Chard v. New York Life Insurance

16 N.W.2d 858, 145 Neb. 429, 1944 Neb. LEXIS 163
CourtNebraska Supreme Court
DecidedDecember 22, 1944
DocketNo. 31791
StatusPublished
Cited by12 cases

This text of 16 N.W.2d 858 (Chard v. New York Life Insurance) is published on Counsel Stack Legal Research, covering Nebraska Supreme Court primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Chard v. New York Life Insurance, 16 N.W.2d 858, 145 Neb. 429, 1944 Neb. LEXIS 163 (Neb. 1944).

Opinion

Chappell, J\

This is an action at law prosecuted by Marie E. Chard, Guardian of Ameila A. Chard, as plaintiff, against the New York Life Insurance Company, defendant, to recover certain monthly total disability benefits alleged to have accrued under and by virtue of the provisions of an insurance policy purchased by the ward and effective as of October 18, 1930. The action was originally filed in the municipal court for Lincoln, Nebraska, where plaintiff obtained a judgment from which defendant appealed to the district court for Lancaster county. Upon trial there a jury awarded plaintiff a verdict for $393.04. The trial court entered judgment upon the verdict and allowed plaintiff’s attorney a fee of $150. Motion for new trial was overruled and defendant appeals to this court, assigning as error that the verdict and judgment are not sustained by the evidence and are contrary to' law; that the trial court erred in overruling defendant’s alternative motion made at the conclusion of all the evidence to dismiss or instruct a verdict for defendant ; and erred in the refusal and giving of certain instructions. We decide that the trial court erred in the giving of certain instructions which were prejudicial to defendant’s rights, but that defendant’s other assignments of error are without merit.

[431]*431It is conceded that the policy was in full force and effect during the period of the alleged total disability and that total disability payments thereunder were approved and made by defendant for twenty months just preceding January 15, 1934, and from April, 1934, until they were discontinued on January 13, 1943.

The sole issue presented to the trial court by the pleadings and the evidence was whether the insured ward was totally disabled within the meaning of the policy from. January 13, 1943, to and including August, 1943.

The policy provides that, “Upon receipt by the Company at its Home Office of due proof, as hereinafter provided, that the Insured has become totally disabled by bodily injury or disease so that he is and will be thereby wholly prevented from performing any work, following any occupation or engaging in any business for remuneration or profit, and that such disability has already continued uninterruptedly for a period of at least four months (such total disability of such duration being presumed to be permanent only for the purpose of determining liability herefinder), * * * .” Thereafter followed provisions for waiver of premiums and payment of $49.13 per month to insured during continuance of total disability. The policy also contained a defeasance section which provided, “Before making any income payment or waiving any premium, the Company may demand due proof of the continuance of total disability, but such proof will not be required oftener than once a year after such disability has continued for two full years. If such proof shall not be furnished, or if at any time the Insured shall become able to perform any work, follow any occupation, or engage in any business for remuneration or profit, no further income payments shall be made nor premiums waived * * * .”

For many years this court has followed the rule that, “A contract of insurance should be given a reasonable construction so as to effectuate the purpose for‘which it was made. In cases of doubt, it is to be liberally construed in favor of the insured.” Hamblin v. Equitable Life Assur[432]*432ance Society, 124 Neb. 841, 248 N. W. 397. See, also, Oswald v. Equitable Life Assurance Society, 128 Neb. 173, 258 N. W. 41. In Woods v. Central States Life Ins. Co., 132 Neb. 261, 271 N. W. 850, both the insurance clause and the cessation or conduct clause were almost identical with those here involved. In that connection this court in its opinion quoted from and approved a statement appearing in Stoner v. New York Life Ins. Co., (Mo. App.) 90 S. W. 2d 784, a similar case, to the effect that, “There is then no conflict between the two clauses. The latter has no effect to limit or vary the former. It is but declaratory of the former.” Following the quotation this court said: “It is clear, therefore, that the addition of the cessation clause in no way changes the liability created in the first-quoted section (the insuring clause) of the policy.” Upon this premise the court in construing such policy provisions, held that, “A policy of insurance providing for total disability benefits when the insured ‘has become wholly and permanently disabled by bodily injury or disease, so that he is and will be permanently, continuously and wholly prevented thereby from performing any work for compensation or profit, or from following any gainful occupation,’ means inability to do all the substantial and material acts necessary to the prosecution of the insured’s business or occupation in his customary and usual manner.” The rule above stated is in accord with the great weight of authority and is stare decisis in this jurisdiction. See Annotations, 79 A. L. R. 857; 98 A. L. R. 789. It was followed and amplified in From v. General American Life Ins. Co., 132 Neb. 731, 273 N. W. 36, wherein it was held that, “Where an insurance policy provides for the payment of disability benefits when insured has become totally and permanently disabled from bodily disease, so that he is thereby and will be permanently, continuously and wholly prevented from pursuing any occupation whatsoever for remuneration or profit, such provision does not mean that the insured must be absolutely and literally helpless and unable to do anything. The term ■‘occupation,’ as used in the policy, means the occupation or [433]*433employment of the insured in which he was engaged or for which he was fitted. The words ‘total and permanent disability’ do not mean that the insured must be rendered absolutely and totally unable to perform every duty of his occupation in order to recover. It is sufficient in that respect if the insured is disabled by bodily disease from performing one or more of the necessary acts of his occupation.” See, also, Reinsch v. Travelers Ins. Co., 133 Neb. 249, 274 N. W. 572; Bennett v. Metropolitan Life Ins. Co., 136 Neb. 785, 287 N. W. 609. It was also held in Miceli v. Equitable Life Assurance Society, 138 Neb. 367, 293 N. W. 112, that, “If an insured’s ability to do substantially and practically any of the material acts necessary for the transaction of his usual business or vocation is affected, or if, while attempting to do all of such acts, he is jeopardizing his health and safety, or ought not actually to be so engaged, he will be held to be totally disabled within the meaning of a disability provision in an insurance policy.” Upon motion for rehearing in such Miceli case, in a supplemental opinion found at p. 374, this court adhered to its former opinion and held that, “Inability to do any of the material acts necessary for the transaction of an insured’s usual business or vocation, which prevent the substantial and practical conduct or pursuit of such business or vocation, is equivalent, in insurance law, to inability to- do all the substantial and material acts necessary to the prosecution of the insured’s business or occupation in his customary and usual manner.” See, also, Reinsch v. Pacific Mutual Life Ins. Co., 140 Neb. 225, 299 N. W. 632. It is well established that where different minds may reasonably draw different conclusions as to whether the facts establish liability for total disability, it is the duty of the trial court to submit the question to the jury under appropriate instructions for their decision. Schultz v. John Hancock Mutual Life Ins. Co.,

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Bluebook (online)
16 N.W.2d 858, 145 Neb. 429, 1944 Neb. LEXIS 163, Counsel Stack Legal Research, https://law.counselstack.com/opinion/chard-v-new-york-life-insurance-neb-1944.