florida. The cause of death was “hepatic cirrhosis and encephalopathy due to chronic alcoholism.” (Plaintiff’s Exhibit No. 1.)

9. The terms of the policy provide that defendant upon receipt of proof of death of the insured would pay the sum of $2,000 to the designated beneficiary.

10. Policy No. 13323297 was in full force and effect on the 24th day of February, 1975.

11. Plaintiff in this case has furnished the defendant proof of the insured’s death as required by the terms of the policy.

12. Defendant has failed and refused to pay the amount of money stipulated in the policy.

13. A reasonable attorney’s fee for the plaintiff is $2,000.

Based on the foregoing findings of fact, the court reaches the following —

[193]*193CONCLUSIONS OF LAW

I

MATERIAL MISREPRESENTATIONS

Defendant insurance company has based its denial of benefits in this case on two separate, independent grounds. The first is that the policy issued to Rufus Carson was induced by material misrepresentations made by Carson, viz. (1) that he was in good health, and (2) that he had never suffered from alcoholism. The company claims that both of these statements were false, that this information was material to acceptance of the risk assumed by Southern Life, and that the policy was issued in reliance upon the misrepresentations made by the insured.

The company cites Florida Statute 627.409 and the case of Life Insurance Company of Virginia v. Shifflet, 201 So.2d 715, 719 (Fla. 1967) for the proposition that a misrepresentation which is material to the acceptance of the risk will vitiate the policy irrespective of whether it is an innocent mistake or whether it is made with fraudulent intent — “We hold misrepresentations in an application for insurance, material to the acceptance of the risk, do not have to be made with knowledge of the incorrectness and untruth to vitiate the policy.”

The plaintiff responds to this contention by suggesting that the rigid Shifflet standard set forth above has been repudiated by the Florida Supreme Court in National Standard Life Insurance Company v. Permenter, 204 So. 2d 206 (Fla. 1967). There the court per curian discharged a writ for lack of jurisdiction. In a separate concurring opinion, however, with which a majority of the court agreed, Justice Ervin took the opportunity to state his views regarding the Shifflet decision. After expressing concern that the “pronouncement in Shifflet may be too sweeping in scope and might lend itself to application where literally to do so would work injustice,” Justice Ervin said —

“An incorrect statement in order to be material and vitiate a policy must be one by the insured in response to a question he understood or should reasonably have understood, or one which reasonably he could be expected to have sufficient information to answer or state he lacks knowledge to give a responsive answer.” ***
“Each siutation where an alleged misrepresentation or incorrect statement is advanced to vitiate a policy should be examined to determine whether under the particular circumstances the applicant reasonably could be held responsible for the incorrect statement and without fault on the part of the insurer.”

[194]*194The specific question of whether the Florida Supreme Court had narrowed its ruling in Shifflet was answered by the United States Court of Appeals for the Fifth Circuit in Hyman v. Life Insurance Company of North America, 481 F.2d 441, 444 (1973), where the court said, “The time has now come to answer that question, and we answer it affirmatively.” Florida courts have reached the same conclusion. See Travelers Insurance Company v. Zimmerman, 309 So.2d 569 (3d Fla. App. 1975).

In this case the evidence shows that the decedent, Rufus Carson, did not have any medical knowledge of his latent poor health. There was no evidence of prior consultations, hospital visits or examinations. Indeed, Carson had no suspicion of ill health. He had maintained steady employment requiring taxing manual labor. His friends regarded him as well and healthy and for that matter, so did defendant’s soliciting agent who visited with Carson on at least five different occasions prior to the issuance of the policy.

Set against this factual background, it would seem that the agent’s questions and Carson’s responses are the very kind of inquiry Mr. Justice Ervin had in mind when he wrote in Fermenter, supra, at page 207 —

“Think, for example, of the numerous situations in which an applicant is asked by the insurer or its agent to respond to questions which require, or call for in one way or another, statements that amount to matters of opinion or judgment. In such cases where an applicant responds to such questions, many times posed in series, his answers made in good faith and without intent to deceive should not automatically in all cases have the effect of voiding the policy should one or more turn out to be an erroneous experession of opinion or judgment.

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Related

Huffman v. STATE CAPITAL LIFE INSURANCE COMPANY
174 S.E.2d 17 (Court of Appeals of North Carolina, 1970)
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183 S.E.2d 132 (Supreme Court of Virginia, 1971)
Life Insurance Company of Virginia v. Shifflet
201 So. 2d 715 (Supreme Court of Florida, 1967)
National Standard Life Insurance Co. v. Permenter
204 So. 2d 206 (Supreme Court of Florida, 1967)
Gulf Life Insurance Company v. Green
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Travelers Insurance Co. v. Zimmerman
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Bluebook (online)
43 Fla. Supp. 191, Counsel Stack Legal Research, https://law.counselstack.com/opinion/spann-v-southern-life-health-insurance-flactyct50-1976.