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129 Mich. 112

Rhode v. Metropolitan Life-Insurance

Michigan Supreme Court

Decided December 21, 1901

Michigan Supreme Court · decided 1901-12-21

<p>1. Life Insurance — Action on Policy — Physical Condition of Insured — Evidence—Report of Examining Physician.</p> <p>In an action on a life-insurance policy, defended on the ground that the insured was not in sound health when the application was made and the policy delivered, the report of the company’s examining physician, on which the policy was issued, is admissible in evidence to rebut such contention.</p> <p>2. Same — Question for Jury.</p> <p>Where, in an action on a life-insurance policy, th'e proofs were strong that insured was afflicted with pulmonary consumption when he received the policy, but the report of the company’s examining physician, accompanying the application for insurance, was to the effect that insured’s lungs were healthy, and that, in the examiner’s opinion, he was in good health, there was such a conflict in the testimony as to warrant the submission of the question of insured’s physical condition to the jury.</p> <p>3. Same — Attendance of Physician.</p> <p>In an action on a life-insurance policy, statements by the insured tending to show that he had been treated by a physician within two years, contrary to the representation in his application, are competent evidence.</p> <p>4. Same — Severity of Illness — Burden of Proof.</p> <p>A breach of warranty in a life-insurance policy, that the insured had not been under the care of a physician within two years, is shown prima facie by proof that he had been attended by a physician within that period; and, if it be the fact that such . attendance was for a mere temporary indisposition, not within the contemplation of the policy, it devolves on the plaintiff to prove it.</p> <p>5. Same — Prior Application — Notice.</p> <p>A life-insurance company on a second application for insurance, the first having been postponed, is not bound to take notice of what was contained in the prior application.</p>

Key passage — most relied on by later courts

““ In each of these cases the plaintiff offered, affirmative testimony to show that the treatment of the physician was for some temporary indisposition. Neither of the cases held that it is not sufficient, prima facie, to show a breach of a warranty such as that involved in this case, to prove that the insured had in fact been attended by a physician. Indeed, to so hold would be doing violence to the very terms of the stipulation; and, when the defendant in this case was prepared to show that the deceased had, within two years prior to the making of this application, been attended by one or more physicians, this was prima facie a breach of his contract, and the burden would be upon the plaintiff to show that the attendance was not for any ailment which tended to weaken or undermine his health seriously.””

quoted by 1 later decision, including Bullock v. Mutual Life Insurance Co. of New York

Relies on Brown v. Metropolitan Life Insurance · Hahn v. National Union · Plumb v. Penn Mutual Life Insurance

Good law ✅— No negative treatment on recordhow we know

Reversed · Decided 1901-12-21

How this case has been cited

Cited by 13 later decisions — most recently September 1965

1 federal appellate · 11 state decisions

301901191019201930194019501960decided

Later decisions citing this case, by decade. The current decade is in progress, and our corpus holds fewer opinions from the most recent years, so the latest bars are undercounted — not a real decline.

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Montgomery, C. J.

¶1This is an action on a policy of insurance issued on the life of Michael Rhode. Plaintiff recovered, and defendant brings error. It appears that on November 19, 1899, the application for insurance, jn the sum of $500, was made by deceased. A policy was issued on this application, bearing date December 7, 1899, On March 8, 1900, the insured died from tuberculosis pulmonalis. The plaintiff furnished proofs of death, and, upon the defendant’s refusing payment, instituted this suit.

¶2It is contended by the defendant on this appeal that the evidence conclusively shows that the insured was not in sound health at the time when the application was made, and at the time when the policy was issued; that the insured misrepresented the facts in his .application relative to prior attendance and treatment by physicians; that the *114court erred in striking out testimony bearing upon this subject. The other questions presented are subsidiary and dependent.

¶3The policy of insurance contained a provision as follows:

“No obligation is assumed by the company until the first premium has been paid, nor prior to this date, nor unless upon this date the insured is alive and in sound health.”

¶4And the application contained a clause as follows:

“I further agree that the company shall incur no liability under this application until it has been received, approved, and the policy issued thereon by the company at its home office in New York, and the premium has actually been paid to and accepted by the company during my lifetime, and while I am in good health.”

