Lawrence v. Equitable Life Insurance

257 N.W. 530, 128 Neb. 72, 1934 Neb. LEXIS 165
CourtNebraska Supreme Court
DecidedDecember 11, 1934
DocketNo. 29047
StatusPublished
Cited by4 cases

This text of 257 N.W. 530 (Lawrence v. Equitable Life Insurance) is published on Counsel Stack Legal Research, covering Nebraska Supreme Court primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Lawrence v. Equitable Life Insurance, 257 N.W. 530, 128 Neb. 72, 1934 Neb. LEXIS 165 (Neb. 1934).

Opinion

Good, J.

This is an action to recover indemnity under a supplemental agreement incorporated in a life insurance policy. After all the evidence had been adduced, the trial court discharged the jury and entered judgment for defendant. Plaintiff has appealed.

Plaintiff and defendant are, and were at all times material to this cause, residents of Iowa. The policy was issued and delivered in that state. The premiums were payable to the defendant and any benefits accruing to plaintiff were payable in Iowa. There is no substantial conflict in the evidence.

The allegations of the petition, material to a determination of this controversy, are: That the policy was [73]*73issued February 25, 1929; that March 20, 1929, plaintiff became totally and permanently disabled by sickness, as a result of which he was totally, continuously and permanently disabled from performing and was unable to perform any of the duties of, and did not engage in, any gainful occupation for wage or profit; that said total and permanent disability continued until October 1, 1930; that plaintiff performed all conditions required by the policy and had made demand for the payment of indemnity, which defendant refused, on the ground that insured’s disability was not of such a permanent character as was covered by the disability provision of the policy.

Defendant admitted the issuance and delivery of the policy, the residence of the parties, and also that said contract of insurance is an Iowa contract and governed by the laws of that state; that, under its law and decision of the supreme court of that state in Hawkins v. John Hancock Mutual Life Ins. Co., 205 Ia. 760, no recovery can be had for total and permanent disability benefits when the action to recover same is commenced after total disability of insured is terminated. In his amended reply plaintiff alleged that at the time the application was executed plaintiff made an oral agreement with the agent of defendant, to the effect that the term, “total and permanent disability,” as used in the policy, would mean, in the event said insured should suffer a total disability, the continuance of such disability for a period of 60 days, and if, at the end' of said 60 days, such total disability continued, such fact would be accepted by defendant as permanent total disability and would entitle the plaintiff to disability benefits for the period of such disability, and that the instant case was ruled by the case of Kurth v. Continental Life Ins. Co., 211 Ia. 736. Plaintiff further pleaded several sections of the Iowa statute which defined the terms, “soliciting agent” and “general agent” of an insurance company, and also other sections providing against discrimination or distinction between persons insured in the same class and [74]*74equal expectancy, and further pleaded the statute, which is similar to our own, that, when the terms of an agreement have been intended in a different sense by the parties to it, that sense is to prevail against either party in which he had reason to suppose the other understood it.

The supplemental agreement, under which plaintiff seeks a recovery, provided:

“If during the lifetime of the insured and the continuance of this policy and before its maturity or default in payment of the premium * * * due proof is furnished to the company at its home office that the insured has become totally disabled by bodily injury or disease so that he will thereby be permanently, wholly and continuously prevented from engaging in any occupation whatsoever for remuneration or profit and that such disability has then existed for not less than sixty days, * * * it (the company) will, during the continuance of such disability,
“(a) Waive the payment of the premium falling due on each anniversary.
“(b) Pay to the insured each month a sum equal to $10 for each $1,000 of the face amount of the policy.”

It was further provided: “The company may at any time and from time to time, but not oftener than once a year, demand due proof of such continued disability and upon failure to furnish such proof, or if it appears that the insured is no longer wholly disabled as aforesaid, no further premiums shall be waived nor income payments made.” There was a further provision that the face amount of the policy should not be diminished on account of any premium waived or disability income payments made, nor should such waived premium or income payments be deducted in any subsequent settlement of the policy.

Plaintiff contends that the quoted provisions are ambiguous as to the meaning of the term “permanent;” that the provision is susceptible of two constructions: [75]*75(1) To continue during life of insured; (2) that, if the total disability continues for 60 days, it will be deemed permanent, and that parol evidence may be introduced to determine the meaning of an ambiguous expression used in the contract. A -number of decisions of this and other courts are cited, tending to sustain the contention that such a provision is ambiguous.

The policy in controversy was an Iowa contract between Iowa residents and to be wholly performed in the state of Iowa. The Iowa law, so far as applicable to the policy, became a part thereof as much as though it had been incorporated in the policy. The policy and its provisions must be interpreted pursuant to the laws of that state. If it is ascertained that no recovery can be had under the policy under the laws of Iowa, then it follows that no recovery can be had in this state, and it is wholly immaterial what the holding of this or any state, other than Iowa, may be with reference to the same or similar provisions in policies of insurance.

Defendant pleaded the opinion and decision in the case of Hawkins v. John Hancock Mutual Life Ins. Co., 205 Ia. 760. In that case the supreme court of Iowa had under consideration a policy of insurance, containing provisions so similar as to be substantially identical with those presented in the instant case. In that case the court held: “A policy which provides for benefits if the insured becomes ‘wholly and permanently disabled’ does not embrace recovery for a disability which has been total for years, but which has terminated at the time action for recovery is instituted.”

In that case plaintiff alleged that on or about the 1st day of March, 1922, he became wholly and permanently disabled and remained wholly and permanently disabled until November 1, 1925. The policy also contained provisions for waiver of premiums and payment of benefits during the continuance of such disability, and that such waived premiums and benefits should not be deducted from the amount payable under the policy at maturity, [76]*76and in all material respects was like the policy under consideration in the instant case. In the opinion it was said (p. 764) :

“ ‘Permanent’ cannot be given the meaning of its antonym, ‘temporary.’ Unless it means ‘permanent,’ it has no practical significance.
“In the light of these considerations, we are of the opinion that the plaintiff must fail. The proofs offered by him to the company in support of his claim show that, at the' time they were made, the insured was not wholly disabled.”

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Related

Jaramillo v. Mercury Insurance
494 N.W.2d 335 (Nebraska Supreme Court, 1993)
Graham v. Equitable Life Assurance Society of United States
266 N.W. 820 (Supreme Court of Iowa, 1936)
Richards v. Metropolitan Life Insurance
55 P.2d 1067 (Washington Supreme Court, 1935)

Cite This Page — Counsel Stack

Bluebook (online)
257 N.W. 530, 128 Neb. 72, 1934 Neb. LEXIS 165, Counsel Stack Legal Research, https://law.counselstack.com/opinion/lawrence-v-equitable-life-insurance-neb-1934.