Ætna Life Insurance v. Conway

75 S.E. 915, 11 Ga. App. 557, 1912 Ga. App. LEXIS 103
CourtCourt of Appeals of Georgia
DecidedSeptember 30, 1912
Docket3705
StatusPublished
Cited by22 cases

This text of 75 S.E. 915 (Ætna Life Insurance v. Conway) is published on Counsel Stack Legal Research, covering Court of Appeals of Georgia primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Ætna Life Insurance v. Conway, 75 S.E. 915, 11 Ga. App. 557, 1912 Ga. App. LEXIS 103 (Ga. Ct. App. 1912).

Opinion

Pottle, J.

On February 4, 1909, William O. Conway made written application to the plaintiff in error for a policy of life insurance on his own life. The applicant was examined as to the condition of his health by the company’s physician, and on Feb[558]*558ruary 8, 1909, the policy was issued in favor of the wife of the insured as beneficiary. A few days after the policy was issued the company received information which aroused its suspicions in reference to the physical condition of the insured, and in May, after several efforts had been made by the company’s physician to obtain another examination, the insured was finally again examined by the physician. From this examination it developed that the insured was suffering with Bright’s disease, from which he died in September, 1909. As soon as the company ascertained that the insured had Bright’s disease, it tendered back the premium and demanded the surrender of the policy, for cancellation. The insured refused to comply with this demand, and after his death his widow brought suit upon the policy. The company defended xipon the ground that the insured had made material misrepresentations in his application and had wilfully concealed material facts which enhanced the risk, and that for these reasons the policy was void.

The application was copied in and made a part of the contract of insurance. The policy contained the following stipulation: “All statements made by the insured shall, in the absence of fraud, be deemed representations and not warranties, and no such statement shall avoid the policy or be used in defense to a claim under it, unless it is contained in the written application for this policy and copied hereon.” The following representations were made by the insured in his 'application: “I do hereby declare that I am in sound health and have no disease or ailment not fully set forth herein; that the statements and answers herein made (including those on the second page hereof) and signed by me are complete and true, and I agree that they shall form a part of the contract or policy issued by said company upon my life.” In the application the insured was asked to give the names and addresses of all the physicians whom he had consulted within the last five years. He answered that he had consulted none except Dr. J. B. Benson and Dr. G. W. Willett. He was further asked to state the particulars of each illness he had had during the last seven years, with the names of the attending physicians. His reply was as follows: “Jaundice 7 years ago, one month. Colic one day. (No gall-stone or kidney stone). Diabetic.” The insured was also asked, “Have you had any of the following diseases? Answer yes or no opposite [559]*559each.” To each of which the insured answered, “No,” as follows, to wit: “Habitual headache, no; liver complaint, no; neuralgia, mo,” etc. It is undisputed that during the summer of 1907 the insured was ill for several weeks. He was examined and treated by one physician, who diagnosed the disease as probably acute Bright’s disease. The symptoms were severe pains in the back, followed by lever, severe headache, and swelling of the eyes, face, and ankles, :and other parts of the body, and a loss of twenty-five pounds in weight. It is further undisputed that the statement of the insured that he had consulted no physician other than Drs. J. B. Benson and G. W. Willett was untrue, and that he had in fact consulted and been treated by four or five other physicians at various times. It was also shown that the answers of the insured, that he had never had habitual headache, liver complaint, and neuralgia, were untrue; that as a matter of fact, not a great while before the policy was issued, he had been treated by one physician for habitual headache, and that at other times he had also been treated for liver complaint and neuralgia.' The testimony of the experts indicates that these disorders are symptomatic of Bright’s disease. He was treated for habitual headache by Dr. Willett in 1908, and, while this physician was not positive that the insured had Bright’s disease at the time¿ the condition of the insured was ¡such as to indicate auto-intoxication, a symptom of kidney disease and an indication of Bright’s disease. Neither did the examination of this physician, nor the examination of Dr. Todd, the company’s physician, in 1909, disclose the presence of albumen in the urine, but the evidence is conclusive that a man might have Bright’s disease and the presence of albumen not be discovered upon an examination of the urine. In May, 1909, when Dr. Todd again examined the insured, he was in an advanced stage of Bright’s disease. There was testimony of expert physicians that this disease might develop within a few weeks, and there was also evidence of non-experts to the effect that at the time the policy was issued, the insured was a robust man and apparently in sound health.. While the evidence as a whole strongly points to the conclusion that the insured had Bright’s disease at the time the policy was issued, and probably for some time before, there was perhaps enough evidence for the jury to find that he was in sound health at the time of the issuance of the policy. The case was submitted to the jury and [560]*560they found for the plaintiff. The defendant’s motion for a new trial was overruled.

The law applicable to the issues raised in the case is found in the-following sections of the Code of 1910: “§ 2479. Every application for insurance must be made in the utmost good faith, and the representations contained in such application are considered as covenanted to be true by the applicant. Any variation by which the nature, or extent, or character of the risk is changed will void the policy.” “§ 2480. Any verbal or written representations of facts by the assured to induce the acceptance of the risk, if material,, must be true, or the policy is void. If, however, the party has nolmowledge, but states on the representation of others, bona fide, and so informs the insurer, the falsity of the information does not-void the policy.” “§ 4381. A failure to state a material fact,, if not done fraudulently, does not void; but the wilful concealment of such a fact, which would enhance the risk, will void the-policy.” “§ 2483. Wilful misrepresentation by the assured,, or his agent, as to the interest of the assured or as to other insurance, or as to any other material inquiry made, will void the-policy.” It is immaterial whether the statements made by the applicant for insurance were representations or warranties, since the-effect of such statements must be determined by the provisions of these sections of the code, without reference to whether the statements may be regarded technically as representations or as warranties. If the representations were untrue and the nature or extent or the character'of the risk was changed by the representations,, the policy was void under the express terms of § 2479. Any statement or representation, whether verbal or written, made to induce the acceptance of the risk, if material to the risk, must be true, or the policy is void under the express terms of § 2480, unless the-applicant informs the company that the statements are made upon hearsay and are also made in good faith. The wilful concealment of a material fact which tends to enhance the risk voids the policy, under the express terms of § 2481; and, under § 2483, a wilful misrepresentation in reference to any material inquiry will void the policy. In the case of a representation the important inquiry is: 1st. Was the representation false? 2d. If false, was it made in reference to-a matter material to the risk? In the case of a concealment of a fact, the important inquiry is: 1st. Was the con

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Bluebook (online)
75 S.E. 915, 11 Ga. App. 557, 1912 Ga. App. LEXIS 103, Counsel Stack Legal Research, https://law.counselstack.com/opinion/tna-life-insurance-v-conway-gactapp-1912.