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Housour v. Prudential Life Insurance Co. of America

Citations: 136 N.W.2d 689; 1 Mich. App. 455; 1965 Mich. App. LEXIS 245Docket: Docket 181

Court: Michigan Court of Appeals; September 20, 1965; Michigan; State Appellate Court

Narrative Opinion Summary

In this case, the plaintiff sought to claim the proceeds from a life insurance policy issued by Prudential Life Insurance Company following her husband's death. The insured's application disclosed previous minor surgeries but omitted his history of excessive drinking and recent medical consultations, leading Prudential to issue the policy at a higher premium. Upon the insured's death, Prudential sought to cancel the policy, asserting that the omissions constituted material misrepresentations under Michigan law, which presumes materiality if disclosure is obstructed. The trial court agreed, granting cancellation and ordering a refund of premiums, as the plaintiff's invocation of privilege hindered the full examination of the insured's medical history. The court further dismissed the plaintiff's argument that the issuance of the policy waived all defects, citing that waiver requires the insurer's full knowledge of the facts. The contention that the statute only applied to disability insurance was also rejected, affirming its coverage of life insurance. The court's decision was upheld, with costs awarded to the appellee, reinforcing the principle that material misrepresentations in insurance applications can void policy contracts.

Legal Issues Addressed

Impact of Privilege on Evidence

Application: The plaintiff's invocation of privilege during the testimony of doctors obstructed full examination of the insured's medical history, supporting a finding of material misrepresentation.

Reasoning: The plaintiff's invocation of privilege during the testimony of Harry's doctors prevented full examination of his medical history, leading to the court's conclusion that the misrepresentation was indeed material.

Material Misrepresentation in Insurance Applications

Application: The court found that the insured's failure to disclose his medical history and drinking habits was a material misrepresentation that justified the cancellation of the policy.

Reasoning: Prudential sought to cancel the policy, arguing that Harry's application contained material misrepresentations.

Presumption of Materiality under Michigan Law

Application: The trial court applied Michigan law, which presumes a misrepresentation to be material when full disclosure is obstructed, to justify the cancellation of the insurance policy.

Reasoning: The trial court granted Prudential's request for cancellation, citing Michigan law that presumes misrepresentation material if full disclosure is obstructed.

Statutory Interpretation of Insurance Law

Application: The court rejected the argument that the relevant statute only applied to disability insurance, affirming its applicability to life insurance policies as well.

Reasoning: Plaintiff also contends that the statute in question only pertains to disability insurance, which the court rejects, citing that statutory catch lines are not part of the law and do not limit its applicability.

Waiver and Estoppel in Insurance Law

Application: The court ruled that the insurer's acceptance of the policy despite known misrepresentations about drinking habits did not constitute a waiver of other undisclosed facts.

Reasoning: Precedent from Moore v. Mutual Reserve Fund Life Association establishes that waiver or estoppel requires the insurer's knowledge of the facts involved.