Funderburk v. METROPOLITAN LIFE INSURANCE COMPANY

146 So. 2d 710, 1962 La. App. LEXIS 2580
CourtLouisiana Court of Appeal
DecidedNovember 28, 1962
Docket656
StatusPublished
Cited by7 cases

This text of 146 So. 2d 710 (Funderburk v. METROPOLITAN LIFE INSURANCE COMPANY) is published on Counsel Stack Legal Research, covering Louisiana Court of Appeal primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Funderburk v. METROPOLITAN LIFE INSURANCE COMPANY, 146 So. 2d 710, 1962 La. App. LEXIS 2580 (La. Ct. App. 1962).

Opinion

146 So.2d 710 (1962)

Zelma Hall FUNDERBURK, Plaintiff and Appellant,
v.
METROPOLITAN LIFE INSURANCE COMPANY, Defendant and Appellee.

No. 656.

Court of Appeal of Louisiana, Third Circuit.

November 5, 1962.
On Application for Rehearing November 28, 1962.

*712 Ted R. Broyles, Leesville, for plaintiff-appellant.

Taylor, Porter, Brooks, Fuller & Phillips, by Frank M. Coates, Jr., Baton Rouge, for defendant-appellee.

Before TATE, SAVOY and HOOD, JJ.

EN BANC.

HOOD, Judge.

This action was instituted by the widow of Christopher F. Funderburk, deceased, to recover benefits allegedly due her under a policy of group insurance issued by defendant company pursuant to the Federal Employees' Group Life Insurance Act of 1954. Plaintiff claims $5,000.00 under the life insurance provisions of the policy, and the additional sum of $5,000.00 under the accidental death provisions of it. The defendant denies liability on the ground that the decedent was not an insured at the time of his death, and that the accidental death features of the policy had terminated prior to the date of the accident which later resulted in his death. After trial of the case, the trial court rendered judgment in favor of defendant, rejecting all of plaintiff's demands, and plaintiff has appealed from that judgment.

The facts of this case are undisputed, except as to the date on which the decedent was separated from his federal employment. For some time prior to August 28, 1959, the deceased, Mr. Funderburk, was employed as a carpenter by the Department of the Army, Engineer Section, at Fort Polk, Louisiana. His employment was on an hourly basis, and he customarily worked 40 hours per week. More than 30 days prior to August 28, 1959, he was formally notified in writing by the proper authority that he was being separated from his federal employment effective "28 August 1959," and in compliance with that notice he performed his last day of work on that day.

On Sunday, September 27, 1959, or exactly 30 days after his last day of work, Mr. Funderburk was seriously injured in an automobile accident, and on the following Tuesday, September 29, 1959, which was 32 days after he discontinued work, he died as a result of those injuries. He remained unconscious from the time of the accident until the time of his death.

During his employment the decedent was insured under a group policy issued by defendant to United States Civil Service Commission, pursuant to the Federal Employees' Group Life Insurance Act of 1954 (5 U.S. C.A. § 2091 et seq.). The policy provides for the payment of certain benefits upon the death of the insured, and for the payment of additional benefits if death (or dismemberment) occurs by accidental means. Although no beneficiary had been named by the decedent, plaintiff, as his surviving widow, is designated by law as the beneficiary under this policy. 5 U.S.C.A. § 2093. Defendant concedes that the plaintiff would be entitled to recover the amount which she claims under the life insurance provisions of the policy, if the policy was actually in effect at the time of Mr. Funderburk's death, and that she would be entitled to recover the amount claimed under the accidental death features of the policy if the decedent was still covered as an insured under those provisions at the time the accident occurred. Defendant contends, however, that the policy *713 had terminated and that the decedent was not an insured under the appropriate provisions of the policy when either of these events occurred.

The Group Policy on which this claim is based provides:

"Section 3. Cessation of Insurance. The insurance on any employee insured hereunder shall automatically cease, except as specified in the next following paragraph, on the earliest of the following dates:
"(1) The date of his separation from the service. * * *" (Emphasis added).

Section 6 of the policy then provides that any employee whose life insurance shall cease in accordance with the above quoted portion of Section 3 "shall be entitled to have issued to him, without evidence of insurability, an individual policy of Life Insurance only, without disability or accidental means Death Benefits," provided that written application for such individual life insurance policy and payment of the first premium thereon shall be made within 31 days after such cessation. No such application for an individual policy of life insurance was ever made and the required premium was never paid by Mr. Funderburk. The same section of the policy provides further, however, that even though no application for an individual life insurance policy is made, "If an employee dies during the 31 days next following the date of such cessation of his life insurance hereunder," the beneficiary shall be paid "the maximum amount of life insurance for which an individual policy could have been issued."

Defendant contends that the insurance ceased or terminated as to the decedent on August 28, 1959, which was "the date of his separation from the service," and that since his death occurred more than 31 days after such cessation no benefits are due under the life insurance provisions of the policy. Plaintiff contends, however, that August 28, 1959, was not the effective date of Mr. Funderburk's separation from the service, but his separation in fact was effective one or more days later, and accordingly that his death occurred within 31 days following that separation.

Mr. Funderburk received formal written notice on July 21, 1959, of the fact that he would be separated from the service on August 28, 1959. This notice reads, in part, as follows:

"I regret to inform you that your name has been reached for action which requires your separation from the position you now hold. The action necessary is: Separation. The effective date of this action will be 28 August 1959. * * *
"Your position has been abolished."

The decedent then received another letter or notice, containing information which supplemented the notice of July 21, 1959, and which stated that "it is not possible to make you an offer of continued employment," and that the Civilian Personnel Office "will give you information about your final salary checks, lump sum leave payment, and retirement benefits or refunds."

In addition to these formal notices, the decedent also received from the Civilian Personnel Office on or prior to his last day of work copies of two other documents which indicate that his separation from the service was effective August 28, 1959. One of these documents is designated as a notification of personnel action, and shows the nature of the action to be "Reduction-in-Force," and "Effective date of action 8-28-59." The other document is an agency certification of insurance status, and it also shows the date of his separation as "8-28-59."

The testimony of Mrs. Eura H. Williams, who was chief of the Administrative Section of Civilian Personnel at Fort Polk at the time Mr. Funderburk was employed there, and of Mrs. Verna L. Lewis, who was division classifier there at that time, is to the *714 effect that Mr. Funderburk was separated from the service on August 28, 1959. The evidence also shows that the decedent performed no work after August 28, 1959, and he received no pay or compensation for work performed after that date, although he did receive a lump sum payment of accrued annual leave.

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Bluebook (online)
146 So. 2d 710, 1962 La. App. LEXIS 2580, Counsel Stack Legal Research, https://law.counselstack.com/opinion/funderburk-v-metropolitan-life-insurance-company-lactapp-1962.