Missouri State Life Ins. Co. v. Le Fevre

10 S.W.2d 267
Court of Appeals of Texas·Decided October 4, 1928·No. No. 696.·Published·Cited by 39 cases

Opinions

STANFORD, J.

Appellee, a widow,, filed this suit against appellant to recover upon a life insurance policy on the life of her son, W. H. Le Fevre, in the sum of $2,500, together with interest, penalties, and attorney’s fees. Appellant answered by general demurrer, special exceptions, general denial, and that the policy had lapsed by reason of nonpayment of premium due March 8,1927, prior to the death of the assured June 6, 1927. lit response to special issues the jury found:

(1) That the insured was in good health when the policy was delivered to him.

(2) That the insured was totally incapaci *268 tated by bodily infirmities from following or pursuing any gainful employment from February 20, 1927, to the date of his death.

(3) That the insured was in good health on May 21,1926, when his application was made.

(4) That the assured, in his answer to the question concerning past treatment and disease, did not make any false statement' as to a material matter.

(5) The insured did. not, by his answer to question No. 13 in the application concerning good or bad health, make any false statement as to a matter or thing which contributed to his death.

(6) That the insured did not have Hodgkin’s disease when the policy of insurance was delivered to and accepted by him.

On these findings and such additional findings as the record warranted, the court entered judgment for appellee for $3,633.33. Appellant has duly appealed and presents the record here for review.

Under its first proposition, appellant contends, in effect, that the court erred in refusing to instruct a verdict in its favor, because under the terms of the policy the failure of the insured to furnish proof of total and permanent disability, before his premium was in default, terminated the policy. Under its second proposition, appellant contends, in effect, the court erred in overruling its special exception to appellee’s petition, as the petition disclosed the necessity of proof being made to appellant of total and permanent disability as a condition precedent to the waiver of premiums, and the petition failed to allege the furnishing of such proof, and therefore appellee failed to state facts showing his right to disability benefits, and so failed to state a cause of action. The policy sued upon contained the following provisions:

“Total and Permanent Disability: The Company will also waive the payment of further premiums if the insured becomes totally and permanently disabled before the age of 60, sub-, jeet to all the terms and conditions on the following page.”

On the second page of the policy appears the following:

“Disability, Total and Permanent Disability Benefits, Benefits Effective: Disability Benefits as provided on page 1 will be effective only upon receipt at the Company’s home office while no premium is in default, of due proof of existing total and permanent disability as hereinafter defined, providing such disability originated after this policy became effective and before its anniversary on which the insured’s age at nearest birthday is 60 years, and will apply only to premiums falling due after receipt of such proof.”
“Total and Permanent: Disability will be deemed to be total whenever the insured is so incapacitated by bodily injury or disease as to be wholly prevented thereby from engaging in any gainful occupation whatsoever. Disability will be considered total and permanent under this contract, (a) whenever the insured will presumably be so totally disabled for life, or (b) whenever the insured has been so totally disabled for not less than three consecutive months immediately preceding receipt of proofs thereof. The entire and irrecoverable loss of the sight of both eyes, or the use of both hand's, or of both feet, or of one hand and one foot, will of themselves constitute total and permanent disability.”

The policy recites further:

“General: Premiums waived will not be deducted in any settlement under this policy.”

And further:

“Disability Premium: The annual premium for the Total and Permanent Disability benefit is $.73 and is included in the premium stated in the consideration clause.”

Also:

“Premium Payments, Grace: A grace period of 31 days will be granted for payment of every premium after the first, during which this policy will continue in force. If death occurs during the period of grace, such unpaid premium will be deducted from the amount payable hereunder. If any premium is not actually paid when due, this policy shall cease and determine, except as herein expressly provided.”

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Missouri State Life Ins. Co. v. Le Fevre, 10 S.W.2d 267 (Tex. Ct. App. 1928).

10 S.W.2d 267 (Missouri State Life Ins. Co. v. Le Fevre) — published by Counsel Stack Legal Research, free access to 12M+ legal documents.

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