Metropolitan Life Ins. Co. v. Phillips

182 So. 35, 236 Ala. 259, 1938 Ala. LEXIS 167
Supreme Court of Alabama·Decided June 9, 1938·No. 1 Div. 983.·Published·Cited by 10 cases

Opinion

*260 BOULDIN, Justice.

This court has, in recent cases, carefully considered provisions in policies of life insurance for the payment of Total and Permanent Disability Benefits, with special reference to furnishing to the insured proofs of disability as a condition precedent to liability.-

If the policy “provides for benefits upon the existence of the disability while the policy is in force, payable when proof is furnished, its existence while in force is the condition precedent, proof is not a condition to the liability, and may be made after the policy lapses, but within a reasonable time and before suit is begun. Prudential Ins. Co. v. Gray [230 Ala. 1], 159 So. 265.” Equitable Life Assur. Soc. v. Hill, 230 Ala. 505, 161 So. 800, 801.

If by express provision of the policy the obligation to pay such benefits' is made to depend upon the submission of proofs of disability while the policy is in force, such proof is a condition precedent to liability. Protective Life Ins. Co. v. Hale, 230 Ala. 323, 161 So. 248; Equitable Life Assur. Soc. v. Dorriety, 229 Ala. 352, 157 So. 59; McCutchen v. All States Life Ins. Co., 229 Ala. 616, 158 So. 729; McGifford v. Protective Life Ins. Co., 227 Ala. 588, 151 So. 349; New England Mutual Life. Ins. Co. v. Reynolds, 217 Ala. 307, 116 So. 151, 59 A.L.R. 1075; Protective Life Ins. Co. v. Cole, 230 Ala. 450, 161 So. 818.

The provision for total and permanent disability benefits in the certificate issued to the insured employee pursuant to the group policy in the instant case reads:

“Total and Permanent Disability Benefits.
“Any employee shall be considered as totally and permanently disabled who furnishes due proof that, as a result of bodily injury suffered or disease contracted while his insurance was in force and prior to his sixtieth birthday, he is permanently, continuously and wholly prevented thereby from performing any work for compensation or profit.
“Upon receipt of due proof of such disability, the Metropolitan Life Insurance Company will pay to such employee, in lieu of the payment at death of the said insurance on the life of such employee, equal monthly instalments based on the amount of insurance in force on such employee at the date of receipt of proof of such disability, as shown in the following table:
The master policy reads to like effect. The obligation to pay is expressly limited to the “amount of Insurance in force on such employee at the date of receipt of proof of such disability.”

Quite clearly the case is governed by the line of cases last above cited. The furnishing of proofs was not merely the event upon which payments should begin, but proof, while the policy was in force is, by this policy, a condition precedent to liability for benefits.

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Metropolitan Life Ins. Co. v. Phillips, 182 So. 35, 236 Ala. 259, 1938 Ala. LEXIS 167 (Ala. 1938).

182 So. 35 (Metropolitan Life Ins. Co. v. Phillips) — published by Counsel Stack Legal Research, free access to 12M+ legal documents.

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