Orr v. Mutual Life Ins. Co. of New York

57 F.2d 901, 1932 U.S. Dist. LEXIS 1163
CourtDistrict Court, W.D. Missouri
DecidedApril 15, 1932
DocketNo. 8408
StatusPublished
Cited by6 cases

This text of 57 F.2d 901 (Orr v. Mutual Life Ins. Co. of New York) is published on Counsel Stack Legal Research, covering District Court, W.D. Missouri primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Orr v. Mutual Life Ins. Co. of New York, 57 F.2d 901, 1932 U.S. Dist. LEXIS 1163 (W.D. Mo. 1932).

Opinion

OTIS, District Judge.

Plaintiff and defendant entered into a contract of life insurance September 22, 1920’. Among others are certain provisions of the contract, dealing with the subject of “benefits in the event of total and permanent disability before (the) ago (of) sixty.” These provisions, so far as they need bo here set out, are as follows:

“If the insured, after payment of premiums for at least one full year, shall, before attaining the age of sixty years and provided all past due premiums have been duly paid and this policy is in full force and effect, furnish due proof to the company at its home office * * that he has become totally and permanently disabled by bodily injury or disease, so that ho is, and will be, permanomiy, continuously and wholly prevented thereby from performing any work for compensation, gain or profit, and from following any gainful occupation ® * “ the company, npon receipt and approval of such proof, will grant the •following benefits:
[902]*902“1. Waiver of Premium — The Company will, during the continuance of such disability, waive payment of each premium as it becomes due, commencing with the first premium due after approval of said due proof. Any premium due prior to such approval by .the company must be paid in accordance with the terms of the policy, but if due after receipt of said due proof, will, if paid, be refunded upon approval of such proof.
“2. Income to. Insured. — The company will, during the continuance of such disability, pay to the insured a monthly income at the rate of ten dollars for each one thousand dollars of the face amount of this policy, * * * the first such monthly payment being due on receipt of said due proof and subsequent payments on the first day of each calendar month thereafter, if the insured be then living and such disability still continue. No income payments, however, will be made prior to approval of such proof by the company as satisfactory, but upon such approval whatever income payments shall have become due will then be paid and subsequent payments will be made when due. * * * ”

In his petition, the plaintiff alleges that on April 27, 1925, he became totally and permanently disabled from disease. He alleges that, being ignorant of the provisions of the contract providing for benefits 'for total and permanent disability and discovering those provisions for the first time in September, 1931, he then, or shortly thereafter, furnished the defendant such proofs of total and permanent disability as were required by the defendant. These proofs were received by the defendant and'approved as satisfactory. Thereafter the defendant delivered to the plaintiff its cheek for $1,733.10, covering a refund of the annual premium of $433.10 paid by plaintiff on September 22, 1931, and $1,300 for income benefits at the rate of $100 per month from the period December 4,1930, to December 4,1931. It is alleged that the defendant has refused to pay income benefits for the period from April 27, 1925, to December 4, 1930. This action is brought to recover income benefits for this period, and to recover also premiums paid on the contract during this period, and for damages for vexatious delay and for attorney’s fees.

The answer of the defendant admits that the plaintiff became totally and permanently disabled within the meaning of the contract on April 27, 1925, but denies that under the contract the plaintiff is entitled to any greater amount than he has been paid.

1. The principal question raised by the demurrer is whether, by the terms of the contract, the defendant is obligated to pay benefits on account of total and permanent disability for the full period during which such disability may have existed, including that part of it preceding the furnishing to the defendant by the insured of proof of disability. The contention of the plaintiff is that ' under the contract the insured, having furnished due proof, is then entitled to benefits for the whole period of disability. The contention of the defendant is that the insured is entitled to benefits from the date when proof of disability is furnished.

Deferring for the present' consideration of cited eases, I examine the language of the contract. So examining it, I am constrained to say I do not find in it any possibility of reasonably interpreting it as the plaintiff contends it should be.

In my judgment there is no basis in the language used in the contract for the contention that it might be construed to be an agreement by the company to make retrospective payments for the period of disability before the furnishing of proof as well as prospective payments for the period of disability after the furnishing of proofs. Courts will not strain themselves to find ambiguities so that they may apply the rule that ambiguities must be resolved against the insurer. Out of the language of this contract, excessive straining cannot produce the tiniest particle of ambiguity.

Plaintiff points to a phrase and to a clause in paragraph 2 of that part of the contract which is set out above; to the phrase “during the continuance of such disability,” ánd to the clause “but upon such approval, whatever income payments shall have become due will then be paid.” Here, says plaintiff, are at least implied acknowledgments of liability for the whole period of disability. But neither the phrase nor the clause has any meaning unless it is read with its context. So read, they afford no support for the contention made.

The reasonable meaning of the phrase , “during the continuance of such disability” is while the disability continues. The phrase is preceded by the verb, “will.” It is an adverbial phrase. It has to do not with the beginning of liability, but with the termination of liability. If there could be any doubt about it that doubt immediately and in the same sentence is removed by an unequivocal and certainly an unambiguous provision as to when the first payment shall be due and as [903]*903to what shall be the amount thereof. The company agrees to pay a first monthly payment of $100 (under this contract) upon the receipt of proofs, and subsequent monthly payments of $100 each, “on the first day of each calendar month thereafter.” It is just impossible to reconcile this provision with plaintiff’s theory of the contract.

The reasonable meaning of the words, “but upon such approval, whatever income payments shall have become due, will then be paid,” is beyond any donbt. That there is but one possible interpretation to be given them easily is discernible from tbe context. In the immediately preceding sentence it is set out that the first monthly payment shall be due on receipt of due proof, and that subsequent monthly payments shall be due on the first day of each calendar month after the receipt of due proof. Of course, however, the company would not bind itself to make payments upon the mere receipt of due proof and before approval of that due proo-f. A necessary interim, its length or brevity depending upon the circumstances, must elapse between the receipt and approval of proof. So it is provided that although one or more income payments may have become due, in the sense that liability for them is recognized if the proof later is approved, no such payments will be made until there has been approval, and it is provided that when there has been approval then the one or more income payments which in the meantime have become duo will then be paid. The meaning is so plain that any discussion of the matter cannot possibly make it more obvious.

2.

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Cite This Page — Counsel Stack

Bluebook (online)
57 F.2d 901, 1932 U.S. Dist. LEXIS 1163, Counsel Stack Legal Research, https://law.counselstack.com/opinion/orr-v-mutual-life-ins-co-of-new-york-mowd-1932.