54 Ind. App. 450 | Ind. | 1913
This is a suit to recover on an insurance policy and also to recover damages for the repudiation of the insurance contract. The complaint was in three paragraphs
The errors assigned are: The overruling of appellant’s demurrer to the second and also the third paragraph of the complaint; the sustaining of appellee’s demurrer to the second paragraph of answer to the second paragraph of complaint ; also the same .ruling on a similar answer to the third paragraph of complaint, and the overruling of appellant’s motion for a new trial.
The third paragraph of complaint, omitting formal parts, is as follows: “That on the 22nd day of June, 1908, the said defendant, in consideration of the sum of five dollars, to be paid to the defendant herein, on or before the first day of each calendar month thereafter as a premium, executed and delivered to the plaintiff herein a policy of life, disability and accident insurance number 1548. That said policy provided among other things that ‘if the said Levi L. Reed the insured herein shall become totally and permanently disabled from performing any and all kinds of manual labor or business upon which he may depend for a livelihood, upon receipt of satisfactory proof of such total and permanent disability this company will pay the monthly benefits hereinafter stipulated to the said Levi L. Reed, so long as he shall live, not, however, to exceed the maximum amount stated in this policy. ’ That the monthly benefits stipulated in said policy was and is the sum of seventy dollars a month. That the maximum amount stipulated and named in said policy is the sum of five thousand dollars. That thereafter, to wit, on the nineteenth day of November, 1908, the plaintiff herein was accidentally shot in the left hand by the accidental discharge of a shot gun then and there held by him, so tearing, mangling and wounding his said left hand that the same was necessarily amputated at the wrist. That at the time of the execution of said policy the plaintiff was forty-eight years of age; that his occupation is now, and at that time was and
The second paragraph of complaint contains substantially the same averments as the third, and in addition thereto, seeks to make the policy a part of the pleading by the following averment: “A copy of which is filed with the first paragraph of this complaint marked ‘Exhibit A’ and is referred to and made a part of this paragraph of complaint. ’ ’ It is also averred: “That on the 27th day of November, 1908, the defendant herein, in writing, answered the written notice and demand of plaintiff as follows:
‘Evansville, Ind. Nov. 27, 1908. Mr. Levi L. Reed: Dear Sir: Your letter of the 25th inst. received and noted. We are indeed sorry to hear of the accident which deprived you of your left arm, but we do not think that our policy covers an accident of that character. Of course it is true that you are not in condition to hereafter follow the same kind of business which you have heretofore done, but the loss of the left arm does not totally and permanently disable a man from performing or directing any and all kinds of manual labor or business upon which he may depend for a livelihood. A man with a good right arm frequently holds a good position and makes as much money as he did when he had both arms. We are always prompt in meeting our contracts if they come within its scope, but we cannot make payment—in fact we have no right to do so—unless the insured is totally and permanently disabled for life from doing anything whereby he may earn a livelihood. We shall be pleased to hear from you at any time, and in case that developments might unfold which would really prevent your ever being able to earn money again, all we want is the proof thereof. We are, as we said before, exceedingly sorry when our policy holders meet with troubles, and for your sake we wish that the policy covered accidents of that character, but we do not be*457 lieve that it does in any way cover this. With kindest regards we remain, The Indiana Life Endowment Company, per C. A. Hostetter, Secy.’;
thereby renouncing and repudiating said contract and policy of insurance so executed and delivered by the defendant to plaintiff, and thereby renouncing, repudiating and disclaiming any and all liability by reason of said accident to plaintiff as hereinbefore mentioned, whereby plaintiff says the maximum amount of said policy, to wit: $5,000, became and is now due and payable.”
