Dodt v. Prudential Insurance Co. of America

REYNOLDS, P. J.

— Plaintiff instituted this action before a justice of the peace, filing a statement in which he claimed that, under a policy issued by the defendant company, of date Sept. 5, 1910', it had insured Joseph Dodt, her husband, promising to pay in case of his death six months after the date of the policy, the sum of $153 or, if he died within six months after the date of the policy, only half of the face of the policy, to-wit, $76.50. Averring that the insured died on or about February 23, 1911; that plaintiff was his wife and is now his widow; that he was insured and carried this policy in the defendant company at the date of his death and had complied with all the conditions and provisions of the policy to be performed by him; that after his death plaintiff had notified defendant thereof and furnished it with due proofs of death and demanded payment of one-half the face of the policy, but that defendant had vexatiously refused to pay it and disclaimed all liability thereunder, judgment is prayed for $76.50, less 3.90, and interest thereon at six per cent per annum, together with' ten per cent thereon as damages, and a reasonable attorney’s fee for vexatious refusal to pay the amount *173 of the policy and for costs. From a judgment in favor of plaintiff before the justice, defendant took an appeal to the circuit court, where the case was tried before the court and a jury.

There was no question as to the issue of the policy, its date and amount, nor as to the fact of the death of the insured within six months of the date of the policy, nor as to the fact that plaintiff is his widow. The defense relied upon rests upon one of the provisions in the policy called “first preliminary provision,” which reads: “The company’s liability under this policy shall be limited to a return of the premiums paid hereon if the insured die before the date hereof, or if on said date the insured be not in sound health. ’ ’ It is in evidence that shortly after the death of the insured an agent of the defendant company called upon plaintiff and represented to her that he 'had ascertained that her husband was not in good health at the time the policy was issued to him, and that under this provision of the policy the company’s only liability was for the return of the premiums paid thereon; that these amounted to $3.90, which amount the agent paid plaintiff by check, taking her receipt therefor as in release of all claims under the policy.

The testimony of plaintiff was to the effect that her husband had died of heart disease, he being confined to his bed from D'ecember 24, 1910, to the time of his death. The testimony on the part of defendant, was to the effect that the insured had not been “in good health” for some time prior to the issuing of the policy. Under what particular form of ill health the insured was suffering was not in evidence, and there is no evidence in the case that his condition of health at the time the policy was issued to him was of such a character that it actually contributed to his death.

If the receipt or release, in part relied upon, is valid, then plaintiff has no case. The effect of the payment of $3.90 depends upon the question as to whether *174 this policy, as interpreted by its terms and under our law, is one calling for the payment of one-half the face of the policy, as claimed, to-wit, the sum of $76.50, or merely for the return of the premiums paid and interest, which it appears amounted to $3.90. Some effort is made on the part of defendant’s counsel to show that this $3.90 was paid and received by way of compromise of a disputed claim. The evidence, however, does not bear out this contention, and so the jury must have found. It is very specific, to the effect that defendant’s agent went to plaintiff and told her that he had ascertained that her husband was not in good health at the time he took out the policy and that under the terms of the policy all that she could recover would be $3.90. Plaintiff says that at the time she was in much distress and relied upon what defendant’s agent told her and on the faith of that had accepted the money and signed the release, further testifying that this agent had told her that in point of fact the company owed her nothing, but that they would pay her this $3.90 “out of pity.” This latter statement, however, is denied by the agent. However that may be, it cannot be said that this was paid by way of compromise, or to settle the pending litigation. There is no evidence that at that time plaintiff had either commenced or threatened any litigation, or in fact had made any demand on the company for the payment of any sum. If in point of fact it was not true that under the contract $3.90 only was due upon it and that the full face of the policy was due, then it is the well-settled law of this State that the payment or tender under the policy of a sum less than the full amount of the sum due, does not deprive the beneficiary of a right to prosecute a suit fo.r the entire amount. Head v. New York Life Ins. Co., 241 Mo. 403 , 147 S. W. 827 ; Biddlecom v. General Accident Assur. Co., 167 Mo. App. 581 , 152 S. W. 103 , and Harms v. Fidelity & Casualty Company of New York, 172 Mo. *175 App. 241 , 157 S. W. 1046 , are ample authority for this. These eases contain snch a full discussion of the preposition that it is unnecessary to cite others.

That brings us to the real contention of learned counsel for appellant and to which they direct the consideration of the court. That is, whether in the light of section 693.7, Revised Statutes 1909, the company can limit its liability to a. return of the premiums paid on the policy, if at the date thereof the insured was not “in sound health.” Section 6837 of our statute provides: “No misrepresentation made in obtaining or securing a policy of insurance on the life or lives of any person or persons, citizens of this State, shall be deemed material, or render the policy void, unless the matter misrepresented shall have actually contributed to the contingency or event on which the policy is to become due and payable, and whether it so contributed in any case shall be a question for the jury.” This section of our statute has frequently been before our courts, both the Supreme Court and the Courts of Appeals, and its meaning is so well settled that it does not seem to call for further discussion.

