Equitable Life Ins. Co. v. Gerwick

197 N.E. 923, 50 Ohio App. 277, 18 Ohio Law. Abs. 152, 3 Ohio Op. 572, 1934 Ohio App. LEXIS 276
CourtOhio Court of Appeals
DecidedNovember 16, 1934
DocketNo 521
StatusPublished
Cited by26 cases

This text of 197 N.E. 923 (Equitable Life Ins. Co. v. Gerwick) is published on Counsel Stack Legal Research, covering Ohio Court of Appeals primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Equitable Life Ins. Co. v. Gerwick, 197 N.E. 923, 50 Ohio App. 277, 18 Ohio Law. Abs. 152, 3 Ohio Op. 572, 1934 Ohio App. LEXIS 276 (Ohio Ct. App. 1934).

Opinion

*154 OPINION

By LEMERT, J.

It is conceded in this action that plaintiff was totally, wholly and continuously disabled from May 1, 1932, until November 15, 1932, and that her disability was caused by disease. The four policies in question and the proofs of loss filed thereunder are made a part of the statement of facts. So that, upon the foregoing statement of facts, the only question presented in the court below and the question at issue now, is whether such disability of the plaintiff was permanent as contemplated by the policies which were attached to said agreed statement of' facts and made a portion thereof.

In determining the right of recovery of the defendant in error, it is necessary to consider the provisions of the health and accident endorsements attached to the policies hereinbefore referred to. The parties have agreed on the facts and therefore the question as to whether the disability of defendant in error was permanent within the terms of the policies becomes a question of law for the court to determine’.

In the court below defendant in error contended that the insurance company meant, that the total disability, on proof of which it would grant the benefits named, was.not one'-which- múst iast during’the entire life o'f the- insured, but -was - rather a disability from which -there might be hope of.'-recovery and- which might terminate prior to the iijspred!s -death. ■ ■ ■ .......

Plaintiff in error refused to adopt this view but, instead, contended that since defendant in error had recovered from her total disability prior to the time of trial, her disability was not covered by these poliL cies.

The policies under consideration herein are Ohio contracts and they should be interpreted in accordance with the Ohio law of insurance policy construction:

We are of the opinion that the word “permanent” must be construed according to its nature and character and its relation to the subject matter of the policies of insurance and the health and accident endorsements contained therein.

Where the language of a clause used in an insurance contract is such that courts of numerous jurisdictions have found it necessary to construe it and in such construction have arrived at conflicting conclusions as to the correct meaning, intent and effect thereof, the question whether such clause is ambiguous ceases to be an open one. The rule in Ohio is that ambiguous language is to be construed most strongly against the party selecting the language and most favorably toward the party sought to be charged, and is especially applicable to contracts executed subsequently to such conflicting judicial construction. Policies, which are prepared by the insurance company, and which aré reasonably' open to different -interpretations, will be construed most favorably to the insured. "

. Courts should always have in mind the relation of the parties to each other. They should give the language of the contract the meaning on which the minds of the parties may be said to have met and which will effectuate their object in entering into it. The reason for this rule is that the insured has no voice in the selection or arrangement of the words employed and that the language of the contract is selected with great care and deliberation by experts and legal advisers employed by and acting exclusively in the interest of the insurance company, and therefore- it is at fault for any ambiguity or uncertainty therein. This principle is ably discussed in .14 Ruling Case Law, 926. It would then follow that in the case at bar, the language of this policy being -ambiguous' and subject to more' than one reasonable interpretation, it must bfe construed favorably., to the defendant in error.in .order to grant indemnity rather than to deny it.

We believe the law is well settled that by virtue of the circumstances under which these ■ insurance policies -.were issued ' that they 'are. Ohio contracts and governed-by *155 Ohio law. The general rule is well stated in 14 Ruling Case Law, 892, where it says:

“The general rule is that the contract is governed by the laws of the place where the last act is done which is necessary to complete the transaction and bind both parties * * * And where delivery and payment of the first premium are the final acts, the place of delivery and payment is the place of the contract.”

