Germain v. &198tna Life Ins. Co.

280 N.W. 773, 285 Mich. 318
CourtMichigan Supreme Court
DecidedJune 30, 1938
DocketDocket No. 5, Calendar No. 39,792.
StatusPublished
Cited by12 cases

This text of 280 N.W. 773 (Germain v. &198tna Life Ins. Co.) is published on Counsel Stack Legal Research, covering Michigan Supreme Court primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Germain v. &198tna Life Ins. Co., 280 N.W. 773, 285 Mich. 318 (Mich. 1938).

Opinion

Potter, J.

Plaintiff sued defendant upon an insurance policy to recover benefits to which, she claimed to be entitled and which defendant refused to pay. There was judgment for defendant, a motion for new trial made and denied, and plaintiff appeals.

Defendant issued group policy No. 5566 September 30, 1932, covering the lives of employees of the Bundy Tubing Company. This policy was renewed and was in force at the time of plaintiff’s injury February 25,1935. By a rider, dated April 27,1934, forming a part of the policy, it was provided female plant employees thereafter to be employed were to be eligible to subscribe for $500 of insurance. The master policy provided that renewal from year to year was conditional upon the payment of monthly premiums in advance by the employer, and that those entering active employment after the date of the execution of the policy would be eligible for insurance on completion of one month of continuous active service or employment. A schedule of premiums rates was set forth in the policy, immediately below which appeared the following:

“The charge for the permanent total disability benefit included in the above premium rates represents one per cent, of each premium below age 60.”

The first mention of permanent total disability benefit in the policy besides the above quoted portion appears immediately beneath the above quotation. The policy provides:

“Six months after receipt at the home office of the company of satisfactory evidence
*321 “ (1) that any insured employee has, while under age 60, become totally disabled by bodily injuries or disease from engaging in any occupation for compensation or profit, and will be so disabled for life, and
“ (2) that such employee has been continuously insured hereunder for at least one year immediately preceding the commencement of disability, or was eligible for insurance, on the date of this policy and has been continuously insured from a date not more than three months thereafter to the commencement of disability, the company will begin payment # * * of a monthly income. ’ ’

The above quoted provisions of the policy also appear on page 2 of the certificate required by law and by the policy to be given to each employee, and given to plaintiff. The first page of this certificate recited:

“aETNA LIFE INSURANCE COMPANY
of
‘ ‘ Hartford, Connecticut
“Has Insured The Lives of Certain Employees of
“Bundy Tubing Co.
“By a group policy of insurance, No. 5566. Under and subject to the terms and conditions of said policy, and the application therefor. The life of MILDRED GERMAIN, 413, an employee, is insured for the sum of $500, payable in event of death to the beneficiary RUBY GERMAIN — Mother, (subject to change as provided in said policy).
“The group policy provides that:
‘1 The insurance will be payable in monthly instalments if the employee becomes permanently totally disabled before age 60, this provision is fully described on the second page of this certificate.”

*322 Plaintiff was hired December 19, 1934, by Bundy Tubing Company and' became eligible January 19, 1935, to be insured under the policy, and on that day a certificate was issued to her by defendant so stating. Plaintiff continued to work for the Bundy Tubing Company and was working for it February 25, 1935, when she was totally and permanently disabled, which disability has continued since.

It is difficult to ascertain when plaintiff began to contribute or pay premiums, and how much she paid. The case made states that a total monthly premium was paid from January 19, 1935, until July, 1935. In a stipulation filed, it was agreed that an affidavit of Roger Senecal, employment manager for the Bundy Tubing Company, be made part of the record and case made and “considered as testimony given by said affiant on behalf of the defendant at the trial of this case, and that the same be filed nunc pro tunc as of April 6, 1937.” This affidavit states: “Said amount was paid by her for the six-months’ period, commencing March, 1935, to and including August, 1935.” The affidavit of Senecal also states that plaintiff was in error when she said $2.28 was paid for life insurance per month which is also incorporated in the case made. This amount, Senecal deposed, was the total for the six months, — March, to and including August, 1935, — and was paid on the policy here involved. Plaintiff testified $1.75 a month for total disability was paid, which also appears in the case made. Senecal’s affidavit states this amount was paid on another policy issued to the Bundy Tubing Company by the Metropolitan Life Insurance Company. The discrepancies in the facts as they appear in the record do not affect the result reached. Senecal’s affidavit says:

*323 “That certificate number 632 for $500 was issued to Mildred Germain on the 19th day of January, 1935, for which Mildred Germain (age 20) contributed premium of 38 cents per month, one per cent, of which represented a charge for the permanent total disability benefit included in the within mentioned premium rate, per group life policy provision, which is incorporated herein by reference and made a part hereof.”

Defendant does not dispute the premiums were paid at the time of the accident and does not seek to avoid liability on this ground.

Proof of loss was furnished.

Defendant denies liability on the ground the policy was not in effect for one year immediately preceding the commencement of plaintiff’s disability as provided by the policy and plaintiff was not, therefore, eligible for permanent and total disability benefits on February 25, 1935.

Plaintiff says:

“When a group life and total disability benefit insurance policy, issued for one year and subject to annual renewal, provided that such policy would be effective as to the plaintiff upon January 19, 1935, and provided for premiums payable from date of effective date, which included a premium for the life benefits and a definite premium for disability benefits, which premiums were paid by plaintiff, and contains a subsequent clause that disability benefits shall be paid only upon proof that insurance policy has been in effect at least one year preceding the disability, i. e., that disability occurred after January 15,1936, is such subsequent clause repugnant to the insuring clause and therefore null and void?”

Plaintiff claims the answer should be in the affirmative.

*324

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Bluebook (online)
280 N.W. 773, 285 Mich. 318, Counsel Stack Legal Research, https://law.counselstack.com/opinion/germain-v-198tna-life-ins-co-mich-1938.