Cass v. Pacific Mutual Life Insurance

253 N.W. 622, 62 S.D. 502, 1934 S.D. LEXIS 57
CourtSouth Dakota Supreme Court
DecidedMarch 19, 1934
DocketFile No. 7535.
StatusPublished
Cited by7 cases

This text of 253 N.W. 622 (Cass v. Pacific Mutual Life Insurance) is published on Counsel Stack Legal Research, covering South Dakota Supreme Court primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Cass v. Pacific Mutual Life Insurance, 253 N.W. 622, 62 S.D. 502, 1934 S.D. LEXIS 57 (S.D. 1934).

Opinion

POLLEY, J.

On or about the 17th day of March, 1921, the defendant issued to plaintiff a policy of insurance whereby defend<ant agreed to pay plaintiff a certain monthly indemnity in case of sickness that resulted in continuous total loss of business time in plaintiff’s occupation as manager and supervisor of a tailoring store, *504 with office andl supervising duties only; such payments to continue until the insured engages in a gainful occupation, providing that •he was to receive no compensation for the first three months of such disability. During the month of February, 1931, and while this policy was in force, plaintiff became afflicted with a disease known as arthritis, rheumatoid arthritis, some of the medical witnesses called it, while others called it chronic atrophic arthritis. Plaintiff took treatment from a local physician, but the disease developed to such an extent that on the 2d day of March, 1931, plaintiff, acting on the advice of his physician, abandoned his business and entered a local hospital where lie continued to take treatments. He received no benefit from such treatment. He then went to Mud'baden, a sanitarium for the treatment of arthritis, some place in the state of Minnesota. He spent some time there, but received no benefit and returned to his home in Mitchell. There he continued under the care of bis local physician, but without any improvement, .and at the end of three months from the time he had abandoned his business he applied for benefits under the terms of his policy. Such 'benefits were allowed and paid by defendant for a period of four months, when payments were discontinued. This action on the part of defendant was taken pursuant to a report made by several physicians who had been employed by defendant to make a physical examination of plaintiff to ascertain the extent of his disability. The opinion expressed by these physicians, based upon such examination, was such that defendant refused to pay further benefits, and plaintiff brought this action for the recovery thereof. The case was tried! to a jury. Verdict and judgment were for plaintiff. A motion for a new trial was denied and defendant appeals.

The record is voluminous and consists largely of the testimony of medical experts; there being some three or four of such witnesses for each of the parties to the action. So far as the nature, character, duration, and effects of plaintiff’s illness, is concerned, the witnesses for the different parties differ very little. The principal difference being that plaintiff’s witnesses were of the opinion that a person afflicted with arthritis as plaintiff is, is not able to attend to- the duties incident to the management and supervision of plaintiff’s business, and that he is suffering a continuous total loss of business time; while defendant’s medical witnesses expressed the *505 opinion that plaintiff is able to attend to some of the duties ■ of such •business and is not entitled to benefits; one of such witnesses testified that he thought plaintiff is able to work three or four hours per day; another said he thought plaintiff could work three to five hours per day; while a third said he thought plaintiff could work six to seven hours per day. None of these witnesses appear to have taken into consideration the nervous condition of plaintiff nor the constant pain he would suffer while doing such work.

Arthritis is a disease of the joints oí the human body. In plaintiff’s case it affected practically all the joints in his body except the hips and his spine. These affected joints became swollen, stiff and sore, and at times very painful. This pain is intermittent rather than continuous, but very severe at times and, without any apparent cause, shifts about from one joint to another. Plaintiff is much weakened and easily fatigued. His muscles have become so shrunken that his weight is reduced from 180 pounds to 152 pounds. He suffers from' nervousness and loss of sleep. At times he is compelled to resort to opiates for the relief of pain and to induce sleep. His physician advised him. to stay away from his business; to stay out in the sunshine and get as much exercise as he can without causing too much pain. One of the physicians testified that arthritis is a germ disease, that the germ creates a poison in the system and causes weakness and fatigue. To quote one of the physicians: “The normal progress of rheumatoid arthritis is over a period of years, commencing as a mild; affair and generally growing more severe until it reaches a point where the destructive process becomes quiet and a reparative process takes place to try and overcome the destruction, which is over a period of from' several'years to a lifetime.” Another medical witness testified that arthritis is a disease that its not well understood by the medical profession; that even the cause of it is not known. One of the medical experts called by defendant testified that medical science has not discovered any particular treatment that will cure arthritis. Plaintiff’s hearing and eyesight are still good, and he does not appear to have suffered any impairment of his mind.

With few exceptions, plaintiff is up and about part of every day, but never all day. He can walk-and frequently walks as far as four blocks. He can drive a car and drives some nearly every day. He is a member of the Kiwanis Club' and is a regular attend *506 ant at the weekly club luncheons. He was. president of the Kiwanis 'Club and performed the duties of that office. He is a member of the Elks Lodge and held a high office in the local lodge and performed the duties of such office. He enjoys seeing football and basketball games. He made a trip from Mitchell to Scotland where he visited his mother, and from there went on to Tripp and Yank-ton where he saw football games. Lie made a trip from Mitchell to Aberdeen where he attended a basketball tournament. He was gone on this trip some two or three days. He did not go alone on any of these trips, but did drive the car part of the time on all of them. He drives out to the Wesleyan University in Mitchell and sees football games and football practice there. He usually sits in his car while viewing these sports.

It is the contention of defendant that a person who' was capable of the above enumerated activities is not suffering such disabilty from sickness as to entitle him to benefits under the terms of the policy.

The first assignment argued by defendant is predicated upon the denial by the court of appellant's challenge for cause, to one of the veniremen. This challenge and the ruling of the court are based upon the following proceedings: Counsel for defendant put the following questions to the venireman:

“Q. Mr. Fredine, I want to ask you if before the reporter was called, I did not ask you whether you had some opinion as to the merits of this case and if you did not tell me substantially this, that from seeing Mr. Cass, the plaintiff, about the streets last fall during the month of October, November and December, you ¡had formed an opinion which it would: ¡take pretty strong evidence to remove? A. Yes, I replied that I did.
“Q. Mr. Fredine, you say you formed an opinion, did you? A. Yes.
“Q. How did you form the opinion? A. From my observation.
“Q. Of Mr. Cass? A. Of Mr. Cass.
“Q.

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Bluebook (online)
253 N.W. 622, 62 S.D. 502, 1934 S.D. LEXIS 57, Counsel Stack Legal Research, https://law.counselstack.com/opinion/cass-v-pacific-mutual-life-insurance-sd-1934.