Vulcan Life Accident Insurance Co. v. Standifer

97 So. 2d 568, 266 Ala. 246, 1957 Ala. LEXIS 556
CourtSupreme Court of Alabama
DecidedJune 20, 1957
Docket6 Div. 827
StatusPublished
Cited by8 cases

This text of 97 So. 2d 568 (Vulcan Life Accident Insurance Co. v. Standifer) is published on Counsel Stack Legal Research, covering Supreme Court of Alabama primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Vulcan Life Accident Insurance Co. v. Standifer, 97 So. 2d 568, 266 Ala. 246, 1957 Ala. LEXIS 556 (Ala. 1957).

Opinion

COLEMAN, Justice.

The writ was granted to review the opinion and judgment wherein the Court of Appeals held that the trial court erred to a reversal in refusing to give for the defendant insurance company the general affirmative charge with hypothesis on its Plea G.

The pertinent facts upon which this conclusion was rested are set out in the opinion of the Court of Appeals, making a review thereof by this court authorized. Rainey v. State, 245 Ala. 458(3), 17 So.2d 687.

The suit was upon an alleged breach of a monument insurance policy, the plaintiff’s deceased husband being insured thereunder. Among the policy provisions' was a forfeiture clause which, in effect, provided, inter alia, that if insured is not in sound health on the date o.f issuance, or if insured has within two years before said date been attended by a physician for any serious disease or complaint, or before said date has had a disease of the heart, that in such case the company may declare the policy void, etc.

Several pleas were interposed, but the Court of Appeals rested its decision on the conclusion that the defendant was entitled to the affirmative charge on Plea G. The opinion of that court in the part here pertinent recites:

“Section 6, supra, being in the alternative, we pretermit consideration of' whether the misrepresentation was made with intent to deceive, but approach our review from the second alternative, that is, did the matter misrepresented increase the risk of loss.
* * * * * *
“It thus appears that defendant’s evidence established without any material dispute its plea G, one of the pleas upon which issue was joined, and which, if established, would furnish a defense to this action. The defendant was therefore entitled to have given its request for the general affirmative charge, with hypothesis, and the refusal of this charge was error. * * * ”

Plea G avers that before the date of issuance of the policy sued on, insured had had angina pectoris; that within less than two years before said date, insured had been attended by a physician for such disease; that insured represented to insurer that he had had no illness and had consulted no physician in the ten years preceding said date; that said representation was false, was made with intent to deceive and did deceive insurer, and in reliance thereon the insurer issued the policy. The plea further averred that angina pectoris is a disease which materially increases the risk of loss .and that this disease which insured had had before said date did materially increase the risk of loss under the policy sued on.

One of the essential averments of Plea G is that insured “ * * * before the date of the issuance of said policy * * * had had a disease of the heart, to-wit, Angina Pectoris * * * ”

“The rules that obtain as to the giving of affirmative instructions are are well understood, and need not be repeated. McMillan v. Aiken, 205 Ala. 35, 40, 88 So. 135. Is there a dispute in the evidence, or a reasonable inference to the contrary, as against the respective defenses presented by said pleas?” [248]*248Metropolitan Life Ins. Co. v. Chambers, 226 Ala. 192, 195, 146 So. 524, 526.

Thus, in the instant case, one of the questions presented is: Is there a dispute in the evidence that insured had had angina pectoris before the date of issuance of the policy sued on; or, is there a reasonable inference to be drawn from the evidence that insured had not had angina pectoris before the date of issuance of that policy?

After a recital of the testimony of the various witnesses, the Court of Appeals concluded that the testimony of the expert witness, Dr. Maxwell Moody, to the effect that the insured was suffering with angina pectoris at the time of the issuance of the policy, and from which malady he died, stood uncontroverted, entitling the defendant to the affirmative charge with hypothesis.

Dr. Moody testified that he had first seen the deceased, insured, in April of 1951 (within two years before the issuance of the policy), and diagnosed his illness as high blood pressure and angina pectoris; that the disease was incurable; and that the only way to diagnose angina pectoris is by the type of pain experienced by the sufferer; that in his opinion the cause of insured’s death was myocardial infarction; and that this was a progression of the type of heart disease known as angina pectoris. The Court of Appeals, in its opinion, stated:

“Dr. Moody’s testimony stands uncontradicted unless by inference some contradiction can arise from the testimony of Dr. Shamblin, and of the lay witnesses. Clearly nothing in the testimony of the lay witnesses tends to contradict Dr. Moody’s testimony as to a firm diagnosis of angina pectoris. An analysis of Dr. Shamblin’s (an expert witness for the plaintiff) complete testimony we think fails to create such inferences. While Dr. Shamblin testified he had examined the insured subsequent to the date of the issuance of the policy and had found nothing wrong with his heart, Dr. Shamblin further testified on cross-examination that the type of examination he made would not necessarily pick up angina pectoris, the diagnosis of such condition depending almost entirely upon a history of symptomatic pains given by the patient, and is not disclosed by physical examination.” (Parenthesis added.) 97 So.2d 567.

Concededly it is a close question, but we think the stronger current of opinion would make the issue one for the jury.

In considering the propriety of the affirmative charge, the evidence must be viewed in a light most favorable to the plaintiff, regardless of any view as to the weight of the evidence, and such reasonable inferences as could be drawn by the jury must be allowed. Duke v. Gaines, 224 Ala. 519, 140 So. 600. As was stated by this court in Weil v. State, 52 Ala. 19, 22:

“* * * It is an invasion of the province of the jury in any case, civil or criminal, (to give the affirmative charge with hypothesis) unless the evidence is clear, positive, and undisputed. If the evidence is circumstantial, or any material fact is to be drawn as an inference, and is not a legal presumption from it, such a charge is erroneous. * * *” (Parenthesis added.)

See, also, Independent Life Ins. Co. v. Carroll, 219 Ala. 79, 121 So. 88.

In the case of Commonwealth Life Ins. Co. v. Harmon, 228 Ala. 377, 153 So. 755, the court went into the conclusiveness of expert testimony at length. In that case, the plaintiff sued on a policy of life insurance. The insurance company defended upon the ground of misrepresentation in the application for insurance that increased the risk of loss. The pertinent facts before the court were: Before the [249]*249application for insurance and the issuance of the policy, the plaintiff had been operated on for fibrosarcoma. The physicians performing the operation were of the opinion that it was a fatal malady of which the assured was not informed and not cured and that he died of such disease. It was without dispute that the physicians who had actual knowledge of the facts were of the opinion, as medical men, and so stated as witnesses, that the assured had the disease at the time the policy was issued and delivered. It was further in evidence that the disease in question was incurable, materially affected the risk, and shortened the assured’s life.

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Bluebook (online)
97 So. 2d 568, 266 Ala. 246, 1957 Ala. LEXIS 556, Counsel Stack Legal Research, https://law.counselstack.com/opinion/vulcan-life-accident-insurance-co-v-standifer-ala-1957.