Beane v. Continental Casualty Co.

64 So. 732 | Miss. | 1914

Reed, J.,

delivered the opinion- of the court.

Appellee, an accident insurance company, on February 22, 1909, upon application of Lawrence H. Beane, issued to him its insurance policy, whereby it promised to pay his mother, appellant herein, the principal sum of one thousand dollars upon the death of the insured caused by accident. On December 11, 1910, the insured was accidentally killed, and this is an action by appellant as beneficiary, to recover the full amount of the policy.

In his application for insurance Mr. Beane gave his occupation as “freight conductor.” He then resided in Vicksburg, Mississippi, and was employed by the Yazoo & Mississippi Valley Railroad Company as freight conductor. He afterwards removed to the state of California, and was there employed by the Western Pacific Railroad Company as a “freight brakeman” and as a “freight extra conductor and brakeman.” This case was tried in the court below before the circuit judge, jury being waived, upon an agreed statement of facts.

We take the following from that statement to show the employment of the insured about the time of his death: “The last trip he made was as freight brakeman, when on the morning of the 10th of December, 1910, he returned from a trip as freight brakeman on said road; that on his next trip, if he had lived, he might have been employed as freight brakeman, or as freight conductor ; he being ‘brakeman and extra conductor,’ and it being impossible to state positively whether he would next have gone out on the road as brakeman or as extra conductor. ’ ’ We further quote from the statement: “That on the 11th day of December, 1910, while off duty, he was killed immediately, through external, violent, and purely accidental means, within the meaning of the policy.”

One of the provisions in the insurance policy is: “Art. IV. Nonforfeitable Provisions. If the insured is injured, fatally or otherwise after having changed his occupation to one classified by the company as more hazardous than that herein stated, or while he is doing any act of thing pertaining to any occupation so classified by the company, the company’s liability shall be only for such proportion of the indemnity herein provided as the premium paid by him will purchase at the rate and within the limit fixed by the company for such more hazardous occupation.”

In the agreed statement it is shown that in the railroad classification manual, form 2168, of appellee company, a freight conductor is given classification “F. C.,” and a freight brakeman is given classification “B. & S.,” and that said manual provides: “When applicant has more than one occupation, that of the greatest hazard must always determine the classification. ” It is also shown that the premium paid by the insured for his classification of freight conductor entitled him to an indemnity of one thousand dollars for accidental death, and that the same premium would have secured for him, while in the occupation of freight brakeman on the Western Pacific Kail-road, an indemnity amounting to three hundred and twenty-seven dollars for such accidental death. There was an accumulation of fifty dollars on the policy. So that, if the insured had been killed by accident, while in the occupation of freight conductor, his beneficiary should have received one thousand and fifty dollars.

We quote as follows from the concluding paragraph in the agreed statement: “That the sale and only point in controversy is whether or not under the facts the said nonforfeitable clause applies; that, if it does apply, the amount due is three hundred and twenty-seven dollars, that if it does not apply, the amount due is one thousand and fifty dollars; that all the requirements of the policy as to notice and final proof have been complied with; and that the proposition of law as to whether or. not the nonforfeitable provision of the policy applies to the same, as hereinbefore set forth, is the only point at issue.”

It is the contention by appellant that there should be no reduction in the indemnity, for the reason that the insured was not killed while engaged in a more hazardous occupation than that he was in when the policy was issued to him, because he was not engaged in the performance of any duty whatever of his occupation when he lost his life, and because he was not, at the time, doing any act or thing pertaining to such occupation more hazardous than that of freight conductor.

It will be noted that the insured returned from the trip on the railroad as freight brakeman on December 10, 1910, and that he met his death on the next day, while off duty. "When he was accidentally killed, his employment was in a different occupation from that when he was insured. Under the manual of the appellee company, the occupation of freight brakeman is more hazardous than that of freight conductor. If the insured, as an employee, has more than one occupation, like in the'present case, as a freight extra conductor and brakeman, by the manual, the greatest hazard must determine the classification.

It will be noted by the policy, the instrument setting forth the contract of insurance, if the insured meets his death after changing his occupation from that stated in his application to one classified by the appellee company as more hazardous, the company’s liability will only be for such proportion of the indemnity as the premium paid will purchase under the schedule of rates fixed for the more hazardous occupation.

