Bubany v. New York Life Ins. Co.

51 P.2d 864, 39 N.M. 560
CourtNew Mexico Supreme Court
DecidedOctober 16, 1935
DocketNo. 4052.
StatusPublished
Cited by18 cases

This text of 51 P.2d 864 (Bubany v. New York Life Ins. Co.) is published on Counsel Stack Legal Research, covering New Mexico Supreme Court primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Bubany v. New York Life Ins. Co., 51 P.2d 864, 39 N.M. 560 (N.M. 1935).

Opinions

SADLER, Chief Justice.

In an action for disability benefits under a policy of life insurance, the plaintiff (appellee here) recovered' as the result of an injury suffered April 18, 1933.

Pertinent policy provisions are here quoted, as follows:

“And the company agrees to pay to the insured * * * One Hundred * * * Dollars each month ($10 per $1,000 of the face of this policy) during the lifetime of the Insured and also to waive the payment of premiums, if the Insured becomes wholly and presumably permanently disabled before age 60, subject to all the terms and conditions contained in Section 1. hereof.”

“Section 1 — Disability Benefits

“1. Total Disability. — Disability shall be deemed to be total whenever the insured is wholly disabled by bodily injury or disease so that he is prevented thereby from engaging in any occupation whatsoever for remuneration or profit.

“2. Permanent Disability. — Disability shall be presumed to be permanent, — (a) Whenever the Insured will presumably be so totally disabled for life; or — (b) After the Insured has been so totally disabled for not less than three consecutive months immediately preceding receipt of proof thereof.

“3. Benefits. — Upon receipt at the Company’s Home Office, before default in payment of premium, of due proof -that the Insured is totally and presumably permanently disabled and that such disability occurred after the insurance under this Policy took effect and before its anniversary on which the Insured’s age at nearest birthday is sixty years, the following benefits will be granted:

“(a) Income Payments. — The Company will pay to the Insured a monthly income of $10 per $1,000 of the face of the policy during his lifetime and continued disability, beginning immediately on receipt of said proof. Any income payment due before the Company approves the proof of disability shall be payable upon such approval. If disability results from insanity, income payments under this section will be paid to the beneficiary in lieu of the Insured.

“(b) Waiver of Premiums. — The Company will waive payment of any premium falling due after approval of said proof and during such disability. Any premium due prior to such approval is payable in accordance with the terms of the policy, but if due after receipt of proof will, if paid, be refunded upon approval of proof.

“4. In the event of default in payment of premium after the insured has become totally disabled, the policy will be restored upon payment of arrears of premium with interest at 5%, provided due proof that the Insured is totally and presumably permanently disabled, as herein defined, is received by the Company not later than six months after said default and the benefits under this section shall then be the same as if said default had not occurred.

“5. It is further^ agreed that the total and irrecoverable loss of the sight of both eyes, or of the use of both hands or of both feet or of one hand and one foot shall be considered total and permanent disability.”

In his application for the policy the plaintiff was asked: “What is your occupation ?” His answer was: “Lumber dealer and hotel proprietor.”

The evidence disclosed that plaintiff came as an immigrant to this country from Jugo-Slavia when about seventeen years of age. He had but a meager education when he landed. At the time of trial he could read very little English, and could write it not at all, although he could sign his name. He worked first as a coal miner, finally acquiring a mine of his own. In it he performed the manual labor of mining along with other miners he employed, and himself “peddled” coal in the town of Gallup.

He first engaged in the lumber business in the year 1919. From the beginning he had some one employed to help run the business. After about two years he sold a one-half interest to a partner and the firm engaged a bookkeeper. In 192S he sold his interest to his partner, engaging in the lumber business alone two weeks later.

From this time forward, as previously, the plaintiff had some one employed to look after the office end of the business, first a man by the name of Diggs, and then one W. W. Clark, both of whom appeared as witnesses for plaintiff at the trial. Each had worked for plaintiff previous to his retirement from the partnership venture in the lumber business.

Throughout plaintiff's connection with the lumber business, it appears his duties were largely those of the “outside” man, involving considerable manual labor, as well as supervision.

The witness Clark testified:

“Q. What were your duties around his place of business there between the time you went to work for him in 1922 and April 18, 1933, when he was hurt? A. Taking care of the office details, such as bookkeeping, taking care of the correspondence, all that sort of thing.

“Q. What were his duties around the place between the time you spoke of 1922 and April 1933? A. Why he at all times saw that orders were gotten out, helped unload cars, saw that stuff was put in place and in bins, and generally kept up the outside end of the business, outside of the office.”

The same witness stated that in connection with unloading cars of lumber “he (plaintiff) would be the man in charge, pulling stuff out, putting on trucks and helping the boys, seeing that they put stock in the shed in nice shape, stacking nicely, all grades together.” And as to delivery of lumber, the plaintiff, according to this same witness, did “quite a bit of that.” The witness said: “He has often taken out two or three big loads before I got down to work in the morning.”

The witness Diggs testified:

“Q. When you were associated with him, what were your duties? A. They varied. I started work with George when he first opened up the yard, and I stacked lumber and other labor, took care of the books; general work around the yard.

“Q. What did he do in that enterprise? A. Well, he would unload cement, deliver lumber and take care of the stock; just general roustabout around the yard.”

The plaintiff had same rental properties in Gallup including a hotel, but his duties in connection with other interests, in the trial court as well as here, have not been so much dwelt upon as have the duties of his occupation as a “lumber dealer.” At least we gather from the record that they had little influence in the disposition of the case below. The main argument revolves about the plaintiff’s occupation as “lumber dealer,” and whether by reason of what follows he sustained the burden of showing himself disabled within the fair meaning of the applicable policy provisions conferring disability benefits.

For, on April 18, 1933, while plaintiff was engaged in operating a ripsaw at his lumber yard, his left hand became entangled in the saw; the resulting injury necessitating amputation of the four fingers and thumb of said hand. He was confined to S.t. Mary’s Hospital in Gallup for about two weeks and was under care of his physician five or six months.

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Bluebook (online)
51 P.2d 864, 39 N.M. 560, Counsel Stack Legal Research, https://law.counselstack.com/opinion/bubany-v-new-york-life-ins-co-nm-1935.