American Liability Co. v. Bowman

114 N.E. 992, 65 Ind. App. 109, 1917 Ind. App. LEXIS 112
CourtIndiana Court of Appeals
DecidedJanuary 30, 1917
DocketNo. 9,139
StatusPublished
Cited by24 cases

This text of 114 N.E. 992 (American Liability Co. v. Bowman) is published on Counsel Stack Legal Research, covering Indiana Court of Appeals primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
American Liability Co. v. Bowman, 114 N.E. 992, 65 Ind. App. 109, 1917 Ind. App. LEXIS 112 (Ind. Ct. App. 1917).

Opinion

Felt, C. J.

On July 12, 1913, appellee began this suit against appellant on a health and accident insurance policy. The issues were formed by a complaint in one paragraph answered by a general denial. A trial by the court resulted in a judgment for appellee in the sum of $240, from which this appeal was taken. Appellant has assigned as error the overruling of its [112]*112motion for a new trial and separate error on each of the five conclusions of law stated upon the special finding of facts duly made by the court.

The complaint, in substance, charges that on September 7, 1910, appellee applied for and obtained a policy in appellant company, whereby it promised, in the event of bodily injury resulting through external, violent and accidental means, to pay appellee forty dollars per month, so long as he should be prevented from performing his ordinary business by reason of such injuries; that he complied with all the provisions of the policy so issued to him, and on November 17, 1912, while the policy was in force, he received a personal injury which was caused by the slipping of a ladder on which he was working, whereby he was thrown ten feet to and upon a cement floor, causing an injury to his back, side and spine; that by reason of such injuries he was prevented from following his occupation or attending to any work or business continuously from December 27, 1912, and still is totally disabled and prevented from performing any duty pertaining to any business or occupation; that due proof of his disability for the period of six months was furnished appellant and payment was refused. The policy is made a part of the complaint as “Exhibit A’- and it is averred that there is due thereon the sum of $280 for which judgment is demanded.

The finding of facts follows the averments of the complaint and, omitting uncontroverted statements, is in substance as follows: On September 7, 1910, appellee was an able-bodied man in good health, and in sound physical condition and on that day appellant issued to him a health and accident policy, the substance of which, as far as material here, is as follows:

The policy to be in force until 12 o’clock noon of October 1, 1910, “and for such further periods as the premium paid will maintain this policy in force. * * *

[113]*113“Total Accident Disability.
“A. At the rate of forty dollars per month, for the period, not exceeding twenty-four consecutive months, that the assured, is totally and continuously from the date of accident disabled and prevented from performing every duty pertaining to any business or occupation, as a necessary result; independent of all other causes, of bodily injuries effected through external, violent and accidental means. * * *
“Illness Indemnity.
“E. At the rate of forty dollars per month for the number of consecutive days (deducting the first week unless continuing twenty-eight consecutive days) that the assured is strictly and continuously confined within the house and therein regularly visited and treated by a legally qualified physician and necessarily totally disabled, by reason of illness having its cause and beginning after this policy has been maintained in continuous force for thirty days; and if, during convalescence following said house confinement, the assured shall be necessarily and continuously disabled from performing every duty pertaining to any business or occupation, and require and receive the regular attendance of such physician, the company will pay him indemnity at one-half of said rate for the period of such convalescence not exceeding four weeks. * * *
“Miscellaneous Provisions. * * *
“2. In the event of disability, due to either accident or illness, wholly or in part caused by or resulting directly or indirectly in or complicated with tuberculosis, rheumatism, paralysis, apoplexy, orchitis, neuritis, locomotor ataxia, lumbago, lame back, strains, sciatica, vaccination, Bright’s disease, cancer, dementia, hernia, insanity, or in the event of any accidental injury otherwise covered by this policy resulting in hernia, terminating fatally or otherwise, then in all such cases referred to in this paragraph, the only liability of the com-, pany shall be indemnity for a period of disability [114]*114not exceeding four weeks in any one policy year, anything herein to the contrary notwithstanding. * * *
“6. The company may cancel this policy at any time, without prejudice to the rights of the assured as to any claim then pending, by written notice of cancellation served upon the assured or mailed to the assured at the address herein given, together with the company’s check for the unearned portion, if any, of the premium paid.
“7. Indemnity will not accrue hereunder in excess of the time the assured is, by reason of injury or illness, under the professional care and regular attendance of a legally qualified physician or surgeon. If the assured is disabled by injury or illness for more than thirty days, he or his relatives shall as a condition precedent to recovery hereunder, furnish the company every thirty days with a report in writing from his attending physician or surgeon, fully stating the condition of the assured and the probable duration of the disability. * * *
“9. This policy with the schedule of warranties endorsed hereon, contains the entire contract between the parties hereto, and no agent has authority to change it or waive any of the provisions.
“2. That on tide reverse side of said policy, in written and printed matter, under the head and title of ‘Schedule of warranties,’ was endorsed the following language:
“Schedule of Warranties.
“By accepting this policy the assured agrees that each statement in this schedule is material, and warrants each to be true. * * *
“I agree to pay a monthly premium of One and 20/100 Dollars in advance without notice or demand.”

The court also found that from the issuance of said policy appellee promptly paid all dues and premiums on same up to and including June 7, 1913; that on November 17, 1912, while working at his usual employment, [115]

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Bluebook (online)
114 N.E. 992, 65 Ind. App. 109, 1917 Ind. App. LEXIS 112, Counsel Stack Legal Research, https://law.counselstack.com/opinion/american-liability-co-v-bowman-indctapp-1917.