New York Life Ins. Co. v. McLean

118 So. 753, 218 Ala. 401, 1928 Ala. LEXIS 301
CourtSupreme Court of Alabama
DecidedNovember 22, 1928
Docket3 Div. 848.
StatusPublished
Cited by22 cases

This text of 118 So. 753 (New York Life Ins. Co. v. McLean) is published on Counsel Stack Legal Research, covering Supreme Court of Alabama primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
New York Life Ins. Co. v. McLean, 118 So. 753, 218 Ala. 401, 1928 Ala. LEXIS 301 (Ala. 1928).

Opinion

BROWN, J.

The defendant, appellant here, issued to the plaintiff two policies of life insurance embodying a permanent disability clause in the following words :

“Permanent Disability: And the Company agrees to pay to the Insured one-tenth of the face of this policy, per annum, during the lifetime of the Insured, if the Insured becomes wholly and permanently disabled before age 60, subject to all the terms and conditions contained in Section 1. hereof.
* * * * * _ * * *
“Section 1. — Total and Permanent Disability Benefits: Whenever the Company receives duo proof, before default in the payment of premiums, that the Insured, before the anniversary of the policy on which the Insured’s age at nearest birthday is sixty years and subsequent to the delivery thereof, has become wholly disabled by bodily injury or disease so that he is and will be presumably, thereby permanently and continuously prevented from engaging in any occupation whatsoever for remuneration or profit, and that such disability has then existed for not less than sixty days — the permanent loss of the sight of both eyes, or the severance of both hands or both feet, or of one entire hand and one entire foot, to be considered as a total and permanent disability without prejudice to other causes of disability — then
“1. Waiver of Premium. — Commencing with the anniversary of the Policy next succeeding the receipt of such proof, the Company will on each anniversary waive payment of the premium for the ensuing insurance year, and, in any settlement of the Policy, the Company will not deduct the premiums so waived. The loan and surrender values provided for under Sections 3 and 4 shall be calculated on the basis em *402 liloyed in said sections, the same as if the waived premiums had been paid as they became due.
“2. Life Income to Insured. — One year after the anniversary of the Policy next succeeding the receipt of such proof, the Company will pay the Insured a sum equal to one-tenth of the face of the Policy and a like sum on each anniversary thereafter during the lifetime and continued disability of the Insured. Such income payments shall not reduce the sum payable in any settlement of the Policy. The Policy must be 'returned to the Company for indorsement thereon of each income payment. If there be any' indebtedness on the Policy, the interest thereon may be deducted from each income payment.”

The plaintiff, contending that he had become permanently disabled by disease, -made proof before default in the payment of any premium, and, after investigation,, payment was refused by the company on the ground that plaintiff was not permanently disabled, within the meaning of the policy. The plaintiff thereafter paid premiums as they matured, and this suit was brought to recover the stipulated one-tenth of the face of the policies and the premiums paid after proof of disability was submitted.

Tbe sole question litigated on tbe trial was whether or not tbe plaintiff by disease had become wholly disabled, “so that be is and will be, presumably, thereby permanently and continuously prevented from engaging in any occupation whatsoever for remuneration or profit” within the meaning of tbe policy, and presented in a large measure a question of fact. Travelers’ Ins. Co. v. Plaster, 210 Ala. 607, 98 So. 909; U. S. Casualty Co. v. Perryman, 203 Ala. 212, 82 So. 468; Ellis v. New York Life Ins. Co., 214 Ala. 166, 106 So. 689; Ætna Life Ins. Co. v. Lasseter, 153 Ala. 630, 45 So. 166, 15 L. R. A. (N. S.) 252.

If the insured’s physical condition, as a result of the disease, is such that common care and prudence requires that he desist from transacting business, and his condition is presumably permanent and continuous, be is permanently and totally disabled, within tbe meaning of tbe contract, though he may not be physically disabled to perform occasional acts connected with his business, profession, or occupation. U. S. Casualty Co. v. Perryman, supra.

This interpretation of tbe contract is sustained by the fact that the policy provides “the permanent loss of the sight of both eyes, or the severance of both hands or of both feet, or of one entire hand and one entire foot,” shall be considered a total and permanent disability without prejudice to other causes of disability. It is a matter of common knowledge that a person so afflicted is not wholly disabled from transacting some act of business or engaging in gainful work.

The evidence shows that the plaintiff, a physician and surgeon, is suffering from chronic rheumatoid arthritis, a disease usually affecting persons of middle and old age, with characteristics of increasing swelling and stiffness and deformed joints, with inability to use tbe same, permanent in character, and gradually growing more debilitating; that he is also afflicted with a congenital malformation of the eyeballs, which produces a high degree of short sightedness, and, in addition, has amblyopia and muscular weakness of the muscles of the eyes, disabling him to use his eyes for any length of time without blurring of the vision, both diseases of a permanent and incurable character, and incapacitated him to follow the practice of his profession.

The plaintiff testified:

“I am a graduate physician. I ceased active practice of that profession about 1916. I think I know my physical condition. Upon taking any exercise where any muscular tension is brought about the following day my hands are sore, and, if I walk extensively — I say extensively, I can’t walk over a mile * * * —my feet become sore upon standing. * * * My joints become painful upon the weight resting upon them, and in walking * * * I walk upon the back of my foot, largely, and around the outside of my toes, to keep weight off of them, that is to keep under muscular attention in order to regulate that specific step — I want to keep the weight off of my joints. Without any accidental step and irregularity in the ground, or something, I can go along without any particular pain, but if there is any irregularity in the ground, and a weight should happen to be thrown upon either of my great toes, there is considerable pain following it. And frequently — it is not constant — my back will pain from my lower ribs down to my pelvis all through the lumbar region. ♦ * * Standing upon a level surface, my toes, the weight on these joints, will become painful. I can stand a very little while without pain. * * * I shift from first one foot to the other. I can’t stand with my weight on either foot for any length of time, just a few minutes. * ’ * To write, to hold a bridle rein, to grip my hand tight enough to hold it securely, my hand will pain me afterwards; also my elbow joints. * * * I have been in this condition which I have described for the last two years. There has been no improvement of my condition, but there has been lessening of pain on continuous non-use. The pain gets less when I do nothing, but with any use there is pain. I can read, say an article or column in a newspaper and that is about the limit for that sitting. It may be in an hour I can come back and read that much more.”

As to bis activities, tbe plaintiff testified:

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Bluebook (online)
118 So. 753, 218 Ala. 401, 1928 Ala. LEXIS 301, Counsel Stack Legal Research, https://law.counselstack.com/opinion/new-york-life-ins-co-v-mclean-ala-1928.