A new trial was asked on the ground, (1) that the decision of the court is not sustained by sufficient evidence; (2) that the decision is contrary to law; (3) that the assess
The policy, the notice to the company of appellee’s claim, and appellant’s written reply, were put in evidence. The policy is in part as follows:
■ “In Consideration of the application of Levi L. Reed, of Winslow, in the State of Indiana, for this policy, which application is hereby made a part of this contract, * * * and the payment of Five Dollars per month on or before the first day of each calendar month hereafter, in advance; and also in consideration of a full compliance with all the terms, conditions and provisions endorsed upon the back of this policy, each of which said terms, conditions and provisions is hereby made a part of this policy, the Indiana Life Endowment Company will pay to the beneficiary herein named, immediately upon receipt of the satisfactory proof of the death of the said Levi L. Reed, herein called the insured, One Hundred Dollars for funeral and other emergency expenses and thereafter will pay to Martha F. Reed (wife) herein called the beneficiary, the sum of Seventy Dollars monthly, on the first day of each calendar month during her natural life, or until marriage or remarried, not to exceed however, the total sum of Five Thousand Dollars. Or if the said Levi L. Reed the insured herein, shall become totally and permanently disabled from performing any and all kinds of manual labor, or business upon which he may depend for a livelihood, upon the receipt of satisfactory proof of such total and permanent disability, this company will pay the monthly benefits herein stipulated to the said Levi L. Reed so long as he shall live, not however to exceed the maximum amount stated in this policy. ’ ’
Among the provisions referred to on the face of the policy and printed on the back thereof are the following:
“Sixth.—If the holder of this policy shall become totally and permanently disabled, and shall thereby receive the benefits as provided herein, at the death of such policy holder, all rights or claims under the terms of this policy, whether the insured or the beneficiaries herein named, shall cease and terminate. But if the insured shall continue to pay all premiums, dues and assessments on this policy during said disability, then the rights and*465 interests of the beneficiaries shall be preserved, and after the death of the insured the beneficiaries will receive the 'monthly benefits as provided herein, not to exceed, however, the maximum amount in this policy, including the amount drawn by the insured during disability. Seventh.—The terms ‘Total and permanent disability’ as used in this policy shall be understood to mean such disability as shall render the insured totally incapable of doing, performing, managing or directing any service of any kind or character by which the insured might earn a livelihood; and that such disability is of such a character as to render recovery improbable. To determine whether such disability is permanent or not, the Company reserves the right, if the proof is not conclusive, to defer payment of disability claims for three months after application and proofs are presented therefor. And in case such claim is allowed and paid and thereafter the claimant shall sufficiently recover as to be able to perform any service of any kind or character by which a livelihood can be earned, then said total and permanent disability benefits shall cease and terminate, and the amount so paid shall be charged against the maximum amount provided on the face of this policy as having been paid thereon.”
In Lobdill v. Laboring Men’s Mut. Aid Assn. (1897), 69 Minn 14, 71 N. W. 696, 65 Am. St. 542, 38 L. R. A. 537, the Supreme Court of Minnesota, said: ‘ ‘ The eases which have placed a construction upon the term ‘total disability’ might seem to be divided into two classes, viz., those which construe it liberally m favor of the insured, and those which construe it strictly against him * * *. Any apparent conflict in the decisions may, however, be mostly reconciled in view of differences in the language of the policies and of the different occupations under which the parties were insured. As is well said in Wolcott v. United Life, etc., Co. [1889], 55 Hun 98, [8 N. Y. Supp. 263]: ‘Total disability must, from the necessity of the case, be a relative matter, and must depend largely upon the occupation and employment in which the party insured is engaged. ’ One who labors with his hands might be so disabled by a severe injury to one hand as not to be able to labor at all
In Hutchinson v. Supreme Tent, etc. (1893), 68 Hun 355, 22 N. Y. Supp. 801, the court considered an insurance contract which provided that upon ‘ ‘total and permanent disability to perform or direct any kind of labor or business” the disabled member was entitled to the specified benefit, and on page 359 said: “Here we have a definition or a description of the disability that would entitle the plaintiff to recover. It is not only permanent, but total, so as to be unable to perform or direct any kind of labor or business. It is not limited to the business in which the plaintiff was engaged at the time of his injury, but it is, in the broadest language possible to use, ‘a total and permanent disability to perform
In Baltimore, etc., R. Co. v. Post (1888), 122 Pa. St. 579, 600, 15 Atl. 885, 2 L. R. A. 44, the court said: “We also think the court below erred in its construction of the words ‘total inability to.labor,’ contained in the constitution and by-laws. This was a relief association, not an accident insurance company. Its object was to relieve its members during the time when they were unable to work by reason of injury or sickness. Hence, if a member was injured in such a way that he could no longer earn a livelihood at the particular labor at which he was employed at the time of the accident, yet was capable of earning as much or more money in some other employment, it was certainly not the object of the association, as expressed by its charter and bylaws, that he should remain idle and draw benefits all his life. ’ ’ See, also, Bliss, Life Ins. §403; 2 May, Insurance §§522, 523; Young v. Travelers Ins. Co. (1888), 80 Me. 244, 13 Atl. 896; Saveland v. Fidelity, etc., Co. (1886), 67 Wis. 174, 30 N. W. 237, 58 Am. Rep. 863.
In Mutual Benefit Assn. v. Nancarrow (1903), 18 Colo. App. 274, 71 Pac. 423, the court had under consideration a policy which provided for benefits if the insured was “totally disabled and confined to his house” and said: “The words ‘totally disabled’, as well as the words ‘confined to the house’,
Note.—-Reported in 103 N. E. 77. See, also, under (1) 31 Cyc. 558-563; (2) 9 Cyc. 639; (4) 9 Cyc. 636; (5) 9 Cyc. 637; (6) 31 Cyc. 84, 116; (8) 25 Cyc. 916-919; (10) 25 Cyc. 739, 740; (12) 1 Cyc. 269; (13) 1 Cyc. 301; (14) 1 Cyc. 302; (16) 3 Cyc. 388. As to what constitutes total disability within meaning of accident insurance policy, see 38 L. R. A. 529; 23 L. R. A. (N. S.) 352; 29 L. R. A. (N. S.) 635; 34 L. R. A. (N. S.) 126. As to the construction of the “total disability” clause in an accident insurance policy, see 7 Ann. Cas. 815; 21 Ann. Cas. 1031.