Prudential Insurance Co. of America v. Ferguson

180 S.E. 503, 51 Ga. App. 341, 1935 Ga. App. LEXIS 690
CourtCourt of Appeals of Georgia
DecidedMay 3, 1935
Docket24536
StatusPublished
Cited by20 cases

This text of 180 S.E. 503 (Prudential Insurance Co. of America v. Ferguson) 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
Prudential Insurance Co. of America v. Ferguson, 180 S.E. 503, 51 Ga. App. 341, 1935 Ga. App. LEXIS 690 (Ga. Ct. App. 1935).

Opinions

Broyles, C. J.

Tom Ferguson sued the Prudential Insurance Company of America for alleged wrongful cancellation of an insurance policy, the petition as amended alleging, in part, that as an employee of the Georgia Railroad he became the owner of certificate No. 1101 of group policy No. 1819, issued by the defendant company on August 1, 1925, for which he paid $2.05 each consecutive month from August 1, 1925, to December 31, 1931, the date of the alleged wrongful cancellation of the policy; that on January 1, 1932, a new certificate, No. 614 of group policy No. G-3690, was issued and delivered to him in lieu of certificate No. 1101; that the second certificate remained in force until May 31, 1932, when he was discharged from the service of the Georgia Railroad because of physical disabilities; that the monthly premium on both certificates was the same, and the policies were substantially the same, except that the first policy provided for total and permanent disability or physical incapacity, while the second policy contained no such disability clause; that prior to the cancellation of certificate No. 1101, and while he was less than sixty years of age, he became totally and permanently disabled or physically incapacitated by reason of described diseases, and is still so permanently disabled and incapacitated, and that said certificate was wrongfully canceled by the defendant; that the defendant did not reserve the right to cancel said certificate No. 1101, either in the certificate, or in group policy No. 1819, or in any other manner, and that there was iio mutual agreement or assent for said policy to be canceled; that he was never consulted about a cancellation or advised that the company considered said insurance contract canceled, nor was any request made of him to deliver the certificate for cancellation; that his employer deducted the regular monthly premium from his salary from August 1, 1925, to May 31, 1932, the date of his discharge on account of physical incapacity; that no consideration was offered or paid him to relinquish his valuable rights under certificate No". 1101; that he believed that the premiums deducted from his salary were paid defendant to keep in force certificate No. 1101; [343]*343that by reason of his physical incapacity on January 1, 1932, he had valuable vested rights under certificate No. 1101, which was canceled by.the defendant; that certificate No. 614, which was issued on January 1, 1932, and which contained no disability provision, was of no value to him in his state of health; that defendant had no authority in law or under the terms of the^ contract to cancel the original group policy and certificate, and that petitioner suffered damage by reason of said wrongful cancellation.- A copy of the group policy and certificate are attached to and made a part of the petition, said policy providing that employees receiving over $100, but not over $175, wages or salary should be insured for $2000, and providing for certain options as to the mode of settlement, including monthly payments. The plaintiff alleged that his average monthly wage was $175, and that he had been damaged by reason of the breach of the contract, in the full and just amount of $85.10 per month from December 31, 1931, to the date of filing suit, and he sued to recover $1872.10.

To the petition as amended the defendant filed a demurrer, a part of which was overruled, and on this ruling the defendant assigns error. The contentions of the demurrer are substantially as follows: That if plaintiff was totally disabled prior to December 31, 1931, the certificate matured prior to that date, and any rights of petitioner to disability benefits thereunder became fixed, and no cancellation or attempted cancellation could be effective, and it could not damage the plaintiff; that the petition did not allege any renewal or attempted renewal for a period subsequent to December 31, 1931, and in the absence of such renewal the policy lapsed by its own terms; that the facts alleged to show wrongful cancellation are as a matter of law insufficient for that purpose; that the failure to pay premiums after December 31, 1931, would have caused the policy to lapse in any event; that the petition does not allege that 'more than 75 per cent, of the employees of the-railroad companies, or more than fifty of such employees, were insured under said policy. In the absence of such number being insured, the policy, by its terms, gave the defendant a right to refuse to renew.

The foregoing statement of facts sufficiently presents the main issues involved, but does not purport to set out all the averments of the petition or demurrer. Where necessary, omitted averments will be referred to in the opinion. In considering the question [344]*344whether the plaintiff had a vested right in the policy alleged to have been wrongfully canceled, it must be borne in mind that it was the employee, and not the employer, who was insured. The policy specifically provides that “The insured hereunder are the several persons named in the schedule of employees,” and provides “for delivery to each person insured under this policy an individual certificate setting forth the insurance protection to which each person is entitled hereunder, and to whom such insurance is payable” (italics ours), and vests certain other rights in the employees, such as waiver of premiums, converting the insurance into another form without evidence of insurability, naming the beneficiary, changing the beneficiary, selecting modes of settlement, etc. Moreover, the employee in this case paid for this insurance the sum of $2.05 per month for a period of six years and five months, and necessarily there must have been a consideration for such payments. See Carruth v. Ætna. Ins. Co., 157 Ga. 608 (122 S. E. 226).

The canceled policy provides that “If any person insured under this policy shall become totally and permanently disabled . . at any time after the payment of the first premium on account of such insurance, while this policy is in full force and effect, and the said person is less than sixty years of age, . . the company will, in addition to waiving the premiums, pay to the said person at its home office the amount insured on his (or her) life in twenty-four monthly installments during two years, each installment to be of the amount of $42.55 per $1000 of insurance payable.” The plaintiff alleged that his wages would have entitled him to $2000 insurance, that his premiums were paid, that he was less than sixty years of age, and that he was totally and permanently disabled prior to December 31, 1931, the date of the cancellation of the policy. The petition makes no claim for disability benefits as such, but the suit is for damages for a wrongful breach of the contract, and these allegations are material in determining the damages resulting from the breach, as the plaintiff must allege and prove what damage he has sustained by reason of the breach. In other words, the value of the policy to the plaintiff at the time of the cancellation is material in showing the damage he sustained because of the cancellation.

As quoted approvingly in Farrow v. State Mutual Life Insurance Co., 22 Ga. App. 540 (96 S. E. 446) : “The measure of damages [345]*345for the -wrongful cancellation of a life policy is the value of the policy at the time of its cancellation. . .

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Bluebook (online)
180 S.E. 503, 51 Ga. App. 341, 1935 Ga. App. LEXIS 690, Counsel Stack Legal Research, https://law.counselstack.com/opinion/prudential-insurance-co-of-america-v-ferguson-gactapp-1935.