Shears v. All States Life Ins. Co.

5 So. 2d 808, 242 Ala. 249, 1942 Ala. LEXIS 26
CourtSupreme Court of Alabama
DecidedJanuary 22, 1942
Docket7 Div. 652.
StatusPublished
Cited by22 cases

This text of 5 So. 2d 808 (Shears v. All States Life Ins. Co.) is published on Counsel Stack Legal Research, covering Supreme Court of Alabama primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Shears v. All States Life Ins. Co., 5 So. 2d 808, 242 Ala. 249, 1942 Ala. LEXIS 26 (Ala. 1942).

Opinion

*251 LIVINGSTON, Justice.

This action is to recover total and permanent disability benefits claimed to be due under a group policy of insurance and certificate issued by appellee, defendant in the court below, on April 1, 1929, upon the life of appellant, N. C. Shears, plaintiff in the ■court below, and other employees of the Southern Manganese Corporation, and kept in force by its successor corporations, including the Monsanto Chemical Company, by whom appellant was employed at the time he allegedly became permanently and totally disabled.

The master or group policy is referred to .as master policy No. 103-G. A certificate ■numbered 273, insuring the life of appellant for $1,000, under the terms of the master policy, was issued and delivered to appellant on April 1, 1929, and a rider was after-wards issued and attached to the master policy and certificate numbered 273, increasing appellant’s insurance to $2,000, as ■of April 1, 1928. The master policy and certificate contained a provision for “permanent total disability benefits,” as hereinafter indicated.

Appellant rested its defense upon the theory that appellant’s employment by the Monsanto Chemical Company, hereinafter called the employer, terminated either on June 15, 1938, or August 31, 1938, or that the policy and certificate sued on were can-celled as of June 30, 1938, by an agreement between appellee and emp’oyer, entered into on July 1, 1938; and that the appellant failed to furnish appellee with due proof of his disability before the policy was cancelled or before the termination of his employment.

The trial court gave the general affirmative charge, without hypothesis, for the appellee.

The pertinent provisions of the policy are:

“Employees Insured — Employees are automatically insured in accordance with the terms of the plan of insurance above, subject to the terms of this policy.
“The employer shall furnish the company with the names of all employees as they become eligible for insurance hereunder, with the information as to each, necessary to determine the age, the amount of insurance, and the effective date of the insurance.
“Unintentional neglect on the part of the employer to furnish the name of any employee eligible for insurance hereunder shall not invalidate the insurance on the life of such employee.
“Termination of Insurance — The insurance on any employee shall cease upon the termination, of his employment, except as hereinafter provided. If an employee is disabled, given leave of absence, or temporarily laid off, the employment need not be considered terminated, provided the insurance is continued on all absent employees under like conditions.
“The employer shall notify the company of all employees whose employment shall terminate and also the dates of the terminations of their employment.
“Premiums — All premiums are payable in advance at the home office of the company, but may be paid to an authorized agent of the company upon delivery of a receipt signed by the president or secretary, and countersigned by said agent. If any premium shall not be paid when due, this policy shall terminate except as hereinafter provided.
*252 “In addition to the advance premium there shall be due:
“1. To the company—
“(a) The balance, if any, of the first premium as determined by the amount of insurance on the employees initially insured hereunder, such balance to be dué when determined.
“(b) A prorata premium for any additional or increased insurance computed to the next date on which premium shall be due, following the date such insurance is effective.
“2. To the employer—
“A refund of any unearned premium paid for any employee insured hereunder, whose insurance has terminated for any reason, other than death or permanent and total disability. * * *
“Renewal Privilege — This policy may be renewed from year to year for a further term of one year at the option of the employer, upon payment within the days of grace of the premium for the amount of insurance as renewed, as determined by the schedule of rates embodied herein. * * “The Individual Certificates Furnished the Employees as Hereinafter Provided Shall Contain the Following Provision:
“Permanent Total Disability Benefits— ‘Upon due proof that since the payment of the initial premium upon this contract, before a default in the payment of any subsequent premium, and before the anniversary of this contract nearest the sixtieth anniversary of the date of birth, the insured has become wholly disabled by bodily injuries or disease and will be continuously and wholly prevented thereby for life from engaging in any occupation or employment for wage or profit, the company will waive the payment of any premiums which may fall due on this contract for such employee during such disability and will pay in full settlement for such employee under this contract the amount of insurance in force hereunder at the time of the receipt of due proof of such disability in a 'fixed number' of installments chosen by the insured from .the following table, the first installment to be paid immediately upon receipt of due proof of such disability. * * *
“Individual Certificate of Insurance and Conversion Privilege — The company will issue to the employer for delivery to each employee whose life is insured under this policy, an individual certificate setting forth a statement as to the insurance protection to which he is entitled and to whom payable. Any employee of the employer covered under this group policy shall, in case of the termination of employment for any reason whatsoever, be entitled to have issued to him by the company, without evidence of insurability, upon application to the company made within thirty-one days after such termination and upon the payment of the premium applicable to the class of risks to which he belongs and to the form and amount of the policy at his then attained age, a policy of life insurance in any one of the forms customarily issued by the company, except term insurance in an amount equal to the amount of protection under such group insurance policy at the time of such termination. * *
“Incontestability — This policy shall be incontestable after one year from its date of issue, except for nonpayment of premiums. * * *
“Entire Contract' — -This policy, together with the application of the employer, and the individual applications, if any, of the employees insured hereunder, shall constitute the entire contract between the parties hereto. All statements made by the employer or by the individual employees shall, in the absence of fraud, be deemed representations and not warranties, and no such statement shall be used in defense of a claim under the policy unless it is contained in the written application therefor.”

On May IS, 1938, the employer paid to appellee the annual premium on master policy No.

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Cite This Page — Counsel Stack

Bluebook (online)
5 So. 2d 808, 242 Ala. 249, 1942 Ala. LEXIS 26, Counsel Stack Legal Research, https://law.counselstack.com/opinion/shears-v-all-states-life-ins-co-ala-1942.