Burrell v. Provident Life & Accident Insurance

39 S.W.2d 1031, 162 Tenn. 672, 9 Smith & H. 672, 1930 Tenn. LEXIS 129
CourtTennessee Supreme Court
DecidedJuly 1, 1931
StatusPublished
Cited by6 cases

This text of 39 S.W.2d 1031 (Burrell v. Provident Life & Accident Insurance) 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
Burrell v. Provident Life & Accident Insurance, 39 S.W.2d 1031, 162 Tenn. 672, 9 Smith & H. 672, 1930 Tenn. LEXIS 129 (Tenn. 1931).

Opinion

Mr. Justice McKinney

delivered the opinion of the Court.

This is a suit on an accident policy of insurance, exhibited with the hill, to recover $506 for the loss of an eye. By demurrer it was insisted that the hill did not state a cause of action. The chancellor overruled the demurrer. Defendant- declined to plead further, a pro confesso was taken, and a decree entered in favor of complainant for the sum sued for. Defendant appealed, and by appropriate assignments of error insists that its *674 demurrer should have been sustained and the hill dismissed.

The facts are thus stated in the hill:

‘ ‘ On June 14, 1930, the complainant, while leaning over a box of ferns in his house, was jabbed in the eye by the end of a fern.' The next morning he called upon a doctor who treated him. At first the injury was not supposed to be very serious and complainant continued at his work as a clerk in the office of the Nashville, Chattanooga & St. Louis Railroad until June 25, 1930, when his condition became so serious that he was compelled to quit work. He was, however, continuously under a doctor’s treatment from the day of the accident. The eyeball became so infected that finally on August 19th it was removed and the complainant.was unable to resume work until September 2, 1930.”

The policy contains the following provision:

“If such bodily injury shall immediately from date of accident, independently and exclusively of all other causes, directly, continuously and totally disable and prevent the Insured from performing any and every kind of duty pertaining to his occupation, and if, during the period of such continuous and total disability, and within ninety days from date of accident, such bodily injury shall be the sole and direct cause of any one of the losses enumerated in this Part, the Company will, pay the sum specified opposite such loss in lieu of all other indemnities under this Policy.”

It appears from the allegations of the bill that complainant continued at his regular wqrk for eleven days after the accident, and was not, therefore, continuously and totally disabled from pursuing his occupation from the time of the accident to the date of the disability. We consider it fairly inferable from the allegations of the *675 bill that the disability of complainant resulted from the accident, and was not due to any intervening canse.

Our decision must rest upon the meaning of the word “immediately,” as used in the policy. There is considerable conflict in the authorities upon this question, and it is impossible to harmonize the decisions. No fixed rule can be formulated, but each case must be determined upon its own facts. A very clear statement of the interpretation which the-courts have placed upon the provision of the policy under consideration is contained in 1 Corpus Juris, 468-469, and is as follows:

“A provision frequently found in accident policies defines the injuries for which the insurer shall be liable as those which shall ‘immediately, wholly, and continuously’ disable the insured, and the question has been raised in several cases as to the meaning' to be given to the word ‘immediately.’ In a majority of the cases the courts on a consideration of the context have found that the word ‘immediately’ in the connection mentioned is used as au adverb of time, although in some cases it has been interpreted as signifying causation and not time. The principal difficulty, however, in these cases has not been to ascertain whether the word ‘immediately’ signifies proximity of time, since that signification is generally indicated with sufficient clearness by the context, but rather to determine how soon after the infliction of the injury the disability must result in order to come within the designation. It is generally agreed that ‘immediately’ as so used does not mean instantaneously or without any interval of time; and is not, on the other hand, equivalent to the phrase ‘within a reasonable time,’ but requires that the disability shall result presently and without any substantial interval. It has also been said that, in view of the purpose of the limitation which is to guard against *676 the difficulty of determining whether or not the disability in any case was the result of the accident or of some intervening’ cause, a disability is immediate when it results within the time required by the laws of nature for the cause to produce the effect.”

We find upon investigation that the great weight of authority is to the effect that the word “immediately,” as here employed, refers to proximity of time with the injury, and not proximity in the sense of causation. We are further of the opinion that this construction gives effect to the intention of the parties. This provision was inserted, according to the decisions, to guard against the hazard of uncertain litigation to determine whether the disability resulted from the accident or from some intervening cause.

In construing the clause in question, the court, in Laventhal v. Fidelity & C. Co. (1908), 9 Cal. App., 275, 98 Pac. 1075, said: “The language is plain, and anyone .>an at once see that the plaintiff was not immediately disabled and prevented from performing the duties, or part of the duties, pertaining to his occupation. The defendant had the right to make its liability depend upon the fact as to whether or not the plaintiff was immediately disabled by the injury from performing every duty pertaining’ to his occupation. It had the right to take the question out of the category of such uncertainties as might be raised by experts, or' oral testimony as to whether or not the final total disability was caused by the injury, or by other complications or conditions. It made its insurance policy with these conditions, and evidently fixed its rate of premium in accordance with the risk it assumed. To these conditions the plaintiff gave his assent when he accepted the policy. If' he was not immediately disabled, he cannot in law or in morals hold *677 the defendant liable. If we were to adopt the rule contended for here by plaintiff, it would place such a contract in the realm of uncertainty. If, where twenty-two days elapsed before the injury finally overpowered and disabled the plaintiff, we should hold that such disability was immediate, the same reasoning would apply if the period had been fifty days, and so on for months and perhaps years. It is said by medical writers that cases have been known where a slight injury received in youth, from which the patient apparently recovered, has been the proximate cause of death in old age. After days and months, and perhaps years, have elapsed, it is evident that the question as to whether or not the injury of itself finally wholly disabled the party would be a question— at least, in many cases — difficult to determine. It might finally be solved in favor of the party who was most industrious in procuring witnesses, and particularly expert witnesses. TVe are of opinion that it is a much safer rule to hold the parties to the plain, unambiguous reading' of their contract.”

One of the leading cases dealing with this question is Williams v. Preferred Mut.

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250 F. Supp. 627 (N.D. Georgia, 1965)
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Tibbs v. Equitable Life Assur. Soc.
168 S.W.2d 779 (Tennessee Supreme Court, 1943)
Riggs v. Mutual Life Ins. Co. of N.Y.
172 S.W.2d 1017 (Court of Appeals of Tennessee, 1943)
Principi v. Columbian Mut. Life Ins. Co.
84 S.W.2d 587 (Tennessee Supreme Court, 1935)
Temples v. Prudential Ins. Co. of America
79 S.W.2d 608 (Court of Appeals of Tennessee, 1934)

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Bluebook (online)
39 S.W.2d 1031, 162 Tenn. 672, 9 Smith & H. 672, 1930 Tenn. LEXIS 129, Counsel Stack Legal Research, https://law.counselstack.com/opinion/burrell-v-provident-life-accident-insurance-tenn-1931.