Thomas v. Metropolitan Life Insurance

89 S.W.2d 590, 230 Mo. App. 206, 1935 Mo. App. LEXIS 100
CourtMissouri Court of Appeals
DecidedNovember 12, 1935
StatusPublished
Cited by5 cases

This text of 89 S.W.2d 590 (Thomas v. Metropolitan 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
Thomas v. Metropolitan Life Insurance, 89 S.W.2d 590, 230 Mo. App. 206, 1935 Mo. App. LEXIS 100 (Mo. Ct. App. 1935).

Opinion

TRIMBLE, J.

Plaintiff, as the holder of a policy of life insurance issued by the defendant, to which policy was attached a ‘ ‘ rider ’ ’ or supplemental contract, brought suit thereon, alleging that the insurance company had therein agreed to pay insured the sum of $10 per month “during such period of time as he should be disabled as the result of bodily injury occurring and originating after the issuance of said policy, such payments to continue at said rate of payment during the continuance of such disability.”

The petition, filed April 19, 1934, alleged that on September 7, 1932, he accidentally received an injury while working as a hired man of the Adair Lumber Company and performing his duties as such employee, by running a wooden splinter into the flesh and against the bone of the second finger of his right hand, from which infection ensued, and since said time he has been, and now is, unable to perform his duties as such hired man; that there had accrued and was due to him on April 7, 1934, the sum of $190, being $10 per month during the continuance of said disability up to said April 7, 1934; that defendant wilfully and vexatiously refused to pay same, by reason of which plaintiff has been forced to employ attorneys to prosecute this action, a reasonable fee for which is $125. The petition further alleged that said “rider” or provision further agreed that, during the continuance of disability, the company would waive the payment of premiums on said policy but, nevertheless, defendant refused to waive said premiums, and on January 14, 1933, collected $33.34, the amount which otherwise would have been due had insured had been disabled as set forth.

"Wherefore, judgment was prayed for said $190 with ten per cent interest as damages for vexatious refusal to pay, and for $33.34, the amount of premiums so collected as stated above and said attorneys’ fee of $125.

The answer, while denying in formal terms that it issued the contract of insurance alleged and described, nevertheless alleged that it issued a policy in the amount and of the specific number alleged in the petition, and asserted that by a supplementary agreement, or rider, attached thereto, it agreed that if insured became “totally and permanently disabled as the result of bodily injury or disease occurring and originating after the issuance of said policy, so1 as to be prevented thereby from engaging in any occupation and performing any work for compensation or profit, and that such disability had already continued uninterruptedly for a period of at least’ three months, it- would, during the continuance of such disability, waive the payment of each premium falling due, and pay to the insured, ... a monthly income of $10, provided further *208 that such premium waiver should begin as of the anniversary of such policy next succeeding the date of the commencement of such disability; . . . that if the insured should be able to perform any work or engage in any business whatsoever for compensation or profit the monthly income therein provided should immediately cease and all premiums thereafter falling due should be payable according to the terms of said policy and of said supplementary contract.

The answer then denied that the plaintiff “has been or is, totally and permanently disabled so as to be prevented thereby from engaging in any occupation and performing any work for eompensaft&on or profit” and stated that he has not been and is not so disabled ; and denied that plaintiff was or has been or is disabled to the extent and degree required and defined in and by the terms of the aforesaid supplementary contract.

Without regard to whether a reply should have been filed to the answer, no reply was in fact filed, but the case was tried as if one was filed.

On September 4, 1934, said trial was had, and the jury returned a verdict for plaintiff in the sum of $190 for the disability claimed up to April 7, 1934, for $66.68 due for return of premiums wrongfully collected, for $19 damages for vexatious delay, and $125 attorneys’ fee, making a total of $400.68, for which judgment was rendered, and defendant has appealed.

The evidence in plaintiff’s behalf is that on the seventh day of September, 1932, he was working for the Adair Lumber Company, in Kirksville, Missouri, engaged in piling lumber; and in slipping a six-by-six-inch lumber about ten feet long, into its place on the pile, a splinter was run into the middle finger of his right hand. In a few days thereafter it was badly swollen and his hand became infected and swelled so that his fingers stood out from each other and the arm swelled to his shoulder. The doctor lanced it a number of times, and plaintiff was bedfast from September 20th until sometime in January. ITis finger and hand have been stiff ever since. Plaintiff has been unable to work although he tried for a day and a half to do so, but he was compelled to quit because he couldn’t shut his hand or grasp a tool with his right»hand and has never been so able since the accident and is still so disabled. He has not engaged in any occupation or business since that time.

His physician’s certificate stated that he might do some work with his left hand; that his total disability will probably be temporary, and that later his ailment can be suceeessfully treated while continuing at work either for full or part time, and that he cannot use his right hand for probably four to six weeks.

On January 23, 1933, defendant wrote a letter to plaintiff saying, among other things, “inasmuch as it appears that your disability *209 is confined to one hand, and there is no reason to assume that such a condition should permanently totally incapacitate you, we regret our inability to be of service. The medical opinion is that you will not be totally permanently incapacitated. Your policy provides benefits only when a complete incapacity to perform any and all kinds of work is shown to be permanent, and it makes no provision for disabilities of a partial or temporary nature.”

The company then advised the continuation of premium payments with the understanding that if at any later date he should become disabled to the extent “that you are not only wholly unable to perform all work but will be so disabled permanently, ”• the company would be glad to consider the matter on request.

Plaintiff’s evidence further revealed that in 1933, exact dates not shown, he worked for the city of Kirksville for a day and a half and was paid for it; that he worked out in the cemetery raking leaves and grass for a day and a half, but did not do any other work except in his own garden where he hoed a few weeks; he did a little work in 1934, mixing mortar in a mortar box with a hoe, using-sand and plaster which comes in sacks, shoveling the same into the box and carrying the mixed mortar in a bucket to where it was being used. He was not regularly in the employ of anyone, but worked a few days now and then for one, Novinger, the latter part of June, 1934. He also worked “a couple of hours last Saturday” (presumably in August or September, 1934) and then “kinda cleaned up some” where Novinger had been plastering; his cleaning-up was done by “picking up stuff off the yard;” he also carried and piled brick, and worked, and was paid for it, for others, and did possibly a dozen little jobs using a rake, a hoe and shovel.

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Lee v. Metropolitan Life Insurance Co.
144 S.W.2d 830 (Missouri Court of Appeals, 1940)

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Bluebook (online)
89 S.W.2d 590, 230 Mo. App. 206, 1935 Mo. App. LEXIS 100, Counsel Stack Legal Research, https://law.counselstack.com/opinion/thomas-v-metropolitan-life-insurance-moctapp-1935.