Rice v. Provident Life & Accident Insurance

102 S.W.2d 147, 231 Mo. App. 560, 1937 Mo. App. LEXIS 43
CourtMissouri Court of Appeals
DecidedMarch 1, 1937
StatusPublished
Cited by33 cases

This text of 102 S.W.2d 147 (Rice v. Provident Life & Accident Insurance) is published on Counsel Stack Legal Research, covering Missouri Court of Appeals primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Rice v. Provident Life & Accident Insurance, 102 S.W.2d 147, 231 Mo. App. 560, 1937 Mo. App. LEXIS 43 (Mo. Ct. App. 1937).

Opinion

REYNOLDS, J.

This is a suit by the plaintiff, J. E. Rice, against the defendant, The Provident Life & Accident Insurance Company, a corporation, for benefits arising from disability from rheumatism, under a monthly health and accident insurance policy issued to him by the Southern Surety Company of Des Moines and later assumed by the defendant, to which benefits he claimed to be entitled.

The suit originated before Preston Forsee, a justice of the peace in Kaw township, Jackson county, Missouri; and, from a judgment rendered on a trial had before said justice, an appeal was had to the Circuit Court of Jackson County at Kansas City, where it was tried *562 on March 26, 1936, at the March term, 1936, of the court before the Honorable Allen C. Southern, one of the judges of said court, without a jury, upon an agreed statement of fact, and resulted in a judgment on said date for the plaintiff: in the principal sum of $153.33, together with the sum of $15.33 as a penalty for vexatious delay and the sum of $75 attorney’s fees, in the total sum of $243.66,' and for costs.

From such judgment so rendered, the defendant prosecutes this appeal.

Upon the trial in the circuit court, the policy sued on was introduced in evidence. It appears to be a monthly health and accident. insurance policy issued to the plaintiff on June 1, 1928, by the Southern Surety Company. That same company thereafter was taken over by the defendant, and the policy in question was assumed by it, and the premiums thereon were collected by it. The policy provides that, in consideration of the agreements and representations contained in the application therefor and the payment of a premium of $3.65 on or before the delivery thereof, the company will pay to the insured (the plaintiff) benefits for disability resulting from sickness or accident as therein set forth, from June 1, 1928, to July 1, 1928, a period of one month. It contains a further provision under the heading “Renewal Agreement” that it “may be continued for one or more consecutive periods of one calendar month each by the payment to the Company and acceptance by the Company of a renewal premium, of $3.65 Dollars for each period of one calendar month.”

It is further provided in the policy that it could be cancelled by the company at any time by written notice to the insured and the repayment of unearned premiums.

As originally issued, the policy covers disability resulting from rheumatism.

The agreed statement of facts, signed by attorneys for the respective parties, is substantially as follows:

“It is agreed by and between the parties hereto and their respective attorneys that the facts herein are as follows:
“The plaintiff applied to the Southern Suretv Company for an accident and health insurance policy and such a policy was issued by said company. Later the coverage was taken over by the defendant herein and premiums collected by defendant’s agent from the plaintiff in the amount of $3.65 per month. The plaintiff, about June, 1932, suffered an attack of sciatic rheumatism and on or about July 20th, 1932, settled with the defendant, received payment and executed a release for said illness.
‘ ‘ The plaintiff will testify that, immediately after he had executed the release, the defendant’s agent, Mr. J. M. Begley, said ‘I will have *563 to put a rider on for rheumatism, ’ and presented a paper to Mr. Rice which he signed. Mr. Rice .will also testify that he did not receive a copy of said rider.
“Mr. Begley will testify that he gave a copy of the rider to Mr. Rice and forwarded the original to the company and that he never attached a copy of said rider to the policy.
“On January 30th, 1935', plaintiff had another attack of sciatic rheumatism and was totally disabled from that date until March 20th, 1935, and that he was partially disabled from March 20th, 1935 to April 4th, 1935, and that said company was properly notified of said illness. The company refused to pay plaintiff’s claim, maintaining that it was relieved of liability by said endorsement.
“It is agreed that the question to be submitted to the court is the question of the validity of the rider or endorsement mentioned above.
“According to the terms of the policy, if plaintiff is entitled to recover, he is entitled to remuneration as follows:
“One month and twenty days at $80.00 per month_$133.33
“Fifteen days at $40.00 per month . 20.00
“Total .$153.33
“The policy of insurance and the endorsement are admitted as evidence herein and made a part hereof.
“Respectfully submitted to the court.”
The endorsement referred to in the statement of facts is as follows:
“Effective July 20, 1932. Not valid unless countersigned by a duly authorized agent.
‘ ‘ The insured under the policy to which this rider is attached, having suffered disability as a consequence of arthritis it is understood and mutually agreed that, in lieu of an increase in the premium, no liability shall attach to the Company should there be further disability or loss on the part of the insured, caused directly or indirectly, wholly or in part, by rheumatism, arthritis, lumbago, neuritis and/or sciatica, or any sequel of same.
“(Signed) J. E. Rice, Insured.
“Witness
“Subject otherwise to all conditions, agreements and limitations of the policy as written, except as herein specifically provided.”

It is set out. therein that the endorsement was attached to and formed a part of the policy No. AC507956 (plaintiff’s policy) and was countersigned at Kansas City, Missouri, July 23, 1932, by J. M. Begley, authorized agent, and W. C. Cartinhurt, vice-president and secretary.

Paragraph 1 under the heading “Standard Provisions” of the policy is as follow's: -

*564 “This policy includes the endorsements and attached papers, if any, and contains the entire contract of insurance except as it may be modified by the Company’s classification of risks and premium rates in the event that the Insured is injured — ■”

The rider in question was to become effective July 20, 1932, during the period for which the policy was then in force. It extended to the first day of August following.

The policy was continued in force from month to month from August 1, thereafter until on or about January 30, 1935, by the payment of the agreed premium of $3.65 for each month by the plaintiff to the defendant and by the defendant’s acceptance of such premium, when plaintiff suffered a second attack of sciatic rheumatism which disabled him. The company refused to pay his claim, maintaining that it wag relieved of liability therefor by said rider.

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Bluebook (online)
102 S.W.2d 147, 231 Mo. App. 560, 1937 Mo. App. LEXIS 43, Counsel Stack Legal Research, https://law.counselstack.com/opinion/rice-v-provident-life-accident-insurance-moctapp-1937.