SUN LIFE INSURANCE COMPANY OF AMERICA, Appellant,
v.
Robert EVANS, Appellee (Two Cases).
District Court of Appeal of Florida, Third District.
*958 Stephens, Thornton & Sсhwartz and John Edward Herndon, Jr., Miami, for appellant.
Koltun & Tobias, Coral Gables, for appellee.
Before BARKDULL, C.J., and HENDRY and NATHAN, JJ.
NATHAN, Judge.
These are consolidated appeals by the defendant, Sun Life Insurance Company of America, from a final judgment on a directed verdict in favor of the plaintiff, Robert Evans, and an order awarding costs and attorneys fees in favor of the plaintiff, in an action to recover benefits claimed to be due Evans under a policy of disability insurance issued by Sun Life in 1969. The terms of the policy provide that in the event of total disаbility, Sun Life will pay to the insured $400.00 per month for a period of sixty (60) months.
The record reflects that Evans wаs and is the owner of an air conditioning duct installation business. Evans previously did all of the duct installation work himself, with one helper to hand him tools and materials. However, in 1972, Evans sustained a serious knee injury in a motorcycle accident, and when he was able to return to work, he could act only in a supervisory capacity. He could no longer bend his left knee fully to perform duct installаtion work which in large part involves climbing ladders and crawling in attics and small spaces. His former hеlper now performs all installation work, and a new helper has been hired to assist him.
Sun Life paid benefits to Evans for a number of months, and then refused to continue payments. Evans proceeded to file this suit. A jury trial was held, during which the judge determined that Evans was totally disabled, and at the close оf the defendant's case, directed a verdict for plaintiff Evans and discharged the jury. The judge statеd his reasons on the record:
"The insurance policy which is sued upon in this case provides that the insured is entitled to recover for a total disability if he is unable to perform the usual functions of his occupation, or words to that effect.
"The law of Florida is that if an insured cannot perform any material, important or substantial act, which he usually or ordinarily performed in the cоurse of an occupation, then the terms of the policy are fulfilled. In this case, as you hеard there was no dispute but that Mr. Evans could not perform probably the predominant portiоn of his usual occupation after the accident."
Final judgment was entered on the directеd verdict, awarding Evans the full total disability benefits due and owing from the date of the last payment, up tо and including the trial date. Six days later, an order was entered taxing costs against Sun Life, and awarding attorneys fees to plaintiff's attorney.
One of the defendant's points on appeal is that the trial court erred in directing a verdict in favor of plaintiff Evans on the issue of whether he was totally disabled as defined by the policy. We agree. In granting a motion for directed verdict, the court must determine that there is no evidence to support a jury finding for the party against whom the verdiсt is sought. Parsons v. Reyes,
In Equitable Life Assurance Society of United States v. Wiggins,
It is necessary to look to the insured's occupation as a whole in order to determine whether the insured can no longer perform his occupational duties; total disability dоes not mean absolute helplessness, but contemplates a disability to perform all the substantial and material acts necessary to his usual occupation in a customary and usual manner. Lorber v. Aetna Insurance Company,
Based on the circumstances of this case, in the context of the applicablе rules of law, we reverse both the final judgment on the directed verdict, and the order awarding attorneys fees and costs, and remand the cause to the trial court for a new trial. In view of the holding in this case, we need not pass on the other points raised on appeal by the defendant-appellant, Sun Life.
Reversed and remanded.
