Brix v. American Fidelity Co.

153 S.W. 789, 171 Mo. App. 518, 1913 Mo. App. LEXIS 641
CourtMissouri Court of Appeals
DecidedFebruary 4, 1913
StatusPublished
Cited by7 cases

This text of 153 S.W. 789 (Brix v. American Fidelity Co.) is published on Counsel Stack Legal Research, covering Missouri Court of Appeals primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Brix v. American Fidelity Co., 153 S.W. 789, 171 Mo. App. 518, 1913 Mo. App. LEXIS 641 (Mo. Ct. App. 1913).

Opinion

NORTONI, J.

This is a suit on a policy of accident insurance. Plaintiff recovered and defendant prosecutes the appeal. On agreement of the parties, the case was tried before the court without a jury.

The principal question for review here relates to the matter of the court’s giving judgment for plaintiff though it appeared notice of the accident was not given to defendant within a reasonable. time as required by the policy. By the policy of insurance, defendant agreed ‘ ‘ to indemnify the insured, Mrs. Libbie Brix, against bodily injury caused solely by external, [522]*522violent and accidental means while this policy is in force.” By another provision of the policy, the insured agreed that “notice in writing shall be given to the company at its home office or to the agent by whom this policy has been countersigned, as early as may be reasonably possible, of the event of any accident.”

The insured plaintiff, a married woman, together with her husband and baby, was sojourning at Briggsyille in Wisconsin at the time of the accident, on a pleasure trip, during the summer vacation. At that place, on August 12, 1909, plaintiff met with an accident while in the act of alighting from a buggy. In some manner her skirts became entangled and she was thrown with great force against the wheel of the vehicle and thus received an injury to her side immediately over the liver. It appears she was forthwith seized with great pain, and suffered therefrom for several weeks thereafter. Plaintiff’s suffering was such as to occasion her to terminate her vacation at that place, and she and her husband went to Chicago on August 15, where they remained three or four days visiting her aunt. During the time at Chicago, plaintiff was confined to the house, and though not in bed, she lounged upon the couch and continued to suffer as before. Instead of returning to her home in St. Louis, about August 20th plaintiff and her husband went to Kirnmswick, Missouri, to visit with plaintiff’s mother while she recuperated. She remained at Kirnmswick with her mother for several weeks and while there was under the care of a physician. Finally, about September 5th, she with her husband returned to her home in St. Louis and continued under the care of a physician here for several weeks.

The evidence tends to prove that plaintiff suffered an injury to her liver through the fall above mentioned and that internal hemorrhages resulted therefrom. It appears that plaintiff was totally disabled as a result of the accident and confined to her [523]*523bed practically all of the time for ten weeks after its date on August 12th, and was for six weeks thereafter partially disabled. The policy vouchsafes indemnity for such injuries at the rate of $7.50 per week for total disability and for partial disability “a sum to be determined by the company but not less than twenty-five per cent nor greater than seventy-five per cent of the weekly indemnity above specified, depending upon the extent of the disability. ’ ’ By another provision of the policy, the company agreed to pay an amount equal to one week’s indemnity — that is, $7.50 - — to recompense a physician or surgeon, provided one is required.

By its finding and judgment, the court allowed plaintiff ten weeks’ full indemnity for the time she was confined to her bed at $7.50 per week, and the amount of $7.50 — that is, an amount equal to one week’s indemnity — to compensate the physician; and, furthermore, indemnity at the rate of $5.61 per week for the period of six weeks during the time she was partially disabled.

Though, as before stated, the policy required plaintiff to give the company notice of the accident as early as may be reasonably possible after the occurrence, no notice whatever was given until September 20, 1909, or nearly six weeks after the injury was received. It is said the reason notice was not given was because plaintiff did not have the policy with her. It was at her home in St. Louis and it was intended that no claim would be made unless it developed the injury was more severe than first thought. "When notice of the accident was finally delivered to defendant’s general agent, he denied liability at once on the ground that the notice had been deferred an unreasonable time. Because of this, it is urged the judgment may not be sustained, for it is said the requirement of the policy as to ■ such notice is a condition precedent to the right of recovery. For the purposes of the ease, [524]*524the proposition thus advanced may be conceded to he true and the judgment sustained, notwithstanding, in view of the evidence tending to show a waiver. As before stated, the cause was tried before the court without a jury and no instructions were asked or given. In such circumstances, though we are not advised as to the views of the trial court or the theory of law it pursued in giving the judgment for plaintiff, such judgment should not be reversed if it may be sustained on any view of the evidence, and this includes, too, all reasonable inferences therefrom in favor of plaintiff’s case.

No one can doubt that the purpose of the notice required by this provision of the policy is to advise defendant of the probable claim to be presented and afford it an opportunity for investigation thereabout. It appears that though defendant’s general agent denied all liability on the policy at the time the notice was served, September 20, it nevertheless sent its adjuster, Mr. Carroll, to investigate and settle the claim a few weeks thereafter. In the latter part of October, defendant’s adjuster called upon plaintiff and her husband at their residence in St. Louis and talked over the matter of settlement. In the meantime, plaintiff had submitted to defendant a proof of loss in due form and demanded $67.50 to cover indemnity then accrued. This demand included eight weeks for total disability and $7.50 to compensate her physician. This claim the adjuster agreed to pay and on the following day transmitted to plaintiff the company’s check for that amount in a letter in which he said, “I am enclosing herewith American Fidelity draft No. A-1162 for $67.50. This is for the full amount claimed in your proof of loss.” However, attached to the check, and which it was necessary for plaintiff to sign, was a receipt “in full and final settlement and satisfaction of all claims, etc.” Because of this receipt requiring an acknowledgment as for full and final settlement [525]*525and satisfaction, plaintiff declined to accept tlie check and returned it to defendant. Under the policy, it was competent for her to make different claims for indemnity if her disability continued, and she declined to make final settlement at the time. According to the evidence and the finding of the court, no proposition of compromise whatever was under consideration between the parties at the time, but, on the contrary, plaintiff was making a claim for indemnity then due, and defendant agreed to pay it, but, in addition and supplemental to the conversation between the adjuster and plaintiff and her husband, interjected a receipt for her signature, stipulating a full release. A few days later defendant sent its physician to examine plaintiff, which he did, and it finally rejected the claim entirely and refused to pay it.

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Cite This Page — Counsel Stack

Bluebook (online)
153 S.W. 789, 171 Mo. App. 518, 1913 Mo. App. LEXIS 641, Counsel Stack Legal Research, https://law.counselstack.com/opinion/brix-v-american-fidelity-co-moctapp-1913.