Travelers Insurance Company v. Brewer

351 S.W.2d 116, 1961 Tex. App. LEXIS 2695
CourtCourt of Appeals of Texas
DecidedOctober 16, 1961
Docket7084
StatusPublished
Cited by3 cases

This text of 351 S.W.2d 116 (Travelers Insurance Company v. Brewer) is published on Counsel Stack Legal Research, covering Court of Appeals of Texas primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Travelers Insurance Company v. Brewer, 351 S.W.2d 116, 1961 Tex. App. LEXIS 2695 (Tex. Ct. App. 1961).

Opinion

DENTON, Chief Justice.

Nell Brewer, appellee, surviving wife and beneficiary of F. M. Brewer, deceased, brought this suit against appellant, The Travelers Insurance Company, for accidental death benefits and medical and hospital expenses under a group insurance policy. Trial was to a jury and based on the jury’s answer to the one special issue submitted, the trial court entered judgment for the plaintiff below.

Brewer had been a motor grader operator for Gilvin-Terrill, Inc., a construction company, for several years. Travelers issued group insurance policy No. GA 22738 to Gilvin-Terrill for certain benefits to its employees. Monthly premiums were paid to the insurance company by the employer based upon the number of its employees during that payment period. Brewer was discharged by his employer on April 4, 1960, and was killed in an automobile collision on April 22, 1960. Brewer was an insured employee of Gilvin-Terrill under the group policy above referred to at the time he was discharged. These material facts are either admitted by answers to requests for admissions or uncontroverted. In response to the only special issue submitted, the jury found Brewer was totally disabled by bodily injury or disease so as to prevent him from engaging in any occupation or employment for remuneration or profit from April 4, 1960 until his death on April 22 of the same year. Appellant by brief now accepts this jury finding as true for the purposes of this appeal.

The controlling question to be deter' mined is whether or not Brewer was insured under the group policy in question from the time he was discharged to the date of his death. To decide this question we must look to the material provisions oi the policy. These material provisions are as follows:

“Article III — Termination Of Insurance
“Section 1. Employee And Dependents Insurance:
“(I) Except as hereinafter provided in this Article, all insurance on any Employee covered hereunder shall terminate at the earliest time specified below:
«a> * * *
“¾. * * *
“c. When he shall leave the service of the Employer, be dismissed therefrom, or be pensioned or retired.
“(II) Subject to the payment of premium by the Employer, insurance may be continued in force during the continuance of the group policy as follows :
*118 “a. In any case where an Employee at the time of cessation of active work shall be insured and shall be wholly disabled and prevented by bodily injury or disease from engaging in any occupation or employment for remuneration or profit, all insurance may be continued during the continuance of such disability.
"b. * * *
“Article IV — Premiums
“Section 1. Premium Rates * * *
“Section 5. Grace Period
“If the Employer has not given written notice to the Company that the policy is to be discontinued, a grace of Thirty-one days during which the policy will remain in full force will be allowed for the payment of any premium after the first, provided that if the Employer shall fail to pay such premium, the Employer shall pay a pro rata premium for the period between the last premium due date and the date of written notice by the Employer that the insurance will not be continued, or for the days of grace if the Employer shall fail to give such notice before expiration of the days of grace.”

Appellee takes the position the lower court’s judgment is correct on the ground Brewer’s total disability from the date of his discharge until his death extends the coverage to the latter date under Art. Ill, Sec. I and Sec. 11(a) of the policy; and for the additional reason his death came within the thirty-one days grace period set out in Art. IV, Sec. 5. On the other hand, appellant contends that under these same provisions of the policy the insurance terminated as to Brewer and his beneficiary on the date of his discharge, and that the grace period provision has no application in the instant case.

The thirty-one days grace period provided for in the policy cannot be construed to extend the coverage as to Brewer’s beneficiary. That section simply prevents the lapse of the policy for the nonpayment of premiums by the employer for a period of thirty-one days. The policy contains no provision whereby the employee may convert the insurance into an individual policy. We are not concerned with a case of the lapse of the policy for the non-payment of premiums, but a termination of the insurance as to one employee under the group policy.

The overwhelming majority of the cases, have held that a clause in a group insurance policy, the coverage of which ceases upon termination of employment, which prescribes a grace period of specified duration for the payment of premiums does not extend the coverage of an employee insured under such policy after the termination of his employment. 68 A.L.R.2d, Sec. 78, p. 127 explains this rule in the following language :

“The above rule is not affected by an additional statement in the provision for a grace period that during such period the policy shall remain in-force. This is so because, according to the reasons given by the courts, the provision for a grace period is personal to the employer and does not have the effect of extending the insurance of the employee for such time, its purpose being only to extend the time for paying of premiums and not to extend the period of coverage after the termination of employment.”

Texas courts have consistently adopted this view. Lewis v. Connecticut Gen. Life Ins. Co. (Tex.Civ.App.) 94 S.W.2d 499 (writ refused) ; Schooley v. Metropolitan Life Ins. Co. (Tex.Civ.App.) 77 S.W.2d 886 (no writ history) ; De Pauw v. Aetna Life Ins. Co. (Tex.Civ.App.) 268 S.W.2d 734 (no writ history). We therefore conclude the thirty-one days grace period provided for in Art. IV, Sec. S is not applicable and does not extend the insurance coverage to the appellee.

*119 Being of the opinion the grace period has no application in supporting appel-lee’s claim, we must look to the material provisions of Art. Ill of the policy to determine whether or not the insurance had terminated.

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Cite This Page — Counsel Stack

Bluebook (online)
351 S.W.2d 116, 1961 Tex. App. LEXIS 2695, Counsel Stack Legal Research, https://law.counselstack.com/opinion/travelers-insurance-company-v-brewer-texapp-1961.