Johnston v. Travelers Insurance

189 S.E. 381, 55 Ga. App. 66, 1936 Ga. App. LEXIS 428
CourtCourt of Appeals of Georgia
DecidedDecember 5, 1936
Docket25009
StatusPublished
Cited by1 cases

This text of 189 S.E. 381 (Johnston v. Travelers Insurance) is published on Counsel Stack Legal Research, covering Court of Appeals of Georgia primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Johnston v. Travelers Insurance, 189 S.E. 381, 55 Ga. App. 66, 1936 Ga. App. LEXIS 428 (Ga. Ct. App. 1936).

Opinion

Stephens, J.

The plaintiffs in error brought an action against Travelers Insurance Company on a certificate of insurance under and subject to the terms and conditions of a group life policy issued to the Augusta Factory, alleging that they were the beneficiaries of a certificate issued to Oscar T. Hair on November 23, 1927, whereby he was insured in the sum of $1000 as a death benefit; that he died May 9, 1933; that all premiums due on the policy were paid up to and including the month of February, 1931; that on October 30, 1930, Hair became totally disabled and [67]*67was unable to work from that time until he died; that from October 30, 1930, until February 28, 1931, the defendant had permitted the insured and the plaintiffs to pay the premium of sixty cents per month, and led the plaintiffs to believe that the payment of the same was all that was necessary to continue said policy in force, so that at the death of Hair the plaintiffs could recover on the certificate of insurance; that on February 23, 1931, payment was made to the defendant to continue the policy in force during February, 1931; that on February 28, 1931, the factory ceased operation, and the defendant on this date wrongfully refused to accept further payments then or at any other time; that by reason of this act the policy was in full force at the death of Hair; that on October 3, 1933, in response to a request to furnish necessary blanks to present this claim, the defendant denied any liability under the policy; that the group life policy under which the certificate was issued was not in the custody or control of the plaintiffs, and they were unable to attach a copy, but that on the date that Hair was permitted a leave of absence from the factory, October 30, 1930, and on February 23, 1931, the group policy was in full force. The certificate attached to the petition as an exhibit stated that under the terms of a group life policy issued to the Augusta Factory by Travelers Life Insurance Company the life of Oscar T. Hair was insured for the sum of $1000, if death should occur during the continuance of the policy while the employee was insured thereunder. It also stated: “The provisions of the policy for permanent total-disability benefits are printed upon the third page of this certificate and made a part hereof.”

Demurrers were filed. The plaintiffs amended the petition, attaching a copy of the group life policy, and alleging that the factory and the insurance company attempted to cancel the group policy, by a rider dated February 18, and attached to the policy, without notice to the plaintiffs or the insured; that the defendant, through its agent C. T. Hair, accepted from the plaintiffs sixty cents on February 23, 1931, thereby leading them to believe that they could continue the policy in force by continuing the monthly payments; that the attempt to cancel the policy was ineffectual as to the plaintiffs’ rights, and the defendant by said acts waived the provision in the certificate and the group policy for the continuance of the insurance, and is now estopped to set up the [68]*68same as a defense; that from October, 1930, until February, 1931, the monthly premiums were paid to C. T. Hair, who was authorized by the defendant to accept said payments which would continue the insurance in force, which premiums were accepted by the defendant knowing that the said Hair had been disabled and unable to work since October, 1930; that said agent of the defendant advised the plaintiffs that nothing else was necessary to continue the policy in force during the disability of the insured; that on February 28, 1931, the agent refused to accept further payments, stating that he had been instructed by the defendant not to accept further payments; that the plaintiffs had been willing at all times to pay any premiums required, and made every effort to continue the policy in force, and relied on the representations of the defendant’s agent; and that defendant is estopped to claim a forfeiture by reason of said provisions, and will be held to have waived the provisions of the certificate with reference to conversion or continuance of the certificate other than by the method as represented to the plaintiffs. The policy attached to the amendment contained this provision numbered 5: “The insurance of any employee covered hereunder shall end when his employment with the employer shall end, except in a case where at the time of such termination the employee shall be wholly disabled and prevented by bodily injury or disease from engaging in any occupation or employment for wage or profit. In such case the insurance will remain in force as to such employee during the continuance of such disability for the period of three months from the date upon which the employee ceased to work, and thereafter during the continuance of such disability and while this policy shall remain in force until the employer shall notify the company to terminate the insurance as to such employee. Nothing in this paragraph contained shall limit or extend the permanent total-disability benefit to which an employee shall become entitled under this policy. Temporary lay-off or leave of absence for reasons other than physical disability as aforesaid shall not be considered as termination of employment for the purpose of this insurance unless the employer shall so elect.” Also this provision: “1. Permanent total-disability benefit: If any employee shall furnish the company with due proof that while insured under this policy, and before having attained the age of sixty, he has become wholly disabled by [69]*69bodily injuries or disease, and will be permanently, continuously, and wholly prevented thereby for life from engaging in any occupation or employment for wage or profit, the company will waive further payment of premium as to such employee and pay in full settlement of all obligations to him under this policy the amount of insurance in force hereunder upon his life at the time of the receipt of due proofs of such disability, in a fixed number of instalments chosen by the employer from the table in the paragraph entitled ‘modes of settlement/ the first instalment to be paid immediately upon receipt of due proofs of such disability.” By a rider attached to the policy, dated February 18, 1931, the defendant and the Augusta Factory agreed that all insurance thereunder should terminate, effective February 23, 1931, at 12:01 a. m. The defendant renewed its demurrers, and filed additional grounds of demurrer. The court sustained all the demurrers and dismissed the action.

Under the facts alleged in the petition as amended, it was error to dismiss the case. Oscar Hair was insured by the defendant in an indivisible contract against 'two risks: permanent total disability, and death; the amount of indemnity being $1000 in either event. If he became entitled to the disability benefit and availed himself of it, the death benefit would be superseded and the certificate would be satisfied and terminated. But there is no provision in the certificate or in the group policy that the insured would lose his life insurance by failing to apply for the disability benefit when entitled to it. Nor would such failure work a forfeiture of the insurance. Northwestern &c. Ins. Co. v. Dean, 43 Ga. App. 67, 72 (157 S. E. 878). The life insurance would be terminated only by payment of the disability benefit, or by the certificate ceasing to be of force. Neither of these events happened before the death of the insured. The alleged facts were that Hair became permanently and totally disabled on October 30, 1930.

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

Related

Turpentine & Rosin Factors, Inc. v. Travelers Ins.
45 F. Supp. 310 (S.D. Georgia, 1942)

Cite This Page — Counsel Stack

Bluebook (online)
189 S.E. 381, 55 Ga. App. 66, 1936 Ga. App. LEXIS 428, Counsel Stack Legal Research, https://law.counselstack.com/opinion/johnston-v-travelers-insurance-gactapp-1936.