Mathews v. Pacific Mutual Life Insurance

118 P.2d 10, 47 Cal. App. 2d 424, 1941 Cal. App. LEXIS 1184
CourtCalifornia Court of Appeal
DecidedOctober 22, 1941
DocketCiv. No. 12618
StatusPublished
Cited by13 cases

This text of 118 P.2d 10 (Mathews v. Pacific Mutual Life Insurance) is published on Counsel Stack Legal Research, covering California Court of Appeal primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Mathews v. Pacific Mutual Life Insurance, 118 P.2d 10, 47 Cal. App. 2d 424, 1941 Cal. App. LEXIS 1184 (Cal. Ct. App. 1941).

Opinion

ARCHBALD, J. pro tem.

Appeal from a judgment against the plaintiff, administratrix with the will annexed of the estate of F. B. Mathews, also known as Frank Berry [426]*426Mathews, deceased, in an action to recover certain disability benefits claimed to be due said decedent, the insured, in his lifetime, and certain premiums paid by the insured under a policy of insurance issued by the defendant, The Pacific Mutual Life Insurance Company, under a clause of said policy providing that said defendant would pay said decedent the sum of $100 per month should he, before attaining the age of sixty years and while the policy was in force, and no premiums in default, become 11 so disabled as to be totally and permanently unable to perform any work or engage in any occupation or profession for wages, compensation or profit, or suffer the irrevocable loss ... of the . . . use of one hand and one foot,” and in addition, said defendant would waive the payment, of future premiums.

Another clause in the policy provided that should said insured, before attaining the age of sixty years, elect to cancel such benefit provisions, “a reduction in the annual premium of twenty-five cents for each Ten Dollar Unit of monthly payments” under such policy would thereafter be made.

The policy was issued May 12, 1923, and the insured paid the annual premiums of $366 until as of March 5, 1931, when said insured submitted to the insurer a written statement captioned “Preliminary Particulars of Total Disability,” in which he claimed that “he had been totally disabled and continuously prevented from performing any work or engaging in any occupation or profession for wages, compensation, or profit, and that such disability began on December 27, 1930.” Said defendant, upon receipt of such proof, paid to said insured the sum of $100 as of March 7, 1931, and a like sum monthly thereafter to and including January 1, 1932, and waived the annual premium due on May 12, 1931, “as and for claimed total disability benefits under the terms and conditions of such policy of insurance.”

On February 10, 1932, an agreement in writing was entered into between the defendant insurer and the insured whereby in consideration of the sum of $500 paid by the insurer to said insured, the reduction by the insurer of the annual premiums required to be paid under such policy of insurance from $366 to $363.50 and the waiver by the insurer of the annual premium as reduced, to become due May 12, 1932, said insured acknowledged in writing full payment, satisfaction, discharge, compromise, and release of all claims on account of perma[427]*427nent and total disability benefits under said policy of insurance growing or thereafter to grow out of alleged disability suffered on or about March 7, 1931, and it was further agreed that the total disability benefits under said policy of insurance were cancelled and entirely eliminated as of February, 2932, and said insured accepted from said insurer and retained the sum of $500, the waiver of the premiums due on May 12, 1932, and said reduction in the amount of said annual premium.

The reduced premiums were thereafter paid by said insured and the insurer made no further disability payments until December 1, 1936, when, under a written agreement entered into between defendants and the insured in November, 1936, under and by which written agreement, in consideration of the sum of $1,200, applied as a credit to a policy loan then outstanding against said policy of insurance, the resumption of said payments of $100 per month to begin as of said December 1, 1936, and to continue so long as said insured lived and remained permanently totally disabled, and the waiver of premiums under said policy of insurance so long as said payments continued, said insured 11 acknowledged full payment, satisfaction, discharge, compromise and release of all claims against defendants claimed to have accrued prior to December 1, 1936, on account of alleged permanent total disability benefits under said policy of insurance. ’ ’ The terms of said written agreement were fully complied with by the defendants to and including April 5, 1937, the date of the death of said insured.

The trial court found that on February 10, 1932, and on November 30, 1936, said insured was mentally competent, and as conclusions of law found that plaintiff was not entitled to recover and that defendants were entitled to judgment for their costs.

Plaintiff’s complaint sought to recover the monthly payments not paid by defendants and the amount of the premiums paid by insured subsequent to said settlement of February 10, 1932.

In her complaint plaintiff prayed the court to declare any and all releases signed by the insured “void and without effect, due to the incompetency of the said insured to execute them, and due to the undue influence exercised over him by the defendant, or its authorized employees.” The [428]*428complaint contains allegations to the effect that on or about March 1, 1931, said decedent submitted due proof of total and permanent disability, disabling him from “the performance of any work or engaging in any occupation or profession, or which caused him to suffer the irrevocable (loss of) use of one hand and one foot.” (Emphasis ours.) Such allegation is denied in defendants’ answer, except that such answer admits and alleges that said decedent submitted to defendants a written statement in which decedent claimed that “he had been totally disabled and continuously prevented from performing any work or engaging in any occupation or profession for wages, compensation, or profit, ’ ’ and that such disability began December 27, 1930. The trial court found that such allegations in plaintiff’s complaint were untrue except as to the allegation of due proof of permanent disability, and found that the allegations of the complaint that the settlement of 1932 '(waiving the disability features of the policy) was the result of mental incompetency of decedent and undue influence exercised over him by defendant, were not true.

Plaintiff’s contention throughout the trial was that the two releases given by the insured were the result of decedent’s mental incompetence or undue influence.

Appellant contends here that the compromise of 1932 was void, even assuming decedent to have been mentally competent, as no new consideration passed, on the theory, apparently, that the company’s liability under the disability provision of the policy was liquidated and that no honest dispute existed on the subject of insured’s health or his right to benefits.

This new contention cannot be urged here. “The rule is well settled that the theory upon which a case is tried must be adhered to on appeal. A party is not permitted to change his position and adopt a new and different theory on appeal.” (Ernst v. Searle, 218 Cal. 233, 240 [22 Pac. (2d) 715].)

Both releases were by written instruments, which are presumptive evidence of a consideration. (Section 1614, Civil Code.) Nor do we agree that the ultimate and aggregate amount of the liability was liquidated. As long as the disability continued the defendant was compelled to pay the insured the amount fixed by the policy. Payments [429]*429were not required in the event of his recovery, however, and at the time the settlement was made in 1932, no one could tell when that event would occur.

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Bluebook (online)
118 P.2d 10, 47 Cal. App. 2d 424, 1941 Cal. App. LEXIS 1184, Counsel Stack Legal Research, https://law.counselstack.com/opinion/mathews-v-pacific-mutual-life-insurance-calctapp-1941.