Nelson v. Jefferson Standard Life Insurance

154 S.E. 752, 199 N.C. 443, 1930 N.C. LEXIS 140
CourtSupreme Court of North Carolina
DecidedSeptember 17, 1930
StatusPublished
Cited by10 cases

This text of 154 S.E. 752 (Nelson v. Jefferson Standard Life Insurance) is published on Counsel Stack Legal Research, covering Supreme Court of North Carolina primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Nelson v. Jefferson Standard Life Insurance, 154 S.E. 752, 199 N.C. 443, 1930 N.C. LEXIS 140 (N.C. 1930).

Opinion

ClaeKSON, J.

The defendant, at the close of plaintiff’s evidence and at the close of all the evidence, made motions for judgment as in case of nonsuit. C. S., 567. The court below overruled the motions and in this we can see no error.

In Rhyne v. Insurance Co., 196 N. C., 717, Stacey, C. J., speaking for a unanimous Court, citing numerous authorities, said, at p. 718: “It is considered by a majority of the courts that a stipulation in a contract of insurance requiring the assured, after suffering injury or illness, to perform some act, such as furnishing to the company proof of the injury or disability within a specified time, ordinarily does not include cases where strict performance is prevented by total incapacity of the assured to act in the matter, resulting from no fault of his own, and that performance within a reasonable time, either by the assured after regaining his senses or by his representative after discovering the policy, will suffice. . . . (p. 719).' But we are content to place our decision on the broad ground that, notwithstanding the liberal meaning of the words used, unless clearly negatived, a stipulation in an insurance *447 policy requiring notice, should be read with an exception reasonably saving the rights of the assured from forfeiture when, due to no fault of his own, he is totally incapacitated from acting in the matter. That which cannot fairly be said to have been in the minds of the parties, at the time of the making of the contract, should be held as excluded from its terms.” A petition to rehear the Rhyne action was denied 31 May, 1929. See Rhyne v. Jefferson Standard Life Ins. Co., ante, 419.

In Vol. 2, C. S., under Insurance, subchap. 5, accident and health insurance, C. S., 6479, dealing with standard provisions in policy under subsec. 5, is the following: “Failure to give notice within the time pro<-vided in this policy shall not invalidate any claim, if it shall he shown not to have been reasonably possible to give such notice and that notice was given as soon as was reasonably possible.” (Italics ours.)

It will be noted that under the standard provisions in policies, where time limit is fixed, yet the General Assembly realizing that a hard and fast rule should not always be applied, put in the above provision to meet varying contingencies that might arise. Although the above provision was not cited to this Court, in the case of Mewborn v. Assurance Corporation, 198 N. C., at p. 158, yet this Court held: “The expression Immediate written notice,’ as used in the policy, we apprehend, was intended to impose upon the plaintiff the exercise of reasonable diligence in giving the required notice, which, under the apparent weight of authority, should be measured by his ability and opportunity to act in the premises. Carey v. Farmers, etc., Ins. Co., 27 Ore., 146, 40 Pac., 91; Rhyne v. Ins. Co., 196 N. C., 717, 147 S. E., 6.” Under C. S., 6479, supra, latter part subsec. 4, we find: “If Form (A) or Form (C) is used the insurer may at its option add thereto the following sentence: ‘In event of accidental death immediate notice thereof must be given to the insurer.’ ”

The defendant contends that under the policy contract sued on filing of proofs of disability was a condition precedent to the attaching of liability. We cannot so hold. The Rhyne case, supra, was thoroughly considered by this Court, and we see no reason to change our opinion. There is no question made, and it is admitted that plaintiff’s intestate paid all the premiums demanded by defendant for disability benefits to plaintiff’s intestate when “wholly and continuously disabled by bodily injuries or disease other than mental and will be permanently, continuously and wholly prevented thereby from pursuing any occupation whatsoever for remuneration or profit,” etc.

Plaintiff’s intestate under the provisions of the policy was clearly entitled to be paid from the time he was “wholly and continuously disabled,” etc., but defendant contends that the policy contract, although the premiums have been paid, for the disability, as found by the jury, *448 occurred 1 April, 1927, that there is a condition precedent that makes the filing of proofs necessary before liability attaches. The defendant was paid for the disability benefits and there was disability commencing 1 April, 1927, and continued. The defendant’s contention, under the facts of this case, is. too technical. If we should so hold, the policy contract would be as it were a body without a heart.

With the law settled.in this jurisdiction, as above stated, what was the evidence? The battle waged in the court below was over these issues. We set them forth with the answers by the jury: “(1) Did Mey-nardie Nelson, the insured, become wholly and continuously disabled by disease, other than mental, and was he permanently, continuously and wholly prevented thereby from pursuing any occupation whatsoever for remuneration or profit, as alleged in the complaint? Answer: Yes. (2) If so, from what date? Answer: 1 April, 1927. (3) If he became so disabled prior to 17 October, 1928, was he continuously so insane that he was incapable of, and unable to furnish proof of such disability, as required by the terms of the policy, or to procure some one to do it for him? Answer: Yes. (4) If so, from what date? Answer: 1 April, 1927.” • ■

It is the settled rule of practice in this jurisdiction that, on a motion to nonsuit, the evidence which makes for the plaintiff’s claim and which tends to support his cause of action, whether offered by the plaintiff or elicited from the defendant’s witnesses, is to.be taken and considered in its most favorable light for the plaintiff, and he is entitled to the benefit of every reasonable intendment upon the evidence and every reasonable inference to be drawn therefrom.

The evidence in the present action tended to show: That the family of plaintiff’s intestate was unaware of the provisions of the policy until plaintiff’s intestate’s son and brother-in-law, who had charge of plaintiff’s intestate’s business, the Nelson Vertical Paper Cutter Oo., had to pay a premium on the policy and went to the lock box and got the policy and found it was a disability benefit policy. In answer to a telegram sent defendant’s assistant manager, the defendant answered as follows: “Greensboro, N. 0. W. A. Johnson, Nelson Vertical Paper Cutter Co., Littleton, N. C. We were advised last week by our Raleigh office that Mr. Nelson was incapable of managing his affairs, and requested them to advise family to have a guardian appointed, as disability benefits cannot be paid except to guardian. We have been holding file awaiting guardianship papers. Letter follows. Jefferson Standard Life Insurance Co.”

Plaintiff was appointed guardian, and total and permanent disability information was submitted to defendant on 17 October, 1928. From that date until plaintiff’s intestate died the disability benefits were paid by *449 defendant to plaintiff as guardian. Tbis action is for the disability benefits prior. In the information furnished defendant, on II October, 1928, we find: “(7) Give names and addresses of attending physicians: Dr. L. H. Justis, Littleton, N. C.

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Bluebook (online)
154 S.E. 752, 199 N.C. 443, 1930 N.C. LEXIS 140, Counsel Stack Legal Research, https://law.counselstack.com/opinion/nelson-v-jefferson-standard-life-insurance-nc-1930.