Metropolitan Life Ins. Co. v. Korneghy

71 So. 2d 292, 37 Ala. App. 497, 68 A.L.R. 2d 239, 1954 Ala. App. LEXIS 377
CourtAlabama Court of Appeals
DecidedFebruary 2, 1954
Docket6 Div. 687
StatusPublished
Cited by18 cases

This text of 71 So. 2d 292 (Metropolitan Life Ins. Co. v. Korneghy) 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. Korneghy, 71 So. 2d 292, 37 Ala. App. 497, 68 A.L.R. 2d 239, 1954 Ala. App. LEXIS 377 (Ala. Ct. App. 1954).

Opinion

*499 CARR, Presiding Judge.

This is an appeal by the Republic Steel Corporation, employer, and the Metropolitan Life Insurance Company, insurer.

The basis for the suit is the claim by the appellee, insured, that the appellants wrongfully eliminated the former from coverage and benefits under a group policy of insurance.

In the court below the presiding judge, without the aid of a jury, rendered judgment in favor of the insured.

Apparently the amount of the judgment is the sum total, with interest, of all contributions the insured had made to premium payments during the entire time he had enjoyed coverage under the policy.

There is no dispute or conflict in the evidence.

In 1938, pursuant to an application by the employer, the insurer issued a group policy of insurance and made the application a part thereof.

In short, the contract provided coverage and benefits for those employees of the Republic Steel Corporation “who are eligible for the insurance provided hereunder in accordance with the Formula and Schedule of Benefits hereinafter contained.”

The following are provisions of the master policy which we think are pertinent to this review:

“An Employee must make written application for insurance hereunder on forms furnished by the Company in order to be insured hereunder after a Preliminary Period.”
“The Life Insurance on any Employee insured hereunder shall cease automatically thirty-one days after the date of the termination of employment of such Employee. The Temporary Disability Insurance on any such Employee shall cease automatically on the date of the termination of employment of such Employee.”
“The insurance of any Employee insured hereunder who shall have notified the Employer that his insurance under this Policy is to be discontinued, shall cease on the last day of the calendar month during which such notice of discontinuance was received by the Employer. Failure of any Employee to make contribution when due, as required by the Employer, to the cost of his insurance hereunder shall be deemed notice to the Employer that his insurance hereunder is to be discontinued.”
“Section 4. Payment of Premiums — The .premiums due on and after the date of issue of this Policy for benefits provided hereunder shall be determined and shall be payable in accordance with Sections 5 and 15 hereof.
“All premiums falling due under this Policy, including adjustments thereof — if any — are payable by the Employer, on or before their respective due-dates, direct to the Company, but may be paid to an Agent or other authorized representative of the Company, in which case the Company’s official premium receipt signed by the President, Vice-President, Actuary, Treasurer or Secretary of the Company and countersigned by the Agent or other authorized representative of the Company receiving the premium, shall be exchanged for such payment. The payment of any premium shall not maintain the insurance under this Policy in force beyond the date when the next premium becomes payable, except as provided in the next paragraph.
“If the Employer has not previously given written notice to the Company that this Policy is to be discontinued, a grace period of thirty-one (31) days, without interest charge, shall be granted to the Employer for the payment of every premium after the first, during which period this Policy shall continue in force.
“If any premium be not paid within the days of grace, this Policy shall thereupon be discontinued, but the Employer shall, nevertheless, be liable to the Company for the payment of all premiums then unpaid, together with the premiums for the days of grace. If, however, written notice is given by the Employer to the Company, during the grace period, that the Policy is to be discontinued, then the Employer shall be *500 liable to the Company for the payment of a pro-rata premium for the period commencing with the date on which the last premium became due and ending with the date of receipt of such written notice by the Company.
“Section 5. Renewal Privilege — The Employer may renew this Policy on May 1, 1938 and at each succeeding anniversary of such date for the term of one year, provided the number of Employees then insured hereunder is, in the case of a Contributory Policy, not less than seventy-five (75) per cent, of the number of eligible Employees and, in the case of a Non-Contributory Policy, not less than the total number of eligible Employees, and provided in either case the number of Employees then insured hereunder is not less than fifty (50). Renewal is conditioned upon the payment of the premiums then due as computed in the manner set forth in Section 15 hereof and based upon such Schedule of Life Insurance Premiums and such Temporary Disability premium rate as may then be determined by the Company.
“On written request of the Employer, approved by the Company, premium payments may, if not then so payable, be changed at any anniversary of the date of issue or renewal of this Policy, so as to be payable annually, semi-annually, quarterly or monthly; in which event the dates and provisions relating to the payment of premiums will be changed to conform to such modified periods of payment.
“Section 6. Participation in Divisible Surplus — This Policy is a participating contract and the Company shall annually ascertain and apportion any divisible surplus accruing under policies of this class. Any such divisible surplus shall be paid in cash to the Employer or, upon written request from the Employer to the Company, shall be applied to the payment of the aggregate of the premiums next falling due under this Policy. In either event, such divisible surplus is to be distributed or applied by the Employer, according to the respective rights thereto — if any — of the parties contributing to the premiums hereunder.
“Section 7. Incontestability — This Policy, as herein defined, the application of the Employer, a copy of which is attached hereto, and the individual applications — if any^ — of the Employees, constitute the entire contract between the parties, and except for non-payment of premiums, shall be incontestable after one year from its date of issue.”
“Section 9. Certificates — The Company will issue to the Employer, for delivery to each Employee insured hereunder, an individual Certificate and Certificate Riders— if any — reciting the benefits to which such Employee is entitled under this Policy and the name of the Beneficiary designated by the Employee.”
“Section 12.

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Bluebook (online)
71 So. 2d 292, 37 Ala. App. 497, 68 A.L.R. 2d 239, 1954 Ala. App. LEXIS 377, Counsel Stack Legal Research, https://law.counselstack.com/opinion/metropolitan-life-ins-co-v-korneghy-alactapp-1954.