Driskell v. United States Health & Accident Insurance

93 S.W. 880, 117 Mo. App. 362, 1906 Mo. App. LEXIS 70
CourtMissouri Court of Appeals
DecidedMarch 5, 1906
StatusPublished
Cited by48 cases

This text of 93 S.W. 880 (Driskell v. United States Health & Accident Insurance) is published on Counsel Stack Legal Research, covering Missouri Court of Appeals primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Driskell v. United States Health & Accident Insurance, 93 S.W. 880, 117 Mo. App. 362, 1906 Mo. App. LEXIS 70 (Mo. Ct. App. 1906).

Opinion

JOHNSON, J.

Action upon a policy of accident insurance. The petition is as follows:

“For his cause of action, the plaintiff states that heretofore, to-wit, on the 10th day of February, 1904, the probate court of Pettis county, Missouri duly appointed him administrator of the estate of John W. Driskell, deceased; that he qualified by giving the required bond as such administrator, and said probate court issued to him letters of administration on said estate, and that he is now the authorized acting admimstrator in charge of said estate with full power to sue in the courts of Missouri upon all obligations due said estate. Plaintiff states that the defendant is a corporation carrying on the business of accident insurance in the State of Missouri with the authority to sue and the liability to be sued under the laws of Missouri and' in the courts of Missouri.

“Plaintiff states that heretofore, to-wit, on the 29th day of October, 1902, the defendant by its agents in consideration of the premiums, statements and agreements mentioned in its policy Number 217918, issued and delivered its said policy of accident insurance to the said John W. Driskell, deceased, which said policy is marked exhibit ‘A’ attached to this petition and filled with the same as a part of the record. Plaintiff states that de[365]*365ceased paid all premiums and performed all conditions by him to be paid and performed under tbe terms and provisions of said policy, and that the same was in full force at the time of said deceased’s injury and death. Plaintiff states that it is provided in said policy that the defendant did thereby insure the said John W. Driskell during the time said policy was in force ‘in the sum of twenty-five dollars per month, or at that rate for any proportionate part thereof, against loss of time resulting from bodily injuries caused solely and exclusively by external, violent and accidental means, other than those specified in paragraph (b) of said policy which shall, independently of all other causes, and immediately following the receipt thereof, wholly and continually disable and prevent the assured from performing any and all duties pertaining to any business or occupation. Or, if such injuries should not wholly disable the assured, but should immediately," wholly and continuously disable and prevent him from performing one or moré important daily duties pertaining to his occupation, or in event of such partial disability following a period of less than twelve months’ total disability, the company would pay the assured two-fifths of the indemnity per month so specified for a period not exceeding six consecutive months, but the combined period for which indemnity should be paid for any such total and partial disability should not exceed twelve consecutive months.’

“And that by paragraph (c) of said policy it is provided that ‘If death should result solely from such injuries, within three months from the date of the accident, the company should pay the principal sum of two hundred dollars to the estate of the said deceased.’

“That it was provided by paragraph (e) of said policy that ‘the indemnity in said policy provided should be increased ten per cent on any claim accruing thereunder if the premiums thereon should be paid annually in advance, or on any claim originating after the policy should have been maintained in continous force without [366]*366default for not less than one year immediately preceding.’ Plaintiff states that said deceased paid all premiums without default and kept said policy in force to the time of his death as therein required.

“Plaintiff further states that the assured, John W. Driskell, deceased was, at the time of such insurance, employed as a laborer in the Missouri Pacific railway shops at Sedalia, Missouri, as fire-knocker and general laborer, of which facts and circumstances said defendant, through its agents, had notice, and that, heretofore, to-wit, on about the 12th day of January, 1904, the said insured while engaged in the performance of his duties was accidentally injured by scalding water falling and escaping from the engine about which he was at work, into the deceased’s right ear, from the effects of said accidental injury said assured thereafter died at the city of Sedalia, Missouri, on the 23rd day of January, 1904. That the deceased left surviving him his wife, Maude Driskell, and one child born since said deceased’s death and that his estate consisted of a small amount of wages due from said Missouri Pacific Railroad Company and the insurance policy upon which this suit is instituted. Plaintiff states that due notice of the injury and death of the deceased and the caused thereof was furnished to said insurance company and that proofs of the said death were also made and furnished to said company within the time as required under the provisions of said policy.

“Plaintiff states that he demanded of .said company the amount, due under said policy, to-wit, the sum of two hundred and twenty dollars which the defendant has refused and still refuses to pay. But the plaintiff states that the defendant claimed to be liable under said policy for only twenty dollars and tendered to the plaintiff said sum of twenty dollars in discharge of said supposed liability, which tender the plaintiff admits was made, but which the plaintiff refused and still refuses.

“Wherefore the defendant is and was’liable for the [367]*367payment under said policy of the sum of two hundred and twenty dollars to the plaintiff, for which sum of two hundred and twenty dollars and interest and costs the plaintiff asks judgment against the defendant.”

Defendant demurred to this petition on the ground that it stated no cause of action. The demurrer was sustained. Plaintiff refused to plead further and appealed from the judgment entered in favor of defendant.

The first objection made to the petition is that it fails to allege in express terms that the death of the insured was produced by external, violent and accidental means and that, as defendant’s liability under the provisions of the policy pleaded is restricted to that incurred by reason of the death of the insured from a cause falling within the definition of these three adjective words combined, it follows that each of them is elemental to a proper cause of action and should be expressly pleaded. It is the fact, that the bodily injury received by plaintiff is of the character defined, that is' elemental and not the specific words used in the policy to describe the class of injuries against which defendant contracted to insure. If the facts alleged conclusively show the nature of the injury to have been one embraced within the class, there is no reason for holding the pleader to: a particular phraseology, for it is the substance and not the form that determines the sufficiency of an averment. Plaintiff alleged that the injury which resulted in the death of the insured was caused by the accidental falling of scalding water into his ear. That this was an external and violent injury cannot be gainsaid. The facts themselves disclose its nature without the aid of inference or conclusion and to require the pleader to add a tautological averment because it contains a certain verbal formula would be the arbitrary imposition upon him of a useless duty, for defendant was advised by the facts alleged to meet a cause of action based upon an injury resulting from an external and violent cause. We are aware that in Hester v. Fidelity Co., 69 Mo. App. 186, the conclud[368]

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Bluebook (online)
93 S.W. 880, 117 Mo. App. 362, 1906 Mo. App. LEXIS 70, Counsel Stack Legal Research, https://law.counselstack.com/opinion/driskell-v-united-states-health-accident-insurance-moctapp-1906.