White v. Equitable Life Assurance Society

124 A.2d 174, 181 Pa. Super. 586, 1956 Pa. Super. LEXIS 527
CourtSuperior Court of Pennsylvania
DecidedJuly 17, 1956
DocketAppeal, No. 118
StatusPublished
Cited by2 cases

This text of 124 A.2d 174 (White v. Equitable Life Assurance Society) is published on Counsel Stack Legal Research, covering Superior Court of Pennsylvania primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
White v. Equitable Life Assurance Society, 124 A.2d 174, 181 Pa. Super. 586, 1956 Pa. Super. LEXIS 527 (Pa. Ct. App. 1956).

Opinion

Opinion by

Woodside, J.,

General George White, as an employe of the National Tube Company was insured under a group life and health policy and a certificate issued thereunder in the sum of $2000 together with disability insurance for a period of 26 weeks at the rate of $26 per week.

He ceased active employment with the tube company on September 10, 1950. Eight days thereafter he filed a claim for disability benefits under the provisions of the above policy. ■ In the proof of loss his physician certified that he was suffering from “flu”. In subsequent claims the physician certified White was suffering from hypertension and hypertension cardiac asthma. The Tube Company issued drafts for disability benefits for a period of 6 weeks ending October 29, 1950. The November contribution continuing the insurance in force for White was deducted from the draft issued on October 20, 1950.

There is testimony that White’s services were terminated on November 9, 1950 after a company investigator returned White’s employment badge with a report, and that notice of termination of his employment was mailed to White and- not returned to the company by the post office. The company records show “reason for termination — quit—not reporting.”

A relative of White ;-r-'eqiVes-ted- 'additional- proof of loss--forms -from thé -Tube-..Company in -order t-o -secure additional -disability b'eiiefits'and-was refused them -on the ground that he was no longer an employe;' There[589]*589after White made no apparent effort to contact his employer or the insurance company. There is no evidence that thereafter he ever claimed to be an employe of the tube company either furloughed or on sick leave.

For three or four weeks, in December 1950, White worked for a construction company, and in May and June of 1951 as a janitor for a department store and from June 1951 to December 1951 as a laborer on the Pittsburgh and Lake Erie Railroad Co. He applied for and received unemployment compensation benefits for the period from January 26, 1951 to April 6, 1951.

March 26, 1952 White died at the age of fifty-eight.

The plaintiff, Annie May White, widow of the deceased, filed an action in assumpsit claiming in her own right as beneficiary under the policy and certificate the sum of $2000 life insurance with interest, and as administratrix of the estate of General George White the sum of $520 with interest for twenty additional weeks of total disability at the rate of $26 per week.

The action in assumpsit was brought against the insurer, Equitable Life Assurance Society of the United States and in the alternative against the employer National Tube Company, now United States Steel Corporation. The action against the employer was brought on the theory that as agent.for its employes under the provisions of the master policy it was remiss in the performance of its duty, thereby allowing the certificate to lapse.

At the trial, after the plaintiff had rested, judgments of compulsory nonsuit were entered upon motion of the defendants. This appeal was taken from the failure of the court below to remove the nonsuits.

The pertinent portions of the group insurance policy are:

[590]*590“Termination of Individual Insurance. The insurance of any employee insured under this policy shall automatically terminate upon the earliest of: (a) the last day of the month in which the employee’s employment in a class insured hereunder is terminated; (b) the last day of the last month for which premiums were paid for the insurance for such employee; (c) the date this policy is terminated or amended to terminate the insurance with respect to the class of employees to which he belongs.
“In the event of disability, the employee may continue his life insurance for one year following the end of the month in which disability commences, . . .
“Limitations Applicable to Disability Benefits. No benefits shall be payable under the provision hereof entitled ‘Disability Benefits’ (a) for any period of disability during which the employee is not under the direct care of a physician, . . .
“Extension of Life Insurance Death Benefit in Event of Total Disability. If any employee, before attaining 60 years of age and before cessation of his life insurance in accordance with the provision hereof entitled ‘Termination of Individual Insurance’ becomes totally disabled by bodily injury or sickness so as to be prevented from engaging in any occupation for compensation or profit and if (1) the employee remains continuously so disabled until his death, and (2) death occurs within the period defined in the following paragraph, commencing on the date of discontinuance of premium payments for the employee’s insurance hereunder, then, upon receipt of due proof of such disability and death, the Society will pay to the employee’s beneficiary an amount of life insurance equal to (a) the amount for which the employee was last insured under the policy if the employee’s death occurs prior to the [591]*591first day of the month following the attainment of 65 years of age, or (b) $1250. if the employee’s death occurs on or after the first day of the month following the attainment of 65 years of age.
“The period referred to in the foregoing paragraph shall be one year except that if before the end of such one year the employee submits due proof that such total disability has continued uninterruptedly until the date of submission of proof but in any event for not less than six months, the period will, subject to the conditions set forth in the following paragraph, be extended during the continuance of such total disability until one year from the date of receipt by the Society of such proof and for further periods of one year each so long as due proof is submitted, within three months prior to the beginning of each such year, that such total disability has existed continuously from the date of the last previous submission of proof.”

The plaintiffs produced documentary evidence, not contradicted, that White quit his employment with the defendant. There is evidence that he was mailed written notice of termination of his employment and that he was told by his wife’s sister-in-laAV that when she went to the employment office of the defendant employer in October or November of 1950 to get disability forms she Avas told that White Avas no longer considered an employe.

No insurance premiums Avere paid to the assurance company for the period subsequent to November 1950. During the time betAveen November 1950 and his death in March 1952 the employer had no Avages or disability payments from which it could deduct the insurance premium due from White to the assurance company. This White kneAV. Therefore, it was his responsibility, not Ms employer’s, to see that the premiums were paid if he desired to keep the policy alive.

[592]*592. It would seem clear, therefore, that White’s employment having been terminated, his insurance automatically terminated upon the last day of the month for which a premium ivas paid as provided in the group policy and the certificate. Peyton v. Equitable Life Assurance Society, 159 Pa. Superior Ct. 318, 48 A. 2d 145 (1946) : Best v. Equitable Life Assurance Society, 165 Pa. Superior Ct. 452, 68 A. 2d 400 (1949).

Free access — add to your briefcase to read the full text and ask questions with AI

Related

Commonwealth ex rel. Rothman v. Rothman
223 A.2d 919 (Superior Court of Pennsylvania, 1966)
Henderson v. Prudential Insurance Co. of America
238 F. Supp. 862 (E.D. Michigan, 1965)

Cite This Page — Counsel Stack

Bluebook (online)
124 A.2d 174, 181 Pa. Super. 586, 1956 Pa. Super. LEXIS 527, Counsel Stack Legal Research, https://law.counselstack.com/opinion/white-v-equitable-life-assurance-society-pasuperct-1956.