State Farm Fire & Casualty Co. v. Car/Bil, Inc.

842 S.W.2d 128, 1992 Mo. App. LEXIS 1669, 1992 WL 314233
CourtMissouri Court of Appeals
DecidedNovember 3, 1992
DocketNo. WD 46071
StatusPublished
Cited by1 cases

This text of 842 S.W.2d 128 (State Farm Fire & Casualty Co. v. Car/Bil, Inc.) is published on Counsel Stack Legal Research, covering Missouri Court of Appeals primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
State Farm Fire & Casualty Co. v. Car/Bil, Inc., 842 S.W.2d 128, 1992 Mo. App. LEXIS 1669, 1992 WL 314233 (Mo. Ct. App. 1992).

Opinion

FENNER, Presiding Judge.

State Farm Fire & Casualty Company (State Farm) appeals an order of the trial court granting a judgment on the pleadings in favor of respondents Car/Bil, Inc. (Car/ Bil) and William E. Loftin in its action for [130]*130declaratory judgment arising from a claim for worker’s compensation benefits filed by William E. Loftin.

The facts giving rise to the litigation began on August 26, 1989, when State Farm issued a policy of worker’s compensation and employer’s liability insurance to Car/Bil. On August 21, 1990, Mr. Loftin sustained injuries while working with a horse owned by Car/Bil. Based upon his injuries, Mr. Loftin filed a claim for compensation with the Missouri Division of Workers' Compensation.

In its order, the trial court directed that the policy of insurance issued by State Farm to Car/Bil was valid and in full force and effect during its term of August 26, 1989 to August 26, 1990, and that State Farm was required to provide coverage and defense to Car/Bil with respect to any liability incurred by Car/Bil under the Workers’ Compensation Law during that time period.

The application for insurance is at issue on appeal. In its sole point on appeal, State Farm alleges that the trial court erred in entering judgment on the pleadings because material issues of fact are presented by the pleadings, namely, whether Car/Bil made material misrepresentations on its application for workers' compensation insurance regarding the type of business to be insured.

State Farm alleged in its petition for declaratory judgment that the policy of insurance was void ab initio because the application did not disclose a significant aspect of the business of Car/Bil, the employer-insured. On the application for insurance a question was asked regarding the “Type of Business” to be insured. In that space Car/Bil listed “Swimming Pool Plastering & Repairing & Stucco.” Additionally, on the second page of the application, in a section entitled “Underwriting,” the application asked, “Are there other operations conducted by the applicant?” and Car/Bil placed an X in the space labelled “No.”

It has been State Farm’s position that Car/Bil misrepresented its business on the application and failed to disclose that it was in the business of selling and displaying horses and because of this misrepresentation, the policy of insurance was void ab initio. To bolster its position, State Farm points to the claim form submitted by Mr. Loftin. On the claim form, in response to the question, “How Injury Occurred,” Mr. Loftin answered, “Working with horse, preparing for world show.” Additionally, on the reverse side of the claim form, in a space provided for “Additional Statements,” Mr. Loftin provided the following information:

We have been in the horse business for approximately 5 years. Our horses are used as a form of advertisement & exposure to people with the income for swimming pools. These horses are incorporated with our warehouse operation (Approx ⅛ of warehouse is horse stalls.) For example, we have built 4 pools in the last 2 years for horse people.
Our employees do not work with horses, just myself & my wife Carol. We do not rent stalls train or rent pasture or arena space. The main function as I said is exposure to potential customers who may want a swimming pool or stucco. At this time we are involved in a breeding operation, in the year 1990 to date we have sold five horses with the intent to sell three more. Although our main function is the construction of swimming pools — and stucco the horse business is very much a part of our corporate efforts.

Where a party moves for judgment on the pleadings, the allegations of the petition are considered true for the purposes of the motion. Main v. Skaggs Community Hosp., 812 S.W.2d 185, 186 (Mo.App.1991) (citation omitted). The question presented by such a motion is whether the moving party is entitled to judgment as a matter of law on the face of the pleadings. Id. Before a motion for judgment on the pleadings may be granted, all averments in all pleadings must show that there exists no material issue of fact and that simply a question of law is presented. Id.

As previously stated, it is State Farm’s position that the trial court erred in grant[131]*131ing judgment on the pleadings because material issues remain as to whether Car/Bil misrepresented the type of business in which it was engaged.

As between State Farm and its insured, Car/Bil, the doctrine of law applicable regarding misstatements in applications of insurance was first articulated by the Missouri courts in Houston v. Metropolitan Life Ins. Co., 97 S.W.2d 856, 860 (Mo.App.1936), wherein the court stated:

[Wjhere material representations made in an application for ... insurance are warranted to be true, or the policy is conditioned upon the truth of the representations, or provides that the falsity of the representations shall avoid the policy, then the representations, if in fact untrue, will avoid the policy, though the representations were innocently made.... But where there is no such warranty or provision in the policy a misrepresentation, in order to avoid the policy must have been fraudulently made.

To prove a fraudulent misrepresentation, the insurer must .demonstrate, among other things, that the insured knowingly made a false statement with the intent to deceive the insurance company. Continental Casualty Co. v. Maxwell, 799 S.W.2d 882, 888 (Mo.App.1990) (citation omitted).

An insurance company can also avoid a policy when the application, containing a material misrepresentation, is incorporated by reference into and attached to the policy. Id. “[TJhe insurance company [is required to] demonstrate that a representation is both false and material in order to avoid the policy when (1) the representation is warranted to be true, (2) the policy is conditioned upon its truth, (3) the policy provides that its falsity will avoid the policy, or (4) the application is incorporated into and attached to the policy. Otherwise, the insurance company must demonstrate that the representation in the application was false and fraudulently made in order to avoid the policy.” Id.

A review of the policy at issue here reveals no language incorporating the application by reference into the policy. Therefore, in order to avoid the policy, State Farm must demonstrate that the representation in the application, as to the type of business in which Car/Bil was engaged, was false and fraudulently made. Even though the circumstances presented did not demonstrate that the policy was void ab initio, so as to allow State Farm to avoid liability to the employee, the pleadings show there existed a material issue regarding the nature of the representations made by the employer, Car/Bil, in the application for insurance such that Car/Bil would not be entitled to judgment as a matter of law.

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Bluebook (online)
842 S.W.2d 128, 1992 Mo. App. LEXIS 1669, 1992 WL 314233, Counsel Stack Legal Research, https://law.counselstack.com/opinion/state-farm-fire-casualty-co-v-carbil-inc-moctapp-1992.