77 N.Y.S. 770 | N.Y. App. Div. | 1902

Adams, P. J.:

The defendant is a fraternal and mutual benefit association, organized under the laws of the State of Michigan, the primary object of such association being the insurance of its members against death or accident. Its organization and the several branches thereof are called respectively supreme and subordinate tents.

On the 8tli day of March, 1887, the plaintiff made written application for membership of Centre Tent No. 28 of the association, located at Yorkshire Center in the county of Cattaraugus. On the seventeeth day of April following such application was- duly accepted and upon the twenty-fifth day of the same month an endowment certificate of membership was issued to the plaintiff, by the terms of which he became a beneficiary of the order in good standing, and as such entitled to receive “ the sum of two thousand dollars as a benefit to Sarah J. Beach, his wife, upon- satisfactory proof of his death, and the surrender of this certificate, provided he shall have in every particular complied with all the rules and regulations of the Order.

“ In casé of Permanent or Total Disability or upon attaining the age of seventy years, he will be entitled to receive one-half of said endowment, as provided in the laws of the Order.”

At the time the plaintiff’s ■ application was filed and the benefit *529certificate issued to Mm thereon, section 13 of article 4 of the defendant’s endowment laws provided as follows: “ A member who by reason of a disability incurred after admission to endowment ■membership becomes unable to direct or perform the kind of business or labor which he has always followed and by which alone he can thereafter earn a livelihood, shall be deemed entitled to disability benefits.”

In May, 1895, the defendant’s laws (which form its constitution) were so revised and amended as to provide that Any member holding a benefit certificate* who shall become totally and permanently disabled from any cause, not the result of his own illegal act, to perform or direct any kind of labor or business * * * shall he relieved from the payment of any further dues or assessments * * * and shall be entitled to receive from the disability fund, annually, one-tenth part of the sum for which his benefit certificate is issued.”

At the time* of entering into the contract in question the plaintiff was carrying on a farm of about 120 acres, as a tenant farmer, upon which there was a dairy of thirteen or fourteen cows and he had been engaged in this business for several years prior to the accident hereinafter mentioned. Incidentally he also operated a portable saw mill during about three months in each year. On the 13th day of November, 1895, while engaged in operating this saw mill he was accidentally thrown upon the saw in such manner as "to nearly sever his right arm between the lower and middle thirds thereof. His attending physician, Doctor Krehbiel, thus described the injury which the plaintiff sustained: “ He must have caught it on top of the saw, and sawed all the tendons and muscles off on the front side and back side and cut off the lower bone, and I should think about one-third of the upper bone here, and all the blood vessels and the nerves except a few on top here. There is* two branches of the main nerve, the lower one was severed. The nerve that supplies all the fingers was cut, causing the numbness. The saw cut out over an inch of that lower bone in length and cut out from the muscle so there was a great hole through here. A *530bunch of pieces hung down, flesh and cords and tissúes. The cords for the fingers. All of the tendons except a few on top that supply the thumb. The blood vessels were all cut; the lower artery that supplies most of the hand was cut off; they could not. be joined together so it would restore it. The injury destroyed use of that hand entirely. There is no feeling there except that it feels cold. The circulation is much impaired by the injury to the artéry. * * * Nerve supply is pretty much all destroyed and muscles cut off. It always feels cold; cannot tell if he gets it on hot stove. This is the result of .the injury. * * * The injury is permanent, can never get any better. He cannot do anything with it; it is right in the way; better be off.”

It did appear, however, that, after coming out of the hospital and in May or June after the accident, the plaintiff attempted to do some work upon the farm and about the mill; that he fed his horses, handled a hay fork, operated the lever in his mill with his left hand, and performed such light duties as could b'e accomplished by the use of one hand; but it also appears that he was obliged to employ an additional farm hand and to require much labor from his wife, which he had been accustomed to perform' prior to his injury, such as milking cows, feeding the cattle, etc., and that ulti-. mately he was compelled to give up farming and milling altogether.

Upon this state of facts the defendant refused to pay the indemnity provided in the contract, placing its refusal upon the ground that hy the amended constitution of 1895 the plaintiff, in order to. entitle himself to such indemnity, must show that the disability caused by his injury was both total and permanent in its nature, and that this he had failed to do. The case, therefore, presents for our consideration this question : Did the amendment to the defendant’s constitution, adopted some eight years after the plaintiff’s contract had been entered into, effect such a modification of that contract as will sustain the contention which the defendant now makes ?

