Clubb v. Sentinel Life Insurance Co.

42 P.2d 792, 181 Wash. 284, 1935 Wash. LEXIS 537
CourtWashington Supreme Court
DecidedMarch 28, 1935
DocketNo. 25464. En Banc.
StatusPublished
Cited by3 cases

This text of 42 P.2d 792 (Clubb v. Sentinel Life Insurance Co.) is published on Counsel Stack Legal Research, covering Washington Supreme Court primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Clubb v. Sentinel Life Insurance Co., 42 P.2d 792, 181 Wash. 284, 1935 Wash. LEXIS 537 (Wash. 1935).

Opinions

Holcomb, J.

Respondent had judgment in the court below upon the verdict of a jury in the full amount sued for, of $1,245, for permanent total disability benefits alleged to be due respondent. Appellant admitted that it owed respondent $394.28, which it tendered into court.

On April 4, 1929, a policy of accident insurance was issued to respondent, in which policy it was stated that his occupation was license inspector and his duties were “Inspector, office and traveling duties only.” The policy was kept in force until January or February, 1932, when respondent lost his employment as license inspector for the state, since which time he had taken up no new occupation. On November 16, 1932, respondent was struck by an automobile, and has since suffered a partial paralysis on the left side of his body which, according to the evidence, not only interferes with the movement of the left arm and leg, but prevents him from assuming any mental responsibility or doing any sustained work.

The material parts of the policy are these:

“Or if such injuries shall within ninety days from date of accident wholly and continuously disable the insured from performing any and every kind of duty pertaining to his occupation, for the period of one day or more, so long as the insured lives and suffers such continuous total disability, the company will pay him the weekly accident indemnity specified.
“Or if such injuries shall within ninety days from the date of the accident or immediately following a period of total disability, continuously disable the insured from performing one or more important daily *286 ' duties pertaining to his occupation or for total disability beginning more than ninety days from the date of the accident causing the disability, the company will pay for the period of such disability or disabilities, but not exceeding twenty-six consecutive weeks, one-half of the weekly accident indemnity specified.
Provided no claim shall be made for surgical benefits under the schedule of operations, if the insured on account of such injuries for which weekly indemnity is payable shall enter a public licensed hospital and be continuously confined therein solely on account of said injury, weekly indemnity otherwise payable for the period of such confinement, but not exceeding twelve consecutive weeks for any one such injury, will be increased fifty per cent.
“1. This policy includes the endorsements and attached papers, if any, and contains the entire contract of insurance except as it may be modified by the company’s classification of risks and premium rates in the event that the insured is injured after having changed his occupation to one classified by the company as more hazardous than that stated in the policy, or while he is doing any act or thing pertaining to any occupation so classified, except ordinary duties about his residence or while engaged in recreation, in which event the company will pay only such portion of the indemnities provided in the policy as the premium paid would have purchased at the rate but within the limits so fixed by the company for such more hazardous occupation.”

After his injury, appellant had information that he had ceased to be a license inspector and was doing other work classified by its schedule as more hazardous work. This resulted in a dispute between respondent and appellant, which was later settled by respondent agreeing to accept weekly total disability benefits of twenty dollars and by accepting a rebate on the premiums from June 30, 1932. This settlement was evi *287 denced by a rider attached to the policy signed both by the company and respondent, which reads:

“Endorsement
“In consideration of a reduction of $5.00 in the weekly benefits extended under the policy of which this endorsement is a part, it is understood and agreed that coverage extended by the policy is reduced to the following :
Principal Sum ...................$5,000.00
Weekly Accident Benefits......... 20.00
‘ ‘ The premium applying to this policy is accordingly reduced to $21.50 per year or $5.38 quarterly.
“Accepted Carl Clubb Date Mar. 15, 1933.
“Attached- to and forming a part of Policy No. A-117279 issued by Sentinel Life Insurance Com:-pany to Carl Clubb of Olympia, Washington.
“Date effective June 30,1932.
Countersigned
F. T. Harvey, President.”
M. F. Lindsay (G-. R.)
Registrar.

Thereafter, inasmuch as whatever rights respondent had were fully matured, he did not pay further premium. Appellant paid respondent weekly indemnity at the rate of twenty dollars per week until August 31, 1933. In October, 1933, having caused respondent to be examined by its physician, who reported that respondent was no longer totally disabled but only partially disabled, appellant then offered to pay respondent partial disability benefits commencing October 15,1933, which were refused and this suit by respondent followed.

The sum of $394.28 tendered into court by appellant includes total disability benefits at twenty dollars per week from August 31, 1933, the date of its last payment, to October 15, 1933, and partial disability benefits at the rate of ten dollars for six months thereafter. Respondent sued for the full indemnity of twenty-five dollars per week from the beginning of his disability *288 to the date of trial, for which the jury awarded a verdict, and judgment was entered thereon by the trial court. Eight hundred and eighty dollars had theretofore been paid to respondent and credited by him.

In one of its affirmative defenses, appellant alleged that a dispute existed as to the extent of respondent’s disability, and that the settlement was made in accordance with the instrument above set out. Respondent in his reply simply denies each and every allegation contained in the affirmative defenses.

It is to be noted that the policy in this case differs from that before us in Storwick v. Reliance Life Insurance Co., 151 Wash. 153, 275 Pac. 550. The decision in that case can therefore be of little help in deciding this case, so far as determining the terms of the policy are concerned. The policy in this case did, however, state that the occupation of respondent was that of a license inspector and stated his duties.

A statement as to occupation refers to the time when made, and is not an admission that the same occupation was that of insured at the time of a later accident, nor a warranty that insured will continue in that occupation or will not engage in any other occupation. 4 Couch on Insurance, 892. Elmore v. Southern Surety Co., 207 Iowa 872, 224 N. W. 32; United States Fidelity & Guaranty Co. v. McCarthy, 50 Fed. (2d) 2.

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Cite This Page — Counsel Stack

Bluebook (online)
42 P.2d 792, 181 Wash. 284, 1935 Wash. LEXIS 537, Counsel Stack Legal Research, https://law.counselstack.com/opinion/clubb-v-sentinel-life-insurance-co-wash-1935.