PRZBYLINSKI v. STANDARD PRESSED STEEL COMPANY
Docket No. 18671
Court of Appeals of Michigan
Decided July 21, 1975
62 Mich. App. 461
Submitted March 5, 1975, at Grand Rapids.
OPINION OF THE COURT
- APPEAL AND ERROR—RULING—RESULT—LEGAL STANDARD.
The Court of Appeals will not reverse a court‘s ruling where a correct result was reached, even if the wrong legal standard was applied in reaching the result.
- INSURANCE—DISABILITY—JURY—QUESTION OF FACT—SUBSTANTIAL EVIDENCE.
The issue of disability is a question of fact for the jury in an action for benefits under a disability insurance policy, but the insured must introduce some evidence supporting the claim of disability to get to a jury.
CONCURRENCE BY M. J. KELLY, J.
- INSURANCE—DISABILITY INSURANCE—SCOPE OF POLICY—DISABILITY TO WORK—PREVENTION FROM WORK.
A disability insurance policy for the benefit of an employee who can show, inter alia, that he has suffered a disability which precludes him from engaging in any and every gainful occupation for which he is reasonably fitted, does not extend coverage to an employee who is able to do the job for which he is best suited, but is prevented from doing that job because of a combination of circumstances, including his age, health and the existing economic climate.
Appeal from Macomb, Alton H. Noe, J. Submitted March 5, 1975, at Grand Rapids. (Docket No. 18671.) Decided July 21, 1975.
Complaint by John Przbylinski against Standard Pressed Steel Company and Metropolitan Life In
Stewart, Lascoe, Donovan & Rancilio, P. C., for plaintiff.
Dickinson, Wright, McKean & Cudlip (by Lawrence G. Campbell and Judith C. Lalka), for defendant Metropolitan Life Insurance Company.
Before: D. E. HOLBROOK, P. J., and BRONSON and M. J. KELLY, JJ.
BRONSON, J. Plaintiff-appellant, John Przbylinski, maintains that he is entitled to benefits under a long-term disability insurance policy issued by defendant-appellee Metropolitan Life Insurance Company for the benefit of certain employees of defendant-appellee Standard Pressed Steel. Przbylinski alleges that he was disabled while working for Standard and qualifies for disability benefits under the terms and conditions of the insurance policy.1
In order to sustain this claim, Przbylinski was required to introduce evidence tending to show that, inter alia, 1) he suffered a disability which
The trial judge, in granting Metropolitan‘s motion for a directed verdict,2 determined that Przbylinski had not presented sufficient evidence to permit jury consideration of either element of his claim. Judgment for Metropolitan was entered accordingly and Przbylinski appeals.
Przbylinski‘s claim that as a result of his alleged disability he can no longer engage in any gainful occupation for which he is reasonably fitted is totally unsupported in the record before us. Indeed, evidence introduced in Przbylinski‘s behalf completely contradicts this assertion. A supervisor in Standard‘s Slotting Department for over 20 years, Przbylinski himself stressed with considerable satisfaction that he could still discharge the duties required of a supervisor. His medical expert, Dr. Lapp, testified that Przbylinski was able to do such work. Further, it is undisputed that Przbylinski was employed in a supervisory capacity with another firm for some 4-1/2 months during 1973—a period subsequent to the date of his alleged disablement. That job ended when the company he worked for dissolved after suffering serious financial difficulties. It is clear, then, that Przbylinski is not “prevented from engaging in” gainful employment in the sense of being physically unable to perform the work for which he is trained.3
Moreover, Przbylinski does not contest on appeal the fact that he completely failed to present any evidence which would indicate that he was under the treatment of a physician within the meaning of that phrase in the insurance contract.5 Accordingly, on this basis alone the entry of a directed verdict was proper.
However meritorious Przbylinski‘s complaint might be, the plain fact is that he did not offer sufficient evidence to support the allegations contained therein. A plaintiff must do more than demand judgment to get to a jury. To deny a directed verdict in this case would be to allow the jury to engage in pure speculation. Metropolitan only insured Przbylinski to the extent of providing long-term disability benefits under specified contractual conditions. It did not guarantee Przbylinski job security.
Affirmed. Costs to appellees.
D. E. HOLBROOK, J., concurred.
M. J. KELLY, J. (concurring in result). I concur in the result reached by the majority because the record clearly shows that the plaintiff resolutely affirmed his ability to return to his supervisory employment. When asked if he could handle that job now he answered graphically: “[b]eautifully“.
If I assumed, arguendo, that the insurance contract provided coverage if plaintiff were “prevented from engaging in” gainful employment, I would vote to reverse to leave to the jury the question of whether such coverage applied. I believe the clear language of the contract precludes such an assumption. I further find ample evidence to support a conclusion by a jury or other factfinder that plaintiff is as a practical matter unemployable within his skills because of a combination of circumstances, including his age, his health problems, his previous surgeries and the economic climate. He is not disabled from doing the job for which he was best suited. He is prevented. Unfortunately however, the insurance coverage does not extend to such prevention.
Notes
“Upon receipt by the insurance company of notice and due proof, as required herein, that any employee has become, while insured hereunder, wholly and continuously disabled as a result of bodily injury or disease so as to be prevented from engaging in any and every gainful occupation for which he is reasonably fitted by education, training, or experience, that such disability has existed for a continuous period of at least 180 days, and that the employee is under the care of a physician licensed to practice medicine, the insurance company shall * * * pay * * *.”
