New York Life Insurance v. Thompson

178 S.E. 389, 50 Ga. App. 413, 1935 Ga. App. LEXIS 344
CourtCourt of Appeals of Georgia
DecidedJanuary 19, 1935
Docket24182
StatusPublished
Cited by27 cases

This text of 178 S.E. 389 (New York Life Insurance v. Thompson) is published on Counsel Stack Legal Research, covering Court of Appeals of Georgia 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. Thompson, 178 S.E. 389, 50 Ga. App. 413, 1935 Ga. App. LEXIS 344 (Ga. Ct. App. 1935).

Opinion

Guerry, J.

The real question before this court in the present case might be substantially stated as follows: Did the evidence introduced at the trial authorize a finding by the jury that the insured, by reason of his injury, was totally and permanently disabled, within the terms of the policy? The policy, in this connection, provided that “ 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.”

The evidence disclosed that the defendant company, in October, 1923, issued a life and accident insurance policy to the plaintiff, who was at that time 14 years of age. As one of the benefits under the policy, it was provided that “The company agrees to pay to the insured disability benefits one per cent, of the face of this policy ($10 per $1000) 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.” The pertinent part of section 1 referred to in this provision is that provision which is quoted above. In the application for this insurance policy, the insured gave as his then “present occupation” that of “farming and going to school.” During the month of January, 1924, the insured contracted a disease which resulted in the amputation of his leg in April, 1924. The defendant paid the plaintiff at that time 6 monthly installments amounting to $60 up until September 1, 1924, and then refused any further payments. A suit was filed in behalf of plaintiff in November, 1925, for 15 installments of $10 each, and a default judgment was rendered thereon for the amount sued for on March 9, 1926. This petition, verdict, and judgment were filed as a part of the pleadings in the present case. To the present petition the defendant filed certain demurrers which were overruled by the trial court, and this judgment was affirmed by this court in New York Life Ins. Co. v. Thompson, 45 Ga. App. 638 (165 S. E. 847). The present suit is brought to recover payments from December 1, 1925.

The plaintiff swore that at the time of the issuance of the policy he was staying with his father, working around the farm, baling hay and plowing, etc., but was not getting paid for his work other than his upkeep; that his father gave him a patch of cotton or some[415]*415thing like that which kept him going. “I made a pretty good living ont of it. What I didn’t make he supported me, and in the fall I would always get it and have it for my own.” He testified that he expected to make farming his life work. He further testified: that he was now in the same condition as he was when the first suit was filed and judgment had. “My condition is. just as bad now as it was when the suit was filed, and I feel a little bit worse. . . I have not physically been able to do any work since the suit was filed.” He testified that his inability to get work was “more because I have not been able to get a job than because I have not been able to work if I could find one. If I could have found something that I could have sat down and done, I could have done work if I had the education.” Plaintiff attended school from September, 1924, until he graduated from high school in May,'1929. The evidence further disclosed that the plaintiff had not been able to procure any job that he could perform, although he had tried several petty jobs. He was a candidate for clerk of the city court of G-lenville, in October, 1933, and his announcement contained this notice to his fellow citizens: “I am sure I am. capable of handling the duties of the office; and, if elected, I will serve to the best of my ability.” It was further shown that plaintiff made application to the Civil Works Administration for work, and in his application stated that he had an artificial leg and that he could perform manual labor. He explained that he made this application because he was told that some job would be given him which he could perform. The jury rendered a verdict in favor of the plaintiff.

In Cato v. Ætna Life Ins. Co., 164 Ga. 392 (138 S. E. 787), the Supreme Court had-under consideration a suit brought on a policy of insurance providing for total and permanent disability, which provided: “If such disability has existed for a period of 6 months, and if such disability presumably will, during lifetime, prevent such employee from pursuing any occupation for wages or profit, such employee shall be deemed to be totally and permanently disabled within the meaning of the policy.” It was there held, in construing the meaning of this provision, that “Total disability exists when one is wholly disabled from pursuing the usual and customary duties of his employment on which he depends for a living. When the insured is incapacitated from performing any substantial part of his ordinary duties, a case of total disability is presented, al[416]*416though he is still able to perform some parts of his work. Total disability is inability to do substantially all of the material acts necessary to the transaction of the insured’s occupation, in substantially his customary and usual manner. Total disability does not mean absolute physical inability to work at one’s occupation, or to pursue some occupation for wages or gain; but it exists if the injury or disease of the insured is such that common care and prudence require him to desist, and he does in fact desist, from transacting his business. In such circumstances, total disability exists.” The ruling there made was followed in New York Life Insurance Co. v. Tarbutton, 45 Ga. App. 97 (163 S. E. 229); New York Life Insurance Co. v. Oliver, 45 Ga. App. 756 (165 S. E. 840); Marchant v. New York Life Insurance Co., 42 Ga. App. 11 (155 S. E. 221); New York Life Ins. Co. v. Thompson, supra. As will be pointed out later in this opinion, this rule has been somewhat modified in the recent case of Prudential Ins. Co. v. South, 179 Ga. 653 (177 S. E. 499). The insured in that case was a switchman. I-Ie sustained an injury which caused the loss of his right arm. The court held that whether he was totally and permanently disabled within the terms of the policy was, under the circumstances of the case, a question for the jury. In the opinion it was said: “In cases of this character, the policy should be construed liberally to effectuate the general purpose of the contract, which is to indemnify the insured for the loss of time by reason of incapacity to perform his usual work or carry on his usual business by reason of a happening covered by the policy.” It was further said: “Total disability, irrespective of the technical variations in the language employed, should be given a rational and practical construction. The phrase is a relative term, depending upon the circumstances and peculiar facts of each particular case, and is usually a question of fact to be determined by the court or jury trying the ease.”

The defendant company, in the case at bar, contends that the plaintiff could not, in any event, recover disability benefits for the period between September, 1924, when he went back to school, and May, 1929, when he graduated from high school, because, during that period, he was engaged in the very occupation which he had described in his application as being his occupation. Under the terms of the policy, and a rational construction thereof, we do not think this position sound.

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Bluebook (online)
178 S.E. 389, 50 Ga. App. 413, 1935 Ga. App. LEXIS 344, Counsel Stack Legal Research, https://law.counselstack.com/opinion/new-york-life-insurance-v-thompson-gactapp-1935.