Felts v. Shenandoah Life Ins. Co.

Decision Date25 March 1942
Docket Number238.
Citation19 S.E.2d 259,221 N.C. 148
PartiesFELTS v. SHENANDOAH LIFE INS. CO., Inc.
CourtNorth Carolina Supreme Court

Civil action to recover $1,000 alleged to be due plaintiff as beneficiary in a certain policy of insurance which was issued to James E. Felts by the defendant, May 13, 1938.

Plaintiff alleges that James E. Felts died on the 22nd day of July 1939, and that from and after January 18, 1939, he was wholly and permanently disabled from performing any work or transacting any business; and further alleges that after the insured became permanently disabled to engage in any kind of work and before the annual premium for the year 1939 was due notice of said disability was given to T. H. Settle defendant's local agent, who resides in North Wilkesboro Wilkes County, N. C.

The defendant alleges and contends that, under the terms of the policy issued to the insured, it was incumbent upon the insured, or his representative, to give due notice to the home office of the defendant of such disability and to make satisfactory proof thereof on forms which would be furnished by defendant on request of insured, and that said written forms were to be submitted within one year from the beginning of the total disability, provided such disability had continued for a period of not less than six consecutive months. Defendant further contends the policy lapsed for failure of the insured to pay the annual premium of $38.83 on May 13, 1939.

It was admitted by plaintiff that the insured did not pay the second annual premium alleged to be due on the policy, May 13, 1939.

The plaintiff and defendant offered evidence at the trial below.

The following issues were submitted to the jury:

"1. Did the defendant execute to James E. Felts the policy of insurance as described in plaintiff's complaint? Answer: Yes.

"2. Was James E. Felts, the insured, permanently, continuously and wholly disabled by disease from pursuing any occupation for compensation or profit from January 18, 1939, until July 22, 1939? Answer: Yes.

"3. Was James E. Felts, the insured, totally incapacitated from giving notice to the defendant of his disability from July 18, 1939, to July 22, 1939? Answer: Yes.

"4. What amount, if any, is the plaintiff entitled to recover of the defendant? Answer: $1,000.00."

From the judgment on verdict, defendant appealed to the Supreme Court and assigns error.

Whicker & Whicker, of North Wilkesboro, for plaintiff.

John R. Jones, of North Wilkesboro, for defendant.

DENNY Justice.

A copy of the insurance policy issued to James E. Felts was introduced in evidence at the trial below as well as Supplemental Contract issued in connection with and constituting a part of the Principal Contract.

We think all the exceptions of the defendant can be disposed of by a consideration of the pertinent parts of the insurance contract, which appear in the Supplemental Contract, as follows:

"Supplemental Contract issued in connection with the Company's Policy No. 125,659, on the life of James Evert Felts, which is the Principal Contract.

"If before default in the payment of any premium under the Principal Contract and this Supplemental Contract, and before the sum insured or any installment thereof becomes payable, and prior to the anniversary date of the said Policy nearest to the fifty-fifth birthday of the Insured, said Insured has become physically and incurably disabled by disease or bodily injury, occurring and originating after the date of this Supplemental Contract or any reinstatement thereof, so that the Insured is and will be permanently, continuously and wholly prevented thereby from engaging in, participating in or performing not only the usual occupations of the insured, but also engaging in or participating in any other occupation whatsoever, or from performing work of any kind for compensation or profit of any kind whatsoever, and will be disabled for life, and satisfactory proof thereof, (on forms which will be furnished by the Company on request), is submitted within one year from the beginning of the total disability, provided such disability has existed continuously for not less than six consecutive months, (Total Disability of Such Duration Being Deemed to Be Permanent Only for the Purpose of Determining the Commencement of Liability Hereunder) the company agrees, subject to all conditions and limitations hereinafter contained:

"To waive the payment of each premium under said Policy and this Supplemental Contract, beginning with the premium the due date of which next succeeds the date of the receipt by the Company of satisfactory proof that the Insured is totally and permanently disabled.

"If the Insured is physically able to perform some one or more of the duties pertaining to his own, or to any other business, occupation or work for compensation or profit, he shall not be deemed totally disabled within the meaning and intent of the provisions hereof.

"Proof of claim, as outlined above, must be given to the Company during the lifetime of the Insured and during the period of disability, and is a condition precedent to the Insured being entitled to the disability benefits. Insanity or other total incapacity will not excuse the failure to file such proofs. Failure to give such proof within the time provided in this Supplemental Contract shall not invalidate any claim if it shall be shown not to have been reasonably possible to give such proof and that proof was furnished as soon as it was reasonably possible.

"In event any premium on the Principal Contract or on this Supplemental Contract is in default not more than six months before total and permanent disability is established and it is shown that the disability began prior to the due date or prior to the expiration of...

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