Coldham v. Pacific Mutual Life Insurance

2 Ohio N.P. 358
CourtLucas County Court of Common Pleas
DecidedDecember 22, 1894
StatusPublished

This text of 2 Ohio N.P. 358 (Coldham v. Pacific Mutual Life Insurance) is published on Counsel Stack Legal Research, covering Lucas County Court of Common Pleas primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Coldham v. Pacific Mutual Life Insurance, 2 Ohio N.P. 358 (Ohio Super. Ct. 1894).

Opinion

PUGSLEY, J.

This case is before the court upon a motion by the defendant for a judgment in its favor upon the pleadings; the pleadings consisting of the amended petition of the plaintiff and the answer thereto of the defendant.

The action was begun on the 18th day of February, 1893, and is upon an accident policy of insurance for $5,000, issued by the defendant on August 18, 1891, to James Coldham, in which policy the plaintiff was named as the beneficiary. Thereby the defendant insured the said James Cold-ham for the term of one year against violent and accidental injuries which should cause death within ninety days from the time of the happening of such accident. It is alleged in the petition that upon the 5th day of January, 1892, said James Coldham slipped and fell upon an icy sidewalk in this city, and that two'days afterwards, namely: upon the 7th of January, 1892, he died from the effects of said fall. It is further alleged in the petition as follows:

“Plaintiff further says that immediately after the accident every endeavor was made on her part to find out how and in what manner the deceased met with the injury. Every effort was made by her.to find the person or persons who saw or witnessed the said accident, but without success; and not until the 6th day of February, 1893, after the exercise of the utmost diligence on her part, was anybody found who saw the accident. Immediate notice was then given to the defendant’s local agent, and also to the general agent of said company at Cleveland, Ohio. That the said defendant, by its agent, on receiving the aforesaid notice and particulars of the accident which resulted in the death of the said James Coldham, acknowledged by letter the receipt of said notice, and therein declared the invalidity of the plaintiff’s claim, and denied all liability un-' der said policy of insurance, for the reason that the time for making any claim on account of said accident which caused the death of the deceased Avas past, and informed the plaintiff that it Avould be useless and unnecessary for her, under the circumstances, to make the formal proof of the accident and death.
“Plaintiff, relying upon this Avaiver of proof of the fact of the acciden and death of the insured on the part of the company, did not make the usual proof of the accident and death of the deceased.
“Plaintiff further says that it was impossible for .her, under the circumstances, to notify the defendant, immediately upon the death of the deceased, of the accident, and to furnish the required proof Avithin the time prescribed by the terms of said contract of insurance, for the reason already given, namely: that she could not find or hear of anyone who saw the manner in Avhich the deceased met Avith the injury Avhich caused his death; but just as soon as plaintiff had knowledge that the death of the said James Coldham resulted from accidental injuries, and she was in possession of the necessary facts to give the required notice, she then con[360]*360formed with the terms of said policy of insurance, and gave the immediate written notice to the company, with full particulars of the accident and cause of death, and was willing and ready to furnish the proofs thereof, under the terms of said contract of insurance, when the company informed the plaintiff that it would be unnecessary for her to furnish and submit proofs, as the defendant disputed the validity of her claim under said contract of insurance as aforesaid.”

The answer of the defendant to the amended petition contains two defenses. In the first defense, after admitting that it is a corporation and that the policy was issued as alleged, the defendant denies each and every other allegation of the petition.

The second defense is .as follows:

“The defendant, for a second defense to plaintiff’s amended petition, says, that in and by the express terms and conditions of-said policy of insurance, it was mutually agreed between said James Coldham and said defendant, that the said defendant should have immediate written notice, with full particulars of any accident, and that the medical adviser of said company should be allowed to examine the person or body of the insured in respect to an.y alleged injury, cause of death, or loss of sight or limb, as often as said medical adviser might require. It was and is further provided m said policy that unless affirmative proof of death,loss of sight or limb or duration of disability be furnished within seven months, and legal proceedings, if any, for recovery under said policy is begun within one year from the time of said accident, all claims based on said policj>' should be forfeited to said company.”

No reply was filed to this second defense.

For the purposes of this motion the allegations cf fact contained in the petition are to be'taken as true; and giving to these allegations the fullest force and effect that can be claimed for them, it appears that on the 5th day of January, 1892, while the policy was in force, the deceased fell upon an icy sidewalk, and two days thereafter died from the effects of the fall; that immediately after the accident the plaintiff made every effort in her poiver to find the person or persons who wdtnessed the accident, but without success; and that notwithstanding the utmost diligence on her part she did not know that the fall was an accident or the result of an accident until the 6th day of February, 1898, a period of thirteen months and one day after the accident; that she thereafter immediately gave written notice to the defendant, -with full particulars of the accident and cause of death; that the defendant acknowledged by letter the receipt of such notice, and therein denied all liability under the policy, for the reason that the time for making any claim on account of said accident ivas past, and informed the plaintiff that it cvould be useless and unnecessary for her to give formal proof of the accident and death. Formal proof of the accident and death was not made nor furnished to the defendant, and this action was begun thirteen months and seventeen days after the accident.

It appears from the allegations of the second defense of the answer, which are not denied, that by the terms of the policy it ivas agreed that the defendant should have immediate written notice, with full particulars, of any accident; that the medical adviser of the defendant should be allowed to examine the person or body of the insured in respect to any alleged injury or cause of death as often as he might require; and 'that unless affirmative proof of death be furnished within seven months and legal proceedings, if any, for recovery under said policy, be begun within one year from the time of said accident, all claims based on said policy should be forfeited to said company. These allegations of the answer are in strict [361]*361accord with the condition in the policy, a copy of which is attached to the original petition. That is No. 3, and reads as follows, or so much of it as it is necessary to read:

“The insured agrees to use due diligence for personal safety and protection, and that the company shall have immediate written notice, with full particulars, of any accident, and to allow the medical adviser of the company to examine the person or body of the insured in respect to alleged injury, cause of death, or loss of sight or limb, as often as he may require.

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Cite This Page — Counsel Stack

Bluebook (online)
2 Ohio N.P. 358, Counsel Stack Legal Research, https://law.counselstack.com/opinion/coldham-v-pacific-mutual-life-insurance-ohctcompllucas-1894.