In the instant case the application was filled out in Zanesville, Ohio, and handed to the general agent of the plaintiff in error company in that city; a physician selected by the plaintiff in error examined defendant in error in Zanesville, Ohio: the policies, after having been written by the Home Office, were forwarded to said general agent in Zanesville,. Ohio, and by him delivered to the defendant in error in Zanesville, Ohio: the first premium on each of the policies was paid by the defendant in error to said general agent in Zanesville, Ohio. These facts bring this case squarely within the rule laid down in the case of Plaut, Administrator v Mutual Life Insurance Company, 4 O.C.C., N.S., 94. This rule is likewise .stated in 22 Ohio Jurisprudence, 349. The same rule was followed in 11 Oh Ap, 405.

The word “permanent” must be construed according to its nature and character and its relation to the subject matter of the policies of insurance and the health and accident endorsements in which it is contained.

The plain, unequivocal rule is that a contract must be construed as a whole and the intent of the parties must be determined from the entire instrument and not from detached parts. It is necessary- to construe all the parts of the contract in order to determine the meaning of- any particular part, as well as the meaning of the whole. Particular words must be considered in connection with the rest of the agreement and all parts of the writing and each word in it must be given effect, if at all possible.

The Ohio rule is to this effect and is well stated in the case of Insurance Company v Roest, 55 Oh St, 581, where the court says, at page 585:

“It is .a rule of construction, founded in reason -and resting upon abundant authority, that the meaning of the contract is to be gathered from a consideration of all its pai-ts, and that no provision is to be wholly disregarded because inconsistent with other provisions unless no other reasonable construction is possible; and that a special provision will be held to override a general provision only where the two cannot stand together. If reasonable effect can be given to both, then both are to be retained.”

The same rule is laid down in the case of Legler, Administrator v Guaranty Company, 88 Oh St, 336.

We note that in a very recent case against this same plaintiff in error, determined by the Supreme Court of the State of Minnesota, with the identical policy provisions, these provisions were construed in favor of the insured, under facts very similar to the facts in the case at bar; that being the case of Masei v The Equitable Life Insurance Company of Iowa, 188 Minn., 139; 246 NW, 737; decided by the Supreme Court of Minnesota, February 3, 1933.

The facts in the Mase case are so similar to the facts in the case at bar as to make the finding in this case conclusive.

Free access — add to your briefcase to read the full text and ask questions with AI

Related

Cranpark, Inc. v. Rogers Group, Inc.
721 F. Supp. 2d 613 (N.D. Ohio, 2010)
Savedoff v. Access Group, Inc.
524 F.3d 754 (Sixth Circuit, 2008)
Tri-State Group, Inc. v. Ohio Edison Co.
782 N.E.2d 1240 (Ohio Court of Appeals, 2002)
Heritage Mutual Insurance v. Ricart Ford, Inc.
663 N.E.2d 1009 (Ohio Court of Appeals, 1995)
Federal Insurance Company v. PAT Homes, Inc.
547 P.2d 1050 (Arizona Supreme Court, 1976)
Myers v. Travelers Ins. Co.
236 N.E.2d 209 (Ohio Supreme Court, 1968)
Cimarron Insurance v. Travelers Insurance
355 P.2d 742 (Oregon Supreme Court, 1960)
Stuhlbarg v. Metropolitan Life Ins.
55 N.E.2d 640 (Ohio Supreme Court, 1944)
Blumenthal v. Metropolitan Life Ins.
57 N.E.2d 189 (Ohio Court of Appeals, 1943)
New England Mutual Life Insurance v. Hurst
199 A. 822 (Court of Appeals of Maryland, 1938)

Cite This Page — Counsel Stack

Bluebook (online)
197 N.E. 923, 50 Ohio App. 277, 18 Ohio Law. Abs. 152, 3 Ohio Op. 572, 1934 Ohio App. LEXIS 276, Counsel Stack Legal Research, https://law.counselstack.com/opinion/equitable-life-ins-co-v-gerwick-ohioctapp-1934.