Cooper v. Phœnix Accident & Sick Benefit Ass'n

104 N.W. 734, 141 Mich. 478, 1905 Mich. LEXIS 817
CourtMichigan Supreme Court
DecidedSeptember 28, 1905
DocketDocket No. 53
StatusPublished
Cited by14 cases

This text of 104 N.W. 734 (Cooper v. Phœnix Accident & Sick Benefit Ass'n) is published on Counsel Stack Legal Research, covering Michigan Supreme Court primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Cooper v. Phœnix Accident & Sick Benefit Ass'n, 104 N.W. 734, 141 Mich. 478, 1905 Mich. LEXIS 817 (Mich. 1905).

Opinion

Ostrander, J.

Plaintiff sued upon a policy of insurance issued by defendant company. With its plea the defendant set up various provisions and conditions of the policy sued upon, and upon them and upon evidence claimed to be undisputed based its defense to the action. The condition relied upon is:

“Legal proceedings for recovery hereunder shall not [479]*479be brought until after three months from date of filing proofs at home office of the association, nor brought at all unless commenced within three months of the time when right of action may accrue.”

Plaintiff claims this provision was waived and the time ■extended by negotiations for a settlement. The provisions ■of the policy relied upon are the following:

Third. In the sum of $35 per month [this refers to the indemnity provided to be paid], or at that rate for any proportionate part thereof, for the number of consecutive days after the first five days, that the assured is necessarily, ■entirely, and continuously confined to the house and subject to the calls of a registered physician in good standing. * * ❖
“Fourth. (d) Disability resulting from sunstroke, ■freezing, carbuncles, boils, felons, abscess, * * * is ■classified as illness, and covered only under clause third of this contract.”

Such disability as plaintiff suffered resulted from a felon, -and the declaration avers the right to recover under clause “third,” above quoted. The court directed a verdict for ■plaintiff for $80.85, and judgment was entered on the ver•dict. This ruling of the court involved the determination that plaintiff had made a case entitling him to indemnity under clause “third ” of the certificate, and also that the ■action was begun within three months after his right of action accrued. For plaintiff in error it is contended that the record supports neither conclusion, and that either a verdict should have been directed for defendant or the questions submitted to the jury.

Plaintiff resides at Newaygo, and for three years before this case was tried in the circuit court had been foreman ■on the street and contractor. He testified that about December 23, 1901, his finger began to trouble him, and on January 2,1902, he consulted a physician, who pronounced that he had a felon and prescribed a poultice. Later the finger was twice amputated, the second amputation taking place at the office of the physician.

“During all this space of time, from the time I first dis[480]*480covered it, the 23d day of December, up to March 5th, I did not do any work whatever, and I was in the house most of the time, and only went out in going to the doctor’s office, and out under his direction to take an airing. ”

On cross-examination he testified:

“ I was in bed a couple of days. I think that was the second and third day after it was lanced. I remember testifying in the case partially tried before the justice at Newaygo that I was not confined to the house.
Q. Why do you tell us now ín this court that you were confined to the house ?
“A. I don’t think that I understood it that I was confined continuously to the house, for I don’t think I swore, if I remember right, what I said, that I was confined continuously to the house.
Q. You do mean to swear now, then, that you were confined continuously to the house, necessarily and continuously and entirely confined to the house ?
“A. No, sir.
Q. You were not, as a matter of fact, necessarily confined to the house, except when you would go in there for 20 minutes every two hours to dress it, were you ?
“A. I was confined to the house, but I was out when it was necessary. The doctor said whenever I wanted anything done to it to come to the office, according to his orders.
Q. Well, you went other places besides the doctor’s office during the time you were nursing this felon ?
“A. I went to the post office, and went to the drug store.
Q. And went to the hotel, too, didn’t you ?
“A. Yes; I dropped into the hotel one day and saw Mr. Christian. I was not confined to the house all of the time. The biggest majority of the time I was there. Some of the days it was necessary for me to remain in the house between the times I was dressing my hand. I cannot tell what days. There was different times that I would stay in that I did not. feel like getting out in the streets. I couldn’t say how many days. There was from two to three days of different sessions. Some days I felt fairly well, except from pain. Then there were other days that I was so sick I did not feel like moving at all, except from pain, just tramp around the house.”

Plaintiff sent a preliminary notice to the defendant [481]*481January 2, 1902, which states he has a felon, quit work December 25th, and gives the name of his physician, whose report accompanied it. This report contains the following questions and answers:

“ 15. Is he necessarily confined to his house F No.
“16. Is he confined to his bed ? No.”

The final proofs furnished by plaintiff in March, 1902, contain the following:

“6. On what date was it necessary for you to quit work on account of this disability F January 1. * * *
‘ ‘ 8. On what date were you first out of the house ? I was not confined to the house.”

Plaintiff produced his physician as a witness, and his testimony is, after describing the ailment and its treatment:

“ During all this time he was under my care, and I was subject to his call, and I saw him and treated and examined his hand almost every day, and during that time the man was unable to do any manual labor. He was not necessarily confined to the house during the continuance of it. I suggested to him the advisability of going out, if he felt disposed to. He suffered a great deal of pain, and was restless, sleepless, and I directed him to get out —get out and take an airing. That is what I mean by ‘he was not confined.’ ”

The further testimony tends to prove that the case was a severe one,- accompanied by elevation of temperature. On cross-examination witness testified: “I said that Mr. Cooper was not confined to the house necessarily.” At the trial the agent of defendant was a witness, and he was asked:

“ Q. Was he confined to the house F
“A. No; I guess not. I met him out on the street.
The Court: Is there any necessity of going over that again F He whs not confined to the house during his illness. That is conceded. Let us get at the real point. Nobody claims he was confined to the house.
Mr. McKnight: That is, all the time. We do not claim he did not go out, just as we have stated.”

[482]

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Bluebook (online)
104 N.W. 734, 141 Mich. 478, 1905 Mich. LEXIS 817, Counsel Stack Legal Research, https://law.counselstack.com/opinion/cooper-v-phnix-accident-sick-benefit-assn-mich-1905.