Life Casualty Ins. Co. v. Eubanks

94 So. 198, 19 Ala. App. 36, 1922 Ala. App. LEXIS 21
CourtAlabama Court of Appeals
DecidedNovember 14, 1922
Docket6 Div. 82.
StatusPublished
Cited by11 cases

This text of 94 So. 198 (Life Casualty Ins. Co. v. Eubanks) is published on Counsel Stack Legal Research, covering Alabama Court of Appeals primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Life Casualty Ins. Co. v. Eubanks, 94 So. 198, 19 Ala. App. 36, 1922 Ala. App. LEXIS 21 (Ala. Ct. App. 1922).

Opinion

BRICKEN, P. J.

Calvin Eubanks, as plaintiff, brought his action against the Life& Casualty Insurance Company, as defendant, in the court below, to recover the sum of 832, alleged to be due under a certain insurance policy issued to plaintiff by defendant on the 10th day of November, 1919, which policy it was alleged insured plaintiff against sickness and accident in the sum of $8 per week, it appears that the plaintiff was injured by a mine accident on the 7th day of June, 1921, and that he was continuously disabled from that date to the 5th day of July, 1921, the date on which plaintiff brought his suit in the court below, and that such disability therefore continued for four, or more, consecutive weeks. The insurance company defended the suit and denied liability upon the ground that the insurance policy contained a clause whidh substantially provided that, if the insured was, injured by accident at a time when the insured was in arrears in the payment of his weekly premiums for two consecutive weeks, then he would have no right to collect any accident indemnity from the insurance company, and that, at the time of the accident from which plaintiff suffered the disability, the plaintiff was in arrears for the premiums payable on May 30th and June 6th, respectively, preceding .the accident. The plaintiff offered his evidence in support of his action in the court below, but the defendant offered no evidence, save that adduced from a cross-examination of plaintiff’s witnesses, and contended that upon the evidence offered by plaintiff it was entitled to the general affirmative charge in its behalf. At the instance and request oí plaintiff, the trial court gave the general affirmative charge for the plaintiff. There was a jury verdict for the plaifitiff in 'the sum of $32, and the judgment of, the trial court was accordingly pronounced against defendant for said sum, from which judgment this appeal is taken.

As ■ before stated, the action in the court below was founded upon a contract of life and accident indemnity insurance and with reference to such contracts the law seems to be well settled in this state. An insurance company has the right to embody in the contract of insurance such restrictions and conditions as it may see fit to impose, so long as such- restrictions and conditions are fair, just, and reasonable. The insured has the right to accept or to reject the contract of insurance as the insured may see fit.

*38 As a general rule, a contract of insurance is to, be strictly construed against the insurer, and is to be liberally construed in favor of tbe insured, and, with respect to forfeitures, the courts will adopt that construction most favorable to the insured, and it m'ay be said that forfeitures for nonpayment of premiums are not favored. Manhattan Life Ins. Co. v. Parker, 204 Ala. 313, 85 South. 298; Mutual Life Ins. Co. of New York v. Lovejoy, 201 Ala. 337, 78 South. 299, L. R. A. 1918D, 860.

It is undoubtedly the law that the insurer and the .insured have the right to adopt such contract of insurance as they may see fit so long as that contract complies with the laws of this state, and is of itself fair, just, and reasonable.

It is also true that, with respect to a contract of insurance, as with other contracts, the parties thereto may, at their pleasure, alter, modify, or rescind the contract, so long as the same is supported by their mutual assent. Such alteration, modification, or rescission may extend to a waiver of' any right either party might have had under the original contract. Mutual Life Ins. Co. of New York v. Lovejoy, supra; Cornish v. Suydam, 99 Ala. 620, 13 South. 118; Pioneer Co. v. Nonnemacher, 127 Ala. 547, 30 South. 79.

The right to insist upon a forfeiture of a liability under a contract being,, a right which may be waived by the party in whom the right resides, such waiver may be implied from conduct inconsistent with the intention to exercise it, for neither party to a contract may receive the benefits accruing thereunder and avoid the liabilities created thereby. Romanoff Co. v. Cameron, 137 Ala. 217, 33 South. 864.

The evidence introduced upon the trial of this case in the court below was without any material conflict, and clearly shows that the plaintiff was injured by an accident, from which he was totally disabled for the tirn'ej alleged in the complaint. Under the evidence, the plaintiff was clearly entitled' to recover unless precluded from maintaining the action by thq terms of the insurance policy issued to him by the insurance company. It, therefore, is necessary to consider and determine what effect should be given the forfeiture clauses of the policy, and whether or not there was a waiver of said provisions by the insurer.

The insurance policy in question was introduced in evidence upon the trial of this case in the court below and Vas so introduced by the plaintiff in support of his pom-plaint. Under the general provisions of said' policy, the insurance company, defendant, for and in consideration of a weekly premium of 40 cents to be~paid by the insured, the plaintiff, “as of the Monday of which this policy bears date and on each succeeding Monday thereafter during the life of the insured,” ' agreed, subject to the conditions of the policy! to pay to the plaintiff a weekly benefit of $8 in case of sickness or accident, and also the sum of $112 in case of death. It was expressly provided by the terms of said policy that 20 per cent, of the premium was for the death benefit, and that 80 per cent, of said premium was for the sick and accident benefit.

The policy contained numerous special provisions, all of which constituted a part of said policy. Under the fifth clause of said .conditions, it was provided that the insured should not be entitled to sick or accident benefit if the insured should suffer the weekly premiums to be in arrears for two Mondays, or more, and that the subsequent payment of any such premiums so in arrears should not entitle the insured to benefits for sickness or disability contracted or accruing during the period of such arrears, and, apparently, it is under this clause of the policy that the insurance company attempts to defend this suit. The plaintiff contends that defendant, through its course of dealings with the plaintiff, has waived all rights and privileges arising in its favor under said clause of said policy.

The evidence introduced upon the trial of the case in the court below, as set out in the bill of exceptions shows without dispute, conflict, or controversy that, on the 7th day of June, 1921, the date the insured was injured by accident, the weekly premiums which were due on said policy on Monday,' May 30th, and on Monday, June 6th, preceding, had not been paid by, or for, the insured,, but it also appears that, on Monday, the 13th day of June, 1921, the premiums in arrears for Monday, May 30th, and Monday, June 6th, were paid to an agent of the company, and that on said date the weekly premiums due on Monday, June 13th, and on Monday, June 20th, were also paid, and that all of said premiums were paid to the collecting agent of the insurance company and were accepted by him with full knowledge that the insured had been injured on the 7th day of June preceding, and that he was then disabled and confined in a hospital, and thht the insured would make claim for the sick or accident benefit provided under the policy, and that said agent was, then arid there, asked for a “sick claim” which he gave to Emma Eubanks, the wife of the insured.

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Bluebook (online)
94 So. 198, 19 Ala. App. 36, 1922 Ala. App. LEXIS 21, Counsel Stack Legal Research, https://law.counselstack.com/opinion/life-casualty-ins-co-v-eubanks-alactapp-1922.