Before entering into a discussion of this question it may- not be amiss to refer to the fact that, at the close of the evidence in the case, both parties moved for the direction of a verdict, and when the court denied the defendant’s motion for such direction, no request was made by its counsel to go to- the jury upon any question of fact. In these circumstances it devolved upon the court to dis*531pose of all questions of fact, and if, in directing a verdict in favor of the plaintiff, there was any evidence to sustain the theory' that the plaintiff’s disability was total, as well as permanent, the defendant is concluded thereby. (Westervelt v. Phelps, 171 N. Y. 212; Thompson v. Simpson, 128 id. 270, 283.)

In the verified certificate of Doctors Krehbiel and Foster, attached to the notice dated September 15, 1897, which was put in evidence by counsel for the plaintiff, these physicians state that, after a careful examination of the plaintiff, they find him totally and permanently disabled,” and. Doctor Krehbiel makes a statement to the same effect in a prior certificate signed by him on the twenty-ninth day of May and upon the trial testified thereto with more particularity. Some evidence was also given by the plaintiff himself, which might possibly warrant the finding that his injury had resulted in total disability. Inasmuch, however, as this point is not pressed upon our notice, it is perhaps better to consider the case along different lines. And, first, it is to be observed that the plaintiff’s application and the certificate of membership issued thereon doubtless constitute the contract between the parties and furnish the full measure of their contractual relations and obligations, inasmuch as the plaintiff in his application expressly stipulated that the statements therein contained, together with his application as a whole and the defendant’s constitution, should form the basis of his contract of indemnity. (Matter of Equitable Reserve Fund, Life Assn., 131 N. Y. 354, 369; People ex rel. Meyers v. Masonic Guild, etc., Assn., 126 id. 615.)

And, if the plaintiff’s rights and privileges as a member of the defendant’s association are dependent in any measure upon the constitution of such association, it would seem to follow, as a necessary corollary that they would also be controlled and limited by any amendment which might thereafter be made thereto, provided such amendment be regularly and properly adopted, and provided also that the amendment thus adopted is a reasonable one. (Kent v. Quicksilver Mining Co., 78 N. Y. 159, 182; Angell & Ames Corp. [10th ed.] § 347; Weiler v. Equitable Aid Union, 92 Hun, 277; People v. Medical Society of the County of Erie, 24 Barb. 570; McNeil v. S. T. M. R. Assn., 40 App. Div. 581.)

That there was a power reserved in the defendant’s constitution *532and laws to amend the same must be conceded, and that the amendment in question was accomplished in due form and manner, probably will not be questioned; so that we are brought at once- to a consideration of one of the vital questions involved in this case, and that is, was the amendment of 1895 a reasonable one ?

Perhaps it would be a sufficient answer to this proposition to suggest that the question of reasonableness, like that of totality, was, in the circumstances of the case, one of fact; and assuming, as wé are doubtless justified in doing, that as such it was passed upon by the trial court favorably to the plaintiff, the verdict of the jury might, for reasons already stated, be ■ regarded as conclusive upon this court. But in this connection it seems again advisable to give expression to our Views with some little amplification. , ’

As wé have already seen, the plaintiff entered into contractual relations with the defendant the moment he joined its Order. This he was doubtless induced to do by the assurance given him that he would thereby and under certain specified conditions become entitled to the beneficial' interests which were specifically set forth in the certificate of membership; and- in consideration of such assurance he obligated himself to make certain specified • contributions to the beneficiary fund of the order. This condition of things continued for 'a period of more than eight years, during which period of time it was virtually conceded that the plaintiff fulfilled the' obligations assumed by him in every particular. '

At about this time the defendant deemed it' advisable to amend its laws in such manner as to change its contractual obligation to indemnify the plaintiff in the sum of $1,000 for an injury which should cause either permanent or total disability, to One making total disability the sole condition upon which such sum should be paid, and also by making such sum payable in ten equal annual installments, instead of at one time. This certainly was a most radical change and one which, as has been said in a recent case, amounted to the “ repudiation' of a positive contract.” (Weiler v. Equitable Aid Union, supra.)

If the plaintiff’s right to the payment of the sum named at the time and upon the happening of the contingency mentioned in his contract was not one which was absolutely vested, it was certainly of that nature, and the defendant could not so change its obligation *533as to deprive the plaintiff of the interest upon the amount due him, or any portion thereof, for the period of ten years, or make the contingency upon which the payment of indemnity depended a very different and much less desirable one, without interfering with that right.

