Shapiro v. Metropolitan Life Insurance

151 Misc. 707, 272 N.Y.S. 401, 1934 N.Y. Misc. LEXIS 1366
CourtCity of New York Municipal Court
DecidedMay 25, 1934
StatusPublished
Cited by2 cases

This text of 151 Misc. 707 (Shapiro v. Metropolitan Life Insurance) is published on Counsel Stack Legal Research, covering City of New York Municipal Court primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Shapiro v. Metropolitan Life Insurance, 151 Misc. 707, 272 N.Y.S. 401, 1934 N.Y. Misc. LEXIS 1366 (N.Y. Super. Ct. 1934).

Opinion

Whalen, J.

Plaintiff is the owner of a policy of insurance issued by defendant containing the following clause: “If * * * the insured shall lose permanently the sight of both eyes, total and permanent disability shall be deemed to exist, and one-half of the [708]*708amount of insurance then payable in the event of death shall be paid immediately upon receipt by the Company of due proof of such loss and surrender of this policy. Thereafter no further premiums will be required.”

The uncontradicted proof shows to my satisfaction that plaintiff became totally blind in February, 1927. The company received no notice of this condition until April 14, 1933, when it recognized the disability and waived payment of further premiums after April 17, 1933. Plaintiff continued to pay premiums, apparently in ignorance of her rights under the clause in question, between February, 1927, and April 17, 1933. This action is brought to recover the amount of said payments.

Defendant contends that the right to the waiver of premiums does not arise until after receipt by the company of due proof of the disability; in other words, that the proof of disability is a condition precedent to the right to a waiver of premiums.

The answer to this question depends upon the construction to be given to the word “ thereafter.” Does this word relate back to the fact of the disability or to the fact of the “ due proof of such loss and surrender of this policy? ”

It can scarcely be said that the language is clear and unambiguous. The word “ thereafter ” begins a new sentence. It is entirely separate and distinct from the previous sentence. Different minds might draw different conclusions as to which part of the preceding sentence the word thereafter ” refers.

There is no controlling authority apparently in this State on the interpretation to be placed on the language contained in the cited clause.

If we turn to the other jurisdictions we find pertinent decisions.

Defendant relies on Bergholm v. Peoria Life Insurance Co. (284 U. S. 489), where a reversal by the Circuit Court of Appeals of a judgment for plaintiff in the District Court was aflirmed by the Supreme Court. The policy in that case contained the following language: Upon receipt by the company of satisfactory proof that the Insured is totally and permanently disabled as hereinafter defined the company will:

(1) Pay for the Insured all premiums becoming due hereon after the receipt of such proof and during the continuance of the total and permanent disability of the Insured and will also
(2) Pay to the Insured a monthly income for fife of 1% of this policy; the first payment of such income to be paid immediately upon receipt of such proof * * *.
a (3) * * * To entitle the Insured to the above Total and Permanent Disability Benefits this policy at the time of making [709]*709claim for such benefits must be in full force and all premiums becoming due prior to the time of making claim must have been duly paid.”

The facts in that case are stated in the opinion as follows: The insured died April 18, 1929. Judgment was sought for disability benefits from December 1, 1927, to April 1, 1929, at the rate of $50 per month, with interest. The last premium paid was due on May 27, 1927. The next, allowing a month’s period of grace, should have been paid not later than September 27, 1927. Neither that nor any subsequent premium was ever paid. Long prior to the death of the insured, the policy, therefore, had lapsed unless saved by the terms of the disability clause above quoted. There is evidence in the record from which it reasonably may be found that the insured was totally and permanently disabled from a time before the premiums first became in arrears, and that this condition continued until his death; but no proof thereof was furnished to the company.”

Plaintiff relies on Minnesota Mutual Life Insurance Co. v. Marshall (29 F. [2d] 977), a decision by the Circuit Court of Appeals on an appeal from the United States District Court of North Dakota, wherein a judgment for plaintiff was affirmed. Thereafter the Supreme Court refused a review.

In that case the policy provided that if the insured, while the policy was in full force and effect, and without default in the payment of premiums, “ shall' become totally and permanently disabled, as hereinafter provided, and shall furnish satisfactory proof thereof, the Company will waive the payment of premiums thereafter becoming due * * *. Second. Upon the receipt of due proof of total and permanent disabilities as above defined, the Company will waive the payment of all premiums thereafter becoming due.”

The insured died November 29, 1926, after an operation for appendicitis that took place on November 16, 1926. The premium falling due October 14, 1926, with a grace period expiring November 14, 1926, was not paid. The company had no notice of disability during the insured’s lifetime and refused to pay, claiming that the policy had lapsed by reason of non-payment of premiums, and that there could be no waiver of the premium because proof of disability was a condition precedent to the talcing effect of the waiver provision. It was held that the language above quoted was ambiguous and might be construed to mean that the waiver ripened into full effect as soon as the disability occurred and that proof of disability to the company was not a condition precedent.

In the Bergholm Case (supra) the Supreme Court, referring to the Marshall case, said (p. 490): We granted certiorari because [710]*710of a supposed conflict with Minnesota Mutual Life Ins. Co. v. Marshall, 29 F. [2d] 977,” and (at p. 491): “ We do not need to controvert this construction of the words quoted, or question the soundness of the view of the court that the existence of the disability before the premium became in arrears, standing alone, was enough to create the waiver. In that view, the obligation to furnish proof was no part of the condition precedent to the waiver; but such proof might be furnished within a reasonable time thereafter. Here the obligation of the company does not rest upon the existence of the disability; but it is the receipt by the company of proof of the disability which is definitely made a condition precedent to an assumption by it of payment of the premiums becoming due after the receipt of such proof. The provision to that effect is wholly free from the ambiguity which the court thought existed in the Marshall policy. Compare Brams v. New York L. Ins. Co., 299 Pa. 11, 14; 148 Atl. 855.”

In Hablutzel v. Home Life Ins. Co. (52 S. W. [2d] 480) the St. Louis Court of Appeals gives an interesting discussion and comparison of the Bergholm case and the Marshall case. The opinion states (p. 483): “ The fundamental distinction between the policy provision under review in the Bergholm case and the provisions under review in the Marshall case, and in the present case, is this: In the Bergholm

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Bluebook (online)
151 Misc. 707, 272 N.Y.S. 401, 1934 N.Y. Misc. LEXIS 1366, Counsel Stack Legal Research, https://law.counselstack.com/opinion/shapiro-v-metropolitan-life-insurance-nynyccityct-1934.