Commonwealth Life Ins. Co. v. Brown

1953 OK 206, 259 P.2d 308, 1953 Okla. LEXIS 480
CourtSupreme Court of Oklahoma
DecidedJuly 7, 1953
Docket35687
StatusPublished
Cited by3 cases

This text of 1953 OK 206 (Commonwealth Life Ins. Co. v. Brown) is published on Counsel Stack Legal Research, covering Supreme Court of Oklahoma primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Commonwealth Life Ins. Co. v. Brown, 1953 OK 206, 259 P.2d 308, 1953 Okla. LEXIS 480 (Okla. 1953).

Opinion

ARNOLD, Justice.

This -is an action brought by Mamie Brown against-' Commonwealth Life Insurance Company to recover death benefits under a group accident insurance policy issued by the insurance company to the City of Tulsa covering its employees.

Plaintiff in her petition in substance alleges: On July 1, 1949, defendant issued to the City of Tulsa a group accident insurance policy indemnifying its employees while engaged in the scope of their employment with the City of Tulsa and indemnified the 'beneficiaries under the policy in the amount therein designated when death results from accidental means while the employee is engaged within the scope of his employment; that the policy indemnified the beneficiary designated in the insurance certificate in the sum of $1,000 upon the death of the employee; that on the 9th day of August; 19S0, George N. Brown, plaintiff’s husband sustained an accident causing an injury to his head while in the employ of the park department and while engaged within the scope of his employment; that such injury caused a cerebral hemorrhage and blood clot to his brain and resulted in his death on the 19th day of August, 1950.

Defendant’s answer consists of a verified general denial.

The copy of the insurance policy introduced in evidence as to coverage provides:

“Commonwealth Life Insurance Company, Tulsa 3, Oklahoma
“A Legal Reserve Stock Company (Herein Called the Company)
“Hereby Insures the Employees of
“(Herein Called the Employer-Beneficiary)
“Against loss resulting directly and independently of all other causes, from bodily injuries sustained through purely accidental means while the Injured Employee is actually engaged in the performance of some duty pertaining to his occupation for which he is compensated by a wage paid by his Employer named as Beneficiary in this Policy (Herein called Such Injuries), while this Policy is in force, subject, however, to all the Conditions, Provisions and Benefits contained on this and subsequent pages.
“Part A. Accidental Death; If such injuries shall, independently and ex *310 clusively of disease and all other causes, continuously and wholly disable the Insured and result in death within ninety days, the Company will pay the Accidental Death Indemnity specified on the Insured Employee’s Certificate.”

The case was tried to a jury. At the conclusion of plaintiff’s evidence defendant demurred thereto on the ground that the evidence offered by plaintiff wholly failed to prove a cause of action and at the conclusion of all the evidence defendant moved the court to direct a verdict in its favor. The demurrer and motion were overruled. The jury returned a verdict in favor of plaintiff for the sum of $1,000.

Defendant appeals and among other assignments assigns as error the overruling of its demurrer to the evidence and its motion for a directed verdict.

The original policy was not produced or offered in evidence at the trial. Plaintiff during the progress of the trial made demand upon defendant’s insurance adjuster to produce the original policy; he stated that he could not produce it because he did not at that time have it in his possession. He did however produce a copy of the policy and it was stipulated and agreed that the copy was a form copy of the policy issued by the insurance company to the City of Tulsa covering its employees. The 'blanks in the policy however were not filled in. The name of the beneficiary to whom indemnity was made payable in case of death of the insured employee is not stated in the beneficial certificate attached to the policy nor is the amount of indemnity to the beneficiary therein stated.

Defendant asserts that plaintiff’s evidence wholly fails to show or prove that she was the beneficiary named or designated in the beneficial certificate nor is there any evidence tending to show the amount of indemnity the beneficiary was entitled to recover in case of death of the insured employee. Nor was there any evidence offered tending to show that the policy was in full force and effect at the time of deceased’s death.

While plaintiff offered no direct evidence tending to establish the above stated facts, it is uncontroverted that plaintiff, claiming to be the beneficiary under the policy, made timely proof of loss; that negotiations were had between plaintiff’s son as her agent, and agents of the insurance company relative to the adjustment of loss whereby the insurance company in effect recognized plaintiff as the beneficiary and treated the policy as having been in full force and effect.

Plaintiff’s claim was denied 'by the insurance company on the ground that no sufficient showing had been made tending to show that the death of plaintiff was caused by accident or that it was caused while he was engaged within the scope of his employment with his employer, City of Tulsa. We think this evidence sufficient from which the jury could have found that plaintiff was the beneficiary under the policy and that it was in full force and effect at the time of the death of deceased. As to the amount of indemnity recoverable plaintiff in her brief states:

“ * * * The complete failure of proof as to the amount of the benefits payable under the contract of insurance sued upon, which failure must be, and is, admitted by plaintiff. * * * (Of course, a new trial, limited to the issue of the amount due, would be perfectly acceptable to plaintiff.)”

It is further contended by defendant that no competent evidence has been offered by plaintiff tending to show that deceased sustained an accident while he was engaged within the scope of his employment with his employer, City of Tulsa; that the burden was on the plaintiff to prove such fact. We think this contention correct. The burden certainly rested upon the plaintiff in this case, seeking to recover indemnity provided 'by the contract, to establish that her right to recovery came within the conditions of the policy and in order for her to recover it was essential that she prove deceased came to his death by accident and that the accident occurred while employed by the City of Tulsa and engaged within the scope of his employment. Federal Life Ins. Co. v. Firestone, 159 Okl. 228, 15 P.2d 141; Metropolitan Life Insurance Co. v. Rosier, 189 Okl. 448, *311 117 P.2d 793; Great Northern Life Ins. Co. of Milwaukee, Wis. v. Farmers’ Union Co-Op Co., 181 Okl. 370, 73 P.2d 1155.

It is not contended by defendant that under the evidence admitted by the court it was not sufficient to take the case to the jury. It is contended that certain hearsay evidence was admitted over the objection of defendant and that eliminating this hearsay evidence it would not have been sufficient to support a verdict in favor of plaintiff. The admission of this evidence is also assigned as error.

The record discloses that on or about the 9th day of August, 1950, deceased sustained an injury to his head. There was a large cut and lump on the head. Deceased’s son testified on behalf of plaintiff that some time after his father sustained his injury he visited at his home and his father asked him to feel the lump on his head; that he did so and asked his father how it occurred.

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Bluebook (online)
1953 OK 206, 259 P.2d 308, 1953 Okla. LEXIS 480, Counsel Stack Legal Research, https://law.counselstack.com/opinion/commonwealth-life-ins-co-v-brown-okla-1953.