It is contended by counsel for appellee that such a policy adjusts itself automatically to the change of occupation of the insured; that while the policy, by reason of a change to a more hazardous occupation, is not forfeited, the insured will receive as an indemnity because of such change a reduced amount, that to which he would be entitled for the premium paid at the rate and within the limit fixed by appellee company for the occupation in which he is employed at the time of his death.

Under the contract, it is a question of occupation. The insured, giving his occupation, that is, his business or calling in life, his employment by means of which he earns a livelihood, contracted for a certain indemnity by payment of a certain premium. The insurer based the rate of premium upon the occupation of the insured. After this contract was made, the insured changed his employment to a more hazardous occupation under the classification of the insurer. Under the terms of the contract this did not forfeit his policy, but only reduced the amount of the indemnity.

In Fuller on Accident Employers ’ Liability Insurance, page 44, we find the following touching the risks of occupation: “The general purpose of classifying occupations is to enable the company to fix the rate of premium and protect itself from fraud or misrepresentation, by preventing those whose ordinary occupation renders them more" liable to accident from obtaining insurance at the same rate as those whose professions or occupations in life are usually attended with less peril and less exposure to danger.” We quote from the same volume, page 336, as follows: “In most policies of accident insurance, the amount of the liability of the insurance company is dependent upon the occupation of the insured. The risks which are insured against are classified according to the employment, or occupation, and various rates or premiums are charged, according as the employment is more ' or less dangerous. . . . The contract of insurance depends primarily and essentially upon an equitable adjustment of the premiums and the risks assumed. Under these policies of insurance the various occupations of life' are divided into several classes, depending upon the degree of risk or hazard which they involve. . . . The clause which provides for the reduced indemnity is regarded by the courts as a special contract, contemplating a future change of occupation by the assured. Such a change of occupation does not avoid the policy. It simply limits the amount of indemnity, so as to accord with the increased hazard.”

Mr. Cooley, in Briefs on the Law of Insurance, volume 4, pag-e 3306, says: ‘ ‘ One of the most important limitations in accident policies is that making the extent of liability dependent on the occupation of the insured.” Anri, continuing a discussion of the same subject (page 3307), he says: ‘ ‘ The clause providing for reduced indemnity if insured is injured in a more hazardous occupation must be regarded as a special contract contemplating a future change of occupation” — citing Standard Life & Accident Ins. Co. v. Carroll, 86 Fed. 1567, 30 C. C. A. 253, 41 L. R. A.'194. “The policy is not, therefore, rendered void by the change, but recovery under the policy is limited to the reduced amount” — citing National Masonic Acc. Assn. v. Seed, 95 Ill. App. 43.

In the case of Standard Life & Accident Insurcmce Co. v. Carroll, 58 U. S. App. 76, 86 Fed. 567, 30 C. C. A. 253, 41 L. R. A. 194, it was decided that “a provision in an accident insurance policy for small indemnity, in case the insured is injured while engaged in an occupation more hazardous than that specified in the application, is reasonable, and will be enforced by the courts.” In delivering the opinion of the court, Judge Achesou said: £ ‘ The parties contracted with reference to a future change of occupation by the insured. Such change was not to avoid the policy. It was allowable upon agreed terms. The change of occupation simply altered the amount of indemnity, so as to accord with the increased hazard. This is the plain contract of the parties, evidenced by the policy itself. The provision for changes of occupation and hazard is reasonable and just, and, indeed, in the interest of the holders of accident insurance policies. We discover no good reason here for denying effect to the provision.”

The contract in this case is clear. The provision that the change of occupation by the insured, after the issuance of the policy to him, to an occupation classified by the company as more hazardous, will reduce the amount of the company’s liability, is reasonable and just. Whether he was on duty or off duty when he met his death by accident cannot have any effect in determining the amount of the indemnity to be paid the beneficiary. Under' the plain terms of the contract, it is a question of occupation. Considering together the facts as shown in the agreed statement and the contract of insurance, we believe that the circuit judge was right in deciding that appellant was only entitled to recover the sum of three hundred and twenty-seven dollars and costs.

Affirmed.