New York Life Ins. Co. v. Smith

38 S.E.2d 910, 209 S.C. 1, 1946 S.C. LEXIS 3
CourtSupreme Court of South Carolina
DecidedJuly 5, 1946
Docket15855
StatusPublished

This text of 38 S.E.2d 910 (New York Life Ins. Co. v. Smith) is published on Counsel Stack Legal Research, covering Supreme Court of South Carolina 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. Smith, 38 S.E.2d 910, 209 S.C. 1, 1946 S.C. LEXIS 3 (S.C. 1946).

Opinion

Mr. Associate Justice Fishburne

delivered the unanimous opinion of the Court.

On April 8, 1918, the New York Rife Insurance Company, in consideration of the payment of an annual premium of $64.70, issued and delivered to Arthur Smith a life insurance policy in the sum of Twenty Five Hundred Dollars, containing accident and health benefit provisions. The stated premium included $3.00' for total and permanent disability benefits, and $2.70 for double indemnity.

By the terms of the policy it was provided:

“Whenever the Company receives due proof, before default in the payment of premium, that the insured, before the anniversary of the Policy on which the Insured’s age at nearest birthday is 65 years and subsequent to the delivery hereof, has become wholly disabled by bodily injury or disease so that he is and will be presumably, thereby *3 permanently and continuously prevented from engaging in any occupation whatsoever for renumeration or profit, and that such disability has then existed for not less than sixty days * * * then, commencing with the annivarsary 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.”

It was further provided:

“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.”

On the third page of the policy, and below the final attestation clause and the signatures of the officers, there is stamped what may be designated for convenience, a war clause. This clause is in very fine print, and the' impression of the stamp is so light that it can be read only with great difficulty. It was endorsed on the policy, according to the contention of the insured, subsequent to the idate of its execution, and became a controversial issue in an action later brought by the insured after the company refused to pay disability benefits.

It is provided in the war clause that if within five years after the date of the issuance of the policy, the insured should engage outside the boundaries of' Continental United States and the Dominion of Canada in military or naval service in time of war, “the provisions of this policy for total and permanent disability and for double indemnity benefits shall immediately become null and void, and the company will be liable for the refund of the unearned premiums if any paid for said benefits.”

*4 On May 6, 1941, the insured brought an action against the company, and in his complaint, in addition to setting up the foregoing facts, he alleged that on or about February 1, 1939, he became totally and permanently disabled by reason of bodily disease before having reached the age of 65 years, and while the policy was in full force and effect, and that proper proof thereof was furnished the company on or about August 25, 1939. That the company failed and refused to pay the plaintiff total and permanent disability benefits due him under the policy of insurance, or to perform its obligations thereunder; that thereafter he paid under protest the annual premiums due on April 8, 1940 and April 8, 1941, which under the terms of the benefit provision were to be waived.

The insured alleged that the war clause stamped upon the policy was an attempt on the part of the company to deprive him of the total and permanent disability benefits, was added without his knowledge or consent, and was done by the company as a part of a scheme to reduce its liability. He further alleged that the attempted cancellation was done without notice to him, and that he knew nothing of the scheme and design until he became permanently and totally disabled, at which time he was informed by the company that this disability provision was cancelled. Fie characterized the action of the company as being unlawful, wilful and fraudulent. In the prayer of his complaint, he sought a reformation of the policy by striking out the war clause endorsement, and demanded judgment for Three Thousand ($3,000.00) Dollars damages.

By its answer, the company admitted the issuance of the policy, the payment of the stated premiums by the insured under protest, its refusal to pay disability benefits, and alleged that the disability benefit provision had been eliminated from the policy by reason of the war clause stamped thereon. That under this clause the disability provision was cancelled upon the ground that in August, 1918, the insured was enrolled in the military or naval service of the United *5 States in the war then being waged against the Central Powers, and that he had left this country for service overseas. That in accordance. with the provisions of the policy the annual premium was reduced from $64.70 to $59.00, which amount the plaintiff continued to pay. The company specifically denied any wrongful or fraudulent act in connection with the cancellation of the benefit provision, and denied that it was indebted to the plaintiff in any sum whatsoever.

It was admitted that the insured entered the military service during the first World War, leaving this country for France on July 5, 1918, and remaining there until March, 1919.

The case was tried in the circuit court before Judge Tide and a jury, and resulted in a verdict against the company for $618.00, actual damages, but without any finding of punitive damages. The award for actual damages was later, upon motion of the company, reduced because the jury had failed to take into consideration the reduction in the annual premiums. Subject to these deductions, the verdict included $250.00, which was one accrued annual payment for total disability, and a refund of the two annual premiums of $59.00 each paid by the insured under protest. There was no appeal from this judgment.

In the case now before us, the parties are reversed. The New York Fife Insurance Company in this action seeks a declaratory judgment against Arthur Smith, the insured, adjudging that all rights, claims, and demands by virtue of the total and permanent disability and double indemnity provisions of the policy have been heretofore ended and terminated by reason of the judgment in the former case; and for an injunction enjoining the defendant from proceeding in any manner against the plaintiff on account of any alleged claim or demand under the disability and double indemnity provisions.

*6 In its complaint, the insurance company sets up substantially all the matters and things hereinabove stated in connection with the first suit — which need not be here repeated.

The defendant, Smith, in his answer likewise gives a condensed history of the former action, but alleges that the verdict and judgment in the first cause correctly and finally fixed the liability of the insurance company for the payment of permanent and total disability benefits as set forth in the policy contract.

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Related

Pacific Mut. Life Ins. Co. of California v. Rhame
32 F. Supp. 59 (E.D. South Carolina, 1940)
Smith v. Volunteer State Life Insurance
22 S.E.2d 885 (Supreme Court of South Carolina, 1942)
Rhame v. Pacific Mut. Life Ins. Co. of Calif.
184 S.E. 685 (Supreme Court of South Carolina, 1936)

Cite This Page — Counsel Stack

Bluebook (online)
38 S.E.2d 910, 209 S.C. 1, 1946 S.C. LEXIS 3, Counsel Stack Legal Research, https://law.counselstack.com/opinion/new-york-life-ins-co-v-smith-sc-1946.