Baylor v. State Mutual Life Assurance Co. of Worcester

174 A. 526, 113 N.J.L. 389, 1934 N.J. LEXIS 370
CourtSupreme Court of New Jersey
DecidedSeptember 27, 1934
StatusPublished
Cited by4 cases

This text of 174 A. 526 (Baylor v. State Mutual Life Assurance Co. of Worcester) is published on Counsel Stack Legal Research, covering Supreme Court of New Jersey primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Baylor v. State Mutual Life Assurance Co. of Worcester, 174 A. 526, 113 N.J.L. 389, 1934 N.J. LEXIS 370 (N.J. 1934).

Opinion

The opinion of the court was delivered by

Pekskie, J.

On January 23d, 1930, appellant issued its policy No. 369614, in the sum of $11,000 insuring the life of the respondent. In consideration of a special premium paid to it, appellant also granted the respondent total and permanent disability benefits. Respondent paid the first and only premium thereon. The grace period of thirty-one days expired on August 23d, 1930. Respondent brought suit against appellant alleging that on August 15th, 1930, he became totally and permanently disabled. Appellant answered, and among other defenses, set up the defense that respondent failed to furnish due proof of the alleged disability to the appellant while no premium was in default. To this answer respondent replied that he was both mentally and physically totally disabled, and thus incompetent to attend to his affairs and to give notice or proof of disability.

The proofs - disclose (Exhibit P-4) that respondent’s brother wrote appellant on June 1st, 1932, advising it of the respondent’s total disability as of August 15th, 1930. *391 Bespondent’s contention below, as here, is in substance that under the proofs of the instant case, it became a jury question as to whether he was legally excused from giving notice or proof of disability prior to June 1st, 1932, and that appellant was estopped from denying liability in the premises.

The pertinent provisions of the policy are as follows:

“If the insured while no premium is in default under the policy and disability agreement shall furnish due proof that, before reaching the age of sixty years, because of accident or disease he has become totally and permanently disabled as hereinafter defined, and that such disability, or the cause thereof, was sustained or contracted after the date hereof, the company agrees as follows:

“(1) To waive the payment of all premiums becoming due under the policy and disability agreement after the commencement of such total disability and during its continuance.

“(2) To pay to the insured (or the beneficiary of record if such disability is caused by insanity) a monthly income of one per cent, of the face amount of this policy, exclusive of any paid up additions. Such payments shall begin as of the date of the commencement of such disability and shall continue monthly thereafter during the continuance of such total disability, until the maturity of the policy.”

And:

“Disability shall be deemed to be total if the assured has become wholly, continuously and permanently unable to perform any work, mental or manual, or to engage in any occupation or business for compensation, remuneration or profit; and such total disability shall be presumed to be permanent when it is present and has existed continuously for not less than ninety consecutive days.”

The proof clearly indicates, and it is not denied or controverted, that respondent, on August 15th, 1930, ascertained that he had become afflicted with what is known as Grave’s disease — exopthalmic goiter. The proof further tends to indicate that as a result of this affliction he was and continued to be a very sick man. He was operated on and had two lobes *392 of the thyroid gland removed, leaving only the isthmus. He still requires medical stimuli, care and attention. In pursuance of the frequent symptoms of this disease respondent was highly nervous, excitable and delusional. He was not able to speak coherently and at times acted irrationally. Appellant, however, developed proof that respondent traveled, was incarcerated in jail for issuing worthless checks; did odd pieces of work, &c. It was also developed that respondent had a disability benefit policy with the Penn Mutual Life Insurance Company of Philadelphia. That respondent signed proof of a claim for disability benefit with the latter company, arising out of the same affliction. Respondent did not deny his signature to this proof of claim but denied having any knowledge of his having signed it; he said he signed whatever papers he was asked to sign. Incidently, after investigation the general manager of the Penn Mutual Life Insurance Company of Philadelphia wrote stating that they were advised that the records disclosed that respondent was insane. Although that statement was subsequently retracted or explained by the supervisor of claims of the company, as being founded on error, nevertheless they did not contest respondent’s claim for disability benefits; in fact, they are paying the benefits thereunder.

Notwithstanding the proofs tending to indicate a contrary result, nevertheless, there was ample proof tending to indicate, as apparently the jury did find, that respondent was both mentally and physically totally disabled.

At the end of respondent’s proofs a motion for nonsuit was made on the ground of failure on the part of the respondent to give due notice or proof of his disability while no premium was in default and the further ground that there was no proof that it was not reasonably possible for respondent to give notice or proof thereof to appellant. This motion was denied.

Appellant, by stipulation, then offered Exhibit D-9 in evidence. This exhibit consists of an examination of the plaintiff before trial. It consisted of a general inquiry of respond *393 ent’s illness, treatments thereof, and his general activities and conduct in the premises, &c. Upon the admission of Exhibit D^9, as indicated, appellant made a motion for a directed verdict on the same grounds urged in support of the motion for a nonsuit. This was likewise denied.

The learned trial judge below submitted the case to the jury. He charged them, inter alia, as follows:

“Now you must ask yourselves the question was this plaintiff at the time of the lapsing of the policy, to wit, in the month of August, 1930, on the fifteenth day of that month, so utterly incapacitated, mentally and physically, that it was not reasonably possible for him to notify the company and make his proof of claim; and did that handicap or incapacity extend over the period of twenty months until the company was finally notified of his disability; was it reasonably possible at any time during that period of twenty months for young Baylor to have made his proof of claim and to have notified the company of his disability? Because if it was reasonably possible for him to do so, then, of course, it was his duty to do it, and he would be precluded from recovering if he failed in that respect.”

The refusal to nonsuit, as well as to direct a verdict, and the alleged illegal admission of the correspondence — exclusive of the first six letters, some of which passed between the insured’s brother and the company, and others that passed between respective counsel of appellant and respondent, constitute the grounds of this appeal.

If it was proper for the court to deny the motions of non-suit and to direct a verdict, we are clearly of the opinion that there was ample testimony, as already indicated, to support the finding of the jury.

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Bluebook (online)
174 A. 526, 113 N.J.L. 389, 1934 N.J. LEXIS 370, Counsel Stack Legal Research, https://law.counselstack.com/opinion/baylor-v-state-mutual-life-assurance-co-of-worcester-nj-1934.