Stephenson v. American Nat. Ins. Co.

Decision Date07 January 1935
Docket Number18150
PartiesSAM C. STEPHENSON ET AL., RESPONDENTS, v. AMERICAN NATIONAL INSURANCE CO., APPELLANTS
CourtKansas Court of Appeals

Appeal from Circuit Court of Adair County.--Hon. Henry Rouse, Judge.

AFFIRMED.

Judgment affirmed.

Rieger & Rieger for respondents.

E. M Jayne for appellant.

TRIMBLE J. SHAIN, P. J., concurring.

OPINION

TRIMBLE, J.

On April 25, 1927, the appellant, American National Insurance Company, issued and delivered to one of the plaintiffs, Missouri State Teachers Association, what is termed a "Master Policy" of insurance (otherwise called a group policy), No. G-4600, whereby it granted insurance to such members of the Missouri State Teachers Association as elected to carry what, for convenience, we will call individual insurance, and who paid thereon the required premiums. This master policy created term insurance which would expire on June 1, 1928, but on that date could be renewed for a like period of one year, upon payment of the requisite premiums for that year and so on yearly thereafter so long as the premiums for the next year were paid. It was thus properly renewed until noon of June 1, 1932. Said master, or group policy No. G-4600 promised, among other things, to pay, in complete discharge of liability to any person injured, the amount payable in the event of said person's death if said person has, during the existence of said master policy, and like-wise of his certificate, suffered, for a period of at least six months, total disablement which began before the person injured had attained the age of sixty years. Such total disablement "must be shown to be such as to justify the presumption that it would continue throughout the entire lifetime of the said person and during that time wholly prevent the said person from pursuing any occupation for wages, compensation or profit." Of course, the policy required notice or "due proof" of these matters, but as no question is raised as to the furnishing of notice, no mention is made of the requirement of such notice.

The plaintiff, Sam Charles Stephenson, was, on June 1, 1929, insured by certificate No. 2523, issued by authority of said master policy, in the sum of $ 5000, to be paid to him on the terms and conditions in reference to disablement as has been hereinabove stated.

Alleging that he is now (April 15, 1933), forty-nine years of age, and, during all the times since May 15, 1932, he was and is totally and permanently disabled for life as hereinbefore set out and described, he brought this action against the American National Insurance Company, appellant herein, for said sum of $ 5000.

It seems that on the twenty-first of April, 1932, a master policy No. G-101 was by another company, the North American Life Insurance Company of Chicago, issued to the Missouri State Teachers Association, and under said master policy No. G-101 a policy or certificate No. 1057 was issued to Sam C. Stephenson for $ 5000 "payable if the member becomes totally and permanently disabled before age sixty," such payment, however, was to be in certain installments chosen by the member, the number and amount of which to be according to a certain table named in the paragraph entitled "Modes of Settlement."

On November 3, 1933, after suit was brought against the American National Insurance Company it, in an answer filed, asked the court to cause the North American Life Insurance Company of Chicago (being the other, or second, company hereinabove mentioned), to be made a party defendant; and in compliance with the request of said first named defendant, the American National Insurance Company, the court made said North American Life Insurance Company of Chicago a party defendant, and ordered a writ or summons for it, all of which was done.

Thereupon, in accordance with that situation brought about by the first named defendant, an amended petition was filed in which insured, Stephenson, and Missouri State Teachers Association are plaintiffs and both of the aforementioned insurance companies were defendants.

