Landry v. Mutual Life Ins.

54 F. Supp. 356, 1944 U.S. Dist. LEXIS 2590
CourtDistrict Court, W.D. Louisiana
DecidedMarch 10, 1944
DocketCivil Action No. 889
StatusPublished
Cited by5 cases

This text of 54 F. Supp. 356 (Landry v. Mutual Life Ins.) is published on Counsel Stack Legal Research, covering District Court, W.D. Louisiana primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Landry v. Mutual Life Ins., 54 F. Supp. 356, 1944 U.S. Dist. LEXIS 2590 (W.D. La. 1944).

Opinion

PORTERIE, District Judge.

The plaintiff, Joseph Alcide Landry, is the holder of a life insurance policy with the defendant company, issued September 12, 1929, in the amount of $5000. On the very first page of this policy — the page in the boldest print and the page which has the skeleton of the contract and which ends with the signature of the President, of the Secretary and of the Registrar of the Company — there is found this language :

“AND
if the Insured is totally and presumably permanently disabled before age 60,
“WILL PAY
to the Insured Fifty Dollars monthly during such disability, increasing after five and ten years continuous disability, besides waiving premium payments, all upon the conditions set forth in Section 3.”

Many of the conditions of the contract are on other pages, not solely on the first page, and are referred to in the skeleton contract of the first page by sectional notations. “Section 3” which is found on the second page of the contract is as follows:

“Section 3. Benefits in Event of Total and Permanent Disability Before Age 60.
“Total Disability. — Disability shall be considered total when there is any impairment of mind or body which continuously renders it impossible for the Insured to follow a gainful occupation.
“Permanent Disability. — Total disability shall, during its continuance, be presumed to be permanent;
“(a) If such disability is the result of conditions which render it reasonably certain that such disability will continue during the remaining lifetime of the Insured; or,
“(b) If such disability has existed continuously for ninety days.
“When Benefits Become Effective. — If, before attaining the age of sixty ,years and while no premium on this Policy is in default, the Insured shall furnish to the Company due proof that he is totally and permanently disabled, as defined above, the Company will grant the following benefits during the remaining lifetime of the Insured so long as such disability continues.
“Benefits, (a) Increasing Income. — The Company will pay a monthly income to the Insured of the amount stated on the first page hereof ($10 per $1,000 face amount [358]*358of Policy), beginning upon receipt of due proof of such disability and increasing after sixty consecutive monthly payments have been made to one and one-half times such amount and after sixty further consecutive monthly payments have been made to twice such amount at which it shall remain while total and permanent disability continues.
“(b) Waiver of Premium.- — -The Company will also, after receipt of such due proof, waive payment of each premium as it thereafter becomes due during such disability.”

When you fold the document in six, for filing or safekeeping, a rider on one of the back flaps comes to immediate notice, reading as follows:

“Supplementary Benefits to Section Entitled ‘Benefits in Event of Total and Permanent Disability Before Age 60’.
“Benefits if Proof Delayed and no Premium in Default. — If, while no premium is in default, the proof furnished the Company under the section providing for ‘Benefits in Event of Total and Permanent Disability before Age 60’ is such as to entitle the Insured to the Disability Benefits provided for therein, and if due proof is also furnished the Company that such disability has been continuous since its beginning, the Company will:
“(a) Begin the monthly income payments provided for in such section as of the end of the first completed month of such disability if earlier than the date of receipt of such proof instead of as of the date of receipt of such proof, and,
“(b) Return any premium due after the beginning of such disability which has been paid during the continuance thereof.
“Benefits if Premium in Default not over Six Months. — If, not later than six months after the due date of any premium in default and provided no previously due premium is also in default, due proof is received by the Company before the Insured shall have attained the age of sixty years that the Insured was totally and permanently disabled, as defined in the section entitled ‘Benefits in Event of Total and Permanent Disability before Age 60’, at the date when such premium in default fell due, and has been continuously so disabled since said due date, the Policy will be reinstated without evidence of insurability and the waiver of premium and disability income benefits shall be the same as if such default had not occurred.
“The Mutual Life Insurance Company of New York,
“William L. Simrell [In script] “Secretary.”

Mr. Landry became sixty years of age on August 4, 1942. He complained of nothing to the Company and has kept on paying annual premiums as usual, but the premium on December 1, 1942, the first premium due by him after attaining the age of sixty, did not include the previously and annually paid sum of $27.20 for disability benefits. Landry alleges in his petition (and for the purpose of this motion it all must be considered proved) that he had forgotten about, or was in ignorance of, the disability benefits provision and simply paid the amount requested by the company. The sum paid by Landry for his $5000 life insurance policy, aside from the premium for disability benefits, was $246.15 per year. Then, it was on May 25, 1943, that he gave notice to the Company of total and permanent' disability claimed to exist since May, 1938.

There were eight months and twenty days from the date of reaching the age of sixty to the date .of his giving notice to the company. If the plaintiff was totally and permanently disabled in May, 1938, under the contract he should not have paid the $27.20 for disability benefits nor the main premium of the policy on December 1st of each of the years 1938, 1939, 1940 and 1941.

In this situation the defendant company has- filed a motion to dismiss on the ground that there is no claim alleged by the plaintiff on which relief can be granted.

We are impressed with the physically prominent and forcibly declarative obligation of the company appearing on the first page. We admit that the last clause of the declaration on total and permanent disability is “or upon the conditions set forth in Section 3.”

For the purpose of this opinion, we shall assume that the intention of the company under Section 3 was that the insured must file proof of claim of his disability “before attaining the age of sixty years, and while no premium of this policy is in default.” It is in the language of the rider, which has the identical heading to Section 3, giving supplementary benefits, that we find in the contract a claim for which relief can be granted. The very essence of this rider is [359]*359that the insured is permitted a delay in filing proof of his claim for total and permanent disability after he has attained the age of sixty years. The contract between the parties becomes embedded in the practical need for an insured, when totally and permanently disabled, to be forgiven the payment of any further annual premiums of any kind.

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56 F. Supp. 156 (W.D. Louisiana, 1944)

Cite This Page — Counsel Stack

Bluebook (online)
54 F. Supp. 356, 1944 U.S. Dist. LEXIS 2590, Counsel Stack Legal Research, https://law.counselstack.com/opinion/landry-v-mutual-life-ins-lawd-1944.