Rickey v. New York Life Insurance

71 S.W.2d 88, 229 Mo. App. 1226, 1934 Mo. App. LEXIS 6
CourtMissouri Court of Appeals
DecidedMay 8, 1934
StatusPublished
Cited by30 cases

This text of 71 S.W.2d 88 (Rickey v. New York Life 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
Rickey v. New York Life Insurance, 71 S.W.2d 88, 229 Mo. App. 1226, 1934 Mo. App. LEXIS 6 (Mo. Ct. App. 1934).

Opinion

*1230 McCULLEN, J.

This suit was brought by respondent, plaintiff below, for a refund of premiums paid and to recover permanent disability benefits under a life insurance policy issued to plaintiff by appellant, defendant below. A trial before the court and a jury resulted in a verdict and judgment in favor of plaintiff in the sum of $708.60. Defendant appeals.

Plaintiff’s petition charged that in March, 1920, in consideration of the payment by plaintiff to defendant of a premium of $65.44 annually, defendant executed and delivered to plaintiff its policy of insurance, whereby it insured the life of plaintiff in the sum of $1,000, payable to Emma S. Rickey, plaintiff’s wife. The petition averred that $3.72 of the annual premium paid to defendant was an extra annual premium for total and permanent disability benefits under the policy, and that said extra premium was paid until plaintiff became sixty years of age, and thereafter the annual premium on said policy was reduced from $65.44 to $61.72.

The policy, marked exhibit A, was filed with the petition.

It was avepred in the petition that the policy contained, among others, the following provisions:

“And the company agrees to pay to the insured one-tenth of the face of this policy per annum, during the lifetime of the insured, if the insured becomes wholly and permanently disabled before age sixty, subject to all the terms and conditions contained in Section 1 hereof.”

The clauses of Section 1 of the policy, with which we are concerned on this appeal, were set forth in the petition as follows:

“Section 1. — Total and Permanent Disability Benefits. Whenever the company receives due proof, before default in the payment of premium, that the insured, before the anniversary of the policy on which the insured’s age at nearest birthday is sixty years and subsequent to the delivery hereof, has become wholly disabled by bodily injury or disease so that he is and will be presumably, thereby permanently and continuously prevented from engaging in any occupation whatsoever for remuneration or profit, and that such disability has then existed for not less than sixty days. . . .
“1. Waiver of Premium. — Commencing with the anniversary of the policy next succeeding the receipt of such proof, the company will on each anniversary waive payment of the premium for the ensuing insurance year, and, in any settlement of the policy, the company will not" deduct the premiums so waived. . ,. .
*1231 “2. Life Income to Insured. — One year after the anniversary of the policy next succeeding the receipt of such proof, the company will pay the insured a sum equal to one-tenth of the face of the policy and a like sum on each anniversary thereafter during the lifetime and continued disability of the insured. . . .
“■3.The annual premium for the total and permanent disability benefits is $3.72, and is included in the premium stated on the first page of this policy. Any premium due on or after the anniversary of the policy on which the age of -the insured at nearest birthday is sixty, shall be reduced by the amount of premium charged for the disability benefits.”

The petition further alleged that before the anniversary of the policy on which plaintiff’s age at his nearest birthday was sixty years, and before a default in the payment of premiums under the policy, plaintiff became wholly disabled by bodily injury or disease so that he was and will be presumably thereby permanently and continuously prevented from engaging in any occupation whatsoever for remuneration or profit, and that such disability had existed for not less than sixty days; that a notice of such disability was given to defendant and that liability under the policy was denied by defendant.

The petition averred that because of such disability defendant became liable to plaintiff, under the terms, of the policy, for the sum of $100 on the 22nd .day of March in each of the years 1928, 1929, 1930, 1931 and 1932. . .

The petition also charged that the annual premiums on the policy at the rate of $61.72 per annum, due on March 22nd in the years 1928, 1929, 1930, 1931. and 1932, were paid by plaintiff and received by defendant, whereas, under the terms of the policy said .premiums were to be waived by defendant; that said premiums, totaling $308.60, were wrongfully detained by defendant, which sum, together with the benefits of $100 per year for five years, made a total of $808.60, for which amount plaintiff prayed judgment against■ defendant. ;

Defendant demurred to plaintiff’s petition .on the ground that the petition did not state a cause of action. The demurrer was overruled, whereupon defendant -filed its answer, which contained a general denial and-averred that under- the terms of the policy the, total and permanent. disability benefits expired on March 22,:.1925,' and that since that date the clause providing for permanent disability benefits was of no effect. The answer;.alleged that due..proof of total, and permanent disability was -not furnished, to defendant as required by the policy,, and expressly denied that plaintiff became or, .was .totally and permanently disabled within the -time prescribed by the policy.

-Plaintiff’s reply: was: a general denial of. all the allegations contained in ¡defendant’s answer.., .... . .... ■ ,- ...

*1232 At the threshold of the case we are confronted by defendant’s contention that plaintiff’s petition failed to state a canse of action. The point urged by defendant in this connection is that plaintiff asks for a recovery for disability which was not averred to be the kind the policy contained.

We are unable to agree with defendant’s contention. The petition plainly alleged that before the anniversary of the policy on which plaintiff’s age at nearest birthday was sixty years, and before a default in the payment of premium, plaintiff “became wholly disabled by bodily injury or disease, so that he was and will be presumably thereby permanently and continuously prevented from engaging in any occupation whatsoever for remuneration or profit, and that such disability has existed for not less than sixty days.”

As will be seen from the foregoing excerpt, the petition pleaded plaintiff’s loss in the language of the policy itself. Defendant did not file a motion to require plaintiff to make the petition more definite and certain. We think the petition sufficiently charges ultimate issuable facts to show a loss within the terms of the policy. The court properly overruled defendant’s demurrer to the petition. [Jamison v. Continental Casualty Co., 104 Mo. App. 306, 78 S. W. 812.]

Defendant’s next contention is that-its demurrer to the evidence should have been sustained.

It is urged by defendant that plaintiff’s evidence not only failed to show that he had sustained the kind of disability provided for in the policy, but on the contrary, showed that he liad not sustained such a disability.

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Bluebook (online)
71 S.W.2d 88, 229 Mo. App. 1226, 1934 Mo. App. LEXIS 6, Counsel Stack Legal Research, https://law.counselstack.com/opinion/rickey-v-new-york-life-insurance-moctapp-1934.