General American Life Ins. Co. v. Rios

154 S.W.2d 191, 1941 Tex. App. LEXIS 777
CourtCourt of Appeals of Texas
DecidedJune 26, 1941
DocketNo. 4106
StatusPublished
Cited by4 cases

This text of 154 S.W.2d 191 (General American Life Ins. Co. v. Rios) is published on Counsel Stack Legal Research, covering Court of Appeals of Texas primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
General American Life Ins. Co. v. Rios, 154 S.W.2d 191, 1941 Tex. App. LEXIS 777 (Tex. Ct. App. 1941).

Opinion

PRICE, Chief Justice.

This is an appeal from a judgment of one of the District Courts exercising jurisdiction in Bexar County. The judgment was in favor of Joe Rios, plaintiff, against the defendant, General American Life Insurance Company, in the total sum of $1,520, with interest thereon. The defendant has appealed from such judgment.

The trial was before the court to a jury. The verdict was instructed m favor of the plaintiff.

Before the verdict was instructed the following stipulation was entered into: “Mr. MacFarlane: It is stipulated that in the case on trial, Rios vs. General Amer[192]*192ican Life Insurance Company, the defendant, General American Life Insurance Company, .will not require or request that the Court submit to the jury any issues relating to whether or not Joe Rios became totally and permanently disabled on the 10th day of May, 1937, and will not object to the Court’s charge for failure to submit such issues, and hereby agrees that the Court may find the. issues as to Rios’ total and permanent disability without submitting same to the jury. I am not agreeing that there is total and permanent disability, but I am letting the Court find that issue. I will agree that the evidence shows that the premiums were paid on the certificate issued for the benefit of Joe Rios up to the 26th day of July, 1937.”

Plaintiff’s action was founded on a certificate of insurance issued to him under a group policy issued by appellant to his employer, Ernest A. Stapper, who did business under the name of the Southern Company. Plaintiff sued for $1,000 claimed to be due as a total and permanent disability benefit under the terms of the certificate, and in addition for penalty, interest and attorney's fees.

The answer of - defendant was, in brief, that no total and permanent disability benefits became effective under the terms of the certificate while the certificate was in effect.

On January 25, 1929, Ernest A. Stapper, doing business as the Southern Company, applied to Missouri State Life Insurance Company for the group life insurance policy to insure the lives of the employees of his Company; on February 1, 1929, the Insurance Company issued the policy in question. It is deemed necessary to set forth the material portions of this policy:

“The Missouri State Life Insurance Company
“By This Policy Agrees to ■ Pay subject to its terms and conditions, the amount determined by the Plan of Insurance hereinafter contained immediately upon receipt of due proof of the death of any employee (herein called the Insured) of
■The Southern Company
(Herein called the Employer)
of San Antonio, County of Bexar, State of Texas.
' “Plan of Insurance
“The amount of insurance on any Employee insured hereunder, and the date on which said insurance shall become effective, shall be determined as follows:
“Each employee who has completed one month of continuous service with the Employer will be insured in accordance with the following schedule upon presentation to the Company of satisfactory evidence of his or her insurability:
“Mexican & Colored Employees $1000.00”
“Employees Insured — Employees are automatically insured in accordance with the terms of the Plan of Insurance on Page One, subject to the terms of this policy.
“The Employer shall furnish the Company with the names of all Employees as they become eligible for insurance hereunder, with the information as to each necessary to determine the age, the amount of insurance, and the effective date of the insurance. .
“Termination of Insurance — The insurance on any Employee shall cease upon the termination of his employment, except as hereinafter provided. If an Employee is disabled, given leave of absence, or temporarily laid off, the employment need not be considered terminated, unless the Employer shall so elect.
“The employer shall notify the Company of all Employees whose employment shall terminate and also the dates of the termination of their employment.
“Premiums- — -All premiums are payable in advance at the Home Office of the Company, but may be paid to an authorized Agent of the Company upon delivery of a receipt signed by the President or Vice President, and countersigned by said Agent. If any premium shall not be paid when due, this policy shall terminate except as hereinafter provided.”
“Total and Permanent Disability Benefits — If any Employee insured under this policy shall furnish the Company with due proof that before having attained the age of 60 years, he or she has become totally and permanently disabled by bodily injury or disease, and that he or she is then, and will be at all times thereafter, wholly prevented thereby from engaging in any gainful occupation, and that he or she has been so permanently and totally disabled for a period of six months, the Company will immediately pay to such Insured in full settlement of all obligations hereunder as [193]*193to such insured’s life, the amount of insurance in force hereunder on such Insured at the time of the approval by the Company of the proofs as aforesaid. This amount will be paid either in one sum or in installments as hereinafter provided. 5fC ⅜ ⅜ >}
“Individual Certificate of Insurance and Conversion of Privilege — The Company will issue to the Employer for delivery to each Employee whose life is insured under this policy, an individual certificate setting forth a statement as to the insurance protection to which he is entitled and to whom payable. Any Employee of the Employer covered under this group policy shall, in case of the termination of employment for any reason whatsoever, be entitled to have issued to him by the Company without evidence of insurability upon application to the Company made within thirty-one days after such termination and upon the payment of the premium appli-cablé to the class of risks to which he belongs and to the form and amount of the policy at his then attained age, a policy of life insurance in any one of the forms customarily issued by the Company, except term insurance, in an amount equal to the amount of protection under such group insurance policy at the time of such termination.”

It was contemplated that the employer should pay all premiums under the group policy, but later Stapper changed this arrangement, and while he paid the premiums due to the Insurance Company, the premiums so paid were deducted by him from the wages of his employees.

The appellant took over the policy from the Missouri State Life Insurance Company.

Free access — add to your briefcase to read the full text and ask questions with AI

Related

Eubanks v. Mullin
909 S.W.2d 574 (Court of Appeals of Texas, 1995)
Christian v. Metropolitan Life Insurance Co.
1977 OK 132 (Supreme Court of Oklahoma, 1977)
Untitled Texas Attorney General Opinion
Texas Attorney General Reports, 1942
General American Life Insurance v. Rios
164 S.W.2d 521 (Texas Supreme Court, 1942)

Cite This Page — Counsel Stack

Bluebook (online)
154 S.W.2d 191, 1941 Tex. App. LEXIS 777, Counsel Stack Legal Research, https://law.counselstack.com/opinion/general-american-life-ins-co-v-rios-texapp-1941.