Mutual L. Ins. Co. of N.Y. v. Hebron

146 So. 445, 166 Miss. 145, 1933 Miss. LEXIS 344
CourtMississippi Supreme Court
DecidedFebruary 20, 1933
DocketNo. 30470.
StatusPublished
Cited by20 cases

This text of 146 So. 445 (Mutual L. Ins. Co. of N.Y. v. Hebron) is published on Counsel Stack Legal Research, covering Mississippi Supreme Court primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Mutual L. Ins. Co. of N.Y. v. Hebron, 146 So. 445, 166 Miss. 145, 1933 Miss. LEXIS 344 (Mich. 1933).

Opinion

*153 Cook, J.,

delivered the opinion of the court.

The appellee instituted this suit against the appellant on two policies of life insurance toi recover total and permanent disability benefits and premiums paid, under the following provisions of the two policies:

“If the insured, after payment of premiums for at least one full year, shall, before attaining the age of sixty years, and provided all past premiums have been duly paid and this policy is in full force and effect, furnish due proof to the Company at its Home Office either (a) that he has become totally and permanently disabled by bodily injury or disease, so that he is, and will be, permanently, continuously and wholly prevented thereby from: performing any work for compensation, gain or profit, and from following any gainful occupation, or (b) that he has suffered any of the following ‘Specified Disabilities’ (which shall be considered total and permanent disabilities hereunder), namely, the entire and irrevocable loss of the sight of both eyes, or the severance of both entire hands, or of both entire feet, or of one entire hand, and one entire foot, the company, upon receipt and approval of such proof, will grant the following benefits:

“1. The company will, during the continuance of such disability, waive payment of each premium as it becomes due, commencing with the first premium due after approval of said due proof. Any premium due prior to-such approval by the company must be paid in accordance with the terms of the policy, but if due after receipt ■of said due proof, will, if paid, be refundied upon approval of such proof.

“2. The company will during the continuance of such disability, pay to the insured a monthly income at the rate of ‡10.00 for each one thousand dollars of the face amount of this policy (but not including dividend additions), the first such monthly payment being due on *154 receipt of said due proof, and subsequent payments on the first day of each calendar month thereafter, if the insured be then living and such disability still continue. No income payments, however, will be made prior to the approval of such proof by the Company as satisfactory, but upon such approval, whatever income payments shall have become due will then be paid. . . . ”

The declaration alleged that the appellee became totally disabled on August 6, 1928, and has been totally and continuously disabled since that date; that she gave the appellant preliminary notice of her disability “as soon as she was informed that she was entitled to claim the disability benefits of said contracts or policies of insurance,” and, in addition, prepared and executed a sworn statement of disability and fonvarded' same to- the appellant on or about December 3, 1930. It was further alleged that on or about December 15, 19301, the appellee received1 from the appellant two checks for nine hundred-seventy dollars and five cents each, or a total of one' thousand nine hundred forty dollars and ten cents, which amount included six hundred' forty dollars and ten cents as a return of one premium paid on the two policies, and one thousand three hundred dollars in disability benefits, whereas she was entitled1 to receive, in addition to the amounts SO' paid, the sum of one thousand five hundred sixty dollars covering disability benefits for fifteen months and eighteen days prior to December 24, 1929, which was alleged to have been arbitrarily fixed as the date on which disability benefits began to accrue to her, and that she was also entitled to the refund of an additional premium paid on said- policies prior to December 24, 1929, for all of which she demanded judgment.

The appellant demurred to the declaration, setting up in its demurrer that the declaration was insufficient in law and failed to state a cause of action because: “As shown by the averments of the declaration and exhibits! thereto, the defendant became obligated1 to pay to plain *155 tiff a monthly income at the rate of ten dollars for each one thousand dollars of the face amount of the policies only after receipt and approval by it of proof of plaintiff’s disability, the first of such monthly payments being due to be paid on receipt and approval of such proof of disability and subsequent payments to be made on the first day of each calendar month thereafter; and plaintiff did not furnish unto defendant proof of her disability until December 8th, 1930, and full payment has been made by defendant to plaintiff for all disability benefits to which she was entitled under the terms of said policies from and after date of December 8th, 1930. And, by the terms of said policies of insurance, defendant became obligated; to waive the payment to it of all premiums during the continuance of plaintiff’s said disability commencing with the first premium due after approval of proof of such disability, and the payment of all further premiums after the approval of such disability was by the defendant waived. ’ ’

The demurrer was overruled, and thereupon the appellant filed two special pleas, averring: First, that the! payments, aggregating one thousand nine hundred forty dollars and ten cents, were gratuitous and voluntary, and1 made without legal or other consideration; and, second, that there was an accord and satisfaction by the acceptance of checks, each bearing on its face the following no'tation: “Amount due on above date under the disability provisions of policy--- — ” (number of policy inserted). Keplieations were filed to these pleas, and the cause was submitted to the court, without the intervention of a jury, upon the pleadings and proof, and a judgment was entered in favor of the appellee for the amount sued for, with interest and costs.

The facts as shown by the record are not controverted. The two policies were issued by the appellant on February 1, 1925, and all premiums accruing prior to November 24, 1930, when the notice of disability was given, *156 were paid. The appellee became wholly disabled on August 6, 1928, and has been continuously disabled since that date. She has been at a]l times since the beginning of her disability, in full possession of her mental faculties, but on account of negligence or oversight, she did not give the appellant notice of her disability until November 12, 1930, which preliminary notice was received by the appellant at its home office on November 24, 1930'. On December 3, .1930, on a form furnished by the appellant’s soliciting agent, she executed a formal proof of her disability and' forwarded it to the appellant. It was received by the appellant on December 8, 1930, and after approval, the appellant, on December 13, 1930, issued and forwarded to the appellee checks to cover a refund of premiums paid on February 1, 1930, and disability benefits which had accrued after receipt of the preliminary notice of disability, and also disability benefits for eleven months prior to the receipt of this preliminary notice. Since the approval of the proof of disability, the appellant has continued to pay a monthly benefit of one hundred dollars, and! no complaint is made as to that, but the demand here is for a refund of premiums paid, and monthly disability benefits alleged to have accrued between August 6, 1928, the date upon which the appellee became disabled, and November 24, 1929, the date from which the appellant calculated the benefits paid.

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Bluebook (online)
146 So. 445, 166 Miss. 145, 1933 Miss. LEXIS 344, Counsel Stack Legal Research, https://law.counselstack.com/opinion/mutual-l-ins-co-of-ny-v-hebron-miss-1933.