Metropolitan Life Insurance v. McDevitt

190 S.E. 404, 55 Ga. App. 342, 1937 Ga. App. LEXIS 93
Court of Appeals of Georgia·Decided March 3, 1937·No. 25846·Published·Cited by 3 cases

Opinion

Guerry, J.

On August 6, 1919, the plaintiff in error issued to Mrs. Helen E. McDevitt a policy of insurance which provided, among other things, that ‘“The Metropolitan Life Insurance Company, in consideration of an additional premium of . . , doth hereby agree, that if, while the above-numbered policy is in full force and effect and before default in the payment of any premium, the company receives due proof that the insured, as the result of injury or disease occurring and originating after the issu[343] anee of the policy, has become totally and permanently disabled so as to be unable at any time to perform any work or engage in any business for compensation or profit, the company will allow the following benefits:” etc. On January 31, 1936, Mrs. Mc-Devitt filed suit to recover the benefits so provided, alleging that on or about the first day of January, 1931, while said policy was in full force and effect, she suffered complete loss of her hearing in both ears, as a result of which she was rendered totally and permanently disabled within the meaning of said contract. Ify amendment she alleged that during the year 1925, while said policy was of full force and effect,’ she became deaf to such an extent that she was forced to give up her employment as a stenographer on or about the first of March, 1925, and that on or about the first of January, 1931, she suffered complete loss of her hearing. The defendant contended at the trial: (1) That the insured did not become totally and permanently disabled as the result of injury or disease occurring and originating after the issuance of the policy, but that the alleged deafness, on account of which she now claims.to be totally and permanently disabled, originated before the issuance of the policy. (2) That she was not totally and permanently disabled. The plaintiff introduced in evidence proof of loss submitted to the company, dated June 7, 1934, in which she stated that her sickness or injury was deafness, that she became totally disabled thereby in February, 1925, and that she was first treated by a physician about fifteen years ago. Attached to the proof of loss was an attending physician’s certificate, in which were the following: Question: “ On what date were you first consulted on account of the present injury or sickness?” Answer: “Fifteen to eighteen years ago.” The certificate stated that the present injury or sickness of insured was “otosclerosis (ears).”

1. While we may agree that under the terms of the policy the insurer would not be liable for any injury or disease occurring and originating before the issuance of the policy, and while it may further appear that the insured had been treated for impairment of her hearing or at least for some trouble with her ears before the issuance of the policy, it does not appear by evidence that a continuation of this prior trouble was a continuation of the disease that twelve jrears later caused her total deafness. The judge was warranted in finding that the disease shown or complained of [344] did not originate before the issuance of the policy. This court is unable to say, as a matter of law, because an insured is at one time a sufferer with a named or particular trouble, and that later she is again troubled with a like condition, that the second condition is a continuation of the first and may be said to have originated with the first condition and been present all the time, and that naturally and as a matter of course the one follows the other. The proof of loss submitted by the insured in August, 1934, merely recited that some fifteen years previously she had been treated by a doctor for trouble with her ears. We can not say that for this reason no contract was ever entered into between the parties whereby any subsequent trouble by the insured with her ears was not covered thereby. A different situation might exist if the evidence had shown that the subsequent trouble was a continuation of the first injury or disease of the ears.

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Metropolitan Life Insurance v. McDevitt, 190 S.E. 404, 55 Ga. App. 342, 1937 Ga. App. LEXIS 93 (Ga. Ct. App. 1937).

190 S.E. 404 (Metropolitan Life Insurance v. McDevitt) — published by Counsel Stack Legal Research, free access to 12M+ legal documents.

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