United Benefit Life Ins. Co. v. Schott, Etc.

177 S.W.2d 581, 296 Ky. 789, 150 A.L.R. 1359, 1943 Ky. LEXIS 168
CourtCourt of Appeals of Kentucky (pre-1976)
DecidedNovember 3, 1943
StatusPublished
Cited by8 cases

This text of 177 S.W.2d 581 (United Benefit Life Ins. Co. v. Schott, Etc.) is published on Counsel Stack Legal Research, covering Court of Appeals of Kentucky (pre-1976) primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
United Benefit Life Ins. Co. v. Schott, Etc., 177 S.W.2d 581, 296 Ky. 789, 150 A.L.R. 1359, 1943 Ky. LEXIS 168 (Ky. 1943).

Opinion

Opinion of the Court by

Van Sant, Commissioner

—Affirming.

The appeals are from judgments in favor of Elise Frye Schott, appellee, in her two separate actions which were tried together on the same testimony and before the same jury, upon (1) a Two Thousand Dollar ($2,000) life insurance policy issued by appellant, United Benefit Life Insurance Company (hereinafter called United Life), and (2) a Two Thousand Dollar ($2,000) accident and health policy issued by Mutual Benefit Health and Accident Association (hereinafter called Mutual Health). The insured was the son of Mrs. Schott, and met his death on July 21, 1940, from a gunshot wound. The policies were issued at the same time, upon a combination application. The United Life policy provided' for payment of the benefit in a lump sum, upon the death of the insured. The Mutual Health policy provided for payment of the benefit in a lump sum upon the accidental death of the insured. Both policies provided that the Companies should not be liable in the event death should be caused by suicide. In the United Life Policy, the provision excluding suicide was contained in a clause separate from the clause providing for in *791 demnity, whilst in the Mutual Health policy the words excluding suicide were contained in the clause provid-, ing for the indemnity. In the application for the policies, Schott represented (1) that his habits were correct and temperate, and (2) that his average monthly earnings were Seventy-Five Dollars ($75). Both Companies denied liability on the ground that Schott had committed suicide, and had made false answers in the representations aforesaid in his application. Upon their refusal to pay the indemnity provided for, Mrs. Schott filed the separate actions. The answers in both cases affirmatively pleaded that Schott had represented that his average monthly earnings were Seventy-Five Dollars ($75), whereas in truth they were not in excess of Fifty Dollars ($50) per month. The Court sustained a demurrer to this part of the answers. "When the cases were called for trial, the parties jointly asked the Court to fix the burden of proof. The Court placed the burden on the defendant in each case; thereupon, both parties agreed, with the consent of the Court, to try the cases together, on the same evidence, and before the same jury. The jury rendered a verdict in favor of the plaintiff in each case.

Complaint is made, (1) that the Court erred in sustaining the demurrer referred to above; (2) that the Court erred in adjudging that the burden of proof on the whole case was upon the Mutual Health; (3) that the Court erred in ordering both Companies to furnish the plaintiff the names of all the witnesses they proposed to use at the trial; (4) that the Court erred in refusing to strike from the record, and instruct the jury not to consider, the testimony of witnesses based upon their own inspection of the seat cover of Schott’s automobile, concerning the location of the bullett’s entry, exit, and its range through the seat cover; and (5) that the Court erred in not directing the jury peremptorily to return a verdict in favor of each of the defendants.

The Mutual Health policy provided for indemnity, in the event of illness causing total disability and total loss of time, in the amount of Fifty Dollars ($50) per month. KRS 296.160 provides: “All statements or descriptions in any application for a policy of insurance shall be deemed and held representations and not warranties. Misrepresentations, in an application, unless they are material or fraudulent, shall not prevent a re *792 covery on the policy.” This section has been construed in many cases by this Court, in all of which we have held that the misrepresentation must be fraudulent or one material to the risk under which indemnity is sought; and, if the misrepresentation is in respect to a risk assumed by the company in the issuance of the policy, but upon which no claim has been asserted, the company will be held liable on the risk which was not materially affected by the misrepresentation. Eetna Life Ins. Co. v. Claypool, 128 Ky. 43, 107 S. W. 325; Claypool v. Continental Casualty Co., 129 Ky. 682, 112 S. W. 835; Ford v. Commonwealth Life Ins. Co., 252 Ky. 565, 67 S. W. (2d) 950; and Pacific Mutual Life Ins. Co. v. Arnold, 262 Ky. 267, 90 S. W. (2d) 44. In the Eetna case, supra [128 Ky. 43, 107 S. W. 327], the insured misrepresented his weekly earnings. The policy provided for weekly indemnity for total disability; it additionally providéd indemnities in lump sums in the event of death, or the loss of certain members of the body, among which was the right hand, which constituted the loss sued on. In discussing the misrepresentation in respect to the weekly earnings of the claimant, the Court said: “The representation of the insured in regard to his weekly earnings was immaterial to the risk upon which this action was based. The policy, as said before, is a combination accident insurance policy. * * * Now, it is manifest that the representations in regard to the weekly earnings of the insured have no reference to his right to'recover for the accidental loss of life or limb, for which a round sum was payable, but are only material to the question of weekly indemnity. It was to the interest of the company to remove from the insured all temptation to prolong unnecessarily his absence from his vocation under the indemnity clause of the policy, and therefore, as a business proposition, it would seek to limit the weekly indemnity to a sum less than the insured would make if at his business. In the case at bar the insured was entitled, under the policy sued an, to the round sum of $2,500, but no weekly indemnity whatever. Therefore the indemnity clause of the policy has no material bearing upon the accident sued on.” We are of the opinion that the reasoning contained in that, and other opinions above cited, is sound and should be continuously adhered to. We would not be understood to hold that in no state of case would the amount of the insured’s earnings not be material *793 to the risk upon which the claim is based, because the company would be entitled to sufficient facts to determine whether the insured could fulfil the obligation imposed upon him by the contract, viz., the payment of the premiums. The premium for the combined policies amounted to approximately Six Dollars ($6) per month, and it is inconceivable that a person even making Fifty Dollars ($50) per month could not afford to carry these policies; or that the Companies would have rejected the application, had it contained a statement of the amount of monthly wage which the Companies alleged the insured was earning. The opinion in Provident Savings Life Assur. Society v. Whayne’s Adm’r, 131 Ky. 84, 93 S. W. 1049, 1051, is not at variance with this reasoning, but, on the contrary, is consonant with it. The misrepresentations in that case were concerning different-matters than the misrepresentation in this case, and the Court held that they were material to the risk imposed by the contract. G-reat reliance is made upon a single sentence in that case: “Nor is it material whether the misrepresentation caused the loss or not.” But we see no connection that that statement can possibly have with the facts of this case. It certainly could not be maintained that a misrepresentation of the insured in respect to his monthly earnings caused the loss (death) for which appellee seeks to recover.

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Cite This Page — Counsel Stack

Bluebook (online)
177 S.W.2d 581, 296 Ky. 789, 150 A.L.R. 1359, 1943 Ky. LEXIS 168, Counsel Stack Legal Research, https://law.counselstack.com/opinion/united-benefit-life-ins-co-v-schott-etc-kyctapphigh-1943.