Said amended petition, omitting allegations as to plaintiff Stephenson's business and residence, and the incorporation of the other parties to the suit, contained the following allegations:

"Plaintiffs further state that on June 1, 1929, defendant, American National Insurance Company, made, executed and delivered its certificate of insurance No. 2523, dated of that date whereby in consideration of the payment by plaintiff Stephenson to defendant, American National Insurance Company, of premiums, dues and assessments said defendant on said date delivered its said policy to plaintiff Stephenson, in which policy it recites that said defendant insured said plaintiff in sum of $ 5000, to be paid to the beneficiary of said plaintiff upon the death of said plaintiff or payable to said plaintiff upon his total permanent disability, upon due proof furnished to said defendant that said plaintiff has suffered, subsequent to the date of said May 15, 1932, for a period of six months, total disablement, and before this plaintiff attained the age of sixty years, and that said total disablement be shown to be such as to justify the presumption that it would continue throughout the entire subsequent lifetime of plaintiff Stephenson, and during that time, wholly prevent plaintiff Stephenson from pursuing any occupation for wages, compensation or profit. It is further recited in said policy that the same is subject to the terms and conditions of defendant, American National Insurance Company, group policy No. G-4600, executed and delivered by said defendant insurance company to the plaintiff association, with which association plaintiff Stephenson had at all times herein mentioned group insurance relationship. Said policy No. 2523 is herewith filed and made a part of this petition.

"Plaintiff Stephenson further states that on May 15, 1932, while said policies No. 2523 and No. G-4600 were in full force, said plaintiff, by reason of blood disease, disease of the leg, mental disease, chronic nephritis and diabetes was and became on said date totally and permanently disabled thereby and at all times since said date and now, he was and still is totally and permanently disabled, and said total disablement was and is such as to justify the presumption that said disablement will continue throughout the entire subsequent lifetime of this plaintiff, and during all the times since May 15, 1932, wholly prevented him from pursuing any occupation for wages, compensation or profit and will so disable him during his remaining lifetime; that he is now of the age of forty-nine years; that he further states that at all of the times herein mentioned since June 1, 1929, he was and still is in good standing with and a member of plaintiff, Missouri State Teachers' Association, and was during said times a person having through defendant, American National Insurance Company, group insurance relationship with said plaintiff association under group policy No. G-4600, and has at all times paid all his dues, costs and premiums due to said plaintiff association and to said defendant, American National Insurance Company. That said plaintiff association was at all times herein mentioned in good standing with defendant, American National Insurance Company, and he has paid, kept and performed all of the terms of said group policy No. G-4600 and the terms of said policy No. 2523 and said plaintiff association has also kept and performed all of its agreements and terms of said group policy No. G-4600 and policy No. 2523.

"Plaintiffs further state that on April 21, 1932, plaintiff association secured from defendant North American Life Insurance Company of Chicago, its group life policy No. G-101, which said policy by its terms became effective at noon June 1, 1932, and that said policy was secured by said plaintiff association to continue insurance on the lives of such members of said plaintiff association as desired to continue carrying such group insurance; that on said June 1, 1932, plaintiff Stephenson was a member of said association in good standing; that thereupon on said June 1, 1932, said defendant, North American Life Insurance Company, made, executed and delivered its policy and certificate to plaintiff Stephenson, said certificate being No. 1057, by the terms of which and in which certificate it recites that said defendant agrees to pay to the beneficiary of plaintiff Stephenson, in event of his death, the sum of $ 5000 and if the said Stephenson becomes totally and permanently disabled before he reaches the age of sixty years that said defendant would pay to him the said sum of $ 5000 and, that upon receipt of due proof said plaintiff Stephenson has become totally and permanently disabled by bodily injury or disease so as to be wholly prevented thereby for life from engaging in any occupation or business for remuneration or profit and that such total disability already continued uninterruptedly for at least six months, said company, to-wit: North American Life Insurance Company, will waive further payment of premium as to such Stephenson and will pay in full settlement to said Stephenson under said policy the sum of $ 5000. That said policy and certificate No. 1057 is herewith filed and made a part of the petition.

"Plaintiffs further state that on June 1, 1932, while said policies No 1057 and No. G-101 were in full force said plaintiff Stephenson by reason of blood disease, disease of the leg, mental disease, chronic nephritis and diabetes was and became on said date totally and permanently disabled so as to be wholly prevented thereby for life from engaging in any occupation or business for remuneration or profit and that such ...

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