Nomey v. Pacific Mut. Life Ins. Co.

33 So. 2d 531, 212 La. 820, 1 A.L.R. 2d 946, 1947 La. LEXIS 897
CourtSupreme Court of Louisiana
DecidedDecember 15, 1947
DocketNo. 38410.
StatusPublished
Cited by15 cases

This text of 33 So. 2d 531 (Nomey v. Pacific Mut. Life Ins. Co.) is published on Counsel Stack Legal Research, covering Supreme Court of Louisiana primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Nomey v. Pacific Mut. Life Ins. Co., 33 So. 2d 531, 212 La. 820, 1 A.L.R. 2d 946, 1947 La. LEXIS 897 (La. 1947).

Opinion

PONDER, Justice.

The defendant has appealed from the judgment of the lower court awarding the plaintiff disability insurance, statutory penalties for delayed payment, and attorneys’ fees.

The insurance policy involved in this case was issued to the plaintiff June 2, 1924, in the amount of $20,000, payable in twenty annual installments and contained provision for the payment of $300 per month should the insured become totally disabled. The judgment of the lower court awards the plaintiff $6,600, representing disability payments and penalties up to and including March 1, 1946; legal interest on $3,300 from date of judicial *413 demand; legal interest on $3,300 from date of judgment; $1,750 as attorney’s fees with interest from date of judgment; and costs.

The pertinent provisions of the contract are as follows:

“Permanent Total Disability — Should the insured become permanently totally disabled, the company will waive the payment of future premiums and pay to the insured a monthly income of three hundred dollars, all subject to the conditions set out on the succeeding pages of this policy ^ ^ 'fc

“Should the insured, before the anniversary of this policy nearest the date on which he shall attain the age of sixty years and while this policy is in full force and no premium thereon in default, become permanently totally disabled, as hereinafter defined, the company, subject to the conditions hereinafter set forth, will waive the payment of all future premiums required under the conditions of the policy as they become due and pay the insured a monthly income of $300.00, such waiver to be effective and the first of such monthly income payments to become due and the period of disability to commence as of the date of the receipt at the home office of the company of due written proof of such disability and a subsequent payment to be made on the first day of each month thereafter during the continuation of such disability. Such waiver of premiums and income payments shall not affect any other benefits or values provided under the policy.

“Permanent Total Disability, as used herein is defined to mean:

“(1) Disability caused by accident, bodily injury or disease which totally and permanently prevents the insured from performing any work or engaging in any occupation or profession for wages, compensation or profit; or
“(2) Disability caused by accidental bodily injury or disease which totally prevents the insured from performing any work or engaging in any occupation or profession for wages, compensation or profit and which shall have totally and continuously so prevented the insured for not less than ninety days immediately preceding the date of receipt of due written proof thereof; or
“(3) The irrecoverable loss of the entire sight of both eyes, or the arfiputation at or above the wrist or ankle of both hánds or both feet or a hand and foot, if such loss or amputation is caused by accidental bodily injury or disease.”

It is alleged in the plaintiff’s petition that he became totally disabled on or before May 1, 1945 and has made demands upon the defendant for the disability benefits under the policy without avail. The defendant admits in its answer the issuance of the policy, that it is in full force and effect, that amicable demands for payment have been made under the total disability provision and avers that it has re *414 fused to pay the benefits for the reason that the plaintiff is not totally disabled; The present suit was instituted on March 19, 1946. The record does not disclose that the defendant made any effort to ascertain the truth of the plaintiff’s condition or towards the adjustment of the claim during the period beginning May 1, 1945 and ending March 19, 1946, from the date the claim was first asserted to the date the suit was filed.

It appears from the evidence that the plaintiff was for many years engaged in the operation of a general mercantile establishment in Jonesboro, Louisiana doing a general furnishing business to farmers and others, usually on a credit basis from season to season. During the time he carried on this business, he was more or less engaged in the cotton business, buying and selling cotton. He was successful in his business enterprises and acquired considerable property. His mercantile establishment was destroyed by fire in the latter part of 1941 and he has engaged in no other business or occupation since that date. He is receiving approximately $300 per month income from his property, which was acquired prior to the loss of his business establishment.

The plaintiff states that he began to notice that his hearing was defective in the year, 1940 and that on account of his defective hearing he did not reenter the mercantile business after the loss of his establishment in 1941 because he desired to wait awhile to ascertain if his hearing would improve. According to his testimony his hearing progressively became worse and prevented him from again entering into the mercantile and cotton business. He stated that he was treated by specialists in 1944 and lost his hearing in 1945, at which time he made a claim to the defendant for the disability insurance. The medical, as well as the lay, testimony shows that the plaintiff cannot carry on a conversation without the aid of a microphone or hearing aid. The medical testimony, as well as the lay testimony, shows that the plaintiff is. almost, if not totally, deaf. From the medical testimony and a number of merchants who testified in the case, it is impossible for the plaintiff to carry on the business of merchant and cotton buyer in his present condition. The witnesses state many reasons why it would be impossible for the plaintiff to carry on the business he had been engaged in without the ability to hear. It is not necessary for the purpose of this decision to recite those various reasons for the reason the defendant has produced no evidence to contradict it. The defendant’s testimony consists of two physicians who admit that the plaintiff is deaf for all practical purposes without the use of artificial aid.

Dr. Ralph Riggs, a specialist in the diseases of the ear, practicing in Shreveport, examined the plaintiff at the request of the defendant on May 19, 1946, after suit had been instituted and before the answer was filed. On the trial of the case, this *415 witness was placed on the stand by plaintiff. His testimony is to the effect that the plaintiff suffers a loss of hearing of 97.3% in the right ear and 100% in the left ear. He stated that the plaintiff would not be able to hear anything without the use of artificial aids. Dr. Dorf Bean, another ■ear specialist located at Shreveport, testified that he examined the plaintiff on two •occasions, April 24, 1945 and June 17, 1946. He stated that his first examination disclosed that the plaintiff’s hearing is 48% defective in the right ear and 47.3% in the left ear and his second examination revealed that his condition had become worse and at that time the plaintiff suffered a loss of hearing of 67% in the right ear and 80% in the left ear. Mr. W. E. Bradford, manager of the Audiphone Company, who made electrical tests of the plaintiff for Dr., Bean and furnished the hearing aid used by the plaintiff, corroborates Dr. Bean’s testimony.

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Bluebook (online)
33 So. 2d 531, 212 La. 820, 1 A.L.R. 2d 946, 1947 La. LEXIS 897, Counsel Stack Legal Research, https://law.counselstack.com/opinion/nomey-v-pacific-mut-life-ins-co-la-1947.