Union Trust Co. v. Kansas City Life Insurance

197 F. Supp. 471, 1961 U.S. Dist. LEXIS 3483
CourtDistrict Court, D. Maryland
DecidedJuly 31, 1961
DocketCiv. A. No. 11959
StatusPublished
Cited by4 cases

This text of 197 F. Supp. 471 (Union Trust Co. v. Kansas City Life Insurance) is published on Counsel Stack Legal Research, covering District Court, D. Maryland primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Union Trust Co. v. Kansas City Life Insurance, 197 F. Supp. 471, 1961 U.S. Dist. LEXIS 3483 (D. Md. 1961).

Opinion

R. DORSEY WATKINS, District Judge.

Plaintiff, as Trustee of the Trust Estate of Raymond Kent Tongue, Jr.,1 deceased, brought suit against the defendant in the Superior Court of Baltimore City for the commuted value of a policy issued by defendant on October 2, 1957 on the life of Tongue. The case was removed to this court, where it was tried to a jury. At the close of all the evidence, defendant filed a motion for a directed verdict, on which the court reserved decision (F.R.Civ.P. 50(b), 28 U.S.C.A.), although expressing a strong tentative reaction that the motion was meritorious. The jury found for the plaintiff in the amount claimed. Defendant promptly filed a motion for judgment, n. o. v. or in the alternative for a new trial, on which oral argument was-heard.2

Defendant’s Contentions.

Defendant contends (1) that at the time of the acceptance of the application of Tongue, and at the time of the delivery of the policy to him, he was not in good health, in violation of a condition precedent to validity incorporated in the application and the policy; and (2) that Tongue made false statements in the application which “materially affected either the acceptance of the risk or the hazard assumed by the insurer.” Maryland Code of Public General Laws, 1957 Edition, Article 48A, section 173.

Facts.

Most of the evidence is uncontradicted. Insofar as any conflict exists, it is herein resolved in plaintiff’s favor. Chronology is significant, and in general is followed.

On July 18, 1957, after consultation with his attorney and a trust officer of plaintiff, Tongue executed a trust agreement to cover the proceeds of his five then outstanding life policies. He was advised that in view of his asset-liability position, and the prospective purchase of a small office building, he should increase his insurance coverage.

[473]*473On July 25, 1957, Tongue, pursuant to an arrangement made by him, consulted Dr. William Garis, the Tongue “family physician”, but whose specialty was cardiology. Tongue complained that during the past month he had had half a dozen instances of tightness across the chest; he experienced difficulty in breathing when playing the first one or two holes of golf, particularly if he played just after lunch, but that he did not have to stop; the sensation wore off by the third hole. Tongue asked for an EKG (electrocardiogram) and a “heart check.” Dr. Garis testified that his “obvious impression” was that these complaints were suggestive of heart involvement ; of angina pectoris.

Dr. Garis gave Tongue a general physical examination, including fluoroscopy, with essentially negative results. The resting EKG was also within normal limits. Dr. Garis then took a “double Masters” 3 E K G, in certain portions of which he noted what he interpreted as distinct changes in certain of the waves “favoring cardiac insufficiency”; abnormality or disease. He further testified that the readings were suggestive of an involvement of the anterior (front) heart muscles. The readings were “on the border line of definite coronary insufficiency.” As a result of the history and examination, Dr. Garis without question “leaned toward the probability of heart disease”; it was his “impression” that Tongue had coronary artery sclerosis. This was not sufficient for an “absolute diagnosis”, but it was his “working diagnosis.” 4

Dr. Garis wished for a further check, and had Tongue make an appointment with Dr. Frank W. Davis, Jr., for a “bal-listo” cardiogram.5 This was taken on August 2, 1957, and a written report and copy of the tracing were sent by Dr. Davis to Dr. Garis. On August 7, 1957, Dr. Garis reviewed the problem with Tongue, telling him that the combination of his history and the E K G’s and bal-listo-cardiogram “favored the probability of coronary artery disease and angina; that this was not an absolute diagnosis and the complaints could be due to other causes”, but the “weight of the evidence” favored this, Garis’ first impression. He suggested “common sense and limitation according to symptoms.”

Tongue asked Dr. Garis, in view of the possibility Dr. Garis had expressed, not' to tell Tongue’s family either of Tongue’s visits or of the discussion. Tongue’s parents were up in years; his wife had just had their first child and was nervous, and he did riot want to worry them.

On August 15, 1957, after three conferences with the trust officer and Tongue’s father (an insurance agent for many years), it was decided that an additional policy for $50,000 would be desirable.

In connection with an application for additional insurance in the amount of $50,000, with certain payment provisions dependent upon date of death, Tongue was examined on August 31, 1957 by Dr. T. C. Siwinski and on September 5, 1957 by Dr. A. Allan Spier. In each of the interviews his answer was “yes” to the question “Are you now in good health?”

Part II of each application contained certain questions, propounded by the examiner and answered by Tongue, the [474]*474answers being recorded and then signed by Tongue. Questions 5 and 6, and the answers thereto, chiefly are relied upon, They are as follows: 6

“ ‘5. Have you ever suffered from any ailment or disease of
A. # # #
B. Heart, Lungs?
No.
C. ^ #
D. Skin, Middle Ear, Eye, Nose, Throat?
Yes. Name of ailment, etc: Allergic Rhinitis. No. of attacks : Yearly Results, etc: Under Treatment 6-8 years. Noticeable improvement.’ ”
«<g A * * #
g * * *
C. Have you ever had any accident or injury?
No.
D. Have you ever undergone any surgical operation?
Yes. Name of ailment, etc: T & A Date: 1923 Results, etc: No complications. Name of ailment, etc: Submucous Resection Date: 1951. Results, etc: No complications.
E. Have you ever consulted or been examined or treated by, or under the care of any physician, healer or medical practitioner?
Yes. Name of ailment, etc: Allergic Rhinitis. Results, etc: Dr. W. Winken-werder, 1114 St. Paul St. #2.’ ”

[475]*475Dr. Siwinski was certain that Tongue made no disclosure as to consultation with Dr. Garis or Dr. Davis; had Siwin-ski known of such consultations, he would have questioned Tongue as to the reasons, and have entered the answers under 6 E.

Dr. Spier testified that if Tongue had said anything about substernal chest tightness or consultation he would have put it down without attempting to interpret; and would probably have qualified the answer he made as to apparent good health. Specifically, Dr. Spier testified that if he had been told of the visits to Dr. Garis in July and August, and to Dr. Davis in August, this would have been recorded.

Dr.

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197 F. Supp. 471, 1961 U.S. Dist. LEXIS 3483, Counsel Stack Legal Research, https://law.counselstack.com/opinion/union-trust-co-v-kansas-city-life-insurance-mdd-1961.