All States Life Ins. Co. v. Kelso

195 So. 460, 29 Ala. App. 310, 1940 Ala. App. LEXIS 186
CourtAlabama Court of Appeals
DecidedFebruary 27, 1940
Docket3 Div. 823.
StatusPublished
Cited by2 cases

This text of 195 So. 460 (All States Life Ins. Co. v. Kelso) is published on Counsel Stack Legal Research, covering Alabama Court of Appeals primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
All States Life Ins. Co. v. Kelso, 195 So. 460, 29 Ala. App. 310, 1940 Ala. App. LEXIS 186 (Ala. Ct. App. 1940).

Opinion

PER CURIAM.

After a further and thorough attentive consideration of all of the points of decision involved, and presented in this case, on appeal, we have reached the conclusion that the opinion heretofore rendered and promulgated by this court on February 27, 1940,. is erroneous and improvidently announced. As a consequence of this conclusion said opinion is withdrawn, held for naught, and the application for rehearing must be granted for the reasons stated in the following opinion, which is substituted as the decision in this case by the court.

This was an action' in assumpsit on an insurance policy. From a judgment for plaintiff defendant appeals.

Appellee sued on a policy or certificate of insurance dated March 18, 1938, made to him by the appellant under a group policy of insurance, dated March 11, 1931, issued by it to the W. T. Smith Lumber Company.

The certificate recites that the life of appellee is insured for the sum of one' thousand dollars payable to his wife, Exer Kelso, as beneficiary at his death while in the service of the Lumber Company during the continuance of the policy. Certain extracts from the group or master policy are set out in and made a part of the certificate. One of these is as follows:

“Individual Insurance Certificate

“The Insuring Company will issue to the Master Policyholder for delivery to each person insured hereby an individual certificate setting forth a statement as to the insurance protection enjoyed by the said person and to whom the insurance is payable, and the provisions thereof together with the Master Policy and the application therefor, and the individual application of the said insured persons if any shall constitute the contract • between the Company, the Master Policyholder, and such insured persons.”

The application of the Lumber Company made a part of the master policy states, that the number of employees at the time was approximately nine hundred. It also provides: “All employees on the effective date hereof shall be insured for $1000.00. New employees shall become automatically insured for $1000.00 after thirty days.” The master policy contains the following provision: “Additions to List Insured: The employer shall furnish the company monthly with the names and dates of employment of all new employees and the Company will insure effectively exactly thirty days after the date of employment, all such employees without evidence of insurability.”

The master policy also contains a paragraph providing that, where at the termination of his employment the employee shall be wholly disabled and prevented by bodily injury or disease from engaging in any occupation, etc., premiums being duly paid, -his insurance shall remain in force during the continuance of disability for *312 three months from the date he ceased work and thereafter during the continuance of his disability and while the policy remains in force until the employer shall notify the Company to terminate the employee’s insurance. This paragraph is no part of the certificate: “Nothing in this paragraph contained shall limit or extend the Permanent Total Disability Benefits to which an employee shall become entitled under the Certificate.”

The certificate sued on contains the following provision for payment of permanent total disability benefits to the employee:

“Permanent Total Disability Benefits

“Six months after receipt at the home office of the Company of satisfactory evidence (1) that any insured employee, has while under age sixty, become totally disabled by bodily injuries or disease from engaging in any occupation for compensation or profit, and' will be so disabled for life, and (2) that such employee has been continuously insured hereunder for at least one year immediately preceding the commencement of disability, or was eligible for insurance on the date of this policy and has been continuously insured from. a date not more than three months thereafter to the commencement of disability, the Company will begin payment to such employee of a monthly income of $18 for each $1000 of insurance on the life of such employee. The monthly income will be in lieu of all other benefits provided in the policy, and will be continued during such disability until the amount of insurance in force on the life of the disabled employee when the disability commenced, with interest on the unpaid balance at a rate of 3%% per annum from the due date of the first payment, plus such excess interest as may be declared annually by the Company is exhausted.

“If the disabled employee dies after receipt by the Company of such evidence but before payments begin, the amount of insurance at the 'commencement of disability will be paid to the beneficiary; or, if the employee dies during the continuance of the instalment payments, the balance of the fund will be paid to the beneficiary.”

The above quoted paragraphs relating to permanent total disability benefits are no part of the master policy. They appear in the certificates alone.

The foregoing extracts from the master policy, the application of the Lumber Company, and the certificates issued to appellee are the provisions of the insurance contract pertinent to the questions before the court for decision.

Rules of construction of insurance contracts are so well defined, extended, discussion in this connection is unnecessary. Where the contract is susceptible-of two constructions that favorable to assured will be adopted. The court must, give effect to all policy provisions, “liberally construed in favor of the assured, but-strictly against the insurer.” Travelers' Ins. Co. v. Plaster, 210 Ala. 607, 610, 98 So. 909; Volunteer State Life Ins. Co. v. Weaver, 232 Ala. 224, 225, 167 So. 268.

The master policy expressly provides that the provisions of the certificate,, together with the master policy and the application therefor, shall constitute the contract between the Company, master policy holder and the person insured. In-ascertaining the true meaning of the contract, these three instruments should be construed together. The master policy and' the application of the Lumber Company-expressly provide without discrimination-for the insurance of new employees in sums similar to those in the employ of the-company at the date of the master policy,, stipulating that they shall be eligible for such insurance without evidence of insurability, the same to become effective thirty days after employment. The certificate issued to appellee provides for permanent total disability benefits .without regard to his being an old or new employee* This is not in conflict with the master policy. Should there be conflict, the terms of the certificate would govern, because there was no contractual relation between appellant and appellee until he received the certificate. The certificate was issued March 18, 1938. Prior thereto no- contract of insurance existed between them* Though dated March 11, 1931, the master-policy did not become a part of the insurance contract between appellant and appellee until the issuance of the certificate March 18, 1938. As a part of the insurance contract its provisions became operative as of March 18, 1938.

The provisions for permanent total' disability benefits appear exclusively in the certificate. It measures the rights of the parties as to this feature of the contract* *313

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

Related

Smith v. Kennesaw Life and Accident Insurance Co.
221 So. 2d 372 (Supreme Court of Alabama, 1969)
United Security Life Insurance Company v. Harden
153 So. 2d 246 (Supreme Court of Alabama, 1963)

Cite This Page — Counsel Stack

Bluebook (online)
195 So. 460, 29 Ala. App. 310, 1940 Ala. App. LEXIS 186, Counsel Stack Legal Research, https://law.counselstack.com/opinion/all-states-life-ins-co-v-kelso-alactapp-1940.