Rishmiller v. Prudential Insurance Co. of America

256 N.W. 187, 192 Minn. 348, 1934 Minn. LEXIS 909
CourtSupreme Court of Minnesota
DecidedAugust 17, 1934
DocketNo. 30,002.
StatusPublished
Cited by8 cases

This text of 256 N.W. 187 (Rishmiller v. Prudential Insurance Co. of America) is published on Counsel Stack Legal Research, covering Supreme Court of Minnesota primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Rishmiller v. Prudential Insurance Co. of America, 256 N.W. 187, 192 Minn. 348, 1934 Minn. LEXIS 909 (Mich. 1934).

Opinion

LORING-, Justice.

This case comes to the writer on reassignment.

In an action to recover damages for breach of a life insurance contract providing for total and permanent disability benefits, *349 plaintiff liad a verdict for $2,990. Upon the usual blended motion, the trial court ordered judgment for the defendant notwithstanding the verdict, and the plaintiff comes here upon appeal from the judgment entered pursuant to that order.

The appellant’s ward, hereinafter called the plaintiff, is the holder of a 20-payment life insurance policy for $2,000 with the defendant insurance company. The policy provides for double indemnity in case of accidental death and for the payment of $20 per month total and permanent disability benefits in case of total permanent inability to perform gainful work. The periodical premiums payable thereunder are divided between the life, accident, and disability features, and the share of premium applicable to each is specified. The policy was dated December 12, 1923, and in November, 1930, formal application was made to respondent for payment of disability benefits on the ground that the insured had become totally and permanently disabled. The application was accompanied by a physician’s statement in which the physician gave his opinion that the disability was not of a permanent character. In March, 1931, plaintiff furnished to the defendant the certificate of another doctor stating that the plaintiff was suffering from arteriosclerosis and chronic influenza of the mid-vertex region of the brain, a condition which, in his opinion, Avas permanent. It Avas not stated in the certificate to what extent the disability affected the plaintiff’s ability to engage in any kind of gainful occupation. May 23, 1931, the defendant addressed a letter to the plaintiff which stated that the defendant had given careful consideration to all of the evidence submitted in regard to the plaintiff’s disability. It then explained to him the character'of the policy provisions in regard to benefits payable thereunder. The letter closed AAdth the following paragraph:

“Under date of April 27 [1931], we had Mr. Rishmiller examined by one of our company physicians and in the doctor’s opinion the insured should ultimately recover. In vieAV of this favorable prognosis, rather than disalloAV the claim, Ave feel it advisable to defer final action for a period of six months, at the expiration of Avhich time no doubt a much more definite decision can be rendered as to *350 the permanency of the insured’s present disability. This action will in no way penalize the insured and in the event favorable action is taken upon his claim benefits will revert to the date on which satisfactory proof of total and permanent disability was first received. If at the expiration of the stipulated Avaiting period the insured is still disabled, Ave will gladly give the claim further consideration upon the presentation of a statement from his attending physician.”

The plaintiff has continued to pay and the defendant has accepted all the necessary premiums to keep the policy in force in all of its life, accident, and disability features.

The defendant contends that the plaintiff cannot recover the present value of monthly disability benefits on the theory that the defendant has repudiated its obligation and further that the eAddence is conclusiAm thqt the defendant has never repudiated any of its obligations under the contract but has always treated the contract as being continuously in full force and effect. It further contends that in any event the verdict of the jury is not supported by the evidence.

The learned trial court Avas of the opinion that there Avas no repudiation of the disability features of the contract, and Avith that view Ave are in full accord. The tenor of defendant’s letter herein-before quoted sIioavs quite clearly that Avhat it really did Avas to deny that there had arisen a condition under Avhich it Avas obligated to pay as provided in the disability clause. It does not repudiate its contract or question the entire validity of that contract. In fact, if Ave understand the plaintiff’s position aright, he does not claim any such anticipatory repudiation, but regards the defendant’s action in requesting “satisfactory” instead of “due” proof as a normal breach, Avhich he asserts gives him the right to recover the present value of the disability payment AAdiich would come to him during his expectancy of life. We do not see a repudiation in the request for “satisfactory” proof. It Avould be hairsplitting to hang such a repudiation upon any distinction between that term and the “due” proof required by the contract. In Jarvis v. N. W. Mut. R. Assn. *351 102 Wis. 546, 549, 78 N. W. 1089, 72 A. S. R. 895, the court defined “due proof” as follows:

“The contract required due proof of the claim. That gave the assurer, necessarily, authority to require reasonable proof of the existence of the conditions upon which the claim against the company under the contract was based. The term ‘due proof’ did not require any particular form of. proof which the assurer might arbitrarily demand, but such a statement of facts, reasonably verified, as, if established in court, would prima facie require payment of the claim.”

We think the word “satisfactory” was used in that sense by defendant in its letter and must have been so understood by plaintiff.

To a large extent plaintiff relies upon Federal L. Ins. Co. v. Rascoe (C. C. A.) 12 F. (2d) 693. In that case, after making payments which aggregated a considerable sum under the accident provision of its policy, the insurance company evidently took the position that there ivas no longer any liability thereunder and refused further payment. The plaintiff sued upon the theory of anticipatory breach of an executory contract, and the court took the position that because the contract required the plaintiff to submit every 30 days to an examination and make a report thereof in writing to the company such contract was still executory on her part, and it allowed a recovery on the basis of present value of the payments which would come due during her expectancy. The decision was by a divided court, two judges forming the majority and Circuit Judge Denison writing a dissenting opinion, the logic of which Avas approved by this court in Garbush v. Commercial Travelers, 178 Minn. 535, 228 N. W. 148. Judge Denison said [12 F. (2d) 697]:

“Where his part of the contract has been executed by the plaintiff, he has nothing to do but to wait, and to do so continues to be in his poAver. His position will not be prejudicially changed by defendant’s repudiation; and hence he Avill have no estoppel to rely upon to precipitate the defendant’s obligation. It follows that, not only by its authority, but upon sound principles, the exception made in Roehm v. Horst [178 U. S. 1, 20 S. Ct. 780, 44 L. ed. 953], should *352 be recognized and applied, and not dissipated by hesitant application.

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Bluebook (online)
256 N.W. 187, 192 Minn. 348, 1934 Minn. LEXIS 909, Counsel Stack Legal Research, https://law.counselstack.com/opinion/rishmiller-v-prudential-insurance-co-of-america-minn-1934.