New York Life Insurance v. Lecks

165 So. 50, 122 Fla. 127, 1935 Fla. LEXIS 1158
CourtSupreme Court of Florida
DecidedApril 27, 1935
StatusPublished
Cited by27 cases

This text of 165 So. 50 (New York Life Insurance v. Lecks) is published on Counsel Stack Legal Research, covering Supreme Court of Florida primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
New York Life Insurance v. Lecks, 165 So. 50, 122 Fla. 127, 1935 Fla. LEXIS 1158 (Fla. 1935).

Opinions

Ellis, P. J.

The writ of error is taken to a judgment of the Circuit Court for Putnam County in favor of the plaintiff Leeks against the New York Life Insurance Company on two policies of life insurance containing disability benefit clauses under which the company agreed to pay to Leeks twelve dollars and a half each month on each policy during the lifetime of the insured, also to waive the payment of premiums if the insured became wholly and presumably permanently disabled before he became sixty years of age.

Each policy was written for twelve hundred and fifty *129 dollars in case of death. The beneficiary named in each was the mother of the insured Leeks. One policy was issued in December, 1923, and the other was issued in November, 1925. The annual premium required to be paid on the older policy, or one first issued, was forty-five dollars and forty-six cents. The premium required to be paid on the latter policy was forty-six dollars and ninety-nine cents annually.

On December 20, 1930, the insured became wholly disabled by bodily injuries. The Insurance Company, upon being notified of the injuries sustained by Leeks, paid to him the monthly disability benefits provided for under the policies up to and including November 20, 1932, a period of nearly one year and eleven months. On that date it ceased to make payments and demanded of Leeks the payment' of the premium of $45.46, which became due on the face of the policy on December 27, 1932, which the assured Leeks paid to prevent a lapse of the policy.

■ In June, 1933, Frederick H. Leeks, the insured, brought his action against the Insurance Company to recover the amount due as disability benefits under the policies since the last payment; the recovery of the premium of $45.45 paid on one of the policies under protest, and to prevent a lapse of the policy and for attorney’s fees.

A motion was made by counsel for the Insurance Company to strike from the declaration so much as demanded a return of the premium of $45.46, upon the ground that it was voluntarily made without duress or coercion exercised by the company, so that the plaintiff was estopped from claiming a return of it. That motion was overruled.

The company interposed pleas denying the physical disability of the plaintiff within the meaning of the insurance contract since November 20, 1932, and denied that he was *130 prevented by such disability from engaging in any occupation whatsoever for remuneration or profit.

There was a trial of the case upon the issues presented by the pleas and a verdict was obtained by the plaintiff in the sum of $231.59, which included the amount of the premium of $45.46 paid by the plaintiff on one of the policies of insurance under protest as alleged. The verdict also-found for the plaintiff the further sum of $212.50 as attorneys’ fees. Judgment was entered upon the verdict. A motion for a new trial was overruled and the defendant Insurance Company took a writ of error.

Counsel for plaintiff in error urge two propositions in the brief for consideration by this Court. The first is that the plaintiff is not entitled to recover from the company the insurance premium of $45.46 paid by him because it does not appear from the pleadings that it was paid under duress or coercion. The second proposition is that the plaintiff should not recover attorneys’ fees. That proposition rests upon the fact, which it is claimed is established by the evidence, that the liability of the company after November 20, 1932, was questioned in good faith; that a reasonable doubt existed as to the disability of the insured within the meaning of the policy of insurance after the above mentioned date which could be determined only by a court of competent jurisdiction after a, full investigation; therefore the allowance of attorney’s fees in such case under the penalty statute constitutes a denial of due process and equal protection by the laws of Florida.

That the plaintiff had sustained serious and very painful injuries which “wholly and presumably permanently disabled” him the evidence sufficiently establishes. That such injuries continued until July 25, 1932, when he was discharged from the government hospital at Washington is also *131 sufficiently established. The defendant continued after that date for a period of four months to pay the disability benefits, when it then stopped payments.

During that period of four months there was evidence' from which the jury might have reasonably found that the plaintiff’s physical condition had sufficiently improved to enable him to walk, transact a little business, drive an automobile, go swimming, and do light work:

Both legs of the plaintiff were injured. The right leg became serviceable and, according to the view of one physician or surgeon, would probably not be the cause of any further trouble, but the left leg is the “site of a non-union of the tibia” and of a chronic bone infection at the site of the injury. The view was expressed that the infection would have to be eradicated, requiring possibly several op-' erations and months of time “after which the non-union will have to be overcome by additional bone graft, which may or may not be successful.” It was said by one witness that an amputation of the leg would better the plaintiff’s condition, or even a less severe treatment of “bone grafting” would probably improve his condition.

The disability clause of the policies provides that the disability benefit will be paid each month if the insured becomes “wholly and presumably permanently disabled.”

The policy defines total disability to be such injury or disease as to prevent the insured “thereby from engaging in any occupation whatsoever for remuneration or profit.” The policy also provides that disability shall be presumed to be permanent whenever the insured will presumably be so totally disabled for life, or after the insured has been so totally disabled for not less than three consecutive months immediately preceding receipt of proof thereof.

*132 The phrase “wholly and presumably permanently disabled” means total disability, which the policy defines to be such injury or disease as will prevent one so affected “from engaging in any occupation whatsoever for remuneration or profit.” As thus defined the phrase “wholly disabled” or “totally disabled” is not absolute in meaning, that is, free from qualification or restriction.

A person may be injured or diseased to such an extent as to prevent him from engaging in an occupation for remuneration or profit, but which would not prevent an occasional subsidiary employment or avocation.

The term “occupation” is itself a relative one, having relation to one’s capabilities.

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Bluebook (online)
165 So. 50, 122 Fla. 127, 1935 Fla. LEXIS 1158, Counsel Stack Legal Research, https://law.counselstack.com/opinion/new-york-life-insurance-v-lecks-fla-1935.