Brewer v. Aetna Life Insurance Co.

490 S.W.2d 506, 1973 Tenn. LEXIS 520
CourtTennessee Supreme Court
DecidedFebruary 5, 1973
StatusPublished
Cited by5 cases

This text of 490 S.W.2d 506 (Brewer v. Aetna Life Insurance Co.) is published on Counsel Stack Legal Research, covering Tennessee Supreme Court primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Brewer v. Aetna Life Insurance Co., 490 S.W.2d 506, 1973 Tenn. LEXIS 520 (Tenn. 1973).

Opinion

OPINION

JOHN W. WILSON, Special Justice.

The parties will be designated as in the trial court; that is, the appellee Nellie Brewer, as plaintiff, and the appellant Aet-na Life Insurance Company, as defendant. The plaintiff, suing as the widow of Van-don Ray Brewer, deceased, and in the capacity of administratrix of the estate of the decedent, filed this action to recover on a group life and accident insurance policy issued by the defendant insuring members [507]*507of the Columbia, Tennessee Fire Department, the deceased having been a member of the said Fire Department since April 10, 1966.

The trial court, sitting without the intervention of a jury, rendered judgment for the plaintiff for $3,000.00, the policy amount, plus a 25% penalty, for a total of $3,750.00. The defendant filed a motion for new trial which was overruled. The defendant excepted and an appeal was granted to this Court.

The case was heard upon a stipulation of facts and no other proof was offered. The stipulation of facts is as follows:

“The parties stipulate as follows:
Nellie Brewer is the widow and adminis-tratrix of the estate of her deceased husband, Vandon Ray Brewer.
On April 10, 1966 Mr. Brewer became a fireman for the City of Columbia, Tennessee, a municipal corporation. Prior to the commencement of work he underwent a physical examination and such examination failed to reveal any evidence of the disease of the lungs, to-wit, cancer, from which he subsequently died.
The last day on which Vandon Ray Brewer actually worked on his job with the City of Columbia was August 26, 1969. He died January 15, 1970. The cause of his death was cancer of the lung. The interval between the onset of the cancer of the lung which caused Mr. Brewer’s death and the date of his death was more than a year.
Cancer of the lung is a disease.
The City of Columbia had a life and accident insurance policy insuring members of the Columbia Fire Department, this policy being defendant’s group policy number VF-1345. The copy of the policy, heretofore filed in the technical record, is a true copy of the policy. The copy of the certificate of death, annexed to this stipulation and marked ‘Exhibit A’ is a true copy of the certificate of death of Vandon Ray Brewer.
After the death of Vandon Ray Brewer, claim was duly made upon the defendant insurance company for death benefits stated in the policy, but the company denied liability and refused to pay. Thereafter the present suit was filed.”

The declaration of the plaintiff, in addition to the facts covered in the stipulation, contains this averment:

“At the. time of the decedent’s employment with the City of Columbia there was in full force and effect the following statute of the State of Tennessee, codified and set out in Tennessee Code Annotated:

‘6-639. Firemen — Compensation for injury or death — Certain disabilities presumed to have been suffered in course of employment.
Whenever the State of Tennessee, or any municipal corporation or other political subdivision thereof maintains a regular fire department manned by regular and full-time employees and has established or hereafter establishes any form of compensation, other than workman’s compensation, to be paid to such firemen or fire fighters for any condition or impairment of health which shall result in loss of life or personal injury in the line of duty or course of employment, there shall be and there is hereby established a presumption that any impairment of health of such firemen caused by disease of the lungs, hypertension or heart disease resulting in hospitalization, medical treatment or any disability, shall be presumed (unless the contrary be shown by competent medical evidence) to have occurred or to be due to accidental injury suffered in the course of employment. Any such condition or impairment of health which results in death shall be presumed (unless the contrary be shown by competent medical evidence) to be a loss of life in line of duty, and to have been in the line and course of employ[508]*508ment, and in the actual discharge of the duties of his position, or the sustaining of personal injuries by external and violent means or by accident in the course of employment and in the line of duty. Provided, however, that such firemen shall have successfully passed a physical examination prior to such claimed disability or upon entering upon his governmental employment and such examination fails to reveal any evidence of the condition or disease of the lungs, hypertension or heart disease.
It is hereby declared to be the legislative intent that this section is to be remedial in character and to permit and require any municipal corporation maintaining any permanent fire department heretofore created or created after the effective date of this section, to be covered by its provisions. (Acts 1965, ch. 299, Sec. I.)’ ”

The declaration was challenged by demurrer, which was overruled after the court allowed an amendment in the following language:

Said Section 6-639 states, in part, as follows:
“Any such condition or impairment of health which results in death shall be presumed . . . to be a loss of life by accident in the course of employment and in the line of duty.”

Plaintiff, therefore, avers that the death of the intestate on January 15, 1971, (sic, should be 1970) was, pursuant to said Section, an accident in the course of employment and in the line of duty. Plaintiff further alleges that the death and statutory accident were simultaneous and that, therefore, within ninety (90) days after the date of the accident, the decedent sustained loss of life, and his estate is hereby entitled to the principal sum specified in the policy of $3,000.00.

To the declaration as amended the defendant filed a lengthy and detailed plea. The plea, in essence, set out Aetna’s defenses, which may be briefly summarized as follows:

(1) that the condition which caused Vandon Ray Brewer’s death was not a condition for which the policy provides an indemnity;
(2) his death did not result from bodily injury sustained during the term of the policy solely through external, violent and accident means, while actually engaged in the performance of his duty;
(3) the policy provides death benefits are not payable if death is caused directly or indirectly, wholly or partly, by disease in any form;
(4) there was no accident occasioning the loss; the loss arose as the result of a disease;
(5) death did not occur within 90 days after an accident;
(6) death occurred more than 90 days after the last day the decedent worked on his job;
(7) the statutory presumption upon which the plaintiff relies is invalid because the Act creating it is broader than the caption;
(8) the Act does not even purport to be applicable to the present action as against this defendant;
(9) the declaration shows on its face that the condition from which Mr.

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Cite This Page — Counsel Stack

Bluebook (online)
490 S.W.2d 506, 1973 Tenn. LEXIS 520, Counsel Stack Legal Research, https://law.counselstack.com/opinion/brewer-v-aetna-life-insurance-co-tenn-1973.