Ætna Life Insurance v. Paul

10 Ill. App. 431, 1881 Ill. App. LEXIS 280
CourtAppellate Court of Illinois
DecidedJanuary 19, 1882
StatusPublished
Cited by11 cases

This text of 10 Ill. App. 431 (Ætna Life Insurance v. Paul) is published on Counsel Stack Legal Research, covering Appellate Court of Illinois 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. Paul, 10 Ill. App. 431, 1881 Ill. App. LEXIS 280 (Ill. Ct. App. 1882).

Opinion

Bailey, J.

It is manifest from the character of the verdict in this case, that the jury intended to award the plaintiff the full amount of the premiums paid by him on all the policies of insurance issued to him by the defendant, together with interest thereon, and the question arises whether such verdict is sustained by the evidence.

The general rule of law applicable to the right of the assured to a return of premiums paid is, that where neither party is chargeable with fraud, and the contract is not against law or good morals, the assured may, in the absence of express stipulations on the subject, recover back his premiums where the risk has not been commenced, or where the contract is void ab initio. But where the risk is entire, and has once commenced to run, though it be for ever so short a period, there can be no apportionment or return of the premium.

In cases of fraud, it has always been held that the premium must be returned whenever the policy is rendered void by reason of the fraud of the insurer. Thus, for example, where the insurance was made on a certain voyage “ lost or not lost,” when the insurer, at the time he entered into the contract, privately knew that the ship was arrived safe, he was held to be bound to restore the premium. Carter v. Boehm, 3 Burr. 1909. At one time, however, the decisions of the English courts were somewhat fluctuating as to whether the assured was or was not entitled to a return of premium, where the contract was rendered void ab initio by his own fraud. It was contended that, as the insurer received the premium in consideration of his taking upon him self the risk mentioned in tlie policy he could have no right to retain it, if no risk was run; and however improperly or unfairly the assured may have conducted himself, that would not furnish a new consideration to the insurer to be substituted in place of that expressed in the policy, so as to enable him to retain the premium. Wittenham v. Thornbrough, 2 Vern. 206; De Costa v. Scanderet, 2 P. Wms. 170; Wilson v. Ducket, 3 Burr. 1361. But the impolicy as well as the injustice of this view was pointed out by Lord Mansfield, in a case tried before him in 1785, and not long afterwards the contrary doctrine was settled by the court of King’s Bench. Tyler v. Horne, cited in Park on Ins. 218; Chapman v. Kennett, Id. The rule thus established by the King’s Bench, has ever since that time prevailed in England, and has been adopted without any material dissent in this country. Freismuth v. Agawam Hut. Fire Ins. Co. 10 Cush. 587. It is, that where a policy is void by reason of fraudulent misrepresentations or concealments on the part of the assured, the premiums can not be recovered back.

For a full discussion of the foregoing principles, the following authorities may be consulted: 2 Marsh. on Ins. Chap. 16; 2 Arnould on Ins. Chap. 11; Park on Ins. 215; Hughes on Ins. Chap. 16; Ellis on Fire and Life Ins. 24, 153; May on Ins. Sec. 567; 2 Phillips on Ins. Chap. 22; Bliss on Life Ins. Sec. 423; Flanders on Ins. 154.

Of the policies of insurance in question in this case, the first three were issued on an application which represented the plaintiff as being in good health, except that in the certificate of the medical examiner it appeared that he was then afflicted with hemorrhoids. So far, then, as that particular disorder was concerned, there was no misrepresentation or concealment, and the policies were issued with full knowledge of the condition of his health in that respect. The only evidence in the record as to his health at that time, apart from the application itself, and the ‘plaintiff’s mere statement in his testimony, that he was in poor health, is to be found in his letter of October 16, 1874, offered in evidence by the defendant; and it is difficult to see that the letter, so far as it applies to that period, discloses any sickness or disease beyond a severe attack of hemorrhoids. It is furthermore asserted in the letter, that when the application was made, the plaintiff gave to Talbott, the defendant’s agent, a correct statement of his condition, and told him that he did not believe that in his situation any company would insure him; and it also appears, at least inferen tially, thatTalbott, after recovering such information, drew up the application, and the plaintiff, supposing he had correctly stated the facts as disclosed to him, signed the application without reading it.

It thus appears that these three policies were valid, and not subject to avoidance by reason of any misrepresentation or concealment on the part of the plaintiff. The only disease from which the plaintiff was then suffering was disclosed in the application; or even if the plaintiff’s letter should warrant a different conclusion, it appears that the condition of his health was fully disclosed to the company’s agent, who was trusted to draw up the application, and who drew it up without inserting all the facts communicated to him by the plaintiff. A policy of insurance can not be avoided by the insurer on the ground of facts which were known to the agent who made the survey and filled up the application, and omitted to insert them therein. Atlantic Ins. Co. v. Wright, 22 Ill. 463; see, also, Commercial Ins. Co. v. Spankneble, 52 Id. 53; Lycoming Ins. Co. v. Barringer, 73 Id. 230; Reaper City Ins Co. v. Jones, 62 Id. 458.

The facts in relation to the §10,000 policy are essentially different. That policy was taken out something more than seven years after the date of the first application, and it does not appear that at that time the plaintiff made any disclosures in relation to his health, save what are embodied in the application then made. In that, his health is represented as good in every respect. The existence of each of the. diseases as to which inquiry is made is specifically denied, and to the question whether, during the preceding seven years, he had been afflicted with any severe sickness or disease, he answered, “had piles from ’65 to ’69—that is all.” That these representations were untrue, and that he was not only still suffering from hemorrhoids, but also from a complication of other disorders which were likely to shorten the period of his life, is abundantly shown by his letter. The statements of the letter stand entirely uncontradicted and unexplained, and no attempt appears to have been made to show by evidence what is claimed in argument, that they were untrue in fact,.and only the creation of the plaintiff’s morbid imagination.

Nor can it be held that the disclosures made to Talbott in 1866, were notice to the defendant of the condition of the plaintiff’s health in 1874. The interval, it may be presumed, was sufficient for the eradication of all curable diseases, and the plaintiff’s application made in 1874, represented in effect that he had recovered from the disease under which he was suffering at the date of his former policies.

It can not be doubted, we think, that the defendant’s refusal to accept the premium on the $10,000 policy when due, and its instruction to its agent to receive no morp premiums thereon, was an avoidance of the policy, so far as the defendant had any right or power to avoid it, and the plaintiffs right to recover back the premiums paid, depends upon whether such avoidance was wrongful. McKee v. Phoenix Ins. Co. 28 Mo. 383. If no proper ground for such avoidance existed, then the plaintiff was at liberty to treat the contract as at an end, and recover back all the money paid under it.

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Bluebook (online)
10 Ill. App. 431, 1881 Ill. App. LEXIS 280, Counsel Stack Legal Research, https://law.counselstack.com/opinion/tna-life-insurance-v-paul-illappct-1882.