Coffey v. United States

97 F.2d 762, 117 A.L.R. 940, 1938 U.S. App. LEXIS 3864
Court of Appeals for the Seventh Circuit·Decided June 4, 1938·No. No. 6366·Published·Cited by 10 cases

Opinion

TREANOR, Circuit Judge.

This is an appeal from a judgment of the District Court in favor of the plaintiff in a suit on a war risk term insurance policy. The insured, William M. Coffey, was inducted into military service of the United States on May 20, 1918, and was discharged therefrom on March 21, 1919. His contract of war risk term insurance expired on July 1, 1919, unless the insured became permanently and totally disabled prior thereto, as was alleged in plaintiff’s complaint.

[763] No claim for permanent total disability benefits under the insurance contract was filed prior to the insured’s death on August 7, 1928. On May 17, 1929, Alice Coffey, mother of the insured and the designated beneficiary, filed a claim with the United States Veterans’ Bureau. This claim was denied on November 7, 1931. Thereafter Alice Coffey was appointed administratrix of the estate of the deceased insured, and on May 31, 1932, she began this suit in both her individual capacity as beneficiary and in her representative capacity as administra-trix.

Alice Coffey died on March 7, 1936, and on December 17, 1936, William W. Coffey, as executor of the will of Alice Coffey and as her successor administrator of the estate of the insured, moved to be substituted as plaintiff in each capacity. The government objected to the motion for substitution of William W. Coffey as plaintiff in the capacity of administrator of the estate of William M. Coffey, the deceased insured.

The District Court overruled the government’s objection and ordered the substitution of William W. Coffey as plaintiff in the capacity of administrator of the estate of William M. Coffey.

The case went to trial and at the close of all the evidence each party moved for finding of facts and judgment in his favor. The court made a finding of facts, stated its conclusions of law thereon, and entered judgment in favor of the plaintiff.

The foregoing objection of the government to the substitution of William W. Coffey; administrator of the estate of the insured, depends for its validity upon the construction of certain language in Section 19 of the World War Veterans’ Act of 1924, as amended July 3, 1930.1 It is the government’s contention that Section 19 requires, as a jurisdictional prerequisite, that there he a claim filed with the United States Veterans’ Bureau and a disagreement thereon; and it is the further contention of the government that, for jurisdictional purposes, the claim and disagreement thereon inure only to the claimant who actually files the claim. As applied to the facts of the instant case, the contention of the government is that the only claim filed which was the basis of a disagreement was the claim of Alice Coffey as beneficiary; and that, since no claim was ever filed for permanent total disability benefits by the insured or by anyone on behalf of his estate, Alice Coffey, as administratrix, could not be joined with Alice Coffey as beneficiary, and, consequently, William W. Coffey, as successor administrator, could not he substituted as plaintiff for Alice Coffey, administratrix. And this latter contention is made despite the express declaration in Section 19 that “all persons having or claiming to have an interest in such insurance may be made parties to such suit.” (our italics)

The government’s Contention presupposes that the “claim” which Section 19 contemplates is a legal demand, an assertion of right, which is required for the purpose of fixing the interests which can be litigated, in case of disagreement, and to designate the persons who may be parties to any litigation. But the term “claim” is defined in simple, untechnical language which prevents its being construed to be a legal demand in a technical sense. A “claim” may be “any writting” which alleges “permanent and total disability at a time when the contract of insurance was in force,” or which “uses words showing an intention to claim insurance benefits.” The term “claim,” as [764] thus defined, is merely the physical writing which furnishes the desired information and not an assertion of a legal right.

We quote' with approval the following comment upon the purpose and effect of a “claim”.2 “The only purpose of requiring the filing of claim as a prerequisite to suit is to give notice to the government that claim is being made under the policy so that it may make investigation and pay any amount due claimant without being subjected to the trouble and expense of litigation; and any claim showing ‘intention to claim insurance benefits’ answérs the purpose. Congress doubtless realized that many claims would be made by illiterate claimants without the advice and assistance of counsel, and intended that a claim either calling attention to total and permanent disability or showing an ‘intention to claim insurance benefits’ should be sufficient. It was no doubt to avoid such technical rulings as we are asked to make in this case that Congress embodied in the statute the broad provision which we have quoted.” And we agree with the further statement from the above quoted opinion that “it would be carrying technicality to a ridiculous extreme to deny recovery - because of the difference between the claim as filed and the claim sued on.”

In the instant case Alice Coffey filed a “claim” as beneficiary and after “disagreement” she commenced this action to recover •insurance benefits both in her individual capacity as beneficiary and in her capacity as administratrix of the estate of the deceased insured. We are of the opinion that the right of recovery was not limited to insurance benefits of the beneficiary but included all insurance benefits under the contract of insurance; and Alice Coffey, administratrix, was a proper party to the suit even though the “claim” did not specify that Alice Coffey intended to claim estate insurance benefits. Since all that the Act requires as a “claim,” in the first instance, is a writing which uses words that show “an intention to claim insurance benefits” we cannot justify limiting the scope of “an action on the claim” to the right to recover insurance benefits for the beneficiary .only.

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Coffey v. United States, 97 F.2d 762, 117 A.L.R. 940, 1938 U.S. App. LEXIS 3864 (7th Cir. 1938).

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