Mutual Life Ins. v. Heilbronner

116 F.2d 855, 1941 U.S. App. LEXIS 4736
CourtCourt of Appeals for the Eighth Circuit
DecidedJanuary 10, 1941
DocketNo. 11750
StatusPublished
Cited by4 cases

This text of 116 F.2d 855 (Mutual Life Ins. v. Heilbronner) is published on Counsel Stack Legal Research, covering Court of Appeals for the Eighth Circuit primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Mutual Life Ins. v. Heilbronner, 116 F.2d 855, 1941 U.S. App. LEXIS 4736 (8th Cir. 1941).

Opinion

WOODROUGH, Circuit Judge..

This suit was brought by appellee as plaintiff against the appellant to reinstate four five-thousand dollar policies of life insurance issued by appellant in January and February of 1930, to and upon the life of Theodore S. Heilbronner in favor of his wife as beneficiary, which policies appellant claimed had lapsed for non-payment of premiums in 193S and 1936. The policies contained identical promises, given in consideration of the payment of the first premium and of the payment of further annual premiums until the death of the insured, to pay five-thousand dollar death benefit to the wife of the insured upon receipt of proof of the death of the insured, and iden[857]*857tical clauses promising that “if the insured is totally and presumably permanently disabled before age 60 [the company] 1 will waive premium payments during such disability upon the conditions set forth in Section 3” [of the policies] *, and the plaintiff alleged that the insured had become insane and thereby totally and permanently disabled within the meaning of the policy in September, 1930, and had so remained. In addition to her prayer to have the policies reinstated and declared in full force and effect, the plaintiff also prayed for recovery of the amounts of certain premiums on the policies paid to the company after September, 1930, together with interest and costs. There was a decree and judgment in plaintiff’s favor upon findings of fact and conclusions of law made by the court and the insurance company appeals.

It admits that the insured became totally and permanently disabled through mental impairment resulting from paresis, and it is undisputed that 'neither the insured nor any one on his behalf paid the premiums which would be due after 1934. The company alleged in its answer that proof of disability had not been furnished to it within the requirements of the policy within six months from the date of default in the payment of premiums due, and that neither the insured nor any one in his behalf had prior to the default in the payment of premiums or within six mouths after such default furnished to it any proof of total and permanent disability of the insured.

It contends (1) that the insurance provided for in the policies never became effective because the disability of Mr. Heilbronner existed at the time the insurance was issued to him; (2) that there was a failure to furnish to the company proof of the insured’s disability within six months after default in the payment of premium, and that such failure precluded any recovery by plaintiff in this case, notwithstanding the insured had become insane. It is also argued that if the proof could not be furnished by the insured, it should have been furnished by the beneficiary; (3) that there was fraudulent misrepresentation as to the insured’s health made to procure the issuance of the policies, and that such defense is not precluded by the incontestable clause of the policies, and (4) that if it should be determined that the plaintiff was entitled to any recovery for premiums paid after the disability of the insured, then the court erred in computing the amounts in that it failed to deduct compound interest on the policy loans made by the company and applied to make up the premium payments which were made during the disability of the insured.

(1) We find no merit in the contention of the appellant that the disability of Mr. Heilbronner was already existing at the time the policies were issued to him. The following findings of the trial court are fully sustained by substantial evidence:

“In January, 1930, Theodore S. Heilbronner was an officer of a corporation engaged in the manufacture of ladies’ dresses with an office in Chicago, Illinois, and was actively and exclusively engaged in the business of that corporation at that address.”
“During the month of September, 1930, while all of said above described four policies issued by defendant were in full force and effect and while Theodore S. Heilbronner, the insured, was under the age of sixty years, being forty-three years of age at that time, the mind and body of said Theodore S. Heilbronner, the insured, became so impaired by a severe illness that it was thereafter and has been continuously since that time and is now impossible for him to follow a gainful occupation. This disability of body and mind was, has been and is ‘total’ within the meaning of the provisions of the said insurance policies above-mentioned. Such total and permanent disability of the insured has existed continuously from September, 1930, up to the present time, and by the end of December, 1930, it was ‘presumed to be permanent’ within the meaning of the provisions of the policies hereinabove mentioned.”

We find no error in such findings of fact or in the court’s conclusion that the disability of the insured occurred after the issuance of the policies and while they were in full force and effect. The identical incontestable clause in each of the policies made the policies incontestable after two years from the dates of issue except for non-payment of premiums and except for the restrictions and provisions applying to the double indemnity and waiver of premiums, as provided in sections 1 and 3, respectively. It vras therefore not open to the company to present any defense or contest against the performance of its policy obligations based on alleged misrepresentations or fraud in the procurement of the policies.

[858]*858(2) As to the second contention. Section 3 of the policies covering the matter of proof of disability is appended in the margin, together with the supplement to the section which -was a part of the policies and was duly endorsed thereon. It is first noted that the proof of disability referred to in the section and its supplement is required to be furnished by the insured and by him alone. There is no requirement that the beneficiary should make the proof in case the insured’s disability was such as to render him incapable of furnishing it. The court may not by interpretation construe the policy against the insured so as to occasion the forfeiture óf the indemnity and the failure of the beneficiary to make proof of disability affords no defense to the insurance company.

There being no duty on the part of the beneficiary or insurance representative to make proof of disability, the question arises and is very fully presented whether or not the insanity of the insured excused the presentation of proof of the total ánd permanent disability of insured within six months after the due date of the premiums in default. . It is contended for the company that the receipt' of such proof by the company was a condition precedent to any liability on its part, and that notwithstanding the insured’s insanity and disability the policies lapsed for failure to furnish the proof of disability. The plaintiff points out that by the terms of the supplement to section 3 the promise of the company that it “will waive premium payments during such disability” “if the insured is totally and presumably permanently disabled before age 60” is extended to include a promise by the company that it “will return any premium due after the beginning of such disability which has been paid during the continuance thereof”, and that if due proof of disability is received not later than six months after due date of any premium-in default “the policy will be reinstated without evidence of insurability and the waiver of premium shall be the same as if such default had not occurred.”

In the opinion of this court in Mutual Life Insurance Co. v.

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Bluebook (online)
116 F.2d 855, 1941 U.S. App. LEXIS 4736, Counsel Stack Legal Research, https://law.counselstack.com/opinion/mutual-life-ins-v-heilbronner-ca8-1941.