Life & Casualty Insurance v. Robertson

6 Tenn. App. 43, 1927 Tenn. App. LEXIS 117
CourtCourt of Appeals of Tennessee
DecidedFebruary 5, 1927
StatusPublished
Cited by18 cases

This text of 6 Tenn. App. 43 (Life & Casualty Insurance v. Robertson) is published on Counsel Stack Legal Research, covering Court of Appeals of Tennessee primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Life & Casualty Insurance v. Robertson, 6 Tenn. App. 43, 1927 Tenn. App. LEXIS 117 (Tenn. Ct. App. 1927).

Opinions

Mrs. Bertha King Robertson, as executrix of the will of Dr. Robert Taylor Robertson, deceased, sued the Life Casualty Insurance Company of Tennessee in the circuit court of Davidson county and obtained a judgment in the third circuit court, and the defendant insurance company brought the case to this court by an appeal in the nature of a writ of error. As a matter of convenience, we will refer to Mrs. Robertson, executrix, as plaintiff, and to the Life Casualty Insurance Company of Tennessee as defendant.

Dr. Robert Taylor Robertson died testate at his home in McMinnville, Tennessee, on September 20, 1922, and the plaintiff is his widow and the executrix of his will. This suit was brought to recover upon an insurance policy issued by defendant on July 15, 1919, by which defendant insured the life of plaintiff's testator for *Page 47 $5000 in consideration of the payment to defendant of a quarterly premium of $39.65, payable on the 15th days of July, October, January and April of each year for a period of twenty years from and after the date of the policy, or until the prior death of the insured. In consideration of the application attached to and made a part of the policy, and the payment of the premiums as aforesaid, the defendant insurance company promised to pay "to the executors, administrators or assigns of the insured" $5000, less any indebtedness due the company and any unpaid portion of the premium for the then current policy year, upon surrender of the policy properly receipted, immediately upon receipt of due proof of the death of the insured.

The policy contained a number of "conditions and provisions" which constituted a part of the contract, but for the purposes of this opinion it is necessary to mention only the four clauses known as the "grace clause," "incontestable clause," "suicide clause" and "reinstatement clause," which clauses are, in the order named, as follows:

"Grace. A grace of one calendar month (of not less than thirty days), shall be granted for the payment of every premium after the first, during which time the insurance shall continue in force. Except as herein provided the payment of a premium or installment thereof shall not maintain this policy in force beyond the date when the next premium or installment of premium is payable. If any premium or installment of premium be not paid before the end of the period of grace, then this policy shall immediately cease and become void, and all premiums previously paid shall be forfeited to the company except as hereinafter provided."

"Incontestability. This policy shall be absolutely incontestable after two years from date of issue except for nonpayment of premiums and except for violation of the conditions of the policy relating to military and naval service in time of war."

"Suicide. If within one year from the date of issue of this policy the insured shall, whether sane or insane, die by his own hand the liability of the company shall be limited to the amount of the premiums paid thereon."

"Reinstatement. This policy may be reinstated at any time after default in the payment of any premium, unless the cash value has been paid or the extension period has expired, upon production of evidence of insurability satisfactory to the company, the payment or reinstatement of any indebtedness to the company hereon, and the payment of overdue premiums with interest at six per cent per annum."

At the time of the death of the insured all of the premiums theretofore due on the policy had been paid, but the premium due July 15, 1922, had not been paid when the period of grace expired on August *Page 48 15th, and, by its terms, the policy lapsed and was forfeited at that time. However, on August 21, 1922, the insured paid the premiums due and otherwise complied with the requirements of the reinstatement clause above quoted, and the policy was reinstated.

It was stated in plaintiff's declaration that the insured had borrowed from the defendant (on said policy) the sum of $175, which had not been repaid, and which was due and payable to defendant. Plaintiff sued for the amount due on the face of the policy, less the loan of $175, and also sued for interest on the amount thus due, together with a penalty of twenty-five per cent on account of the loss, damage and injury alleged to have been incurred and sustained by plaintiff by reason of defendant's refusal to pay, which refusal, it was alleged, was "in bad faith." Plaintiff demanded a jury to try the case.

The defenses of the insurance company to plaintiff's declaration were presented by four pleas as follows:

1. "It does not owe the plaintiff as she has alleged in her declaration."

2. "It did not promise or contract as the plaintiff has in her declaration alleged."

3. "This policy lapsed for nonpayment of premiums on the 15th day of August, 1922. In order to secure the reinstatement of same, the assured, Dr. R.T. Robertson, on August 21, 1922, executed an application for reinstatement. In this application, there were certain questions to which Dr. Robertson made answer as follows:

"Q.-3. (a) What is your daily consumption of alcoholic drink? A. None.

"(b) Have you at any time used any of them to excess? A. No.

"Q.-4 (a) Have you been ill since date of above policy? A. No.

"(b) If, so, state nature of illness, date and duration? A. No.

"Q.-5. (a) Have you consulted a physician since date of above policy? A. No.

"(b) If, so, whom, for what and when? A. No.

"Q.-6. Are you in sound health? A. Yes."

These answers were material to the risk, and were untrue, and known to be such by the assured, R.T. Robertson, but their falsity was not known to the defendant company, which reinstated the policy in reliance upon their truth. Therefore, by reason of said misrepresentations the reinstatement was void, and of no effect, and the policy was lapsed and no recovery can be had upon same."

4. "The defendant for further plea says that heretofore on the 15th day of August, 1922, the policy sued on in this cause lapsed for nonpayment of premiums, and thereby terminated and ceased to be a liability against this defendant. Therefore in order to reinstate said policy, so as to constitute it a liability against this defendant, *Page 49 the deceased and assured Dr. R.T. Robertson on or about August 21, 1922, executed the aforesaid application for reinstatement which was favorably acted upon by this defendant.

"This defendant says that on or about September 20, 1922, the assured R.T. Robertson committed suicide within the terms of the said policy, which act of suicide occurred within one year from the time of said reinstatement.

"The defendant therefore says that no recovery can be had against it on account of this policy."

The plaintiff joined issue on the first and second pleas, and replied to the third plea as follows:

"For replication to defendant's third plea, plaintiff says: That if the assured Dr. R.T. Robertson, on August 21, 1922, did execute an application for reinstatement of the policy sued on herein and did make the answers as set out in said plea, said answers were true. Plaintiff denies that said answers were material to the risk, or that they were known to be such by the assured R.T. Robertson.

"For further replication to said plea plaintiff denies that said answers of assured R.T. Robertson, as set forth in said plea, were untrue; or that they were known to be such by the assured R.T. Robertson, even if said answers were made by the assured R.T. Robertson, as set forth in said plea.

"For further replication to said plea plaintiff denies that if said answers were made by the assured R.T.

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Bluebook (online)
6 Tenn. App. 43, 1927 Tenn. App. LEXIS 117, Counsel Stack Legal Research, https://law.counselstack.com/opinion/life-casualty-insurance-v-robertson-tennctapp-1927.