Ward v. Union Life Insurance

653 S.W.2d 153, 9 Ark. App. 131, 1983 Ark. App. LEXIS 854
CourtCourt of Appeals of Arkansas
DecidedJuly 6, 1983
DocketCA 82-380
StatusPublished
Cited by2 cases

This text of 653 S.W.2d 153 (Ward v. Union Life Insurance) is published on Counsel Stack Legal Research, covering Court of Appeals of Arkansas primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Ward v. Union Life Insurance, 653 S.W.2d 153, 9 Ark. App. 131, 1983 Ark. App. LEXIS 854 (Ark. Ct. App. 1983).

Opinion

Donald L. Corbin, Judge.

Appellants, Fred Lynn Ward and his wife, Gloria D. Ward, on December 5, 1978, applied to appellee, Union Life Insurance Company, for a health insurance policy. The policy application form contained the following language:

I hereby represent that on this date I and all of the dependents for whom I am requesting coverage are in good and sound health, and that.in the past two years have not consulted with or been treated by a doctor for any of the following: heart trouble, high blood pressure, kidney disease, diabetes, disease of the lungs, cancer, or any mental or nervous or female disorder.

Appellants were instructed to list any other medical treatment received during the last two years to which they responded:

Name Disease or Date Name and Address of Injury Physician and Hospital
Gloria Child Birth 7/27/77 Dr. D. B. Allen Doctors Hospital Doctors Building Little Rock

The policy became effective January 1, 1979.

On June 11, 1979, appellants submitted a claim for insurance benefits for drug expenditures incurred between January and May, 1979. Appellee, upon investigation, determined that appellant Gloria Ward had, within twenty-four months prior to application, been treated by Dr. William Roberts for severe psychoneurosis and alcoholism and that Dr. D. B. Allen had treated her for disorders associated with her menstrual period and breasts.

In July, 1979, appellee notified appellants that their policy of insurance was rescinded for failure to disclose past medical history in their application for insurance. Appellee tendered a refund check to the Wards for the premiums paid less any claim paid to date. On August 3, 1979, appellee returned a premium check sent by appellants on July 30, 1979, and again advised appellants that the insurance policy had been terminated. On September 2, 1979, appellant Gloria Ward gave birth to a son, Wesley Frank Ward. Complications arose out of the delivery which resulted in medical expenses on behalf of Gloria Ward and her son in the sum of $7,094.00. Appellants filed claims with appellee for medical and hospital costs they incurred in connection with the childbirth and for resulting complications which appellee refused to pay. Appellant Gloria Ward filed suit in her own behalf and appellant Frank Lynn Ward filed suit on behalf of his infant son, each seeking to recover medical costs, statutory penalties and attorney’s fees.

Appellants accepted appellee’s computation of coverage at trial in the sum of $7,094.00 in the event cancellation of the policy did not obtain court approval. The court overruled appellee’s motion for summary judgment and proceeded to hear the case on its merits. Appellants contended at trial that appellee was not entitled to the good faith defense which it had affirmatively pled. The trial court dismissed appellants’ complaint.

Appellants’ first point for reversal concerns testimony and medical reports brought into evidence by appellee’s underwriter which the trial court permitted over appellants’ specific objection. Appellee had pled the affirmative defense of good faith contained in Ark. Stat. Ann. § 66-3208 (1) (c) (Repl. 1980), and pursuant to undertaking the burden of proof imposed upon it, appellee called its underwriter to testify to the contents of medical reports from Dr. William Roberts and Dr. D. B. Allen. Appellants objected on the basis that such testimony was hearsay and inadmissible. The court ruled that Dr. Allen’s report was admissible as an exception to the hearsay rule under Uniform Evidence Rule 803 (6). Dr. Allen’s report was admitted as an exhibit to appellee’s underwriter’s testimony. Dr. Allen’s report reflected that he had treated appellant Gloria Ward between April, 1978, and December, 1978, for phenothiaozine amenorrhea and galactorrhea.

Uniform Evidence Rule 803 (6) provides as follows:

Records of regularly conducted business activity. A memorandum, report, record, or data compilation, in any form, of acts, events, conditions, opinions, or disagnoses [diagnoses], made at or near the time by, or from information transmitted by, a person with knowledge, if kept in the course of a regularly conducted business activity, and if it was the regular practice of that business to make the memorandum, report, record, or data compilation, all as shown by the testimony of the custodian or other qualified witness, unless the source of information or the method or circumstances of preparation indicate lack of trustworthiness. The term “business” as used in this paragraph includes business, institution, association, profession, occupation, and calling of every kind, whether or not conducted for profit.

Appellee argues that the medical report was a part of records compiled by the underwriter in the course of appellee’s regular business activities in investigating claims and was clearly admissible under the above exception to hearsay. Appellee goes on to argue that if the report was not admissible as an exception to the hearsay rule, its introduction into evidence was cumulative and not prejudicial to appellants.

It is clear that the trial court relied upon the report from Dr. Allen and the underwriter’s testimony as reflected by the court’s finding as follows:

Upon receipt of this claim Union Life investigated the charges contained in the claim, due to the large number of drug charges, and in the course of such investigation determined, and this Court finds, that within the last twenty-four months prior to the date of the application Gloria Ward was treated and medication prescribed by Dr. Roberts for psychoneurosis and ethanolism (alcoholism) among other medical problems, and was treated by Dr. Allen for disorders associated with her menstrual period and breasts.

It is well-settled that the trial judge has the discretion to determine the qualification of witnesses and the admissibility of evidence. We do not reverse the trial court’s ruling absent a showing that it was an abuse of discretion. Error is presumed to be prejudicial unless it is demonstrated to be otherwise or is manifestly not prejudicial. Buckeye Cellulose v. Vandament, 256 Ark. 434, 508 S.W.2d 49 (1974).

We hold that the acceptance of the testimony and medical reports offered by appellee’s underwriter was an abuse of the trial court’s discretion and, accordingly, we reverse and remand for a new trial. In Hanna Lumber Co. v. Neff Design Builder, 265 Ark. 462, 579 S.W.2d 95 (1979), a case involving a suit to recover damages allegedly caused by the failure of a truss system manufactured by appellant, Uniform Evidence Rule 803 (6) was relied upon by appellee at trial for admission of checks with notations which violated the hearsay rule of evidence. The Court there agreed with the appellant that the checks constituted a violation of the hearsay rule and that they did not fall within the business records exception. In so holding, the Supreme Court stated: “There was no showing that the notations were made at the time the checks were written or that it was a regular practice of the business to make such notations.

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Bluebook (online)
653 S.W.2d 153, 9 Ark. App. 131, 1983 Ark. App. LEXIS 854, Counsel Stack Legal Research, https://law.counselstack.com/opinion/ward-v-union-life-insurance-arkctapp-1983.