Bell v. the MacCabees

82 S.W.2d 229, 18 Tenn. App. 641, 1935 Tenn. App. LEXIS 81
CourtCourt of Appeals of Tennessee
DecidedFebruary 7, 1935
StatusPublished
Cited by1 cases

This text of 82 S.W.2d 229 (Bell v. the MacCabees) is published on Counsel Stack Legal Research, covering Court of Appeals of Tennessee primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Bell v. the MacCabees, 82 S.W.2d 229, 18 Tenn. App. 641, 1935 Tenn. App. LEXIS 81 (Tenn. Ct. App. 1935).

Opinion

FAW, P. J.

This is a suit brought on May 29, 1933, by John Edward Bell, a resident citizen of Fentress c.ounty, Tennessee, against The Maccabees, a fraternal benefit association incorporated under the laws of the state of Michigan, but licensed to do business, and doing' business, in the state of Tennessee, to recover disability benefits under. a, “benefit certificate” issued by the defendant to the complainant on October 1, 1931.

The benefit certificate constituted a combination of life, accident, and disability insurance, viz., $5,000 life insurance and $1,000 in the event of loss by accident of one hand at or above the wrist, one foot at or above the ankle, or complete loss of the sight of one eye.

The contract of defendant to pay disability benefits was contained in a rider, called “supplementary agreement,” bearing the same date as the certificate and attached thereto, which rider provided as follows:

■ “The Maccabees Further agree and if while the above numbered certificate is in full force and effect, and before default in the payment of any rate, the Association receives due proof that the member, as the result of injury or disease occurring or originating at least one year after the issuance of this supplementary agreement, and before the member attains age 60, has become totally and permanently disabled, by other than his own illegal, reckless, or foolhardy act, from performing or directing his usual labor or business, and from performing or directing any and all kinds of labor or business, whether such directing is his customary occupation or not, the Association will allow the following benefits in lieu of the permanent .total dis *643 ability benefit provided on Page 1 of the above-numbered certificate.
“1. Beginning with the rate due after receipt of such full and complete proof of permanent total disability the Association will waive payment of each subsequent rate becoming due during continuance of such disability.
“2. Commencing the first day of the second calendar month from the receipt of such proof, the Association will pay each month during the continuance of such disability, to the member or to such person as may be found by the Association to have the care of the person of the member, 1% of the face amount of the benefit certificate mentioned above ($10.00 per $1,000). The member shall not have the right to commute such monthly payments. If there be any indebtedness under the certificate, the interest on such indebtedness shall, if not otherwise paid, be deducted from the payments hereunder.”

The aforesaid “supplementary agreement” contained other provisions which are not pertinent to the present controversy.

The liability of the defendant for disability benefits was dependent upon the payment by the complainant of specified premiums (called “rates” in the certificate) at stated periods, unless waived by the defendant pursuant to certain provisions of the certificate to that end.

In addition to the statement of the issuance of the certificate and its terms and provisions, complainant alleged in his bill that all premium rates and dues under said policy had been paid, or the payment waived by the defendant, up to the date of the filing of the bill, and then stated the facts upon which he based his claim to a recovery as follows:

“Complainant shows that on the 20th day of June, 1932, he had an accident, in which he lost and had severed one foot as a result of which Complainant was compelled to walk on crutches, was having an artificial limb made and was able to carry on bis business as editor of a paper and was able to go on with his job of printing and publishing his paper.
“Complainant shows that on the third day of February, 1933, while in the condition above mentioned and while performing his regular duties walking on crutches at his place of business and attending to business he fell and permanently injured himself, injuring his head and spine after which he has been rendered totally helpless to attend to his business and was forced by said accident to withdraw from all business activity since the date of the accident and is compelled to have some one to attend to him at all times.
“Complainant avers that the injury will continue as long as hé lives and no hope of his being any better, and that he is permanently and totally disabled.
‘‘ Complainant avers that under the terms and conditions of the said policy that he is entitled to recover the lump sum of $2500 or in lieu *644 thereof, as stated in the attached rider $50 per month during the remainder of his life, hut if complainant is allowed to elect he will take the $50 per month during the remainder of his life.
“Complainant shows that due proof of permanent total disability has been made to the defendant and that it has refused absolutely to make settlement under the said policy.
“The original benefit certificate No. 1117074 will be filed on or before the hearing.
‘ ‘ Complainant shows that by reason of the failure of the defendant to pay as per the terms of its policy that he has incurred additional expenses, had to hire attorneys and pay fees and have the expense of a law suit.”

The defendant filed an answer to the bill on July 10, 1933, in which it denied that complainant fell .and permanently injured himself bn February 3, 1933, as alleged in the bill, and denied that complainant became totally disabled, as provided in the contract sued upon after the said contract had been in force one full year.

Defendant stated in his answer that, on August 9, 1933, it paid to the complainant $1,000 as the specified benefit for the loss of his right foot, caused as a result of said railroad accident which occurred one June 20, 1932.

Defendant also stated in its answer that complainant requested defendant to defer the monthly rates due for the months February and March, 1933, and in accordance with said request the rates due on said certificate for said months, amounting to $30.50, were paid by defendant out of its general relief fund, which sum, under the terms of the contract sued upon, is due by complainant to defendant.

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Related

Copeland v. Cherry
95 S.W.2d 1275 (Court of Appeals of Tennessee, 1936)

Cite This Page — Counsel Stack

Bluebook (online)
82 S.W.2d 229, 18 Tenn. App. 641, 1935 Tenn. App. LEXIS 81, Counsel Stack Legal Research, https://law.counselstack.com/opinion/bell-v-the-maccabees-tennctapp-1935.