Graham v. Equitable Life Assurance Society of United States

266 N.W. 820, 221 Iowa 748
CourtSupreme Court of Iowa
DecidedMay 5, 1936
DocketNo. 42921.
StatusPublished
Cited by5 cases

This text of 266 N.W. 820 (Graham v. Equitable Life Assurance Society of United States) is published on Counsel Stack Legal Research, covering Supreme Court of Iowa primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Graham v. Equitable Life Assurance Society of United States, 266 N.W. 820, 221 Iowa 748 (iowa 1936).

Opinions

Albert, J.

The plaintiff, Graham, held three policies of insurance in the defendant company. One of them, during the time involved herein, was lapsed. He still held a $10,000 policy issued on February 17, 1925, and a $5,000 policy issued on February 19, 1923. Both policies provided for payment, under certain conditions, for total and permanent disability. The larger policy provided for payment of $100 per month, and the other policy provided for payment of $50 per month.

The action herein, based on these policies, attempts to allege a cause of action under the total and permanent disability clause, which was identical in the two contracts except as to the amount. The allegation is, in each count of the petition, that during the period from the 17th of September, 1931, to on or. about the 27th of July, 1932, the plaintiff was disabled due to illness and was prevented thereby from engaging in any occupation or performing any work for compensation of financial value. The clauses of the policies' involved are as follows:

“If the Insured becomes wholly and permanently disabled before age 60, the Society will waive subsequent premiums and pay to the Insured a Disability-Annuity of One Hundred Dollars a month, subject to the following* terms and conditions:
“(1.) Disability benefits before age 60 will be effective upon receipt of due proof, before default in the payment of *750 premium, that the Insured became totally and permanently disabled by bodily injury or disease after this policy became effective and before its anniversary upon which the Insured’s age at nearest birthday is 60 years, in which event the Society will grant the following benefits:
“(a) (Waiver of payment of all premiums during the continuance of the disability.);
“(b) (Pay to insured a monthly disability-annuity as above stated during the continuance of the total and permanent disability).
“Disability shall be deemed to be total when it is of such an extent that the Insured is prevented thereby from, engaging in any occupation or performing any work for compensation of financial value, and such total disability shall be presumed to be permanent when it is present and has existed continuously for not less than three months; and, further (certain matters not here involved), will of themselves be considered as total and permanent disability within the meaning of this provision.
“The right is reserved for two years after the receipt of proof of disability (not more than once a year) to require proof of the continuance of such total disability. If the Insured shall fail to furnish satisfactory proof thereof, or if it appears at any time that the Insured has become able to engage in any occupation or perform any work for compensation of financial value, no further premiums will be waived and no further Disability-Annuity payments will be made hereunder on account of such disability.”

A jury was waived and the case was tried to the court, which allowed the plaintiff judgment for disability compensation on both policies from the 19th of December, 1931, to the 26th of July, 1932. From this judgment the defendant appeals.

It is apparent from what has already been said that the plaintiff, by his own pleading and by his testimony, claims under the disability clause from the 17th of September, 1931, to the 27th of July, 1932, when he became engaged in gainful and financial employment.' We turn, therefore, to the terms of these contracts with the plaintiff to determine whether or not he was entitled to this compensation during the time for which he claims it. What was the contract between these parties f Briefly stated, the defendant company says to the plaintiff: “If you *751 become totally and permanently disabled, by disease, after this policy becomes effective, we will grant yon certain waivers of premiums during the continuance of such total and permanent disability, and pay you certain monthly amounts. ” . It will be noted that tire disability for which the company agreed to pay was not only a total disability, but that such disability must also be permanent; and it is by reason of the latter provision that the dispute arises in this case.

As heretofore said, the plaintiff himself testifies that he went into a gainful employment on the 27th of July, 1932. It is apparent that under the terms of the contract both parties must have understood that unless the disability was permanent the insured was not entitled to any benefits under the terms of the policy. In other words, if the disability was “temporary” it is not covered by the policy. True it is that the policy provides that in the event the disability is total, and lasts for more than three months, it is presumed to be permanent. The contention of the defendant is that the provision as to the presumption of permanency does not give rise to a cause of action in this ease because the plaintiff himself testifies that the disability was not permanent. This action was not commenced until after the plaintiff had engaged in financial employment. We are, therefore, required to determine whether or not, under a policy of this kind, recovery can be had for total and permanent disability, when the plaintiff’s own evidence shows to a certainty that at the time the action was commenced the disability complained of was not permanent.

We have formerly expressed ourselves on the interpretation of policies of this' character and have held that where the evidence in the case shows at the time of the trial that the disability complained of was not permanent, but only temporary, recovery could not be had. This is the substance of our holding in the case of Hawkins v. John Hancock Mutual Life Ins. Co., 205 Iowa 760, 218 N. W. 313, where numerous cases are gathered together sustaining this doctrine.

It is true that the Minnesota Supreme Court has held to the contrary in the case of Maze v. Equitable Life Ins. Co. of Iowa, 188 Minn. 139, 246 N. W. 737.

The Iowa Supreme Court, in the decision just cited, refers back to a New York decision, Ginell v. Prudential Ins. Co. of America, 205 App. Div. 494, 200 N. Y. S. 261, Id., 237 N. Y. *752 554, 143 N. E. 740, in which a former decision of the Supreme Court of that state is reviewed, and the holding of the Appellate Court was that no recovery could be had. While the Iowa Supreme Court followed the New York court in the Ginell case, the Minnesota Supreme Court refused to follow that rule.

A case in line with the Ginell case is Mitchell v. Equitable Life Assurance Society of United States, 205 N. C. 725, 172 S. E. 497, 499. In the North Carolina case the defendant was the defendant in this case, under the same kind of a policy as is involved here. The court said, in part:

“There is a natural feeling that, after an insurance company has received its premiums, it ought not to be allowed to escape liability or to avoid responsibility, and the just rule is that policies will be construed strictly against the insurers and in favor of the assured. * * *

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

Related

Smith v. Penn Mutual Life Insurance
7 N.W.2d 41 (Supreme Court of Iowa, 1942)
Finkelstein v. Equitable Life Assurance Society
256 A.D. 593 (Appellate Division of the Supreme Court of New York, 1939)
New England Mutual Life Insurance v. Hurst
199 A. 822 (Court of Appeals of Maryland, 1938)
Wood v. Federal Life Insurance
277 N.W. 241 (Supreme Court of Iowa, 1938)
DeVore v. Mutual Life Insurance
64 P.2d 1071 (Montana Supreme Court, 1937)

Cite This Page — Counsel Stack

Bluebook (online)
266 N.W. 820, 221 Iowa 748, Counsel Stack Legal Research, https://law.counselstack.com/opinion/graham-v-equitable-life-assurance-society-of-united-states-iowa-1936.