Wood v. Farmer's Life Ass'n

95 N.W. 226, 121 Iowa 44, 1903 Iowa Sup. LEXIS 281
CourtSupreme Court of Iowa
DecidedJune 1, 1903
StatusPublished
Cited by7 cases

This text of 95 N.W. 226 (Wood v. Farmer's Life Ass'n) is published on Counsel Stack Legal Research, covering Supreme Court of Iowa primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Wood v. Farmer's Life Ass'n, 95 N.W. 226, 121 Iowa 44, 1903 Iowa Sup. LEXIS 281 (iowa 1903).

Opinion

McClain, J.

In one division of its answer defendant alleged that the certificate was issued in consideration of the statments contained in the application and medical examinaton of the deceased, Francis M. Wood, in which he stated and represented that he had never had any dizziness, unconsciousness, etc., nor any shortness of breath, disease or functional disorders of the heart, and that said statements and representations were untrue, and known to the said Francis M. Wood tobe untrue, at the time they were made; that in issuing the said certificate the defendant relied upon such representations, and believed the same to be true, and, so believing and relying, issued the said certificate; that said Francis M. Wood died of heart disease, from which he was suffering at the time of making his application, and for a long time prior thereto; that said disease was indicated by dizziness, unconscious spells, and shortness of breath; that prior to making said application he had been repeatedly attacked by dizziness and shortness of breath, as he well knew, notwithstanding which, and with the design and purpose of cheating and defrauding the defendant association, he knowingly and willfully stated in said application that he had at no time suffered from either dizziness, unconsciousness, or shortness of breath, or any disease or functional disorders of the heart; and that' by reason of the premises the said certificate was obtained by fraud and misrepresentation, without any knowledge on the part of the defendant asso[46]*46ciation, or any of its officers or agents, of the falsity of such statements. It is further alleged that all applications for membership in the defendant association are passed upon by its medical director, who examined the application of Francis M. Wood, and because of the false and fraudulent statements therein contained approved of such application, and that if said questions had been truthfully answered the application would have been rejected by said medical director, and that the report of the medical director approving said application was obtained by the false and fraudulent statements aforesaid. Defendant offered evidence tending to show the truth of these allegations, but the court excluded such evidence, and, by directing a verdict for the plaintiff, ruled in effect that the facts alleged did not constitute a defense.

x examiners ¿stoppeíraud: pleading. It appears that the medical examination of the applicant was made by one Dr. Gorman, acting as medical examiner for the defendant; that the report of his examina-^ou application was considered by the medical director of the defendant, and that ¿jreotor’s recommendation to the defendant to issue the certificate was based in part on such report; but that, had the answers of the applicant shown the facts which the offered testimony tended to show tobe true, as known to the applicant when the statements in his application were made, the application would not have been approved. It is to be noticed that it is nowhere alleged, nor is there any evidence tending to show, that Dr. Gor-man, the medical examiner, was deceived or misled by the alleged false statements of the applicant, or that any fraud was committed by the- applicant in securing the report of such medical examiner. So far as appears from the pleadings or the evidence, Dr. Gorman may have been fully and truthfully advised as to all the facts, and may have made his report in good faith, believing that the applicant was a proper subject for insurance.

[47]*47We have then the simple question whether the provision of Code, section 1812, that “-where the medical examiner or physcician acting as such” issues a certificate of health, or declares the applicant a fit subject for insurance, the compoany or association “shall be thereby estopped from setting up in defense of the action on such policy or certificate that the assured was not in the condition of health required by the policy at the time of the issuance or delivery thereof, unless the same Avas procured by or through the fraud or deceit of the assured,” applies to the certificate or declaration of the medical examiner, or to the approval of the application and examiner’s report by the medical director. It has already been settled that it is the procuring of the certificate of the medical examiner by fraud, and not the procuring of the policy or certificate of insurance by fraud, which, under the statute, may be shown to defeat the policy. While some language was used by this court in the case of Welch v. Union Central L. Ins. Co., 108 Iowa, 224, apparently inconsistent with this view, the true construction of the statutory language has since been settled by repeated adjudications. Weimer v. Economic L. Ass'n, 108 Iowa, 451; Stewart v. Equitable Mutual L. Ass’n, 110 Iowa, 528; Nelson v. Nederland L. Ins. Co., 110 Iowa, 600; Peterson v. Des Moines L. Ass’n, 115 Iowa, 668; Brown v. Modern Woodmen, 115 Iowa, 450. Any other construction of the language of the statute would leave it Avithout effect, for it would still be open to the company, as it was before the statute, to contend that the policy was fraudulently procured by reason of false statements in the application, and the truth of the statements would thereby practically be made matter of warranty, notwithstanding the medical examination in which the examiner had ascertained all the facts, and on which he had recommended the applicant as a fit subject for insurance. As said in Weimer v. Economic L. Ass'n, supra, “The very evident purpose of [48]*48the statute is to prevent the defeat of recovery on any policy where the company has by its skilled agent-examined and passed upon the fitness of the applicant for insurance.” To hold that the medical director who passes upon the report of the medical examiner is himself a medical examiner, within the language of the statute, would be to nullify its plain intent. Such construction would leave it open to the insurance company to say that-although the medical examiner was fully advised as to the-facts, and reported the applicant as a fit subject for insurance, nevertheless, if the medical director was misled by the application and examiner’s report into approving an application which would have been rejected had the facts been correctly stated to him by the applicant and the-medical examiner, the application would have been refused. The distinction between the report of the-medical examiner as to the condition of health of the applicant and as to whether he is a suitable risk, and the action of the medical director in recommending the issuance of a policy on such application and examiner’s report, is pointed out in, Peterson v. Des Moines L. Ass'n., 115 Iowa, 668, and we are constrained to adhere to the view expressed in that case.

2. constuction assessments: liability of rights of beneficiary. In the certificate or contract of insurance it is provided that, in the event of the death of the assured “during membership, his beneficiary shall receive the sum of $2,000” and that “the amount due under this contract [is} to be provided for by assessments on the x J membership pro- rata, according to age, as provided in the articles of incorporation, unless otherwise supplied,” and the articles of incorporation and by-laws are made a part of the contract by reference. In the articles, two or three sources are indicated from which payment of death losses may be ‘made, and it is nowhere indicated that an assessment must necessarily be made for each loss. But in one article it is stipulated [49]

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Bluebook (online)
95 N.W. 226, 121 Iowa 44, 1903 Iowa Sup. LEXIS 281, Counsel Stack Legal Research, https://law.counselstack.com/opinion/wood-v-farmers-life-assn-iowa-1903.