Standard Accident Insurance v. Walker
Standard Accident Insurance v. Walker
Opinion of the Court
delivered the opinion of the court.
The question in this case is whether or not the Standard Accident Insurance Company of- Detroit, Mich., Inc., is liable to Maggie L. Walker for the amount of an accident insurance policy upon the life of her husband, Armistead Walker, who was killed by their son who apparently mistook him for a burglar. A jury was waived in the trial court, and all matters of law and fact having been submitted to the judge, there was a judgment in favor of the plaintiff against the company.
In considering a question of this sort, it must be borne in mind that it has long been determined by the courts,, and we believe without dissent, that such contracts, being prepared by the insurer, the company, the conditions therein being conditions intended to cause a forfeiture of the policy, are construed most strongly against the company. So construed in this case, in connection with the testimony offered by the plaintiff (though there is some conflict) it is perfectly clear that the occupation, of the assured was that of contractor, whose chief duty was to supervise the work of his servants in brick construction, and although in the performance of his duties as a contractor, in the way in which contractors generally perform their duties, he actually laid bricks, in connection with his supervision, that this was merely incidental and customary, and would not have changed his classification. It is also apparent that he made no false representation as to his occupation which induced the company to give him a preferred classification. He was, in fact, a preferred risk and received the classification to which he was entitled. . That one holding a policy under a. preferred classification might nevertheless be injured in
As has been indicated, when an insurance company has received its premiums, its efforts to escape liability when the contingency upon which its liability is created happens, . are closely scrutinized. This organization was, as its name indicated, a social club; its membership was limited; no one could be admitted against whom there were three adverse votes; no policies were issued; and we are asked to say, that because the assured failed to report his membership in this club, therefore the policy insuring his beneficiary against his accidental death by violence shall be for
Then, in addition to-this it appears that his wife, several years after this accident policy was secured, took out a weekly sick benefit policy in the Home Beneficial Association, which provided for a weekly benefit of $5.00, and it is claimed that this also forfeited the policy. The evidence shows that it had not been procured at the time this accident policy was issued, and that the assured did not. know of its procurement for a long time thereafter, for it had been taken out by his wife, she having signed the application, paid all the premiums, and he had no information about it until a little over a year before his death. It is urged that his failure to disclose the existence of this policy when he paid his last annual premium for the accident policy bars any recovery in this action.
The question cannot be determined without a consideration of Code 1904, sec. 3344-a, as modified by Code 1919, sec. 4220. The provision, as it existed before the new Code became effective, reads thus: “No answer to any interrogatories made by an applicant for a, policy of insurance shall bar the right to recover upon any policy issued upon such application by reason of any warranty in said application or policy contained, unless it be clearly proved that such answer was wilfully false or fraudulently made or that it was material.”
There is no word or suggestion in the testimony from which it can be maintained that the failure to make these disclosures was because of any wilful purpose to deceive or defraud the company. Whether or not they were ma
Affirmed.
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- 1. Accident Insurance—Homicide—Right to Recover on Policy.— In the absence of ally provision in an accident policy relieving the company from liability in case of death by homicide, the company is clearly liable where insured was killed by his son, although there was bad feeling between the father -and son, and the homicide was. a. crime which resulted from this bad feeling. Such a killing is an accidental killing by violence, for which the company is liable, so far as the deceased and the -beneficiary, the deceased’s wife, áre concerned. • 2. Appeal and Error—Objections -not Raised. Below—Accidental Killing.—In an action on an accident policy, the company for the first time bn appeal sought to show that the beneficiary of the policy had some guilty previous knowledge of her son’s alleged intention to murder his father., the insured. Held.: That the point was raised too late. 8. Accident Insurance—Homicide—Guilty Knowledge of Beneficiary.—In an action on an accident policy, evidence that insured’s son after killing him said to his mother, the wife- of insured and the beneficiary in the policy, “I have got him,” and that his mother replied, “I told you not to do- that,” is entirely insufficient to show guilty knowledge or participation 1 • on th’e mother’s part. 4. Insurance—Construction of Contract Against Company.—Insurance contracts being prepared by the insurer, the conditions therein being conditions intended to cause a forfeiture of the policy, are construed most strongly against the insurer. 5. Accident Insurance—Construction of Policy—Condition as to Employment—Case at Bar.—The occupation of the insured in an accident policy was that of contractor, whose chief duty was to supervise the work of his servants in brick construction, although he sometimes actually laid bricks, for the purpose of showing inexpert brick layers how the work was to be done. - Held: That his representation that the duties of his occupation were fully described as “Proprietor—supervising only,” was not a false representation which induced the company to give him a preferred classificaton. He was, in fact, a preferred risk, and received the classification to which he was entitled. 6. Accident Insurance—Construction of Policy—Condition as to Employment—Case at Bar.—That one holding an accident policy under a preferred classification might nevertheless he injured in an occupation' classed by the company as more hazardous was foreseen and provided for in the policy. If the insured in the instant case had lost his life in the pursuit of a more hazardous business then perhaps the company could have taken advantage of the provision referred to; but inasmuch as his death was not caused by the pursuit of a more hazardous occupation, but was the result of homicide, the clause had no application. 7. Accident Insurance—Oth/r Insurance.—An applicant for accident insurance declared that he had no other accident or sickness insurance as enumerated. The applicant failed to mention that he was a member of a social club, the members of which, among other privileges, were entitled to a weekly sick benefit of $4, and to report that his wife, without his knowledge, had subsequently taken out a weekly sick benefit policy of $5 a week in another company. Held: That under Code of 1904, sec. 3344a, as modified by Code of 1919, sec. 4220, these omissions of the applicant, without any willful purpose to deceive or defraud the company, did not avoid the policy so far as death from accident was concerned. 8. Insurance—Disclosures by Applicant—Materiality.—A fair test of the materiality of a fact is found in the answer to the question whether reasonably careful and intelligent men would have regarded the fact communicated at the time of eifecting the insurance as substantially increasing the chances of the loss insured against, so as to bring about a rejection of the risk or the charging of an increased premium. 9. Appeal and Error—Reversal.—Under Code of 1919, sec. 6363, the Supreme Court of Appeals, even if'it has a doubt as to the correctness of the conclusion of the trial judge, will not set the judgment aside, unless it appears that it is plainly wrong or without supporting evidence.