Ward v. Durham Life Insurance

368 S.E.2d 391, 90 N.C. App. 286, 1988 N.C. App. LEXIS 539
CourtCourt of Appeals of North Carolina
DecidedMay 31, 1988
Docket872SC790
StatusPublished
Cited by7 cases

This text of 368 S.E.2d 391 (Ward v. Durham Life Insurance) is published on Counsel Stack Legal Research, covering Court of Appeals of North Carolina primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Ward v. Durham Life Insurance, 368 S.E.2d 391, 90 N.C. App. 286, 1988 N.C. App. LEXIS 539 (N.C. Ct. App. 1988).

Opinions

COZORT, Judge.

Plaintiff filed this action to recover benefits under her deceased husband’s life insurance policy which was issued by defendant. Defendant denied coverage on the basis of misrepresentations in the application for insurance and moved for summary judgment. From the trial court’s order granting summary judgment, plaintiff appeals. We reverse.

On 15 October 1985, defendant issued a life insurance policy to plaintiffs husband, Vernon Ward. Plaintiff, the beneficiary under the policy, sought to recover its proceeds after her husband was killed in an automobile accident on 26 January 1986. Defendant refused to pay the benefits on the grounds that there were material misrepresentations made in the application for insurance.

On 12 July 1986, plaintiff filed suit to collect the insurance proceeds. Defendant answered alleging that the insurance contract was null and void because of the misrepresentations and moved for summary judgment. Defendant filed supporting affidavits which stated that Mr. Ward had failed to report his past treatment for high blood pressure and a prior conviction for driving under the influence in his application and that his application would not have been approved had this information been included.

[288]*288Plaintiff submitted an opposing affidavit which stated the following:

On 5 October 1985, plaintiff and her husband agreed to apply for a life insurance policy through Brenda Ward, Mr. Ward’s first cousin. Ms. Ward advised them on that day that she was an agent for defendant. Ms. Ward asked plaintiff and her husband questions from an application for insurance; and, after they answered the questions orally, she recorded their responses on the application herself. When they reached question 30(d), Ms. Ward asked Mr. Ward if he had ever been convicted of driving under the influence. Plaintiff and her husband informed her that he had been so convicted in October, 1982. Ms. Ward responded that since the conviction was more than two years old it would not prevent him from obtaining insurance with her company. When they reached question 32(d), she asked Mr. Ward if he had ever been treated for high blood pressure. Mr. Ward informed her that he had been treated for high blood pressure in 1983, but had not had any problems since that time. Ms. Ward responded that since the treatment had occurred more than two years ago it would be all right and would not prevent Mr. Ward from obtaining insurance with her company. After she completed marking the application, Mr. Ward signed it and paid the premium requested.

After plaintiff filed her affidavit, defendant moved to strike several portions of it. The trial court granted this motion and subsequently granted defendant’s motion for summary judgment. From this judgment, plaintiff appeals.

Plaintiff argues that the trial court erred in granting defendant’s motion to strike the following portions of her affidavit:

[1 ] That as to question 30(d) and (k), my husband and I advised Ms. Ward that he had in fact been convicted of driving under the influence in the District Court of Beaufort County in October of 1982 and that he had obtained a limited driving privilege.
[2 ] My husband advised her that he had been treated by Dr. Boyette for high blood pressure in 1983. Then she asked whether or not this had occurred within two years. My husband and I then conferred and advised her that it had been more than two years since he had been treated by [289]*289Dr. Boyette and he had not had any problems since that time.
[3 ] That as a result of the responses that were given by my husband and I to Ms. Brenda Ward, Durham Life Insurance Company had notice of my husband’s medical treatment for high blood pressure and his conviction for driving under the influence of alcohol in 1982.
[4 ] My husband signed the application based on this representation.

N.C. Gen. Stat. § 1A-1, Rule 56(e) provides that “[supporting and opposing affidavits shall be made on personal knowledge, shall set forth such facts as would be admissible in evidence and shall show affirmatively that the affiant is competent to testify to the matters stated therein . . . .” The first two portions of plaintiffs affidavit stricken by the trial court satisfy these requirements. Although these statements, based upon the conversation between plaintiff, her husband and defendant’s agent, are hearsay, they were not offered to prove the truth of the matter asserted. Rather, they were offered to show that defendant’s agent had notice of Mr. Ward’s driving while impaired conviction and his high blood pressure condition. As such, they constituted an exception to the hearsay rule. See Wilson v. Indemnity Corp., 272 N.C. 183, 158 S.E. 2d 1 (1967). Therefore, these statements were admissible into evidence and the trial court erred in striking them from the affidavit.

The remaining two statements which were stricken, however, were legal conclusions. A trial court may not consider portions of an affidavit not based on the affiant’s personal knowledge or which merely state the affiant’s legal conclusion. Singleton v. Stewart, 280 N.C. 460, 186 S.E. 2d 400 (1972). Therefore, the trial court correctly struck these statements from plaintiffs affidavit.

Plaintiff also argues that the trial court erred in granting defendant’s motion for summary judgment. When we consider the two erroneously stricken portions of plaintiffs affidavit along with the other affidavits and pleadings, we agree that summary judgment was erroneously granted.

“The test on a motion for summary judgment made under Rule 56 and supported by matters outside the pleadings is wheth[290]*290er on the basis of the materials presented to the court there is any genuine issue as to any material fact and whether the movant is entitled to judgment as a matter of law.” Barbour v. Little, 37 N.C. App. 686, 692, 247 S.E. 2d 252, 256, disc. rev. denied, 295 N.C. 733, 248 S.E. 2d 862 (1978). The movant has the burden of proof on the “lack of any triable issue of fact by the record properly before the court.” Singleton v. Stewart, 280 N.C. at 465, 186 S.E. 2d at 403. Once the movant has made and supported his motion for summary judgment, the burden shifts to the other party “to introduce evidence in opposition to the motion setting forth ‘specific facts showing that there is a genuine issue for trial.’ ” Metal Works, Inc. v. Heritage, Inc., 43 N.C. App. 27, 31, 258 S.E. 2d 77, 80 (1979). The party opposing the motion “does not have to establish that he would prevail on the issue involved, but merely that the issue exists.” In re Will of Edgerton, 29 N.C. App. 60, 63, 223 S.E. 2d 524, 526, disc. rev. denied, 290 N.C. 308, 225 S.E. 2d 832 (1976).

In the case sub judice, plaintiff has shown that there is a genuine issue as to whether the omission of material facts in the application is attributable to the applicant or to the insurer. Although “[a]n insurer’s duty under an insurance contract may be avoided by a showing that the insured made representations in his insurance application which were material and false,” Willetts v. Insurance Corp., 45 N.C. App. 424, 428, 263 S.E. 2d 300, 304, disc. rev. denied, 300 N.C. 562, 270 S.E. 2d 116 (1980), “ ‘an insurance company cannot avoid liability on a life insurance policy on the basis of facts known to it at the time the policy went into effect.’ ”

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Ward v. Durham Life Insurance
368 S.E.2d 391 (Court of Appeals of North Carolina, 1988)

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Bluebook (online)
368 S.E.2d 391, 90 N.C. App. 286, 1988 N.C. App. LEXIS 539, Counsel Stack Legal Research, https://law.counselstack.com/opinion/ward-v-durham-life-insurance-ncctapp-1988.