Tsosie v. Foundation Reserve Insurance Company

427 P.2d 29, 77 N.M. 671
CourtNew Mexico Supreme Court
DecidedMay 1, 1967
Docket8137
StatusPublished
Cited by40 cases

This text of 427 P.2d 29 (Tsosie v. Foundation Reserve Insurance Company) is published on Counsel Stack Legal Research, covering New Mexico Supreme Court primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Tsosie v. Foundation Reserve Insurance Company, 427 P.2d 29, 77 N.M. 671 (N.M. 1967).

Opinions

OPINION

MOISE, Justice.

On February 10, 1964, defendant insurance company issued its policy insuring a 1959 Chevrolet pick-up truck owned by plaintiff-appellee against loss exceeding $100.00 on ‘ account of collision or upset. The policy term was for one year from its date.

On or about May 17, 1964, the insured vehicle was involved in an accident while being driven by plaintiff and was seriously damaged. A claim having been made by plaintiff, the defendant denied liability asserting that the issuance of the policy had been induced'by fraud.

The court made the following findings in connection with the dealings between the parties:

“3. That defendant’s agent, Jim 'Hum;. asked plaintiff certain questions at the time of the issuance of the policy which questions were answered verbally by the plaintiff and were then reduced to writing by the defendant’s agent, Jim Hum.
“4. That defendant’s agent, in reducing the plaintiff’s answers to writing did not accurately or completely reduce plaintiff’s answers to writing.
“5. That plaintiff gave to defendant substantially accurate answers to questions asked by defendant’s agent and gave a substantially accurate driving history to defendant.
“6. That the questions were asked and answers given for the sole purpose of determining the amount of premium to be charged for the policy and no actual reliance was placed' thereon by defendant, in issuing the policy.
“7. That plaintiff, in answering the questions of the defendant, had no intention of deceiving the said defendant or its agent.”

The court concluded that plaintiff had not been guilty of actionable fraud and that the policy of insurance was in effect and insured plaintiff against the damages to his pick-up.

Defendant appeals and attacks findings 5, 6 and 7, quoted above. It is defendant’s position that when defendant’s agent asked plaintiff whether his driver’s license had been revoked or suspended within the preceding three years; plaintiff replied in the negative, whereas in fact the license had been suspended for one year on March 18, 1963, and that finding No. 5 of the court that plaintiff’s answers in the application were substantially accurate was accordingly not supported by the evidence.

Next, defendant attacks, as not supported by substantial evidence, finding No. 7 that plaintiff did not intend to deceive defendant or its agent. It is defendant’s position that since plaintiff certainly knew of his license suspension, any assertion by him to the contrary which induced defendant to issue the insurance for which he was applying was fraud and the intention of plaintiff not to deceive is immaterial, citing Ham v. Hart, 58 N.M. 550, 273 P.2d 748 (1954) and Bennett v. Finley, 54 N.M. 139, 215 P.2d 1013 (1950).

Defendant further contends that the court erred in its finding No. 6, supra, and argues that the fact the inquiry concerning suspension of the driver’s license was only for the purpose of arriving at the correct premium rate made the false answer no less material than if it had influenced the actual acceptance of the risk. .

We are impressed that the issue which we are here called upon to determine .is whether or not the failure of plaintiff to advise that he. had no driver’s license, it hav-> ing been revoked, was'a misrepresentation as to -a- fact material to the insurer’s decision to accept.the risk, or in its appraisal of

the degree or character of the risk involved, or in fixing the rate of premium. Wallace v. World Fire & Marine Ins. Co., 70 F. Supp. 193 (S.D.Cal.1947) aff’d 166 F.2d 571 (9th Cir. 1948) ; Maryland Indem. & Fire Ins. Exch. v. Steers, 221 Md. 380, 157 A.2d 803 (1960) ; Fidelity & Cas. Co. of New York v. Middlemiss, 103 Utah 429, 135 P.2d 275 (1943); Inter-Ocean Ins. Co. v. Plarkrader, 193 Va. 96, 67 S.E.2d 894 (1951). We recognize the correct rule of law applicable in insurance cases to be no different than we apply in other mercantile transactions as announced in Ham v. Hart, supra, and Bennett v. Finley, supra. See 12 Appleman, Insurance Law and Practice § 7294 (1943) ; Ivory v. Reserve Life Ins. Co., 78 S.D. 296, 101 N.W.2d 517 (1960).

The difficulty with defendant’s position arises out of the fact situation presented. As already noted, in finding No. 3 the court found that defendant’s agent did not accurately reduce plaintiff’s answers to writing. This finding is not attacked. There is testimony that the agent was told by- the plaintiff that he had been refused insurance; that he had been cited for reckless driving, driving while intoxicated, and reckless driving while participating in a speeding contest; that he had been involved in an accident with his employer’s car. He signed the application for insurance, in blank, and also signed a "supplementary rating statement” which was not properly completed by defendant’s agent, as' required by defendant thereby not conveying any information. Moreover, the “declarations” in the policy do not conform to what plaintiff testified he told defendant’s agent in response to his questions. In addition to the exceedingly bad driving record which plaintiff testified he detailed to defendant’s agent, the only item which admittedly he did not tell about was the revocation of his driver’s license. There is nothing in the record to indicate the materiality of this single item. Plaintiff stated he had been cited for driving while intoxicated for which the penalty upon conviction is mandatory revocation of the driver’s license (See N.M.Stat.Ann. § 64-13-59 (Repl. I960)). It does not appear that any additional inquiry was made as to whether plaintiff had been convicted, or concerning .the penalty imposed. Even though it is claimed that a truthful answer would have altered the premium, no assertion is made that the policy would not have been written but, to the contrary, it would have been. Nor does it appear that any note was taken of, or the premium increased because of, any of the plaintiff’s other violations except one of reckless driving or careless driving for which a fine of over $25.00 was paid.

Aside from any question which may be present as to the effect of the failure of defendant’s agent to make further inquiry to avoid being misled (Columbian Nat’l Life Ins. Co. v. Rodgers, 116 F.2d 705 [10th Cir. 1940] cert. denied, 313 U.S 561, 61 S. Ct. 838, 85 L.Ed. 1521 [1941]) the-agent’s disregard of the information that was given could properly be considered by the court in determining the issue of materiality and reliance.

It is not dear that if the agent had been 'told that plaintiff’s license had been suspended any different premium would have been charged. The uncertainty arises bé- .

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427 P.2d 29, 77 N.M. 671, Counsel Stack Legal Research, https://law.counselstack.com/opinion/tsosie-v-foundation-reserve-insurance-company-nm-1967.