Woodall Industries, Inc., a Delaware Corporation v. Massachusetts Mutual Life Insurance Company, a Massachusetts Corporation

483 F.2d 986
CourtCourt of Appeals for the Sixth Circuit
DecidedJanuary 7, 1974
Docket72-1533
StatusPublished
Cited by6 cases

This text of 483 F.2d 986 (Woodall Industries, Inc., a Delaware Corporation v. Massachusetts Mutual Life Insurance Company, a Massachusetts Corporation) is published on Counsel Stack Legal Research, covering Court of Appeals for the Sixth Circuit primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Woodall Industries, Inc., a Delaware Corporation v. Massachusetts Mutual Life Insurance Company, a Massachusetts Corporation, 483 F.2d 986 (6th Cir. 1974).

Opinions

KENT, Circuit Judge.

This is an appeal from a judgment for the plaintiff-appellee in a suit upon a “key man” life insurance policy in the face amount of $75,000. The parties will be described as in the court below.

Plaintiff instituted a suit upon the policy and the defendant filed a counterclaim for recission of the policy. The jury returned a verdict in favor of the plaintiff. During the course of the trial [987]*987and after judgment, the defendant made appropriate motions for a directed verdict, for judgment notwithstanding the verdict and for a new trial, all of which were denied.

On this appeal defendant claims that the trial court should have entered a judgment for the defendant because of alleged material misrepresentations on the application for the insurance policy in question. The defendant also challenges the instructions given by the trial court, but because of the disposition we make of the first issue presented we do not reach this issue.

The policy in question was a “key man” life insurance policy on the life of John H. Vye, an employee of the plaintiff. The record discloses that Vye consulted a Dr. Paul M. Becker in November, 1966. During the course of his examination Dr. Becker detected a diastolic heart murmur. Dr. Becker informed Vye that “he had a significant heart murmur which I considered secondary to a defective aortic valve.” Vye was informed that he had no overt symptoms as a result of this condition but that he should inform his family physician of the condition which Dr. Becker had diagnosed. Vye was further informed that x-rays would be required. The x-rays were taken and were compatible with Becker’s diagnosis. This fact was communicated to Mr. Vye.

One year later, and on November 20, 1967, Vye signed an application for the insurance policy in suit. During the course of the physical examination certain questions were presented to Vye by Dr. J. Kenner Bell, who examined him for the defendant insurance company, and the answers given by Vye were recorded. Question 3 included:

“3.A. Have you had a physical or health examination within three years? Yes.
Give names of physicians and date of latest examination. 1967. Dr. M. D. MacQueen, M.D. 1654 1st Nat. Bldg., Detroit, Mich.
B. Did symptoms or complaints prompt examination? No.
C. Were you given treatment, prescription or advice? No.”

Question 4 included the following:

“4. During the past ten years have you had
A. Advice from or attendance or treatment by physicians, other practitioners or psychologist ? Yes.
* * * -X- * *
D. X-ray, electrocardiographic or blood examinations? Yes.”

Question 6 included:

“6. At any time have you had any known indication of or %een told that you had
A. Any disorder of the heart or blood vessels? No.” (Emphasis added.)

In explanation of the answers given the following statement was made:

“3.A.-4.A. & D. Had an executive type of exam a short time ago by Dr. MacQueen. This included E.K.G., Chest X-Ray, Bl. Chemistry & Sig-moidoscopy. All reports normal. No treatment.”

It thus appears that the insurance company was never informed of Dr. Becker’s examination, of Dr. Becker’s findings, of the x-ray report to Dr. Becker, or of the information which he had given to the applicant for insurance, John Vye, relative to the “significant heart murmur which [Dr. Becker told Vye] was secondary to a defective aortic valve.”

Vye died on December 2, 1968, of a heart condition, and interestingly enough, after Vye had the original heart attack in a drug store, Dr. Becker was called to attend him and continued to attend him until his death a few days later.

It is conceded by all counsel that Michigan law is controlling in this diversity of citizenship case. The applicable Michigan statute, which was last [988]*988amended in 1957, provides as follows: M.C.L.A. 500.2218, M.S.A. 24.12218:

[§ 24.12218 Disability insurance; false statements in application; material misrepresentation, definition, effect.] Sec. 2218. The falsity of any statement in the application for any disability insurance policy covered by chapter 34 of this code may not bar the right to recovery thereunder unless such false statement materially affected either the acceptance of the risk or the hazard assumed by the insurer.

(1) No misrepresentation shall avoid any contract of insurance or defeat recovery thereunder unless the misrepresentation was material. No misrepresentation shall be deemed material unless knowledge by the insurer of the facts misrepresented would have led to a refusal by the insurer to make the contract.

(2) A representation is a statement as to past or present fact, made to the insurer by or by the authority of the applicant for insurance or the prospective insured, at or before the making of the insurance contract as an inducement to the making thereof. A misrepresentation is a false representation, and the facts misrepresented are those facts which make the representation false.

(3) In determining the question of materiality evidence of the practice of the insurer which made the contract with respect to the acceptance or rejection of similar risks shall be admissible.

(4) A misrepresentation that an applicant for life, accident or health insurance has not had previous medical treatment, consultation or observation, or has not had previous treatment or care in a hospital or other like institution, shall be deemed, for the purpose of determining its materiality, a misrepresentation that the applicant has not had the disease, ailment or other medical impairment for which such treatment or care was given or which was discovered by any licensed medical practitioner as a result of such consultation or observation. If in any action to rescind any contract or to recover thereon, any misrepresentation is proved by the insurer, and the insured or any other person having or claiming a right under the contract, shall prevent full disclosure and proof of the nature of the medical impairment, the misrepresentation shall be presumed to have been material.”

Michigan Law further provides, M.C.L.A. 500.4016; M.S.A. 24.14016:

“Sec. 4016. There shall be a provision that all statements made by the insured, shall, in the absence of fraud, be deemed representations and not warranties, and that no such statement shall avoid the policy unless it is contained in a written application and a copy of such application shall be endorsed upon or attached to the policy when issued.”

There was much confusion in the Michigan Courts and in reality two lines of authority as to the effect of an innocent misrepresentation in a suit for recission of an insurance policy. This was resolved in an opinion by Judge McAllister in Franklin Life Insurance Co. v. William J. Champion & Co., 350 F.2d 115 (6th Cir. 1965), cert. denied 384 U.S. 928, 86 S.Ct. 1445, 16 L.Ed.2d 531 (1966). As stated by the Michigan Court of Appeals in Lipsky v.

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