Prudential Ins. Co. of America v. Davis

78 S.W.2d 358, 18 Tenn. App. 413, 1934 Tenn. App. LEXIS 44
CourtCourt of Appeals of Tennessee
DecidedNovember 3, 1934
StatusPublished
Cited by36 cases

This text of 78 S.W.2d 358 (Prudential Ins. Co. of America v. Davis) is published on Counsel Stack Legal Research, covering Court of Appeals of Tennessee primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Prudential Ins. Co. of America v. Davis, 78 S.W.2d 358, 18 Tenn. App. 413, 1934 Tenn. App. LEXIS 44 (Tenn. Ct. App. 1934).

Opinion

FAW, P. J.

Pursuant to an opinion heretofore handed down and filed, a judgment was entered in this cause striking the case from the docket of this court, for the reason that the record did not show a verdict, judgment, or appeal, and therefore did not disclose the facts necessary to vest this court with jurisdiction of the case.

Thereafter, in due season, the Prudential Insurance Company of America filed a petition for a rehearing, and for leave to suggest a diminution of the record so as to supply a transcript of certain entries on the minutes of the circuit court of Unicoi county, which entries, it was alleged in the petition and shown by satisfactory evidence, had been, by inadvertence and oversight of the clerk of said circuit court, omitted from the transcript of the technical record, or record proper, filed in this court.

The petition is accompanied by a duly certified transcript of the aforesaid minute entries, which show that this case was tried to a jury and the jury found all of the issues in favor of the plaintiff (Wesley P. Davis) and against the defendant (Prudential Insurance Company of America), and that plaintiff is entitled to recover from the defendant the sum of $3,000, payable in twenty-four equal monthly installments, commencing on January 4, 1932; that the defendant moved the court for a new trial, which motion was entered on the minutes of the court; that the court overruled said motion, and judgment of the court was pronounced and entered upon, and in accordance with, the verdict of the jury; that the defendant excepted to the action of the court in overruling its motion for a new trial and rendering judgment against it, and prayed an appeal in the nature of a writ of error to this court, which appeal in error was granted by the trial court and time was allowed the defendant in which to file proper appeal bond and a bill of exceptions.

The record shows that an appeal bond and a bill of exceptions were seasonably filed by the defendant.

The petition for a rehearing is granted, and our former judgment-striking the case from the docket is vacated and'set aside. The supplemental transcript exhibited with the petition will be filed as a part of the record in this court, and the judgment of the circuit court, so far as challenged by the assignments of error,- will be reviewed on the record.

This suit was brought by Wesley P. Davis to recover the “total ,and permanent disability” benefits provided by a group insurance policy issued to the Clinchfield Railroad Company and a certificate thereunder issued to the plaintiff below (hereinafter called plaintiff) by the Prudential Insurance Company of America, the defendant below (and hereinafter called defendant).

*416 Plaintiff was forty-two years of age at tbe time of tbe trial below in August, 1933. He was employed continuously by tbe Clinchfield Railroad Company as a brakeman for fourteen years, wbicb period of active service covered tbe date of tbe issuance of tbe aforesaid group policy and certificate, and thereafter until February 7, 1931, on which latter date- plaintiff was injured by falling from a railroad car, and has not worked for tbe railroad company since that time.

Plaintiff states in bis testimony that tbe fall above mentioned broke bis hip “all to pieces — crushed it.”

Dr. Hankins, who X-rayed plaintiff’s pelvis "shortly after plaintiff was injured, describes plaintiff’s injury (in more technical language) as “a fracture of tbe wing of tbe right ilium.”

Plaintiff paid tbe premiums stipulated in tbe policy “to tbe first of tbe year 1932,” and on January 4, 1932, furnished “proofs” of disability to defendant; but defendant declined to accept tbe proofs thus furnished, as “proof of permanent disability” and denied liability to plaintiff on tbe policy.

The certificate issued to plaintiff, pursuant to and in accordance with tbe terms and provisions of tbe group policy, provides for tbe payment to the named beneficiary (tbe wife of plaintiff) of tbe sum of $3,000 upon tbe death of tbe insured “from natural causes,” and also provides for the payment to tbe beneficiary of tbe sum of $6,000 upon tbe death of tbe insured “by accident as defined in said policy,” and further provides for tbe payment of certain specified “special disability benefits;” but neither tbe death benefit, nor tbe accident benefit, nor tbe “special disability benefits” are involved in tbe present controversy.

Plaintiff is suing in this case to recover $3,000 for an alleged “total and permanent disability,” and is, basing bis action upon certain stipulations of tbe insurance contract contained in tbe “certificate” issued to him by tbe defendant, wbicb stipulations are as follows:

“If the said employee, while less than sixty years of age, and while tbe insurance on tbe life of said employee under said policy is in full force and effect, shall become totally and permanently disabled or physically or mentally incapacitated to such an extent that be or she by reason of such disability or incapacity is rendered wholly, continuously and permanently unable to perform any work for any kind of compensation of financial value during tbe remainder of bis or her lifetime, the amount of insurance payable at death from natural causes will be paid to said employee in monthly installments during two years, tbe first installment to be payable immediately upon receipt by tbe Company of due proof of such disability or incapacity; in accordance with tbe provisions of said policy. Tbe disability benefits will be granted subject to cessation, in accordance with tbe provisions of tbe policy, should such disability or incapacity prove to be temporary and not permanent.”

*417 The “total and permanent disability” provisions of the group policy are substantially the same as above quoted from the certificate.

The “provisions of the policy” for “cessation” of “disability benefits, ’ ’ to which reference is made in the above quoted stipulations of the certificate, are as follows:

“Proof of Continuance of Disability. — Notwithstanding the acceptance by the Company of proof of total and permanent disability, the said person, upon demand by the Company from time to time, for the purpose of verifying that such disability is actually permanent and not temporary, shall furnish due proof that he (or she) actually continues in the state of disability defined above. In case of failure to furnish such proof, no further proportional parts of the premium on account of said person’s insurance shall be waived and no further monthly installments shall be paid on account of such disability, and any insurance on the life of said person then remaining under this Policy may continue to be renewed subject to the terms of the Policy but if the said person be no longer in the employ of the Employer or if this policy be no longer in force the said person may, in respect of such reduced amount, make use of the privilege set forth under the heading ‘Provisions as to Employee’s Certificate and Conversion of Individual Insurance.’ ”

However, the provision for “cessation” of disability benefits just quoted does not affect the issues in this case. Conley v. Pacific Mutual Life Insurance Company, 8 Tenn. App., 405, 413; Metropolitan Life Insurance Company v. Noe, 161 Tenn., 335, 31 S. W. (2d), 689; Metropolitan Life Insurance Company v.

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Bluebook (online)
78 S.W.2d 358, 18 Tenn. App. 413, 1934 Tenn. App. LEXIS 44, Counsel Stack Legal Research, https://law.counselstack.com/opinion/prudential-ins-co-of-america-v-davis-tennctapp-1934.