Arabia v. John Hancock Mutual Life Insurance

17 N.E.2d 202, 301 Mass. 397, 1938 Mass. LEXIS 1059
CourtMassachusetts Supreme Judicial Court
DecidedOctober 28, 1938
StatusPublished
Cited by16 cases

This text of 17 N.E.2d 202 (Arabia v. John Hancock Mutual Life Insurance) is published on Counsel Stack Legal Research, covering Massachusetts Supreme Judicial Court primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Arabia v. John Hancock Mutual Life Insurance, 17 N.E.2d 202, 301 Mass. 397, 1938 Mass. LEXIS 1059 (Mass. 1938).

Opinion

Ronan, J.

The plaintiff seeks in the first count of his declaration to recover benefits for total and permanent disability from April 10,- 1933, to November 15, 1934, under a supplementary contract attached to a life insurance policy; and, in the second count, to recover the premiums paid during the same period. The jury returned a verdict for the plaintiff ón each count of the declaration. The [399]*399defendant excepted to the denial of its motion for a directed verdict and to the admission of evidence relative to the plaintiff’s physical condition subsequent to November 15, 1934, the date of the writ.

The supplementary contract provided that “If . . . due proof shall be presented at the Home Office of the Company that the Insured has . . . become totally disabled as the result of bodily injury or disease so as to be wholly prevented thereby from engaging in any occupation or employment for wage or profit, and that such disability has already continued uninterruptedly for a period of at least four months (such disability of such duration being deemed to be permanent only for the purpose of determining commencement of liability hereunder) the Company, during the continuance of such disability, will”' waive payment of premiums due after commencement of such disability and pay monthly benefits in a certain amount beginning with the fourth month from the commencement of disability. A part of the caption of this contract is “Benefit for Total and Permanent Disability,” but no mention whatever is made in the body of the contract concerning permanent disability other than in the portion above quoted.

It could have been found upon all the evidence that.the plaintiff was so severely injured on September 10, 1932, that he has since been unable to engage in any occupation or employment for compensation. His ailments and incapacity resulting from the accident were set forth in great detail by himself and his physicians. There was evidence that his condition was “permanent and progressive” and that it “will become worse as. time goes by.” Written proof of his disability was given to the company on January 24, 1933. On May 5, 1933, the plaintiff’s physician furnished the defendant a written statement concerning the plaintiff’s condition. The plaintiff’s proof and the physician’s statement were made on forms furnished by the defendant. Thereafter, the defendant paid all benefits due under its contract up to and including April 10, 1933, and refunded the premiums that had then been paid during the plaintiff’s disability.

[400]*400The defendant contends that, in order to recover, the plaintiff must show that his disability was both total and permanent, and that permanence of disability cannot be presumed from total disability under the terms of the contract. It is true that the contract does not in terms define permanent disability. It provides that total disability, continuing for four months, shall be “deemed to be permanent only for the purpose of determining commencement of liability.” The company could insure only against total and permanent disability. G. L. (Ter. Ed.) c. 175, § 24. It could not issue a policy against either total or permanent disability. Mutual Benefit Life Ins. Co. v. Commissioner of Insurance, 271 Mass. 365. Shea v. Aetna Life Ins. Co. 292 Mass. 575, 584. Liability could not attach until the total disability became permanent, and the provision in the contract fixing liability as commencing upon the continuance of total disability for four months, construed in the light of the statute, must mean that such a disability had then become compensable. Such a construction is supported by the design of the statute, the language of the contract, and the intent of the parties. Rezendes v. Prudential Ins. Co. 285 Mass. 505. Shea v. Aetna Life Ins. Co. 292 Mass. 575. Benefit payments were made by the company and received by the insured upon the understanding that total disability continuing for four months became a total permanent disability. “ It is a familiar rule that when the interpretation of an instrument is in doubt, and we do not think that this was, the interpretation given by the parties to it is entitled to weight.” Curtis v. Swan Island Club, Inc. 289 Mass. 399, 402.

No specific mention of the point now argued was made in the trial court although, in enumerating the grounds upon which he sought a directed verdict, counsel for the defendant stated that, “It has not been shown by any evidence that the plaintiff was disabled, under the provisions of the policy.” The judge, however, construed the policy as providing “that where disability is continuous for four months it is presumed to be permanent,” and so instructed the jury. This instruction, in the absence of an exception, [401]*401became the law of the trial and the defendant is foreclosed from now contending it was error. Glines v. Berry Box & Package Co.. Inc. 248 Mass. 518. S. E. Rand Transportation Co. v. Boston & Maine Railroad, 273 Mass. 327. Button v. Crowley, 284 Mass. 308. Lustenberger v. Boston Casualty Co. 300 Mass. 130.

The evidence amply warranted the jury in finding that the plaintiff had suffered a total and permanent disability within the terms of the contract during the entire period alleged in the declaration. Rezendes v. Prudential Ins. Co. 285 Mass. 505. Treblas v. New York Life Ins. Co. 291 Mass. 138. Adamaitis v. Metropolitan Life Ins. Co. 295 Mass. 215. Rosemont v. Equitable Life Assurance Society, ante, 139.

“Due proof” of total disability was required of the insured. The plaintiff furnished such proof on January 24, 1933, by a sworn statement setting forth that he was totally and permanently disabled on account of bodily injury resulting from an accident which occurred on September 10, 1932, while employed by a corporation (which he named) at his place of employment (the address of which he stated) when he “fell down while fixing a belt on machine.” The names and addresses of his physicians were also included in the proof. Every question on the blank was answered. A claim within the contract of insurance was adequately described and constituted sufficient proof. Belbas v. New York Life Ins. Co. 300 Mass. 471, 473. O’Neil v. Metropolitan Life Ins. Co. 300 Mass. 477, 481. The written statement of the physician which included an opinion inconsistent with the plaintiff’s claim was not a part of the proof required to be given by the policy, Taylor v. Aetna Life Ins. Co. 13 Gray, 434, and was not binding on the insured. Burke v. John Hancock Mutual Life Ins. Co. 290 Mass. 299. If the plaintiff’s disability continued uninterruptedly to be [402]*402total and permanent from the time of the accident to the date of the writ, then he was not required to give any other proof, unless requested to do so by the defendant. It was admitted that such a request was never made. There is nothing in the defendant’s contention that the proof was insufficient and that it was entitled to other and further proof.

The defendant excepted to the admission of testimony by two physicians relative to the plaintiff’s condition subsequent to November 15, 1934, the date of the writ in the present action.

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Bluebook (online)
17 N.E.2d 202, 301 Mass. 397, 1938 Mass. LEXIS 1059, Counsel Stack Legal Research, https://law.counselstack.com/opinion/arabia-v-john-hancock-mutual-life-insurance-mass-1938.