Kantor v. New York Life Insurance

258 N.W. 759, 219 Iowa 1005
CourtSupreme Court of Iowa
DecidedFebruary 12, 1935
DocketNo. 42794.
StatusPublished
Cited by11 cases

This text of 258 N.W. 759 (Kantor v. New York Life Insurance) 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
Kantor v. New York Life Insurance, 258 N.W. 759, 219 Iowa 1005 (iowa 1935).

Opinion

Powers, J.

Appellant is the executrix of the estate of her deceased husband, William Kantor. - She commenced an action in the district court of Woodbury county, Iowa, against the appellee insurance company to recover permanent disability payments of $50 per month for the last six months of decedent’s life and the sum of $240.95 paid' by decedent as premium oh his policy of insurance during said period, or a total of $540.95.

The petition alleges that on the 29th day of January, 1930, the appellee issued a policy of insurance to William Kantor on his life for $5,000, and that said policy contained a provision for the payment of disability benefits of $50 per month and a waiver of the annual premium payments which became due after the insured became permanently and totally disabled under the terms of the policy. It is further alleged in the petition that William Kantor became totally disabled on the 27th day of July, 1933, and, continued permanently disabled -until his death on the 3d day of February, 1934; that on the 29th day of January, 1934, he paid to the appellee company, as premium on his policy of insurance, the sum of $240.95; that the plaintiff was appointed as executrix of his estate on the 17th day of February, 1934, and immediately notified the appellee company of the disability which had existed and filed, or offered to file, proofs of such disability, and the company refused to receive such proofs.

A demurrer was filed to the petition on the ground that there was failure to submit proof during the lifetime of the insured and there was a failure, to show at the time the proof was submitted that the disability would continue during the lifetime of the insured.

*1007 The question we are thus called upon to determine is whether, under the provisions of the policy, the representative of the insured’s estate can file proof of permanent and total disability for a period preceding the death of the insured and receive the benefits to the same extent as the insured could have done had he lived, where the insured was capable of filing proof but did not'do so, and the insurer was in no manner notified of any disability on the part of the insured during his lifetime. This involves a construction of the insurance policy.

An insurance policy is a contract between the insurer and the insured, and must be interpreted like other contracts. The object of all efforts *at interpretation is to arrive, if possible, at the intention of the parties. To that end certain rules have come to be recognized as an aid to the court. The court will look to the whole instrument in an effort to determine its meaning; it will consider the purposes sought to be attained by the contract as shown by the instrument; and, if words be ambiguous, they will be construed against the party who prepared the document. It is frequently said that insurance policies will be liberally construed in favor of the insured. This is probably only another way of saying that the objects and purposes of the contract will be kept in mind and ambiguous language will be construed against the insurer who prepares and issues the contract. It certainly does not mean that the courts will prepare a new contract of insurance or are at liberty to change in any way the contract which was made by the parties.

The policy in this case is primarily one of life insurance. It provides that, in event of the death of the insured, the insurer will pay the sum of $5,000 to the beneficiary named therein, who is the wife of the insured. The essential difference between life insurance and disability insurance is obvious. The object of life insurance is to provide a fund for the benefit of the estate or- the heirs or beneficiaries of the insured after the insured’s death. The purpose of disability insurance, on the other hand, is to protect against, not a loss of life, but a .loss of earning capacity. Disability insurance protects the insured himself; life insurance is primarily for the protection of others. Disability payments are, therefore, payable to the insured;, life insurance benefits go to others.

. With these general .observations in mind, we proceed- to an examination of the policy itself. It provides' that the appellee company shall' pay to the wife of the insured the sum of $5,000 “upon *1008 receipt of due proof of the death of William Kantor, the insured”. It further provides “upon receipt of due proof that the insured is totally and presumably permanently disabled before age sixty, ® * the company agrees to pay to the insured fifty dollars each montlL and to waive paym-ent of premiums as provided therein.” It will be observed that, while death benefits are to be paid to another under the terms of this policy, the provision is that the disability benefits are to be paid to the insured. This illustrates the difference in the two classes of insurance and in their objects and purposes, as we have tried to indicate in the foregoing- paragraph; and it shows that the-parties contemplated a payment of the disability benefits to the insured himself. It will further be noticed that the face of the policy (the death benefit) is payable if the proof shows the insured is dead, and that the disability benefits are payable if the proof shows he is disabled.

With respect to the proof which must be furnished to the insurer before the disability payments are to be made, the policy further provides that “disability shall be considered total whenever the insured is so disabled by bodily injury or disease that he is wholly prevented from performing any work”; that the company will waive premium payments and will pay certain monthly benefits “upon the receipt at the Home Office before default in payment of premium, of due proof that the insured, is totally disabled as above defined and will be continuously so disabled for life”; that, in the event of default in payment of premium, the policy will be restored, -“provided that due proof that the insured is and has been continuously from the date of default so totally disabled and that such disability will continue for life or has continued 'for a period of not less than three consecutive months, is received by the company not later than six months after said default”; that “before making any income payment or waiving any premium, the company may demand due proof of the continuance of total disability.”

It will be noted that the language of the policy above quoted provides that the appellee company is to pay the disability benefits upon receipt of due proof that the insured is totally disabled and will be continuously so disabled for life. It is further provided that, before making any payments, the company may demand proof of the continuance of total disability. It is obvious that proof furnished after the insured has died does not establish that the insured-is permanently disabled and will be permanently disabled for the re *1009 mainder of his life. Moreover, in such a situation, the insurer could not demand proof of the continuance of such disability.

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Bluebook (online)
258 N.W. 759, 219 Iowa 1005, Counsel Stack Legal Research, https://law.counselstack.com/opinion/kantor-v-new-york-life-insurance-iowa-1935.