Metropolitan Life Ins. Co. v. Brown

177 So. 178, 27 Ala. App. 602, 1937 Ala. App. LEXIS 161
CourtAlabama Court of Appeals
DecidedOctober 5, 1937
Docket7 Div. 292.
StatusPublished
Cited by3 cases

This text of 177 So. 178 (Metropolitan Life Ins. Co. v. Brown) 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
Metropolitan Life Ins. Co. v. Brown, 177 So. 178, 27 Ala. App. 602, 1937 Ala. App. LEXIS 161 (Ala. Ct. App. 1937).

Opinions

Appellee was insured against permanent total disability in a group insurance policy issued by appellant to Anniston Manufacturing Company, covering its employees. His employment by said company, and hence his insurance, ceased and determined on June 13, 1931.

Thereafter, on March 11, 1936, appellee gave notice to appellant that, while insured under said policy, he had become totally disabled in such sense that he was entitled to the benefits provided by same.

The learned trial judge stated the issue which arose on the trial of the suit by appellee against appellant which followed, and which issue became the sole subject of this appeal, as we here set out, (omitting all other matters, not here questioned) to wit:

"The burden is on the plaintiff to reasonably satisfy you from the evidence that the material allegations of the complaint are true. There are some questions that are not in dispute in the case. It is not disputed that this plaintiff, prior to June 13th, 1931, was employed by the Anniston Manufacturing Company, and it is not disputed that at that time he was the beneficiary under a group policy issued to the employees of the Anniston Manufacturing Company. It is not disputed either that on the 13th day of June, 1931, that he left the employment of the Anniston Manufacturing Company. The policy provides that if and while he is in the employment of the Anniston Manufacturing Company, the holder of the master policy, he becomes permanently and totally disabled before he is 61 years of age, then he is entitled to recover certain benefits under the policy as provided in the policy, provided further that he make proof of his disability by filing due proof to the company. It is not disputed in this case either that the (plaintiff did not file) proof of his claim of disability before March 11th, 1936. Therefore, the question is presented to you on that particular phase of the case, first, whether or not the plaintiff is entitled to recover because of his failure to furnish proof of his disability prior to March 11th, 1936. In other words, if he has right of action it must relate, so far as his disability is concerned, to the time before he left the employment of the Anniston Manufacturing Company, to-wit, June 13th, 1931. So there is a period there of five years approximately between the time he claims his right of action accrued and the time that he filed his proof of disability. So, the defendant says in its plea that he waited an unreasonable length of time to file this proof of loss or proof of disability and, therefore, he is precluded from now claiming it because he has waited too long to file it. The policy provides *Page 604 that he must file this proof of loss — it doesn't say so far as his right of action is concerned, the policy is silent as to when he should file it; the policy provides that he cannot bring suit on the policy until after six months after he has filed his proof of disability.

"So, as a matter of law then, he has waited too long, in the opinion of the court, he waited too long to file his claim for disability, but the mere fact that he did wait too long and waited an unreasonable time, as the court finds it to be, doesn't necessarily preclude it, because the company could waive that if they wanted to. So, when he filed his claim on March 11th, 1936, of this year the company had a right at that time to take the position that because he had waited so long, had waited five years to file his claim, they had a right to deny the payment of it for that reason alone as a matter of law; they could have stood on that right or they could have waived it by their action in the matter, and they could have said it is a fact as a matter of law that we have a right to defeat this cause of action because of his failure to file his claim — we will not resist it on that, but we will test it out on other grounds and not stand on that right. So, then, it becomes a question of fact for you to determine, whether or not the company waived that right that they had, that legal right. In that particular it is the insistence of the defendant that they did not waive it, that although they gave the plaintiff the opportunity to make the proof that they did not waive that right that they had and they still claim that right in this law suit and set that up as an answer to the complaint, that the plaintiff has waited an unreasonable length of time to file the claim; and the plaintiff comes back on the other hand by replication and an answer to the plea and says in effect this, that the company, after receipt of this proof of loss or proof of disability on March 11th, 1936 — that is the date that it was filed — that they did not propose to stand on their right to defeat the claim because of the unreasonable length of time but they are claiming, or the company claims, that there was no disability originally, that he never was disabled and, therefore, waiving the right that they had to claim it had been filed in an unreasonable length of time, they waived that feature of it and proposed to defeat the action or contest the right of the claim that he was not totally disabled back in 1931 and, therefore, he is not entitled to recover for that reason.

"Now, it is the law that the company, if they waived or if they took the position rather that there was no disability, and that is the position they took when he filed his claim in 1936, that he didn't have a right to recover because he was not disabled and that is the position they took then that would waive the contention or the right that they had to defeat the action because the proof had not been filed in a reasonable time, and the burden is on the plaintiff in the case, under his replication, to show or to reasonably satisfy you that the defendant company had waived that right. As to whether or not they had waived it is a matter for your determination and for you to draw the conclusion. If you are reasonably satisfied from the evidence that the defendant company did not waive that right, that is, if you are reasonably satisfied that they based their defense not on the question of his disability vel non and, thereby, did not waive the right that they had to defend the action on the ground that there had been an unreasonable length of time before filing of the claim of disability, then the plaintiff would not be entitled to recover. In other words, if the company did not waive that right then they still have the right to set it up in this cause of action. If they have waived it they haven't the right. Now, that is putting it in straight language. If they haven't waived it then they still have got the right and it is a complete answer to his cause of action, because as a matter of law he did wait too long, but if they have waived it then you just forget about that part of it, because if they are not defending the suit and are not making the contention of liability on that phase of it, then we have to look into the other question.

"If you are (not) reasonably satisfied from the evidence that the defendant company has waived it, then you go further and that brings us to the other inquiry, whether or not in 1931 prior to the time that the plaintiff left the employment of the Anniston Manufacturing Company he was totally disabled. The policy provides that when he leaves the company's employment that immediately voids his rights under the policy unless he was disabled at that time. In other words, if he left the company and at that time he was not disabled, then his rights under the policy would end because the policy provides that *Page 605

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Bluebook (online)
177 So. 178, 27 Ala. App. 602, 1937 Ala. App. LEXIS 161, Counsel Stack Legal Research, https://law.counselstack.com/opinion/metropolitan-life-ins-co-v-brown-alactapp-1937.