Ætna Life Ins. v. Hub Hosiery Mills

170 F.2d 547, 1948 U.S. App. LEXIS 2689
CourtCourt of Appeals for the First Circuit
DecidedNovember 8, 1948
DocketNo. 4368
StatusPublished
Cited by3 cases

This text of 170 F.2d 547 (Ætna Life Ins. v. Hub Hosiery Mills) is published on Counsel Stack Legal Research, covering Court of Appeals for the First Circuit primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Ætna Life Ins. v. Hub Hosiery Mills, 170 F.2d 547, 1948 U.S. App. LEXIS 2689 (1st Cir. 1948).

Opinion

WOODBURY, Circuit Judge.

This is an appeal from a judgment entered for the defendants in an action brought for the cancellation and surrender of a policy of insurance issued by the plaintiff on the life of the defendant Traverse, paid for by the defendant Hub Hosiery Mills (the beneficiary named in the policy), and assigned to the defendant Union National Bank as collateral security for a loan. Federal jurisdiction rests upon diversity of citizenship and amount in controversy.

The following facts are not in dispute. On August 13, 1946, Traverse, an executive officer of Hub Hosiery Mills, made application to the plaintiff for term insurance in the face amount of $40,000. In his application Traverse stated that he had never sought medical advice, for nor suffered from any of a number of enumerated diseases and ailments, or any other disease, [549]*549illness or injury not mentioned; that no one had ever claimed to have found albumin, casts, pus, blood or sugar in his urine; that he had never been an inmate of any hospital or sanitarium, and that he had last consulted a physician in August, 1941, for an infected foot, from which “there are no present residuals.” At that time he was examined by the plaintiff’s local medical examiner who found nothing physically wrong with him and found neither albumin nor sugar in his urine. The medical examiner submitted his report to the plaintiff at its home office with a specimen of Traverse’s urine, an analysis of which in the plaintiff’s laboratory disclosed neither albumin nor, sugar.

On the basis of the foregoing the plaintiff issued a policy in the form applied for and on August 23, 1946, that policy was delivered to another executive officer of Hub Hosiery Mills, who at the time was attending a meeting with the former owners of that corporation consummating a transaction whereby he and Traverse acquired the entire interest in it. The corporation as the named beneficiary and owner of the policy paid the first premium on it at the time of delivery, and immediately upon delivery it was assigned to the defendant bank as collateral security for a loan.

Traverse was not present at the meeting at which he became one of the two new owners of the Hub Hosiery Mills, albeit a minority stockholder, and at which the policy of insurance here involved was delivered. Instead he was in a hospital which he had entered the day before for the purpose of having a “check-up” on his health. The reason for his having a check made on his health instead of attending the meeting, which must have been important to him, is as follows:

On June 26,-1946, Traverse had had an attack of “chills” while at work in his yard. He lay down on a couch in his house for a short time without undressing, and then feeling better he resumed his out-door work. On that occasion his wife, without his knowledge, consulted a physician over the telephone about his condition. The physician did not call, however, and apparently did not prescribe any treatment. Then on August 22, 1946, the day before the policy was delivered, Traverse experienced another “chill” while at work at the Hosiery Mills. He went home and at his wife’s request summoned a physician who called to examine him. The physician, being unable to determine the cause of the “chill”, suggested a three day hospital check-up, and about 2 p. m. on the same day Traverse entered a local hospital where he submitted to a variety of tests in an effort to diagnose his condition. A test for sugar in his urine was made early in the morning of August 23, which was positive. Upon discovering that Traverse had eaten a pound of candy the afternoon or evening before, a repeat test was immediately made, which was negative, and no urine or other test for sugar was made during the remainder of his stay in the hospital. Without any medication Traverse’s temperature decreased progressively from 100 degrees on admission to 98.6 degrees at 5 a. m. on August 23, where it remained thereafter. Traverse was discharged on August 24, the hospital record showing his condition at that time to be “well”, and the final diagnosis to be “No disease”. Traverse did not notify the plaintiff of his “chill” on August 22, or of his entry into the hospital, nor did his fellow executive tell the agent of the plaintiff who delivered the policy anything about either Traverse’s physical condition or whereabouts at the time of delivery, although he knew of Traverse’s “chill” and also of his visit to the hospital.

Some time after the delivery of the policy the plaintiff learned of Traverse’s hospitalization and requested Traverse to undergo a blood test for sugar tolerance. Traverse complied and the test indicated that he had diabetes. He has remained a mild or borderline diabetic ever since.

There is and can be no question that Massachusetts law controls and that the applicable statute, Mass.Gen.Laws (Ter.Ed.) Ch. 175, § 186, provides: “No oral or written misrepresentation or warranty made in the negotiation of a policy of insurance by the insured or in his behalf shall be deemed material or defeat or avoid the policy or prevent its attaching unless such misrepresentation or warranty is made with actual intent to deceive, or unless the matter misrepresented or made a warranty increased [550]*550the risk of loss.” Neither is it nor can it be disputed that the application contained the provision that “No * * * policy shall become effective until the first premium upon it is paid during the good health of the insured.” Nor is it contended that the court below misunderstood the law. The plaintiff-appellant’s contention is that the findings made are not supported by the evidence. It says specifically that the court below fell into clear error in finding as ultimate facts1 (1) that Traverse’s failure to ■notify the plaintiff of what transpired on August 22, although amounting to misrepresentations of material facts in the application for insurance, which speaks as of the date of delivery of the policy issued pursuant thereto, where neither misrepresentations made with actual intent to deceive, nor misrepresentations of matters which increased the risk of loss, and (2) that Traverse had not been shown to have had diabetes on or prior to August 23, 1946, the date of delivery of the policy. We do not agree with this challenge to the findings.

Insurance contracts are not to be construed with absolute literalness. They are to be construed as ordinary persons in the situation of the contracting parties would construe them, and so construed there can be no doubt, indeed the plaintiff-appellant concedes, that the representations as to past health contained in the application do not have reference to every temporary and minor deviation from complete physical well being, such as a cold in the head or a splinter in the finger, although, of course, a cold in the head can have serious pulmonary complications and a splinter in the finger can be the cause of tetanus or serious infection.

So construed, and assuming that silence with respect to illness or injury occurring between the date of application for a policy of insurance and the date of delivery and payment of the first premium on the policy issued thereon is tantamount to a false statement in the application,2 we cannot say that the insured’s failure to report the chill which he sustained on August 22 amounted to a misrepresentation of a material fact made with an actual intent to deceive, or to a misrepresentation of a matter which increased the risk of loss.

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Ayers v. Massachusetts Blue Cross, Inc.
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Bluebook (online)
170 F.2d 547, 1948 U.S. App. LEXIS 2689, Counsel Stack Legal Research, https://law.counselstack.com/opinion/tna-life-ins-v-hub-hosiery-mills-ca1-1948.