THE EQUITABLE LIFE ASSURANCE SOCIETY OF THE UNITED STATES
v.
RAYMOND L. MCKEITHAN

Fla. | 1935-03-25
Whitfield, C. J., and Brown and Davis, J. J., concur., Ellis, P. J., and Terrell and Buford, J. J., concur in the opinion and judgment.
119 Fla. 486 Florida Supreme Court (1935) Positive Treatment
Also reported at: 160 So. 883
Cited by 29 cases

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Synopsis

This case concerns an insurance policy's definition of "total disability." The court affirmed a judgment for the insured, finding sufficient evidence of disability and upholding the lower court's denial of the insurer's motions for a directed verdict and new trial.


Holding

Yes, the court found that there was sufficient evidence to support the jury's verdict. The court affirmed the lower court's decision, stating it could not find that a new trial should be awarded based on the insufficiency of the evidence.


Key Quotes

“Total disability as used in a policy of insurance like that here considered does not mean a state of absolute helplessness. It means inability on the part of the insured to do substantially all of the material acts necessary to the insured’s engaging in any occupation for remuneration or profit, taking into consideration his mental and physical capacities so to do if he so wished.”

This quote defines the court's interpretation of "total disability" under the insurance policy.

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Facts & Procedural History

The plaintiff sued to recover monthly payments under an insurance policy for alleged total and permanent disability that prevented him from engaging i…

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Opinion of the Court
Per Curiam.

Per Curiam.

This suit was one wherein judgment was rendered against plaintiff in error in a suit at law to recover monthly payments for alleged total and presumably permanent disability alleged as preventing plaintiff below from engaging in any occupation for remuneration or profit. The major question presented is the sufficiency of the evidence as to disability to support a recovery.

The policies sued on were made part of the declaration and show the nature of the agreement to be one whereby the insurance company became liable when it was alleged and duly made to appear that the insured had become presumably permanently disabled within the description of a presumably permanent disability as that phrase is employed in the policies sued on, under the heading “Total and Permanent Disability.” The policies sued on provided as follows:

“Total and Permanent Disability. — Upon receipt of due proof as hereinafter provided that the Insured, while this policy was in force and no premium hereunder in default, became totally disabled as hereinafter defined due to bodily injury or disease before the anniversary of the Register date of this policy upon which the Insured’s age at nearest birthday is 60 years and that such Total Disability has existed continuously for at least four months, the Society will, subject to the conditions set forth below, presume such Total Disability to be permanent and” (Emphasis supplied). * * * •

*488“(b) Pay to the Insured for the fourth and each subsequent completed month of such Total Disability during its continuance The Monthly Disability Income stated on the first page hereof, provided, however, that no income shall be payable for any period of total disability more than one year prior to receipt-at the Home Office of the Society of written notice of claim. The first payment hereunder shall be made upon receipt of such due proof and an additional payment upon the completion of each additional month of such total disability during its continuance.” * * *

“Definition. Disability is total when it prevents the Insured from engaging in any occupation for remuneration or profit.”

The rule in Florida is that a declaration is sufficient which contains all esesntials of a cause of action whether by direct allegations or by fair inference from the direct allegations Chase v. Atlantic Coast Line R. R. Co., 94 Fla. 922, 115 Sou. Rep. 185; Williams v. Pringle, 61 Fla. 485, 54 Sou. Rep. 452. We find the declaration in this case well within the rule just stated.

The sufficiency of the evidence to support the verdict was raised by a motion for a directed verdict for the insurance company and by a motion for a new trial, both of which were denied. After a complete review of what appears in the transcript, this Court cannot say that within the rule controlling that subject in this Court, a new trial should be awarded by it on the insufficiency of the evidence to support the verdict returned which has had the approval of the trial judge in the court below.

Total disability as used in a policy of insurance like that here considered does not mean a state of absolute helplessness. It means inability on the part of the insured to do substantially all of the material acts necessary to the in*489sured’s engaging in any occupation for remuneration or profit, taking into consideration his mental and physical capacities so to do if he so wished. See Note to 51 A. L. R. 1048, and cases cited. Under the language of the policies the presumption of permanence attaches to a proven total disability afte'r it has existed continuously for at least four months. The insured is contractually entitled to the benefit of such presumption in aid of recovery until the insurer succeeds in overthrowing such presumption in the manner provided for under the heading “Recovery from Disability” which reads' as follows:

“Recovery from Total Disability. The Society shall have the right at any time during the first two years after receipt of such proof, and thereafter once a year, to require proof of the continuance of such Total Disability. If satisfactory proof is not furnished, or if it appears at any time that such total disability has terminated, no further premiums will be waived and no further Disability Income payment will be made on account of such total Disability.” (Emphasis supplied.)

Other propositions argued have been considered but no special comment is found to be necessary with reference to same. We have found no reversible error in the refusal of the special charges requested nor in the rulings on the admissibility of evidence.

Judgment affirmed.

The question of the invalidity of the policies sued on, argued by counsel is not before us for consideration as it is not presented by the pleadings.

Judgment affirmed.

Whitfield, C. J., and Brown and Davis, J. J., concur.

Ellis, P. J., and Terrell and Buford, J. J., concur in the opinion and judgment.


Cases With Similar Vibessemantic neighbors from the corpus


Citator

Cited By

  • Butler v. Maney, 146 Fla. 33 (Fla. 1941)
    …arly so as to apprise the defendant of the particular acts and circumstances upon which the action is based and all the essentials of a cause of action should be accurately and succinctly stated. See Equitable Life Assur. Soc. of U. S. v. McKeithan, 119 Fla. 486, 160 So. 883; Sickler v. Indian River Abstract Co., 142 Fla. 528, 195 So. 195; Kirton v. Atlantic Coast Line R. Co., 57 Fla. 79, 49 So. 1024; Sylvester v. Lichtenstein, 61 Fla. 441, 55 So. 282; Bowery v. Babbit, 99 Fla. 1151, 128 So. 801. The rule…
  • …or to perform any work for compensation, gain or profit, within the meaning of the policy contract. See Equitable Life Assurance Society of the U. S. v. Wiggins, 115 Fla. 136, 155 So. 327; Equitable Life Assurance Society of the U. S. V. McKeithan, 119 Fla. 486, 160 So. 883. See also Hagman v. Equitable Life Assurance Society, 214 Ky. 56, 282, S. W. 1112; John Hancock Mut. L. Ins. Co. v. Cave, 240 Ky. 56, 40 S. W. (2d) 1004, 79 A. L. R. 848 In the later case of Davis v. New England Mutual Life Insurance C…
  • …for new trial. The evidence is quite voluminous and no good purpose would be served by summarizing or analyzing it in this opinion. We are [*89] convinced that it was sufficient to sustain the verdict. See Equitable Life Assurance Soc. v. McKeithan, 119 Fla. 486, 160 So. 883, and cases cited.- The preponderance of the evidence tended to prove that the plaintiff had been afflicted for several years with an incurable and painful type of arthritis, progressive in its nature, which in the opinion of several rep…

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