¶5The proofs tending to show that the deceased was afflicted with pulmonary consumption at the time of the receipt of this policy are certainly very strong, and, if the question were to be determined by us as a question of fact, there would be little room for discussion. But, as we view the case, the question of whether there was a conflict in testimony upon this subject must be determined by the answer to another question, which is raised by defendant’s counsel, which is whether or not the statement of the examining physician, made at the time of the examination, November 19, 1899, in which he states the condition in which he found the lungs of the insured, and his opinion as to his condition of good health, is admissible in evidence as against the defendant. It does not appear that this question has ever been presented to this court in just this form. But we have no doubt, on principle, that such testimony is competent evidence against the defendant. The physician is a representative of the insurance company. He is employed for the very purpose of determining the physical condition of the applicant. His examination is supposed to be made with the utmost care, and with due regard to the interests of his employer. We can conceive of no reason why his statements, made at the time, should *115not be received as competent evidence. The only case to which our attention is directed which bears upon the question affirms the admissibility of such testimony. Holloman v. Insurance Co., 1 Woods, 674 (Fed. Cas. No. 6,623). See, also, 1 Joyce, Ins. § 412. We do not mean to intimate that such testimony is conclusive, but that it is receivable, as bearing upon the question of the condition of health of the applicant at the time the examination was made, we think is clear. It cannot be said, therefore, that there is no conflict of testimony upon the question of decedent’s physical condition, and it follows that it was not error in the circuit judge to submit that question, and the force of that testimony, to the jury.

¶6The application contained the statement of the insured that he had not been under the care of a physician within two years. The testimony shows, without dispute, that he was attended by at least one physician within the period named, and, on the trial, Dr. Kestell, who testified that he' attended upon the deceased on November 10, 1899, testified that deceased told him that he had been previously treated by Dr. Shurly. On motion of the plaintiff, this testimony was stricken out. We think there was error in this ruling. It is said that the previous question and answer, namely, as to whether he had been attended by a physician, was not stricken from the record. But the record shows the following:

Q. Do you know whether or not Rhode had been treated by any other physician before he came to your house ?
“A. He said he was.
Q. Who did he say treated him?
“A. Dr. Shurly.
Mr. Murfin: I object to that, your honor.
The Court: I think that may be stricken out.”

¶7We think it can hardly be doubted that the jury must have understood that the testimony upon this whole subject was withdrawn from their consideration.

¶8But it is said that there was nothing in the question to *116indicate whether or not the answer would show a breach of the warranty; that, while the answer that he was treated by a physician was probably material as far as it went, it should be shown for what he was treated, in order to show whether it constituted a breach of the warranty. Counsel cite Hann v. National Union, 97 Mich. 513 (56 N. W. 834, 37 Am. St. Rep. 365), and Plumb v. Insurance Co., 108 Mich. 94 (65 N. W. 611), in this connection. These cases hold that merely calling upon a physician for some temporary indisposition, which does not tend to weaken or undermine the constitution of the insured, would be no breach of the warranty. But, in each of these cases, the plaintiff offered affirmative testimony to show that the treatment of the physician was for some temporary indisposition. Neither of the cases held that it is not sufficient, prima facie, to show a breach of a warranty such as that involved in this case, to prove that the insured had in fact been attended by a physician. Indeed, to so hold would be doing violence to the very terms of the stipulation; and, when the defendant in this case was prepared to show that the deceased had,- within two years prior to the making of this application, been attended by one or more physicians, this was prima facie a breach of his contract, and the burden would be upon the plaintiff to show that the attendance was not for any ailment which tended to weaken or undermine his health seriously.

¶9It appears to have been suggested in the court below that, inasmuch as some,.of these facts appeared in the records of the company, in a previous application for insurance, which had been postponed, the company must be bound to take notice of what was contained in such prior application. But this position is negatived by the holding of the court in Brown v. Insurance Co., 65 Mich. 306 (32 N. W. 610, 8 Am. St. Rep. 894).

¶10For the error pointed out, the judgment will be reversed, and a new trial ordered.

Moore and Long, JJ., concurred with Montgomery, C. J. Hooker, J., concurred in the result. Grant, J., did not sit.
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