Eastep v. Northwestern National Life Ins.

208 N.W. 632, 114 Neb. 505, 1926 Neb. LEXIS 55
CourtNebraska Supreme Court
DecidedApril 9, 1926
DocketNo. 24895
StatusPublished
Cited by10 cases

This text of 208 N.W. 632 (Eastep v. Northwestern National Life Ins.) is published on Counsel Stack Legal Research, covering Nebraska Supreme Court primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Eastep v. Northwestern National Life Ins., 208 N.W. 632, 114 Neb. 505, 1926 Neb. LEXIS 55 (Neb. 1926).

Opinion

Dean, J.

This action was begun in Dawes county to recover five annual disability instalments, of $500 each, on a life and accident insurance policy. The action grew out of a personal injury accident which befell plaintiff in 1919, near Wilsall, Montana, where he then resided with his wife and six minor children. When the evidence was submitted plaintiff and defendant each moved for an instructed verdict. The motions were sustained. The court thereupon rendered its judgment wherein plaintiff prevailed in part only and recovered judgment for $2,000, with interest. Plaintiff filed a cross-appeal. Defendant appealed generally.

The following material facts are disclosed by the record. [507]*507Sometime in the latter half of 1919, plaintiff was violently thrown from a horse and fell with such force that his right leg was broken between the ankle and the knee and the impact was such that both broken bones protruded through the flesh and the skin. For this injury to his limb plaintiff was treated by physicians for about four years. He was a patient at several hospitals, twice at Mayo’s, at Rochester, Minnesota, in an effort to save his fractured leg. The effort was fruitless and, sometime in the latter part of 1923, having found no relief, plaintiff, under professional advice, had his leg amputated about five inches below the knee. During all this several year period, pain was constantly present and an offensive discharge from the region of the broken bones was continuous.

The insurance policy contains the following provisions:

“If the insured, while less than sixty years of age, and while this policy is in full force and effect, shall become totally and permanently disabled as hereinafter provided, the company will waive the payment of future premiums and will also pay annually to the insured an income of one-tenth of the face amount of the policy, in addition to paying the face amount at death or maturity, subject to the following conditions and provisions:
“(a) The insured shall furnish due proof to the company at its home office that he has become totally and permanently disabled by bodily injury or disease, so that he is, and will be thereby permanently, continuously and wholly prevented from performing any work for compensation, gain or profit, or from following any gainful occupation, and that such disability has then existed for not less than sixty days.
“(b) Commencing with the premium due next succeeding the receipt of such proof, the company will waive payment of each premium as it thereafter becomes due; and six months after receipt of said proof the company will begin to pay an annual income of one-tenth of the face amount of the policy and continue to pay the same during such total and permanent disability until the death of the [508]*508insured or the maturity of the policy as an endowment (if carried on the accelerative endowment dividend plan), when the full amount of the policy shall be paid in accordance with its terms without deduction for any income payments or premiums waived. If there is any indebtedness on this policy the interest thereon shall be deducted from each income payment.
“ (c) The company may at any time, but not more frequently than once a year, require proof of the continuance of such disability and if the insured fails to furnish such proof or if it appears that the insured is no longer wholly disabled as heretofore provided, no further premiums shall be waived and no further income shall be paid.
“(d) It is agreed that the entire and irrecoverable loss of the sight of both eyes or the severance of both entire hands or both entire feet, or of one entire hand and one entire foot, shall be considered total and permanent*'disability without prejudice to any other cause of disability.”

Defendant devotes much .the greater part of its brief to the proposition that the above quoted subdivision “d” prevents defendant from coming within the protective provisions of the policy and cites authorities in support of its argument.

But the action is not based on an injury to plaintiff’s foot. When he was thrown violently from his horse to the ground, as above noted, the bones of his right leg were so broken that the fractured ends protruded through the flesh and the skin. And- the result of this injury to the bones was continuous and unremitting from thence until the leg was amputated about five inches below the knee. Throughout the years the bones were scraped and treated in an effort to cause a union of the fractured parts, but without avail. In view of the proven facts will it be seriously contended that the amputation of the fractured bones of the right leg, five inches below the knee, was an amputation of the right foot? Clearly not. It was the broken bones of the right leg that caused plaintiff’s incapability to labor.

[509]*509Defendant cites Buckner v. Jefferson Standard Life Ins. Co., 172 N. Car. 762, wherein a provision, similar to subdivision “d” herein, was considered. In the Buckner case, plaintiff’s left hand was severed five inches above the wrist by a moving locomotive. The accident was sudden and the severance was instantaneous. Recovery was denied. The court observed: “It is unfortunate for the plaintiff, but ‘it Is so nominated in the bond.’ ” The Buckner case is not applicable to the facts here. Whitton v. American Nat. Ins. Co., 17 Ga. App. 525, is cited. In the Whitton case plaintiff lost the sight of one eye while the policy provided for loss of the sight of both eyes. Recovery was therefore denied.^ Clearly, this citation is not in point. See Jones v. Fidelity & Casualty Co., 207 N. W. (Minn.) 179; Lobdill v. Laboring Men’s Mut. Aid Ass’n, 69 Minn. 14.

Counsel finally argues that the business of life insurance has been so developed that “each policy is a plain and simple problem in mathematics.” Is it nothing more than a simple problem in mathematics ? Plaintiff paid the insurer in good faith and he should not now, in his extremity, be deprived of that for which he paid. In Rathbun v. Globe Indemnity Co., 107 Neb. 18, we said:

“The several provisions contained in an accident insurance. policy will be given a practical and rational construction, one consistent with reason and common fairness, and with a view to avoiding, rather than enforcing, a forfeiture, if the terms of the instrument will fairly and justly permit it.
“Where the language of a special provision in an accident insurance policy is susceptible of but one construction, and that construction inevitably leads to an unreasonable or absurd result and substantially defeats the object and purpose of the entire contract, such provision will be rejected as inoperative, and, ignoring the same, the court will look to the whole instrument and gather therefrom the manifest intention and purpose of the parties and adjudicate accordingly.”

The petition is based on the theory that plaintiff, by rea[510]*510son of the injury, became totally and permanently disabled. He therefore sought to recover $500 a year for a period of five years under the terms of the policy. The judgment for $2,000 was for a four year period but the court denied recovery for the fifth year upon the theory that the plaintiff was no longer suffering a total permanent disability.

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Bluebook (online)
208 N.W. 632, 114 Neb. 505, 1926 Neb. LEXIS 55, Counsel Stack Legal Research, https://law.counselstack.com/opinion/eastep-v-northwestern-national-life-ins-neb-1926.