Metropolitan Life Insurance v. Lovett

179 S.E. 253, 50 Ga. App. 763, 1935 Ga. App. LEXIS 280
CourtCourt of Appeals of Georgia
DecidedFebruary 8, 1935
Docket23927
StatusPublished
Cited by22 cases

This text of 179 S.E. 253 (Metropolitan Life Insurance v. Lovett) is published on Counsel Stack Legal Research, covering Court of Appeals of Georgia primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Metropolitan Life Insurance v. Lovett, 179 S.E. 253, 50 Ga. App. 763, 1935 Ga. App. LEXIS 280 (Ga. Ct. App. 1935).

Opinion

Jenkins, P. J.

Under the rulings of the Supreme Court in Cato v. Ætna Life Ins. Co., 164 Ga. 392 (2) (138 S. E. 787), reaffirmed in Prudential Ins. Co. v. South, 179 Ga. 653 (177 S. E. 499), the jury, under the evidence, were fully authorized to find that the plaintiff was totally and permanently disabled, within the meaning of the provision in the group policy upon which suit was brought, that “any employee shall be considered totally and permanently disabled who furnishes due proof to the company that, while insured thereunder and prior to his 60th birthday, he has become so disabled, as a result of bodily injury or disease, as to be prevented permanently from engaging in any occupation and performing any work for compensation or profit,” and that “three months after receipt of such proof, the [insurer] will commence to pay such employee, in lieu of the payment of the insurance under said policy at his death, equal monthly installments” as further provided.

The verdict for total-disability benefits was not excessive, and the court did not err in charging the jury in effect that the amount of insurance applicable to the case was $2000 and not $1000, or in refusing to give the requested written instruction that it was $1000, upon the contention of the defendant insurance company that the plaintiff became permanently disabled, if at all, while the original certificate of insurance for $1000, issued November 16, 1929, was in force, and before the rider, increasing the insurance to $2000, issued on June 13, 1931, became effective. Under the undisputed evidence, the plaintiff developed the varicose veins, from which he suffered, first in one leg in 1930, and made a claim therefor to the defendant on April 23, 1931, prior to the issuance of the increased insurance, but lie did not press his original claim, and in May or June, 1931, renewed his former occupation and duties as a house-to-house salesman, in which he continued to [765]*765work for nearly a year. Consequently, since the increased insurance became effective before this resumption of his work, and since, under the principles of the South and Gato cases, supra, he would not have been entitled to total-disability benefits for his condition prior to such resumption, his recovery for total disability must necessarily have been controlled by the amount of the increased insurance.

The jury found in favor of the plaintiff for past accrued payments under the $2000 policy of $36 a month from July 22, 1932, to October 26, 1933, the date of trial, a total of $580.80, and $500 attorney’s fees, thus allowing 16 installments of $576 and apparently prorating a seventeenth installment on the basis of 2/15 of a month in the amount of $4.80 to cover the four days from October 22 to 26, 1933. Exception'is taken on the grounds that, even if any recovery of installments could be legally had, it could not include monthly installments due after the filing of the suit to the trial (although the petition claimed such installments); that, under the above-quoted provision of the policy that payments would commence three months after receipt of “due proof” of total and permanent disability, only three installments would be due from the time thus provided to the time of filing suit; and that in no event was there any claim filed which could properly be construed as furnishing such proof before September 27, 1932, so as to make no payment due until three months thereafter, although it is further contended that no sufficient proof was furnished until October 3, 1932.

The verdict was not illegal or excessive because it included installments due under the amended policy between the time of filing suit and the time of trial, such installments being claimed in the petition. See U. S. v. Worley, 281 U. S. 339, 341 (50 Sup. Ct. 291, 74 L. ed. 887, 890). The right of the insured to recover these payments under a disability policy is not unlike that of a wrongfully discharged servant or agent to recover moneys due under the contract of employment under “the state of facts down to the time of trial.” See Roberts v. Rigden, 81 Ga. 440-442 (7 S. E. 742); Roberts v. Crowley, 81 Ga. 429 (7 S. E. 740); G., F. & A. Ry. Co. v. Parsons, 12 Ga. App. 180 (2), 183 (76 S. E. 1063); Realty Co. v. Ellis, 4 Ga. App. 402 (61 S. E. 832).

The evidence supports the defendant’s contention that there was no sufficient proof of total and permanent disability [766]*766furnished to it before September 27, 1932. The jury, however, were authorized to find that the letter from the plaintiff’s attorneys, the “claim form” as filled out which it enclosed, with a certificate from the attending physician, constituted “due proof” under the insurance contract. Even if the contract had required “satisfactory proof” to be furnished, it would not have been necessary for the proof to “satisfy” the insurer, but it would have been “sufficient that reasonable proof be given of those matters specified or implied in the policy.” Life Ins. Co. of Va. v. Williams, 48 Ga. App. 10 (2, 5), 23, 24 (172 S. E. 101). The instant certificate of insurance requiring only “due” proof, without defining or detailing the manner or nature of such proof, it was not necessary that it should have been in affidavit form. Taking the detailed earlier proofs of claim furnished in 1931, as to the disability of the plaintiff in one leg, the reference in the claim of September 27, 1932, to such earlier claim and disability, and the later correspondence of both ■parties referring thereto, the claim and the doctor’s, certificate furnished after both of the plaintiff’s legs had become disabled from the same malady were reasonably sufficient to apprise the insurer of the nature and essential facts of the total disability claimed, notwithstanding further proof and more detailed information were not furnished until later dates. Since, however, there was no effort to submit to the defendant evidence of the condition of both legs, which for the first time could have caused total disability, before September 27, 1932, and the first payment was not due until three months thereafter, December 27, 1932, the installments due from that date to the date of trial, October 26, 1933, were only ten of $36 each, amounting to $360, instead of sixteen and the prorated part of a seventeenth as "found in the verdict. Consequently, the recovery of all disability benefits over $360 was illegal and excessive, and the excess should be written off the judgment.

The court did not err in refusing a new trial upon the ground that the verdict for $500 attorney’s fees, under the Civil Code, § 2549, was unauthorized. “Where a party gives a reason for his conduct and decision touching anything involved in a controversy, he can not, after litigation has begun, change his ground and put his conduct upon another and different consideration.” Cowdery v. Greenlee, 126 Ga. 786, 789 (55 S. E. 919, 8 L. R. A. (N. S.) [767]*767137); Tuggle v. Green, 150 Ga. 361 (2), 370 (104 S. E. 85); Cobb Lumber Co. v. Sunny South Grain Co., 36 Ga. App. 140 (2) (135 S. E. 759).

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Bluebook (online)
179 S.E. 253, 50 Ga. App. 763, 1935 Ga. App. LEXIS 280, Counsel Stack Legal Research, https://law.counselstack.com/opinion/metropolitan-life-insurance-v-lovett-gactapp-1935.