American Pioneer Life Insurance v. Allender

713 S.W.2d 249, 18 Ark. App. 234, 1986 Ark. App. LEXIS 2306
CourtCourt of Appeals of Arkansas
DecidedJuly 9, 1986
DocketCA 85-17
StatusPublished
Cited by4 cases

This text of 713 S.W.2d 249 (American Pioneer Life Insurance v. Allender) is published on Counsel Stack Legal Research, covering Court of Appeals of Arkansas primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
American Pioneer Life Insurance v. Allender, 713 S.W.2d 249, 18 Ark. App. 234, 1986 Ark. App. LEXIS 2306 (Ark. Ct. App. 1986).

Opinions

Melvin Mayfield, Judge.

This is an appeal from a judgment by the Independence County Circuit Court finding appellant liable on an insurance policy. The policy was issued to appellee in 1970 by Educators and Professional Life Insurance Company. The printed policy contained a provision for coverage of “Accidental Death or Dismemberment,” along with provisions for other coverage. The present appellant subsequently assumed the obligations of the company that issued the policy. A number of years ago, the appellee became disabled and has since been paid monthly benefits under a disability provision of the policy.

In 1983, both of appellee’s feet were amputated due to circulatory problems resulting from several heart attacks. He then filed a claim against appellant claiming that, under coverage afforded by the policy, he was entitled to $10,000.00 for the dismemberment of his feet. Appellant denied the claim and this suit followed.

The controversy centers around the application. It is a form containing blank lines upon which the information called for may be written. Each blank is numbered and the information in each blank is written by hand — according to the trial judge’s findings — by the hand of the insurance agent. The blanks crucial to this case appear as follows:

10. Monthly Indemnity for Total Disability $200.00_
11. Maximum Indemnity . 12. Elimination Period
Period . Sickness V 7 Days
Sickness V 5 Years . Accident V 0 Days
Accident V Lifetime .
13. Optional Benefits
a. $400.00 In Hospital Expense
b. $500.00 Accident Medical Expense
c. $10,000.00 Accidental Death and Dismemberment
d. Other $10,000.00 both feet, hands_
Eyes, $5,000.00 for one foot, hand_ eye

Over the appellant’s objection, the appellee introduced evidence by a witness who testified that he was one of the agents who sold the insurance policy to appellee. It was his testimony that he and another agent had attended training sessions at which the president of the insurance company told them the kind of policy that is involved in this case would cover loss of limbs, no matter whether caused by sickness or accident. The witness said he and the other agent had been trying to sell this policy to the appellee and, when they received the above information from the president of the company, they went back to appellee and told him what the president had said. The witness said this information is what caused appellee to buy the policy. He said the information written in the application blank after the word “Other,” under “Optional Benefits,” means that the policy will pay $10,000.00 for loss of both feet, hands or eyes, and $5,000.00 for loss of one foot, hand or eye, whether the loss is from sickness or accident. It was his testimony that the president of the company instructed him and the other agent that this was what the language written in the blank would do, and that this meaning of the language was explained to the appellee at the time the application was taken and again when the policy and application were delivered to appellee after they were received by the agents from the home office in Little Rock. The appellee confirmed the above testimony in regard to what he had been told by the agents and why he finally bought the policy.

The case was tried by the circuit judge, without a jury, and he made specific findings of fact upon which the judgment is based. On appeal, the appellant argues that the medical dismemberment of appellee’s feet was not covered by the policy, that the judge erred in permitting the introduction of hearsay evidence concerning the meaning of the application, and also erred in allowing the introduction of parol evidence to contradict the unambiguous terms of the policy. We do not agree that the trial judge erred in any respect and we affirm his findings and judgment.

Basically, we disagree with the appellant’s analysis of the issues involved and the application of the rules of law relied upon by it. We think the real problem is appellant’s failure to recognize that the application became a part of the insurance contract between the parties. Appellant looks at its printed policy and says it only provides coverage for loss of hands, feet, or eyes when such loss is caused by accidental bodily injury. So, appellant says, if we assume that the information written in the blank after the word “Other,” under “Optional Benefits,” was meant to be an application for medical dismemberment benefits, this would only be an offer by the appellee and the policy issued without providing that coverage would be a counteroffer. Therefore, appellant says, the appellee by accepting the policy as delivered accepted the counteroffer, and the contract thus made is the coverage contained in the printed policy only.

This analysis overlooks the fact that the insurance contract between the parties was set out in both the printed policy and the application. It takes both of them to constitute the contract because the printed policy contains a paragraph, under the heading “Consideration,” that states: “The consideration for this policy is the application, a copy of which is attached to and made a part of the policy, and the payment of the required premiums.” (Emphasis added.) Moreover, the printed policy also contains a paragraph under the heading “General Provisions” that contains the statement, “This policy, including the endorsements and the attached papers, if any, constitutes the entire contract of insurance.” (Emphasis added.) The application, without question, is physically attached to the printed policy, and the trial court made a specific finding that “the application and the policy to which it is attached constitute the entire contract of insurance.” In addition, Ark. Stat. Ann. § 66-3218 (Repl. 1980) provides:

Every insurance contract shall be construed according to the entirety of its terms and conditions as set forth in the policy and as amplified, extended, or modified by any rider, indorsement, or application made a part of the policy.

Therefore, even if we agree that there was no contract of insurance between the parties until the appellee accepted a counteroffer made by delivering the policy involved in this case, the counteroffer included the policy with the application attached, so the contract consists of, or is evidenced by, both the printed policy and the attached application. Certainly, Ark. Stat. Ann. § 66-3218, supra, requires that the policy be construed as amplified, extended, or modified by the application.

Logically, the next issue presented is whether the trial court erred in allowing the witnesses to testify as to the meaning and purpose of the information written in the application blank after the word “Other.” Appellant concedes that where the meaning of a written contract is ambiguous, parol evidence is admissible to explain the writing. C. & A. Construction Co., Inc. v. Benning Construction Co., 256 Ark. 621, 509 S.W.2d 302

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Cite This Page — Counsel Stack

Bluebook (online)
713 S.W.2d 249, 18 Ark. App. 234, 1986 Ark. App. LEXIS 2306, Counsel Stack Legal Research, https://law.counselstack.com/opinion/american-pioneer-life-insurance-v-allender-arkctapp-1986.