Hale v. Metropolitan Life Insurance

273 N.W. 657, 65 S.D. 314, 1937 S.D. LEXIS 47
CourtSouth Dakota Supreme Court
DecidedJune 1, 1937
DocketFile No. 7946.
StatusPublished
Cited by3 cases

This text of 273 N.W. 657 (Hale v. Metropolitan Life Insurance) is published on Counsel Stack Legal Research, covering South Dakota Supreme Court primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Hale v. Metropolitan Life Insurance, 273 N.W. 657, 65 S.D. 314, 1937 S.D. LEXIS 47 (S.D. 1937).

Opinions

POLDE'Y, J.

During the year 1921 the plaintiff -in this action entered into the employ of Coehran-Sargent Company of Sioux Fall,s. This company -was engaged) in the wholesale plumbing and heating 'business, and carried a stock of plumbing and heating supplies in a storeroom in Sioux Falls. Plaintiff was employed as a desk clerk in the stockroom or warehouse, and it was his duty to check in and put into its proper place or on its proper she! f articles of merchandise as they came in, and to check out the same as it was sold. iSuchi merchandise consisted of iron piping, bolts and nuts, radiators, bathtubs and other plumbing and heating accessories, all of which were very 'heavy to 'handle. In addition to the above work, it was plaintiff’s duty to keep a book account of all articles of merchandise that came into or were taken out of, said storehouse. Plaintiff was able to, and did, perform' all of this labor to the entire satisfaction of the Coehran-Sargent Company until early in the year 1928.

During the early part of the year 1928, plaintiff became afflicted with a disease known as multiple sclerosis. This is a nervous disease, of unknown cause, and1 is incurable. It develops rather slowly, but with possible remissions at times, its development is continuous from its inception throughout the life of the person afflicted. In plaintiff’s case, he lost muscular strength, and lost control of his feet and legs, especially the left foot and leg. In walking, he could not pick up his feeit and put them one ahead of the other in the natural way, but was obliged to support himself with a cane, or steady himself by holding to some object with his hands and then shuffle his feet along on the floor. He staggered, and walked like a drunken man. He consulted and took treatments from local physicians, but obtained no relief.- By October, 1928, plaintiff had become so debilitated that he could no longer perform the duties for which he was employed, and the company was obliged to' employ an extra man to db plaintiff’s work, or to help him with it, but because of the fact that plaintiff was an old employee, the company was reluctant to discharge him. By the end of February, 1929, however, Coehran-Sargent Company decided that *316 plaintiff could be of no further service in its business, and on the 28th day of that month he was finally discharged. During the forepart of the following month of April he went to Rochester, Minn., where he went through the. Mayo Clinic. He received no benefit there o-r any encouragement, and returned to Sioux Falls. During the forepart of the following summer plaintiff, in an effort to- maintain himself, obtained an agency for the sale of Fuller -brushes. He worked at this for some eight months, but because of his weakened condition he was not able to do better at any time than to barely make expenses, and gave up the attempt. Shortly after the beginning of the following year, he obtained an agency for the distribution and sale of the Sunday Pioneer Press, but after some eight or ten months’ attempt at this found he was unable to attend to the sale of the papers and collecting therefor, and gave up the venture. Since then he has- not tried to- do- any work of any kind or to- carry on any kind of business.

During the year 1923, the C'ochran-Sargent Company bought from the defendant a group policy (No. 1933 G) of life an-d- disability insurance on the lives and health of its employees. Plaintiff was one of the beneficiaries under this policy. Originally the policy provided insurance of $600 for each employee. Afterwards, this amount was increased- to $1,300, and later on to- $2,000 for each employee.. The said policy contained the following provision:

“Any employee -insured under this- plan who- shall become wholly and permanently -disabled while in o-ur employ before reaching the ag'e of 60, -either by accidental injury or disease, and is thereby permanently, continuously and wholly prevented from pursuing any and all gainful occupation, will be regarded as a claimant by the Metropolitan Life Insurance Company. Six months after the receipt of due proof of such disablement, the Insurance Company will begin making payments of the amount of insurance under any one o-f the following plans at the option of the person insured ;

“S-ixty monthly instalments- at the rate of $18.00 per thousand dollars of insurance

“Five annual instalments at the rate of $214.00 per thousand dollars of insurance

*317 “Ten .annual instalments at the rate of $116.18 per thousand dollars of insurance

“Fifteen annual instalments at the rate- of $83.90 per thousand dollars of insurance

“Twenty annual instalments at the rate of $67.98. per thousand dollars of insurance.”

And the policy also contained the following provision: “In the event of the termination of the employment for any reason whatsoever, the employee shall be entitled to have issued to him by the Metropolitan Life Insurance 'Company, without further evidence of insurability, and upon application made to that Company within thirty-one days after such termination, and upon the payment of the premium applicable to the class of risk 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 such company. Term Insurance excepted, in an amount equal to the amount of his protection under the Group Insurance Policy at the time of such termination.”

On or about the nth day of May, 1931, plaintiff, being still under the age of 60 years, and claiming that .prior to his discharge from the -Cochran-Sargent Company he had become so wholly and permanently disabled by the said multiple sclerosis as above set out, as to be unable to pursue any gainful occupation,. furnished the defendant with due proof of his total and permanent disability to do any kind of work or to pursue any gainful occupation and demanded of defendant that it pay him the benefits provided for by the terms of said policy. Defendant, refused to. pay such benefits or any part thereof and denied any liability whatever because of such policy. Thereupon plaintiff commenced this action for the recovery of the entire $2,000 named in said policy in a lump sum; it being plaintiff's theory that defendant, having' denied any liability under the policy, was liable for the entire amount in a lump sum.

The case was tried to the court without a jury, and at the close of the trial tlie court made the following, among other, findings of fact: ....

“That on February 28, 1929, and for approximately three months prior thereto-, the plaintiff was afflicted with multiple scler *318 osis, which permanently, continuously and wholly prevented 'him from pursuing any and all gainful occupation.

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Bluebook (online)
273 N.W. 657, 65 S.D. 314, 1937 S.D. LEXIS 47, Counsel Stack Legal Research, https://law.counselstack.com/opinion/hale-v-metropolitan-life-insurance-sd-1937.