Guardian Life Insurance v. Snow

180 S.E. 241, 51 Ga. App. 280, 1935 Ga. App. LEXIS 668
Court of Appeals of Georgia·Decided May 23, 1935·No. 24491·Published·Cited by 9 cases

Opinions

Guerry, J.

Eobert P. Snow recovered a judgment against the Guardian Life Insurance Company of America, for alleged disability benefits under the terms of a policy of insurance issued to him by that company. The defendant complains of the overruling of its motion for new trial.

The policy provides for the payment of a fixed amount each month and for waiver of premiums during such disability, provided-the insured before attaining the age of sixty and while the policy is in effect “becomes totally and permanently disabled by bodily injury or disease so that he is and will be permanently, continuously and wholly prevented thereby from performing any work 'or following any occupation whatever for remuneration or profit.” ‘It is provided 'that payments are to begin from the date of the receipt by the company of satisfactory proofs of such permanent and total disability. It is further provided that although proof of permanent disability may have been accepted by the company as satisfactorjr, “the company may at any time demand due proof of the continuance of such total disability, but not oftener than once a year after such disability has continued for two full years, and upon failure to furnish such proof or if it shall appear to the company . . that insured is able to perform any work or follow any occupation whatever for remuneration or profit, no further premiums shall be waived and no further income payments shall be made.”

The petition alleges that insured had for the last three years’ suffered from spinal arthritis and that he is now, and has during said period of time, been totally and permanently disabled, so that he was, is and will be permanently, continuously and wholly prevented thereby from performing any work or from following any occupation whatsoever for remuneration or profit; that on December 1, 1930, he furnished to the insurer due proof that he was totally and permanently disabled, and that the insurer on March 9, 1931, acknowledged liability to plaintiff therefor and made to him monthly payments as provided in the policy, until August 9, 1933, at which time it defaulted, and that it has since that time failed and refused to pay petitioner benefits thereunder, and demanded of him in Séptember, 1933, the annual premium of $80.48, although [282] lie was then and.still is totally and permanently disabled. The premium was paid under protest, and suit is brought to recover the same, together with alleged past-due payments.

The defendant answered, admitting its payments to insured from March 9, 1931, to August 9, 1932, but said that shortly after July 9, 1932, and prior to August 9, 1932, it ascertained that plaintiff was not totally and permanently disabled by bodily injury or disease, and thereupon notified plaintiff that it would make no further payment for total disability. It denied that plaintiff had been since that time disabled within the meaning of the policy.

There was in evidence the following letter:

“August 2, 1932.

“Mr. Eobert Parker Snow, 406 E. Moore Street, "Valdosta, Ga.

“In Ee: Policy No. 421750-Eobert Parker Snow.

“Dear Sir: Under Date of Dec. 28, 1930, you submitted to this, office various statements purporting to be proof of your total and presumed permanent disability. As it appeared from such statements that you were totally and presumably permanently disabled, as defined by the terms of the policy, we approved your claim for the disability benefits. In case your total disability has wholly and continuously prevented you from following any gainful occupation and in ease it still continues, the company, in accordance with the express provisions of the policy, hereby invites you to submit, without undue delay, proof of such total and continuous disability, the necessary forms for which will be sent upon request. Unless you can furnish proof of continuous total disability, no further disability benefits can be granted by the company under your present claim.”

It is insisted by plaintiff in error that the above letter is such a demand as defeats the right of the plaintiff to bring this action without complying therewith, by submitting additional proofs of the continuance of the disability. The court charged the jury, as requested by the plaintiff in error, to the effect, that although disability under the policy had been admitted and payments made by the defendant company, it might require additional proofs of the continuance of such disability, and. that a failure to furnish such additional proofs according to the terms of the policy would prevent the bringing of an action thereon. Plaintiff in error insists that the letter quoted is such a demand for such additional proofs [283] as constitutes a condition precedent to the bringing of an action on the policy. The holdings in respect to suits in fire and health insurance cases are cited as authority for the position taken. In Frye v. Continental Life Ins. Co., 43 Ga. App. 849 (160 S. E. 544), the policy sued on provided that “written notice of injury on which claim may be based must be given to the company within 20 days after the date of the accident causing the injury.” Fire-insurance policies generally contain a provision that in case of loss by fire, written notice and proofs of loss must be submitted within 60 days. In these cases our courts have held that a failure to furnish such proofs or to show a waiver thereof will postpone the right to bring suit on the policy. Jackson v. Security Ins. Co., 43 Ga. App. 13 (158 S. E. 457).

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Guardian Life Insurance v. Snow, 180 S.E. 241, 51 Ga. App. 280, 1935 Ga. App. LEXIS 668 (Ga. Ct. App. 1935).

180 S.E. 241 (Guardian Life Insurance v. Snow) — published by Counsel Stack Legal Research, free access to 12M+ legal documents.

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