Bockman v. Mutual Health Benefit & Accident Ass'n

7 Tenn. App. 618, 1928 Tenn. App. LEXIS 87
CourtCourt of Appeals of Tennessee
DecidedJune 15, 1928
StatusPublished
Cited by9 cases

This text of 7 Tenn. App. 618 (Bockman v. Mutual Health Benefit & Accident Ass'n) is published on Counsel Stack Legal Research, covering Court of Appeals of Tennessee primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Bockman v. Mutual Health Benefit & Accident Ass'n, 7 Tenn. App. 618, 1928 Tenn. App. LEXIS 87 (Tenn. Ct. App. 1928).

Opinion

*619 CROWNOVER, J.

This was a suit to recover sick benefits accruing to the assured under a disability policy issued by the defendant association.

The bill alleged that the defendant issued a disability policy of insurance providing' indemnity and sick benefits for total disability, and that the plaintiff became seriously afflicted of diabetes mellitus on January 19, 1927 and was placed in the Baptist Hospital in Nashville where he remained under the constant attendance of doctors until March 10, 1927, when he was permitted to return to his home in Cookeville, and that he remained totally disabled until April 19, 1927, for which he was entitled to $200 per month sick benefit, and to $150 per -month hospital fees while in the hospital, and that he was also entitled to a twenty-five per cent penalty as the defendant had arbitrarily refused to pay said sick benefits. The defendant association answered and denied liability, insisting that the plaintiff’s disability was due to nervousness, of which disability the defendant had been released in a rider attached to the policy, and the defendant also pleaded prematurity of suit.

A jury had been demanded in the pleadings, but by agreement the case was tried by the Chancellor, “actual jury being waived,” upon an agreed statement of facts, and the depositions of two doctors.

At the hearing the Chancellor held that the suit was not prematurely brought because the defendant had denied liability, and held that complainant should recover $333.33 sick benefits from January 19 to March 10, 1927, and also $250 hospital fees for the same length of time, and $100 sick benefits from March 10, to April 10, 1927, making a total of $683.33. Both parties excepted and appealed but the defendant did not perfect its appeal. The complainant perfected his appeal and has assigned three errors, in which it was insisted that the Chancellor erred, (1) in declining to assess the statutory penalty of twenty-five per cent on the recovery; (2) that the Chancellor misconstrued certain provisions of the policy which resulted in a smaller recovery than complainant was entitled to, in that, complainant was entitled to recover $200 per month during his total disability, regardless of whether he was confined to the house, and (3) in holding that the case was tried according to the forms of chancery practice instead of by the Chancellor sitting as a jury.

The facts necessary to be stated are that the defendant association issued on June 1, 1925 a policy of insurance to the complainant Bookman, providing for certain specific indemnities and also against loss of time by sickness causing total disability, and for hospital fees not exceeding $150 per month, which policy was in force during the time of the disability in question.

During the summer of .1926 the. complainant Bookman had been disabled through nervousness, for which the company had paid him *620 $400, and liad agreed to leave the policy in force upon the condition that Bookman sign a rider attached to the policy releasing the company from liability for loss of time or disabilities caused by nervousness in the future. Thereafter in October, 1926 the complainant ascertained that he was afflicted with diabetes mellitus, and on January 19, 1927 he became totally disabled and had to be placed in the Baptist Hospital at Nashville where he was under the constant attendance of the doctors until March 10, 1927, when he was permitted to return home, and he continued to be totally disabled until April 19, 3927, .when this suit was instituted. He was confined to the house during the whole time he was in the hospital, and; was totally disabled from January 19 to April 19, 1927, but upon the advice of his doctors he was not confined to his room after he left the hospital, but upon their advice was permitted to go out in the sunshine and air, and he spent a part of two days trying three law-' suits in the circuit court at Cookeville during the month of A.pril. The defendant makes no question about the plaintiff’s total disability, but insists in this court that under the terms of the policy it is liable for only $100 sick benefits for one month after he left the hospital, because he was not necessarily confined to the house, and it further insists that it is not .liable for the twenty-five per cent penalty.

We will pass on the third assignment of error first.

The third assignment of error to the effect that the Chancellor erred in trying the case according to the forms of chancery practice, instead of sitting as a jury, should-be sustained. As above stated, a jury was demanded in the pleadings, but it was agreed that the case should be tried by the Chancellor, “actual jury being waived,” upon an agreed statement of facts which provided that the depositions of two doctors and certain documentary evidence should be made a part of the agreed statement of facts and read to the Chancellor at the hearing.

It was held in the case of Lieberman, Loveman & O’Brien v. Bowden, 121 Tenn., 496, 119 S. W., 64, 21 A. L. R., 443, that where a jury had been demanded in the pleadings and it did not appear that the demand had been expressly waived, but it Avas tried by the Chancellor on oral testimony, it would be presumed that a jury was waived, and such case AATas tried de novo, according to the forms of chancery practice in the appellate court. However, it was held in the cases of Choate v. Sewell, 142 Tenn., 487, 221 S. W., 190; Beatty v. Schenck, 127 Tenn., 63, 152 S. W., 1033, and in Watkins v. Sedberry, 155 Tenn., 148, 290 S. W., 970, and Rucker v. Dversburg, 5 Tenn. App., 657, that Avhere a jury was demanded and waived the cause was heard by the Chancellor as if before a jury, and therefore it was necessary to haA^e a bill of exceptions and to file a motion for a neAV *621 trial before the appellate court could review the judgment of the lower court on questions of fact. This being' true it was necessary that the appellant should have made ,a motion for a new trial in the court below, which he has not done; hence the decree must be affirmed in the absence of a motion for a new trial. But on account of the apparent conflict of authorities on the foregoing proposition, we will pass on the other two assignments of errors, as the result will be the same.

After a careful examination of the record and the authorities we are of the opinion that the first two assignments of error are not well made and should be overruled.

The first assignment to the effect that the court erred in not decreeing complainant the twenty-five per cent penalty on the recovery, as provided by section 1 of chapter 141 of the Acts of 1901, cannot be sustained for several reasons, first, because the suit was brought before the expiration of sixty days; second, it cannot be said that the refusal to pay w;as not in good faith, as complainant’s demand was in excess of the legal liability of the company, and nothing appears to show that the company is not acting in good faith in making all its defenses. The letter of April 9th relied upon by the complainant as a denial of liability, while denying liability, expresses a desire to do no injustice to the policy-holder and to continue negotiations with a view to adjustment and settlement. See Kiisel v. Mutual Reserve Life Insurance Company, 131 Ia., 52, 107 N. W., 1027.

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Bluebook (online)
7 Tenn. App. 618, 1928 Tenn. App. LEXIS 87, Counsel Stack Legal Research, https://law.counselstack.com/opinion/bockman-v-mutual-health-benefit-accident-assn-tennctapp-1928.