Vicars v. Mutual Benefit Health & Accident Ass'n

81 S.W.2d 874, 259 Ky. 13, 1935 Ky. LEXIS 263
CourtCourt of Appeals of Kentucky (pre-1976)
DecidedApril 26, 1935
StatusPublished
Cited by3 cases

This text of 81 S.W.2d 874 (Vicars v. Mutual Benefit Health & Accident Ass'n) is published on Counsel Stack Legal Research, covering Court of Appeals of Kentucky (pre-1976) primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Vicars v. Mutual Benefit Health & Accident Ass'n, 81 S.W.2d 874, 259 Ky. 13, 1935 Ky. LEXIS 263 (Ky. 1935).

Opinion

Opinion of the Court by

Judge Perry

Affirming

The appellant, Dr. Thomas G-. Vicars, brought this *14 action to recover damages claimed suffered by Mm as •a result of the refusal of the appellee, the Mutual Benefit Health & Accident Association, to renew on January 1, 1934, a health and accident insurance policy issued to him October 29, 1927.

Upon the trial of the cause, at the conclusion of the testimony, the court gave a directed instruction to return a verdict for the insurance company, upon which judgment was entered dismissing plaintiff’s petition with costs.

Dr. Yicars has apealed, complaining that the giving of the peremptory instruction was erroneous.

By the terms of the policy, which the company refused to renew upon tendered payment of premium “therefor by appellant, it is provided that:

“(c) * * * This policy is issued in consideration of * * * the payment in advance of $27 as first payment; and the payment in advance of premiums of $17 quarterly or $68 annually thereafter beginmng with April 1, 1928, is required to keep this policy in continuous effect.”

The policy in question is a health and accident policy, which provides indemnity (1) for death only if such results from bodily injuries sustained through accidental means, and (2) for disability (a) caused by such injuries or (b) by sickness.

The policy is also one for term insurance and provides that, “(d) The term of this policy begins * * * on the date of issue * * * and ends at 12 o’clock noon of date any renewal is due,” and also that its renewal shall be optional with the company, the third paragraph of clause (c) providing that the “acceptance of any premium on this policy shall be optional with the Association.” Also, a “rider” attached to the policy recites, as agreed by the contracting parties, “that:

“The Association cannot cancel this policy during any period for which the premium has been paid.
“It is further understood and agreed that tMs policy cannot be canceled by the Association during any period of disability of the Insured.”

*15 The appellee insurance company refused, upon the ■expiration of the quarterly term ending January 1, 1934, to extend the term of the policy beyond that date, though advance payment of the quarterly premium of $17, then due for the succeeding quarter, was made by the insured (appellant) to the company’s local agent. The company’s refusal to renew the policy after such payment and its return on January 16, 1934, of the premium, as constituting a breach of the contract, is the basis of this suit.

It is shown by the record, and admil icd, that in June, 1933, Dr. Vicars was afflicted with peptic ulcers of the stomach, causing his total disability for a period of several weeks, for which the company paid him $360 as a disability benefit, and, in consideration of which, as being in compromise of his claim, he executed it a written release “from any and all liability # * * for or on account of any loss or liability due either directly or indirectly to any * * * sickness or disability occurring or commencing on or about the 1st day of June, 1933.

“It is further understood and agreed that the payment to me of the above specified sum and the acceptance of said sum by me, is done in, and as, a compromise, and that the same is and forever shall be, a bar to any suit at law or otherwise upon said policy on account of said sickness, injury or liability, or anything resulting therefrom.”

On January 16, 1934, the appellee insurance company returned to J)r. Vicars the $17 payment by draft and advised him that it was in full refund of the premium he had previously paid on December 20th to its local Pineville agent, as the remittance could not be accepted by it for extension of the policy, and that the company was unable to arrange a premium rate or terms under which his insurance contract might be renewed.

Dr. Vicars, protesting the company’s refusal to Tenew his policy, filed this action against it therefor, alleging that it was without right, under the provisions of the policy and facts stated, to refuse to renew it and that he had suffered damages by reason thereof in the sum of $2,500, for which he asked recovery.

Defendant answered, traversing the averments of *16 the petition and pleaded the terms of the policy and that the facts alleged did not bring the case within the terms of the restrictive “rider” attached to the policy.

Upon trial, at the conclusion of the evidence, the defendant moved for a directed verdict, which the court granted, instructing the jury that:

“This case has come down to a question of law, as the Court understands it, and the plaintiff, in my judgment, has not proven that he was injured in any way during the time his policy was in force.”

Challenging the propriety of this instruction, the appellant seeks a reversal of the judgment entered upon the directed verdict.

In our consideration and disposition of this contention, it is to be noted, as hereinabove set out, that the policy expressly provides that its renewal is optional with the company. But appellant contends that, even conceding such right of the company to refuse renewal of the policy, it was restrained from its exercise by reason of the rider qualifications made to the policy that it could not be canceled (a) during any period for which the premium has been paid and (b) during any period of disability of the insured. He contends that inasmuch as he had made advance payment of the quarterly premium on December 30, 1933, extending the policy in force for a further three-month period, the policy was thereby renewed, with the result that the company wrongfully and in violation of this rider provision had canceled the policy.

However, it is to be noted that the action before us was not one seeking recovery under the policy, as one then rightly in effect, for disability suffered either prior or subsequent to its attempted cancellation in January, 1934, by reason of his disability arising from peptic ulcers or other disability. Also it is to be noted that it is not alleged by the petition that he had suffered any disability covered by the policy for which he had not been paid prior to its attempted cancellation, nor was his suit one in equity to enforce the company’s renewal of his policy or to compel it to recognize it as being one then in force by reason of his premium payment thereon. Rather, his action is one only seeking *17 damages alleged suffered by reason of the company’s alleged wrongful cancellation of it, without any showing made by the proof that he has suffered damage. '

In view of these admitted facts disclosed by the record, we are not inclined to regard the ruling of the learned trial court as improper in dismissing plaintiff’s petition, by which he sought damages where none were shown, by the evidence introduced, to have been suffered.

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Related

Chastain v. United Insurance
96 S.E.2d 464 (Supreme Court of South Carolina, 1957)
Harwell v. Mutual Benefit Health & Accident Ass'n
35 S.E.2d 160 (Supreme Court of South Carolina, 1945)
Abrams v. Metropolitan Life Insurance
224 N.C. 1 (Supreme Court of North Carolina, 1944)

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Bluebook (online)
81 S.W.2d 874, 259 Ky. 13, 1935 Ky. LEXIS 263, Counsel Stack Legal Research, https://law.counselstack.com/opinion/vicars-v-mutual-benefit-health-accident-assn-kyctapphigh-1935.