It is true that the plaintiff in accepting membership in the order voluntarily placed himself under the conditions and restrictions of its constitution, including the right of amendment reserved therein; but in so doing it was his undoubted privilege to assume that any change which might thereafter be made in its organic law would not only be consistent with the object and purposes of the defendant’s order, but also reasonable in its character.

Suppose the effect of the amendment of 1895 had been to reduce the plaintiff’s indemnity'from $1,000, as specified in the contract, to $500, and had made the payment of this sum conditional upon the loss of both eyes, or both arms, or both legs; or had deferred payment until he reached the- age of eighty years, could there be any question as to the unreasonableness of such a change? The effect of the amendment upon which the defendant rests its contention is different only in degree from what we have suggested by way of illustration; but it nevertheless involves the question of reasonableness, and that question as presented in this case was, as we have already intimated, one of fact.

Our attention has been directed to the case of Hutchinson v. Supreme Tent, etc. (68 Hun, 355), in which it is claimed that the question we are now considering was decided adversely to the plaintiff-; but the facts of that case were quite different from those of the case before us, as were also the terms of the contract entered into between the parties; and for these reasons we do not regard it as in conflict with the views to which we have given expression. But it is said that even if the terms and conditions of the contract had not been changed, but instead had remained as they were when the plaintiff received his certificate, he cannot recover, for the reason that even if his injury was either total or permanent, it was' not of such a character as to render him “unable to direct, or perform the kind of business or labor which he has always followed and by which alone he can thereafter earn a livelihood.”

The language here quoted is taken from that part of the defend*534ant’s laws which defines the disability which shall entitle a member to disability benefits, arid its effect and meaning can best be ascertained by the application of certain familiar rules of construction.

It is to be noted at the outset that this language has been deliberately chosen and incorporated into its laws by the defendant, and for that reason alone it should not receive such a construction as will relieve the defendant from any liability whatever, as would be the case if we were to give to it the one contended for by the defendant; for it is somewhat difficult to conceive of a case where a party could be so severely injured as to be entirely disabled from directing the conduct of some kind of business. A brakeman on a railroad might lose both arms and in consequence be unable to perform the kind of -labor he had always followed; but he could doubtless direct some one else to do it if permitted by his employer; and he might- possibly earn a living as- a track walker, provided he could obtain such employment; but in these circumstances would it be seriously contended that if he were a member of the defendant corporation under a certificate similar to the one we are required to construe, the language of its contract should be so construed as to relieve it from all liability ?

Again, a farmer who has been so injured that he cannot hold a plow, or swing a scythe, or drive his horses, or milk his cows, might, nevertheless, hire some other person to perform these several duties, or he might direct how they should be performed, or he might leave his farm and find himself able to perform the duties of a- flagman at a railroad crossing, and by so doing earn a livelihood, or at least sufficient to keep the wolf from the door; hut would language which would admit of such a construction as is implied in this illustration be consistent with the purpose or intent of a benevolent, semi-charitable and fraternal organization ? ílanifestly not; and, we think, it would consequently be neither just nor reasonable to adopt such a construction in this particular instance.

Assuming, therefore, that the defendant really intended to confer upon its members the benefits which its endowment system purports to dónfer, we are of the opinion that it would be much more consistent with such intent to so construe its contract as to hold that the language above quoted means simply that if a party whose occupation is that of directing others in the performance of their duty *535is so injured that he can no longer follow that occupation ; or if any member shall be so far disabled as to be unfitted for the performance of his ordinary occupation or for following any other means of livelihood requiring substantially the same physical and mental ability as that in which he is usually engaged, he shall be deemed entitled to disability benefits. Such a construction would be just and reasonable, and it would not be unlike that given to similar language by the Court of Appeals in a recent case (Neill v. United Friends, 149 N. Y. 430); while the construction contended for by the defendant would, in our opinion, operate unjustly and conflict with the present trend of authority. (Spencer v. Grand Lodge, 22 Misc. Rep. 147; affd., 53 App. Div. 627; Deuble v. Grand Lodge, 66 id. 323 ; Langan v. American Legion of Honor, 34 Misc. Rep. 629; 70 N. Y. Supp. 663.)

These views lead to the conclusion that the judgment and order appealed from should be affirmed.

McLennan, Williams and Hiscook, JJ., concurred; Spuing, J., not sitting.

Judgment and order affirmed, with costs.

Sic.

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