Our Supreme Court, in Jenkins v. Covenant Mut. Life Ins. Co., 171 Mo. 375 , l. c. 382, 71 S. W. 688 , has ruled that the word “misrepresentation,” as used in that section includes warranties. This was reiterated in Mathews v. Modern Woodmen of America, 236 Mo. 326 , l. c. 347, 139 S. W. 151 . That same rule of interpretation has been followed and enforced by our Couits of Appeals in many cases, as see Metropolitan Life Ins. Co. v. Stiewing, 173 Mo. App. 108 , 155 S. W. 900 ; Coscarella v. Metropolitan Life Ins. Co., 175 Mo. App. 130 , 157 S. W. 873 ; Roedel v. John Hancock Mut. Life Ins. Co., 177 Mo. App. 683 , 160 S. W. 573 .

But it is said by learned counsel for appellant that this condition in this policy presents a new phase of this question, or presents the question of the construction and application of section 6937 in a new and dif *176 ferent light, counsel claiming that this condition in the policy before us is written under and in compliance with section 6973. We accept the statement of counsel that this provision was inserted in good faith, and in. an attempt to obey and comply with the law, but we can come to no conclusion other than that its effect, if sustained, would be a successful evasion of the provisions of section 6937 of our statute. We hold that it is no more effective than the attempts made by insurance companies to evade the section of our statutes which eliminates suicide as a defense by providing that in cases of suicide a less amount than the face of the policy shall be paid. All such attempts have proved abortive when brought before the courts. We have reviewed the authorities so fully on this proposition in the case of Applegate v. Travelers Ins. Co., 153 Mo. App. 63 , 132 S. W. 2 , that it is unnecessary to enter into a discussion of it or of citation of authorities here.

As noted in the Applegate case, Mr. Justice Harlan, speaking for the Supreme Court of the United States, followed the decision of our court in Keller v. Travelers Ins. Co., 58 Mo. App. 557 , and of our Supreme Court in Logan v. Fidelity & Casualty Co., 146 Mo. 114 , 47 S. W. 948 . [See Whitfield v. Aetna Ins. Co., 205 U. S. 489 .]

In like manner our court, in Williams v. Bankers & Merchants’ T. M. F. Ins. Co., 73 Mo. App. 607 , condemned an attempt to evade what it now section 7020, Revised Statutes 1909, the valued policy law of our State.

Our conclusion upon this branch of the case is, that notwithstanding this first clause the provision of the contract in the policy of the defendant company, the nonforfeiture clause of our statute governs, and that unless it appeared by the evidence and to the satisfaction of the jury, that the condition of health of the insured was such at the time of taking out the in *177 surance that it contributed to his death, then defendant is liable.

That question was submitted to the jury in this case in the strongest possible language by instructions given at the instance of defendant. Thus, by one. in-1 struction the jury were told that under the terms of the policy the company’s liability was limited to the return of the premiums paid thereon, if the insured was not in sound health on the date of the policy, and if the jury believed and found from the evidence that at the date of the issue of the policy the insured was not in sound health and that he died on a subsequent day, and that on that day premiums amounting to $3.90 had been paid under said policy, and that thereafter plaintiff made claim for the proceeds of the policy but that defendant denied liability cm the policy, other than for the return of the premiums because the insured was not in sound health on the date of the issue of the policy, and that defendant thereafter paid the sum of $3.90 to plaintiff and plaintiff accepted it, their verdict must be for defendant. The jury were further told, at the instance of defendant, that if they believed from the evidence that after the death of the insured, plaintiff made claim upon the policy of insurance and that thereupon a controversy in good faith arose and existed between plaintiff and defendant as to defendant’s liability under the policy, and that thereafter defendant in good faith paid to plaintiff the sum of $3.90 and plaintiff accepted that sum in compromise of the controversy and in discharge of any liability under the policy, their verdict must be for defendant. At the instance of defendant the court further instructed the jury that the burden of proof was on plaintiff to establish by a preponderance of the evidence the facts necessary to a verdict in her favor under these instructions but that if plaintiff had not so established her case, or if the evidence was evenly *178 balanced so that the jury were in doubt and unable to say on which side is the preponderance, or if the preponderance is in favor of defendant, in either of these cases their verdict must be for defendant. Surely defendant has no cause whatever to complain of these instructions. We recite them without in any manner endorsing them as correct propositions of law.

Complaint is made that the instruction given at the instance of plaintiff is fatally defective in that' it does not embrace all the issues and does not cover the defense put up. That instruction did not purport to be on the merits of the case in any way whatever; it was simply a direction, and a correct one, on the measure of damages in case there was a verdict returned for plaintiff, so that the rule invoked by counsel for defendant does not apply.

Complaint is made of the allowance for damages for vexatious refusal to pay. That is so much a question for the jury, both as to amount of counsel fee and as to the fact of the delay being vexatious and so bringing it within the provisions of section 7068, that we do not think it a case for our interference. Beyond doubt the company defendant had no intention whatever of paying more than the premiums and interest on them and intended resisting any claim that plaintiff might make for any amount above that. There was evidence as to the value of the services of an attorney in the case, from which the jury were warranted in awarding the amount which they did. The verdict credited defendant with the $3.90' and interest thereon, which had been paid her by defendant, so we cannot say it is excessive or evidence prejudice.

We discover no reversible error. The judgment of the circuit court is affirmed.

Nortoni and Al!jn,JJ., concur.