Wolfe v. Mutual Life Insurance Co.

3 Tenn. App. 199, 1926 Tenn. App. LEXIS 90
CourtCourt of Appeals of Tennessee
DecidedJuly 24, 1926
StatusPublished
Cited by8 cases

This text of 3 Tenn. App. 199 (Wolfe v. Mutual Life Insurance Co.) is published on Counsel Stack Legal Research, covering Court of Appeals of Tennessee primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Wolfe v. Mutual Life Insurance Co., 3 Tenn. App. 199, 1926 Tenn. App. LEXIS 90 (Tenn. Ct. App. 1926).

Opinion

CROWNOVER, J.

This was a suit on five policies of insurance of $1000 each, issued on June 6,1923, by the defendant, Insurance Company, on the life of complainant’s husband, Samuel V. Wolfe, payable to the complainant, and for twenty-five per cent penalty provided by statute. The premiums on said policies had been paid for one year but no other premiums were paid. The assured was stricken with appendicitis on July 4, 1924, and was immediately operated upon and died on July 11, 1924. After he was stricken he was never able to transact any business.

The policies contained provisions that all premiums were payable annually on June 6th, of each year in advance, and a grace of thirty-one days was granted for the payment of every premium after the first during which period of grace the insurance should continue in force, and if any premium be unpaid at the end of grace, then the policy would immediately cease and become void, and all premiums paid be forfeited.

Each policy contained provisions for benefits in> the event of total and permanent disability, for which the assured was charged $2.59 annually. Each policy provides that if the assured shall before attaining the age of sixty years and provided all past clue premiums have been duly paid and the policy is in full force and effect, furnish due proof to the company at its home office (in the City of New York), of such disability, then the company will, during the continuance of such disability, waive payment of each premium as it becomes due, commencing with the first premium due after approval of due proof of such disability, and that any premium due prior to such approval by the company must be paid in accordance with the *201 terms of the policy, but if due after receipt of said due proof, if paid, will be refunded upon approval of such proof.

The bill alleged the issuance of aforesaid policies and the payment of the first premium, the illness and death of the assured, and that sometime prior to the death of the assured he was ill and totally incapacitated by reason of his mental and xfiiysical condition to transact business of any kind; and charged that under the terms of said policies, by reason of his condition, the said policies did not lapse and the assured had not forfeited his rights in said policies. It was further alleged in the bill that the formal proof of the assured’s death was made and furnished to the defendant and that it had arbitrarily refused to pay the amount of said policies; hence, this suit was- instituted for the sum of $5000, together with the twenty-five per cent penalty, provided by the statute.

The defendant, company, answered and denied all liability, and relied on the defenses:

(1) That the policies had lapsed for the non-payment of premiums;

(2) That the dividends of $5.94 proposed to be allowed on each policy were not applied on the premium, because no dividends had actually accrued under the terms of the policies, as each policy provided that a dividend should accrue upon the payment of the second premium, and this second premium had not been paid by the assured, hence, he was not entitled to any dividend; that the policies also provided that after the payment of the second premium, the accrued dividend might be applied upon the payment of the premium when so requested by the assured, which request was not made by the assured;

(3) That the assured was not entitled to disability benefits, including the waiver of payment of premium, because no proof of disability was ever furnished to the company at its home office or elsewhere.

(4) Because the bill did not allege that the defendant company had waived payment of the second year’s premium on due proof of total disability.

At the hearing the chancellor. dismissed the bill, and the complainant has appealed’ and has assigned errors insisting that the chancellor erred:

(1) Because the assured was stricken within the thirty-one days of grace, while the policies were in force, and that the lapsing of a policy insuring against total disability does not operate as a release of the insurer from liability which has arisen prior to the time of lapsing of the policy.
(2) Because the company mailed notices to the assured in which it was stated that each policy had earned a dividend of *202 $5.94 during tbe preeeeding year which had been credited on the premium on each policy, and which operated as part payment of the premiums and left the policies in force.

After a careful examination of the authorities we are constrained to hold that neither of the assignment of errors is well taken.

These policies were issued on June 6, 1923, and the premiums were paid for the first year. No other premiums were paid. By the terms of the policies, a grace of thirty-one days was granted for the payment of the premium, during which period of grace the insurance continued in force. The days of grace expired on July 7, 1924. The assured was stricken with appendicitis on July 4th, and died on July 11,1924. He was thirty-five years of age. Neither the assured nor the complainant furnished any proof of his disabilities to the company at its home office or elsewhere before the thirty-one days of grace had expired, as required by the policies. The company did not agree to waive payment of premiums except those due after approval of due proof. The provisions of the policies with respect to the benefits in the event of total and permanent disability are in part as follows:

“When such benefits take effect. If the insured, after payment of premiums for at least one full year, shall, before attaining the age of sixty years and provided all past due premiums have been duly paid and this policy is in full force and effect, furnish due proof to the compány at its home office either (1) that he has become totally and permanently disabled by bodily injury or disease, so that he is,, and will be, permanently, continuously and wholly prevented thereby from performing any work for compensation, gain or profit, and from following any gainful occupation, (2) that he has suffered any of the following ‘Specified Disabilities’ etc., . . . the company, upon receipt of approval of such proof, will grant the following benefits:
First, Waiver of Premium. The company will during the continuance of such disability, waive payment of each premium as it becomes due, commencing with the first premium due after approval of said due proof. Any premium due prior to such approval by the company must be paid in accordance with the terms of the policy, but if due after receipt of said due proof, will, if paid, be refunded upon approval of such proof.
Second, Income to insured. The company will, during the continuance of such disability, pay to the insured a monthly income at the rate of $10 for each $1000 of the face amount of this policy (but not include dividend additions), the first such monthly payment being due on receipt of said due proof and subsequent payments on the first day of each calendar month *203 thereafter, if the insured be then living and such disability still continue.

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Bluebook (online)
3 Tenn. App. 199, 1926 Tenn. App. LEXIS 90, Counsel Stack Legal Research, https://law.counselstack.com/opinion/wolfe-v-mutual-life-insurance-co-tennctapp-1926.