Hager v. Pacific Mut. Life Insurance

43 F. Supp. 22, 1942 U.S. Dist. LEXIS 3145
CourtDistrict Court, E.D. Kentucky
DecidedJanuary 28, 1942
DocketNo. 8
StatusPublished
Cited by3 cases

This text of 43 F. Supp. 22 (Hager v. Pacific Mut. Life Insurance) is published on Counsel Stack Legal Research, covering District Court, E.D. Kentucky primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Hager v. Pacific Mut. Life Insurance, 43 F. Supp. 22, 1942 U.S. Dist. LEXIS 3145 (E.D. Ky. 1942).

Opinion

SWINFORD, District Judge.

This is an action to reinstate and recover the disability benefits on three insurance policies issued to the plaintiff by the immediate predecessor of the defendant.

The defendant is .the successor to the Pacific Mutual Life Insurance Company of California through reorganization proceedings (Carpenter v. Pacific Mutual Life, 10 Cal.2d 307, 74 P.2d 761); Neblett v. Carpenter, 305 U.S. 297, 59 S.Ct. 170, 83 L.Ed. 182. The defendant will be referred to as the New Company and its predecessor as the Old Company.

The Old Company issued to the plaintiff the following three policies on the dates indicated: (1) a $5,000 twenty-pay life insurance policy No. 465599, on August 7, 1922; (2) a $5,000 ordinary life insurance policy No. 551756, on August 21, 1924; and (3) a non-cancellable income policy (referred to as the non-can policy) No. 5502713, on November 19, 1926.

The plaintiff was a business man in Ash-land, Kentucky, highly educated and apparently successful in business until about 1928 or 1929 when he began'to fail in health and through a combination of circumstances became mentally depressed and somewhat dissipated. In the early part of 1929 the plaintiff became so mentally unstable that he quit work and went to various hospitals and sanitariums to try and regain his health. During much of this time he drank intoxicants to excess and it is evident that much of his distress of mind and physical disability was due to this excessive drinking. He was, of course, mentally unsound or suffering from a mental disease as is attested by the record made by the physicians who were called as witnesses for the plaintiff.

The defendant company recognized the disability within the meaning of the terms of the policies and made certain payments beginning as early as May 16, 1929.

Policy No. 465599 provided disability benefits of $50 per month in the event of total, permanent disability.

[24]*24Policy No. 551756 under similar conditions provided for a payment of $75 per month.

Policy No. 5502713, the non-can policy, provided for a payment of $300 per month in the event of total permanent disability.

All three of the policies provided for waiver of the payment of premiums by the insured in the event of total permanent disability.

No claim for disability benefits was ever filed or made on policy No. 465599.

In October of 1932, the insured asked for the full cash surrender value of this policy and the company under date of October 21, 1932, complied with the request. The policy had a reserve of $935 and accumulated dividends amounting to $50.70, making a total policy value of $985.70. After deducting a loan of $935 and interest amounting to $4.68 the cash surrender value was $46.02, for which the company executed its check to the plaintiff.

The other life policy, No. 551756, had the following history. It was issued upon application of the plaintiff on August 21, 1924. The premiums were paid either in cash or by way of loans made to the insured until 1933. On November 13, 1928, the insured received a policy loan of $107.57. On January 20, 1929, the maximum loan of $283 was made. That advance was used to pay the previous loan,, certain premium loan notes which had previously been given for premiums and to pay the annual premium due under the policy, February 21, 1930. In November, 1931, the loan was increased, at the request of the plaintiff, to $320, which was used to pay all prior charges against the policy and the balance was paid to the insured.

In March, 1933, the insured requested payment of the cash surrender value and there was executed to him by the company its check for $110.48 in compliance with his request. The amount .of the check was arrived at as follows: On March 29, 1933, the day the check was issued the policy had a reserve of $442.35, including the reserve on dividend additions to the policy. From that was taken the previous loan of $320 and interest of $11.87, or a total of $331.87, leaving a balance paid to the insured of $110.48. Both of these life policies were surrendered to the company.

As distinguished from these payments which were strictly within the provisions of the policy without regard to any disability, it should be noted that the company received proof of loss or a claim for disability benefits and paid to the insured on policy No. 551756 the sum of $450 on November 12, 1930.

Claims were made on the non-can policy and payments were made to the insured amounting to $2,820.

In August, 1933, the plaintiff became intoxicated and accompanied by his six-year-old son drove from Ashland to the town of Olive Hill, a distance of approximately forty miles. His father and brother pursued him, had him arrested and returned to Ash-land where he was placed in jail.

On August 8, 1933, proceedings in accordance with Kentucky Statutes Sections 216aa-68, et seq., were had in the Boyd Circuit Court and a judgment was entered declaring the plaintiff here to be insane. A committee, Clyde R. Levi, was duly appointed.

Levi proceeded to make claim on the insurance company on the non-can policy and was paid the sum of $4,500 on September 7, 1933, which covered a period of disability to August 8, 1933. There was also paid to Levi the further sums of $300 and $180, which were benefit payments under the terms of the policy to September 26, 1933. No further payments were made on the policy until May 18, 1936.

To add to this already somewhat complicated set of facts the further facts appear from the record. During this period from 1929 until 1936 the plaintiff was having domestic troubles. His wife and three small children had left him and his wife had filed suit for divorce, alimony and custody of the children. His home was sold. He had an indebtedness of something over $26,000 and his creditors were pressing him. In addition to these personal difficulties he was confronted with a loss of his insurance. The Insurance Commissioner of the State of California on July 22, 1936, instituted court proceedings to have a conservator appointed for the Pacific Mutual Life Insurance Company of California (Old Company). His petition, among other things alleged:

“That said examination and report shows that respondent corporation is in such condition that its further transaction, of business will be hazardous to its policy holders, its creditors and to the public; that said examination and report further shows that respondent corporation is insolvent within the meaning of article 13, chapter 1, [25]*25part 2, division 1, of the Insurance Code of the State of California [St. 1935, p. 537]; that respondent corporation’s said hazardous and insolvent condition is principally caused, among other things, by reason of the fact that respondent corporation has for a considerable number of years last past issued a large number of non-cancellable accident and health policies at a premium rate which was and is now entirely inadequate to maintain the reserves required by law to mature said policy obligations.”

On February 3, 1936, Levi resigned as committee and Richard B. Hager, plaintiff’s brother, was appointed to succeed him. An effort was made to arrange to satisfy certain creditors among whom was plaintiff’s divorced wife who had secured a judgment for $5,000.

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Cite This Page — Counsel Stack

Bluebook (online)
43 F. Supp. 22, 1942 U.S. Dist. LEXIS 3145, Counsel Stack Legal Research, https://law.counselstack.com/opinion/hager-v-pacific-mut-life-insurance-kyed-1942.