Chapman v. Metropolitan Life Ins. Co.

173 S.E. 801, 172 S.C. 250, 1934 S.C. LEXIS 68
CourtSupreme Court of South Carolina
DecidedMarch 20, 1934
Docket13811
StatusPublished
Cited by13 cases

This text of 173 S.E. 801 (Chapman v. Metropolitan Life Ins. Co.) is published on Counsel Stack Legal Research, covering Supreme Court of South Carolina primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Chapman v. Metropolitan Life Ins. Co., 173 S.E. 801, 172 S.C. 250, 1934 S.C. LEXIS 68 (S.C. 1934).

Opinion

The opinion of the Court was • delivered by

Mr. Justice Bonham.

The respondent brought separate actions in the Court of Common Pleas for York County on three policies of insurance, in the appellant insurance company, to recover indemnity for alleged total disability. By consent of counsel, the cases were heard together, on circuit and on appeal, and it is agreed that the decision in the one case shall dispose of all of them.

The complaint alleged the issuance of the policy; that, while it was in full force and effect, and while plaintiff had complied with its terms and conditions, she “became, and is now, totally, and permanently disabled by reason of the fact of her contracting heart trouble, asthma and the ill effects received from a recent surgical operation.” She alleges that notice of her claim was given to defendant, who failed to furnish the necessary blanks and has refused to pay the claim. The prayer of this cause of action is for half the amount of the face of the policy. In a second cause of action predicated upon the same allegations she demands that the defendant be required to issue to her a paid-up policy as by the terms of the policy sued on.

The answer sets up a general denial of the allegations of both causes of action; that the company issued to the plain *253 tiff the policy sued on, subject to the conditions therein ap-, pearing, each of which “was expressly made a part of said contract, and contracted by the insured and every person entitled to claim thereunder to be a part of said contract”; that among the provisions of the policy was the following: “Disability. If, while this policy is in full force and effect and while there is no default in the payment of premium beyond the four weeks grace period, the insured shall lose by severance both hands, or both feet, or one hand and one foot, or lose permanently the sight of both eyes, total and permanent disability will be deemed to exist, and one-half of the amount of insurance then payable in the event of death shall be paid immediately upon receipt by the Company of due proof of such loss and surrender of the policy. Thereafter no further premiums will be required and the Company will issue a fee or paid up Policy providing for payment at the death of the Insured of such benefit as would have been payable under the original Policy.”

The answer further alleges that plaintiff has not furnished the due proof of loss as is specified in the policy with reference to “Disability.” It is further denied that plaintiff has suffered any such loss, and denies any liability.

The case was heard by Judge T. S. Sease and a jury, and a verdict rendered for plaintiff.

The defendant moved for nonsuit, directed verdict, and for new trial upon grounds set out in the record, all of which motions were denied.

The defendant offered no testimony, and now appeals from the judgment entered on the verdict, upon seven exceptions, which appellant’s counsel elects to consider under the following statement of issues:

(1) It was error to hold that the disability provision contained in the policies was ambiguous and not susceptible to a clear and ready interpretation. Exceptions 1-8.

(2) It was error to allow.the witness S. P. Chapman, for the plaintiff, to testify that the agents of the defendant *254 orally represented to the plaintiff when the policies were issued that the disability clause contained in the policies included and covered disability arising from any cause. Exception 1.

(3) It was error to allow the witness J. H. Green, on behalf of plaintiff, to testify that in other transactions the defendant’s soliciting agents interpreted the disability clause in policies similar to these policies in suit as covering disability arising from any cause. Exception 7.

We will consider the exceptions as thus presented by these issues.

It appears that the presiding Judge held that the provision of the policy relating to disability was ambiguous because it contained the words “total and permanent disability will be deemed to exist.” These words follow in the disability clause the statement, “If while this policy is in full force and effect * * * the insured shall lose by severance both hands, or both feet, or one hand and one foot, or lose permanently the sight of both eyes.” It seems patent that the grammatical, necessary, and only reasonable interpretation of the disputed language is that, if any of the disasters thereinabove set out should befall the insured, then “total and permanent disability will be deemed to exist.” Any other interpretation is to wander into the realm of speculation and to impart ambiguity where none exists.

What is ambiguous in this whole clause taken together? The contract says, if in certain named circumstances you lose both hands, or both feet, or one hand and one foot, or the sight of your eyes, I agree that that is total and permanent disability and there will be no dispute over what constitutes total and permanent disability.

Black’s Law Dictionary defines ambiguity thus: “Doubt- - fulness: Doubleness of meaning.”

The exact meaning of the language used, if it needed aid in interpreting, is made clear by the further language of the *255 same unbroken sentence of the disability clause: “And one-half of the amount of insurance then payable in the event of death shall be paid immediately upon receipt by the Company of due proof of such loss and surrender of the policy.” (Italics added.)

The only losses that have been mentioned are those therein enumerated, all of which relate to the loss of hands, and of feet and of eyesight. The reason for the insertion in this provision of the words, “Total and permanent disability shall be deemed to exist,” would seem to be to provide against the possible contention that, even though one suffered any of the things enumerated, one still might be able to do something by way of earning a living. The writer of this opinion knows a man who has lost both hands, who is an accomplished penman, and who was for years the auditor of his county. It is common knowledge that much litigation has occurred over the determination of the question what constitutes total and permanent disability. It is a plain and fair interpretation that in this policy the insurer assured the insured that3 if she incurred such loss, she would not be called on to prove “total and permanent disability.”

The presiding Judge held that the phrase “total and permanent disability will be deemed to exist” created an ambiguity as to the character of the disability covered by the policy. With the purpose, as he stated, of clearing away that ambiguity, he admitted, over objection, the testimony of S. P. Chapman and J. H. Green. S. P. Chapman is the husband of the plaintiff, who is the insured in these three policies, and he is the named beneficiary therein. He testified that he has some ten or twelve policies of a like nature in this and other companies. He is a man of education,, is a “smart man.” He testified in this case that he negotiated all of these insurance transactions; that, when the policies now sued on were solicited by the agent, he read the policies and knew their contents.

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Bluebook (online)
173 S.E. 801, 172 S.C. 250, 1934 S.C. LEXIS 68, Counsel Stack Legal Research, https://law.counselstack.com/opinion/chapman-v-metropolitan-life-ins-co-sc-1934.