Woodmen of the World Life Insurance Society v. Sarah Estelle Jackson, Formerly Sarah Estelle Farris

243 F.2d 558
CourtCourt of Appeals for the Fifth Circuit
DecidedJune 14, 1957
Docket16275
StatusPublished
Cited by4 cases

This text of 243 F.2d 558 (Woodmen of the World Life Insurance Society v. Sarah Estelle Jackson, Formerly Sarah Estelle Farris) is published on Counsel Stack Legal Research, covering Court of Appeals for the Fifth Circuit primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Woodmen of the World Life Insurance Society v. Sarah Estelle Jackson, Formerly Sarah Estelle Farris, 243 F.2d 558 (5th Cir. 1957).

Opinion

*559 JONES, Circuit Judge.

The appellant, Woodmen of the World Life Insurance Society, is a fraternal benefit society. It issues life insurance contracts which it calls certificates rather than policies, for premiums which it calls payments. Roland M. Farris was issued a certificate of insurance in the amount of $3,000 by the Society in 1945. On August 4, 1954, Virgil P. Miller, District Manager of the Society, called at the Farris home and talked about an educa- ,. , . ,¿Y tional insurance certificate lor the young son of Farris and his wife. This conversation being concluded, Miller discussed with Farris the need of the latter for additional insurance. An application was signed and a Preferred Risk Whole y-< i • r* i / L, • "u Life Certificate (which is substantially the same as an ordinary life policy, issued by a life insurance company) for .$2,000, with a twenty-year term benefit rider in the amount of $3,000 attached, was later issued and delivered to Farris. Farris died on December 23, 1954, of heart failure. Farris had a rheumatic heart disease dating back at least as far as November 1, 1948. The Society de-dined to make payment of the amount of the Certificate and tendered the amount of the payments which Farris had made. The tender was refused. His widow, Sarah Estelle Farris brought suit on the - Certificate and recovered judgment for $5,000 on the Certificate, $1,000 attorneys’ fees, interest and costs. The Society has appealed. The plaintiff married while the suit was pending and she is before us as the appellee, Sarah Estelle Jackson.

, .. . . , The testimony was m sharp conflict , , , , , ,, as to what was said and done when the , , application for insurance was taken. Miller, the District Manager of the Society, testified that at the time of his meeting with Mr. and Mrs. Farris he had with him the form that was used in applying for insurance when no medical examination was had. Miller, so he testi-tied, asked Farris the questions as they appeared on the form, and the answers of Farris were written down by Miller. The form shows the question, “Have you, within the past ten years, had any mental or bodily disease or infirmity, or have you within that period of time, consulted, bcen attended or examined by a physifaf? If state wbicb> wben, giving *uil Particulars and name of physician, ^rris as noted by Miller, was N°- The form contained the question Are y°u now m sood health to the oest of y°ur k™^edf and beliffj If,not’ ^ve cause _ Mifier recorded Farris an- ” as bemS .Jes The form con-tamed a request that the applicant Give „ , , name and address of your personal phy- “ ■ Fa(rJls JSP™Se’ *^5“ by JÜ1Jas None ■ Jbe application containfd tbe ^presentation that I have ffd each of fo/egoing questions and the answers thereto, and represent that _ . . ^ „ fch °Jsald Jfu11’ complete and true whether written by my own hand or The a^wers to the questions quoted wefe untraf; JlUer sald Jat F“™ sJJed “ atlon J blank °n Yhlcb Miller, after returning to his office, typed m tbe answers as given to lum by Far- ™ and sJntQthe application to the home office of the Society in 0maha‘

The testimony of the widow of Farris, ^be beneficiary named in the certificate, was mucb different from that given by Miller- Her stOTy was tbat Miller save Farris the card of the doctor who was the examining physician for the Society. Farris stated that he had a rheumatic heart condition for which he had been treated some years before but he then felt fme. Miller stated he would put it through without a medical examination.

In addition to the recital that the applicant had read the questions and an- ,. ,. , . . ,, „ , swers, the application contained the fol- . . lowing provision:

_ ”1 have read each of the forego3n£ Questions and the answers there-3'°> and represent tbat each of said answers is full, complete and true, whether written by my own hand or no3:’
“All statements purporting to be made by the applicant shall be deemed representations and not warranties.
*560 “I further agree that no statement or information given by or to any person soliciting or taking this application, or by or to any other person, nor any knowledge possessed by any such person, shall be binding on this Society or in any manner affect its liability unless such statement or information be presented in writing to the Medical Director of said Society at the Home Office prior to the issu- . ance of said benefit certificate, and agree that there shall be no liability on the part of the Society for the payment of benefits unless the applicant shall have made at least one monthly payment to the Society for the benefit applied for, and unless this application shall have been approved by the Medical Director of the Society.

^ The certificate contained, on the outer-fold, this notice:

important
“No Camp or officer thereof nor any employee or representative of this Society has authority to waive any of the conditions of this benefit certificate or of the Constitution, Laws and By-Laws of the Society.”

The certificate was issued “in consideration of the application therefor, includ,ing the statement of insurability.” A photostat copy of the application was attached to and made a part of the certificate. In Section 127 of the Society’s Constitution and Laws it is provided:

“Sec. 127. (a) No employee, state manager, field man or agent of the Society or the Sovereign Camp, Head Camp or of any Camp, has the power, right or authority to waive any of the conditions upon which beneficiary certificates are issued, or to change, vary or waive any of the provisions of this Constitution or these Laws, nor shall any custom or course of dealing on the.part of any Financial Secretary or of any Camp or any number of Camps— with or without the knowledge of any officer of the Society — have the effect of so changing, modifying, waiving or foregoing such laws or requirements. Each and every beneficiary certificate is issued only upon the conditions stated in and sub-jeet to the Constitution and Laws, then in force or thereafter enacted, nor shall the knowledge or act of any employee of this Society constitute a waiver of the provisions of these laws by the Society or an es-toppel of this Society,
«(b) The Articles of Incorpora-tíon> the Constitution, Laws and ByLaws of the Society> the application and medieal examinatioil) or decIaration of insurability, if accepted in lieu of medical examination, signed by tbe applicant> and all amend_ ments to each thereof) the benefit certificate, and any riders attached thereto or endorsements made thereon by the President or Secretary of the Society shall constitute the contract between the Society and the member.”

The widow beneficiary of Farris brought suit in the Florida court and the Society removed to the Federal district court because of diversity. The plaintiff> in ber complaint alleged the issuance of the certificate, the death of the insured and the denial of liability by the Society. The Society answered asserting that the certificate was not in effect because of false statements and representations of the insured in his application.

Free access — add to your briefcase to read the full text and ask questions with AI

Related

Cite This Page — Counsel Stack

Bluebook (online)
243 F.2d 558, Counsel Stack Legal Research, https://law.counselstack.com/opinion/woodmen-of-the-world-life-insurance-society-v-sarah-estelle-jackson-ca5-1957.