Manuel v. Metropolitan Life Ins. Co.

139 So. 548
CourtLouisiana Court of Appeal
DecidedFebruary 8, 1932
DocketNo. 895
StatusPublished
Cited by26 cases

This text of 139 So. 548 (Manuel v. Metropolitan Life Ins. Co.) is published on Counsel Stack Legal Research, covering Louisiana Court of Appeal primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Manuel v. Metropolitan Life Ins. Co., 139 So. 548 (La. Ct. App. 1932).

Opinion

ELLIOTT, J.

Horace Manuel obtained a life insurance policy from- the Metropolitan Life Insurance Company of New York for $3,000, the annual premium on which was $74.37. Pie then obtained from the same company further insurance evidenced by what the parties call a supplemental contract or rider, whereby, in consideration of an additional premium of $5.52, the company agreed to pay him a monthly annuity of $10 for each $1,000 of insurance under the main policy and waive the annual premium thereon, if, as a result of injury or disease occurring and originating after the issuance of the policy, insured should become totally and permanently disabled so as to be unable at any time to perform any work or engage in any business for compensation or profit. The policy carries a further supplemental agreement; but it has no bearing on the present controversy.

The monthly annuities to which plaintiff is entitled, if the right thereto has accrued, amounts to $30.

The plaintiff alleges that the defendant has paid him monthly benefits under said policy in the sum of $30, from on or about the month of June, 1924, the required proof of his disability having been submitted to the defendant company, but that after payment of the annuity due for the month of October, 1929, the company, without reason in law, arbitrarily and unreasonably ceased to pay him the annuity provided for. That at the time of said default he was and is now afflicted with pulmonary tuberculosis, affecting both lungs. That he frequently suffers from hy-peracidity and general weakness. That during the entire period of benefit he has been and is now under the care of physicians, precluded by said disease from performing any work or engaging in any business for compensation or profit.

That the disease with which he is afflicted is permanent in character and is daily becoming more debilitating.

That he is entitled to judgment for $300, the total of the amount due as annuity from November, 1929, to August, 1980, inclusive, a period of ten months, for reimbursement of premiums paid and the enforcement of the waiver of premiums as stipulated in the policy. That the action of the company in discontinuing the payment of said monthly annuities was unwarranted, unreasonable, and unjust. That he is entitled under the law to double the amount due as annuities and to attorney’s fees in such amount as may be fixed by the court.

The defendant for answer admits issuing plaintiff a policy as set up in his petition, and the execution of the supplemental agreement as alleged, and that the said supplemental agreement contains a provision for the payment of monthly annuities and for the waiver of the annual premium on the main policy under certain conditions stated in the answer. Admits the receipt of due proofs that the petitioner, as the result of injury or disease occurring or originating after issuance of said policy, had been totally and permanently disabled, so as to be unable at any time to perform any work or engage in any business for compensation or profit. That it paid the plaintiff annuity up to and including October, 1929, and has refused to pay any benefit since that time, but that said payments were made in error.

It denies that plaintiff has, since November 1, 1929, been unable to perform any work or engage in any business for compensation or profit and alleges that he has for several months prior to November 1, 1929, and continuously since then been performing work and engaging in business for compensation or profit, particularly in that he has throughout said period supervised, managed, and directed a farm of some 300 acres owned and operated by him.

Defendant alleges that plaintiff is able to and has since November 1,1929, and for some months prior thereto been engaged generally and substantially in all the activities of a farmer.

There was judgment in favor of the plaintiff in the lower court, ordering the defendant to pay to the plaintiff monthly dues in amount $300, as claimed in his petition, together with such further sums as should become due on said account up until the satisfaction of the judgment rendered, and additionally for an equal sum as the total of said annuities which shall be due as a penalty, in the further sum of $75 as attorney’s fees and to reimburse the plaintiff the premium paid on the main policy for the year 1930. Defendant has appealed.

The question is whether, as a result of pulmonary consumption occurring and originating after the issuance of the policy in question, the plaintiff has become totally and permanently disabled so as to be unable at any time to perform any work or engage in any business for compensation or profit.

A witness named Aguillard, near neighbor for twenty-one years and owner of an adjoin[550]*550ing farm, testified that as a matter of habit, he had visited plaintiff two or three times a week for many years. Asked if Mr. Manuel had had active charge of his plantation during the last few years, he said: “Por the last six years he has not been able to manage his crop himself, he has had it done by others.” Asked where he would find Mr. Manuel when he went there, he said: “Oftener I found him in bed than any where else, when X went to see him on business. I would go and talk to him in his room.”

Further asked if Mr. Manuel had, to his knowledge, been in active charge of the operation of his plantation, his answer was: “X know that up to his illness he was in cnarge of his plantation.”

Mr. Aguillard testified that he thrashed the rice on plaintiff’s plantation, and that since plaintiff had been sick he had not seen him in his field more than three times. That plaintiff took sick about five or six years ago and looked like a man emaciated.

Mr. Aguillard was evidently plaintiff’s close friend and sympathizer, but we note nothing in his answers that indicates that he was biased in giving his testimony.

Seizieme Young, a tenant on plaintiff’s plantation about four years, and Adam Anderson, a tenant for five years, both state that Mr. Manuel does no work on his farm; that he stays most of the time in bed. It was testified to by Mr. Young that he makes arrangements for the thrashing of the rice, while Adam Anderson looks after the levees and ditches necessary in the cultivation of rice.

Alexander Amy, friend and near neighbor Of the plaintiff for about fifteen years, and who had often visited him at his house during the last four or five years, was asked where he would find Mr. Manuel when he would visit him and his answer was: “I would find him around the house when I did not find him in bed.”

Mr. Amy is an insurance agent and works for another, insurance company. Being familiar with the procedure required in order to get the benefits stipulated in plaintiff’s policy and the plaintiff being illiterate, he assisted him in getting up and forwarding his proofs of disability.

Another neighbor, Mr. Odom, owner of a deep well on a plantation adjoining that of the plaintiff, furnished the water which irrigated the rice on plaintiff’s farm. He never saw Mr. Manuel doing any work on his farm, but testifies that on one occasion plaintiff and himself rode on horseback down into plaintiff’s field for the purpose of looking at some rice; that they rode their horses in a walk.

Wm. Young, another neighbor for about fifteen years, says that the thrashing of the riqe on plaintiff’s farm was looked after by one of the tenants, Seizieme Young.

Asked how long Mr.

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139 So. 548, Counsel Stack Legal Research, https://law.counselstack.com/opinion/manuel-v-metropolitan-life-ins-co-lactapp-1932.