New York Life Ins. Co. v. Morgan

1940 OK 126, 101 P.2d 826, 187 Okla. 214, 1940 Okla. LEXIS 188
CourtSupreme Court of Oklahoma
DecidedMarch 12, 1940
DocketNo. 28820.
StatusPublished
Cited by7 cases

This text of 1940 OK 126 (New York Life Ins. Co. v. Morgan) is published on Counsel Stack Legal Research, covering Supreme Court of Oklahoma 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. Morgan, 1940 OK 126, 101 P.2d 826, 187 Okla. 214, 1940 Okla. LEXIS 188 (Okla. 1940).

Opinion

DAVISON, J.

This action was instituted on August 1, 1935, in the district court of Oklahoma county by William Morgan, Jr., as plaintiff, to recover disability benefits alleged to have accrued under a policy of insurance issued by the New York Life Insurance Company, a corporation, which was named as defendant.

The right to trial by jury was waived and the cause tried to the court on November 22, 1937, resulting in judgment for the plaintiff for the principal sum of $1,513, plus accumulated interest.

The defendant presents the case for review, appearing herein as plaintiff in error, and urges as its principal contention that:

“The judgment of the trial court awards to the plaintiff a recovery for temporary total disability under a policy of insurance the coverage of which is for total permanent disability.”

*216 Under plaintiff’s pleading and proof offered in support thereof, he became totally disabled by reason of sickness on October 6, 1934. He was thereafter continuously and totally disabled until February 5, 1935.

Previous to the period of disability above mentioned (June 6, 1923) the defendant company had issued to the plaintiff an insurance policy insuring his life for the sum of $25,000, containing provisions for the payment of disability benefits in the sum of $250 per month as well as provisions for the remainder of premiums falling due during disability contemplated by the policy.

The policy was still in force at the time of and during the period of disability for which liability is herein sought to be imposed. The premium on the policy was payable annually on the 6th day of December. One annual premium for the sum of $1,013 became due while the plaintiff was disabled. It was paid by the plaintiff, who subsequently sought to, and by the judgment of the trial court, did, recover the same in this action. It constituted a part of the principal sum for which judgment was rendered, the remainder thereof consisting of disability benefits payable for two months (December 6, 1934, to February 6, 1935) at the rate of $250 per month.

The provisions of the policy upon which the decision of the trial court rests read:

“Disability Benefits:

“And the Company Agrees to pay to the Insured One Per Cent of the face of this policy ($10 per $1,000 each month) during the lifetime of the Insured and also to waive the payment of premiums, 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—Disability Benefits:
“1. Disability Benefits shall be effective upon receipt at the Company’s Home Office, before default in the payment of premium, of due proof that the Insured became totally and permanently disabled after he received this policy and before its anniversary on which the Insured’s age at nearest birthday is sixty years.
“Disability shall be deemed to be total whenever the Insured becomes wholly disabled by bodily injury or disease so that he is prevented thereby from engaging in any occupation whatsoever for remuneration or profit, and under this contract disability shall be presumed after the Insured has been continuously so disabled for not less than three months and during all of that period prevented from engaging in any occupation for remuneration or profit. 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 total and permanent disability without prejudice to other causes of disability.
“2. Income Payments: The Company will pay the insured, or if such disability results from insanity will pay the beneficiary in lieu of the Insured, a monthly income of one per cent, of the face of the policy during the lifetime of the Insured and the continuance of such disability. The first income payment shall become due on the first of the calendar month following receipt of proof of total disability for three consecutive months, as above, and succeeding payments shall become due on the first day of each calendar month thereafter. Any income payments becoming due before the Company approves the proof of disability shall become payable upon such approval, and subsequent payments will be made as they become due. * * *
“The sum payable in any settlement of the Policy shall not be reduced by income payments made or premiums waived under the above provisions. The loan and surrender values, provided for in sections 3 and 4 of this policy, shall be calculated on the basis employed in said sections the same as if the waived premiums had been paid as they became due. The amount of the dividends provided for in section 2 will be the same as if the waived premiums had been paid as they became due. * * *
“5. Recovery From Disability: The company may from time to time de *217 mand due proof of the continuance of such total disability, but not oftener than once a year after such disability has continued for two full years, and upon failure to furnish such proof, or if it shall appear to the Company that the Insured is able to engage in any occupation for remuneration or profit, income payments shall cease and the payment of any premium thereafter falling due shall not be waived.”

It may be noted at this point that the presumptive clause of the policy now before us is slightly different in wording than the comparable clause in many of the policies involved in decisions which we shall hereafter mention, in that it provides that the continuance of disability for the specified time shall create a presumption of disability, whereas most policies provide in substance that the continuance of disability shall create a presumption of permanency. However, the word disability, as used alone in the presumptive clause, must be considered as alluding to the class of disability compensable under the policy, which comprehends permanent disability as that term is used in the preceding portion of the insurance contract. Thus it is obvious that the difference in wording of the presumptive clause is not sufficient to create the basis of a distinction. Since neither of the parties urges such a distinction, further analysis and comparison of the clause will not be made. It will be treated in this opinion as comparable to clauses of the same import though differently worded.

The question presented in this case is whether, as plaintiff contends, the disability of thb plaintiff, which continued for a period in excess of three months, was conclusively presumed to be permanent within the meaning of that term as used in the contract of insurance, thus warranting recovery of disability benefits even though the disability has in fact terminated and is therefore not permanent, within the meaning of that word as used in a strictly literal sense and without modification of its meaning by agreement of the parties, or whether, as defendant asserts, the disability must in fact be permanent in order to warrant recovery.

The precise question has not heretofore been decided by this court, and the decisions of the courts of other states, when analyzed, show a definite division of authority.

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Related

Miller v. National Life & Accident Insurance Co.
1978 OK 92 (Supreme Court of Oklahoma, 1978)
Metropolitan Life Insurance Company v. Fisher
1962 OK 260 (Supreme Court of Oklahoma, 1962)
Oklahoma Transp. Co. v. Hartford Accident & Indemnity Co.
1952 OK 237 (Supreme Court of Oklahoma, 1952)
Combined Mutual Cas. Co. v. Metheny
1950 OK 269 (Supreme Court of Oklahoma, 1950)
New York Life Ins. Co. v. Sullivan
1942 OK 295 (Supreme Court of Oklahoma, 1942)

Cite This Page — Counsel Stack

Bluebook (online)
1940 OK 126, 101 P.2d 826, 187 Okla. 214, 1940 Okla. LEXIS 188, Counsel Stack Legal Research, https://law.counselstack.com/opinion/new-york-life-ins-co-v-morgan-okla-1940.