Frace v. Mutual Life Insurance Co. of New York

30 A.2d 380, 151 Pa. Super. 354, 1943 Pa. Super. LEXIS 296
CourtSuperior Court of Pennsylvania
DecidedDecember 11, 1942
DocketAppeal, 116
StatusPublished
Cited by3 cases

This text of 30 A.2d 380 (Frace v. Mutual Life Insurance Co. of New York) is published on Counsel Stack Legal Research, covering Superior Court of Pennsylvania primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Frace v. Mutual Life Insurance Co. of New York, 30 A.2d 380, 151 Pa. Super. 354, 1943 Pa. Super. LEXIS 296 (Pa. Ct. App. 1942).

Opinion

Opinion by

Stadteeld, J.,

This is an appeal from the judgment of the court below entered in favor of Mutual Life Insurance Company of New York upon an action in assumpsit brought by Alma L. Hein Frace to recover total and permanent disability benefits under the provisions contained in a contract of life insurance issued by the company to the insured.

The relevant portion of the life insurance policy in respect to benefits in the event of total and permanent disability before the age of 60, sets forth the condition of payment as follows: “that he (insured) has become totally and permanently disabled by bodily injury or disease, so that he is, and will be, permanently, continuously and wholly prevented thereby from performing any work for compensation, gain or profit and from following any gainful occupation.......”

Since the evidence in the case has been omitted from the printed record on this appeal in pursuance of Rule 5 of this court, we rely, for a description of the facts of the case and the testimony in support thereof, upon the review contained in the opinion of the court below.

“The policy of life insurance was issued to plaintiff on April 21,1924, when she was 21 years of age, in good health, single, and a school teacher by occupation. In 1928 she became engaged to marry, resigned her position as school teacher, and in 1929 was married to her present husband. Since that time her occupation has *356 been housewife, mother and helpmate to her husband. Prior to and following the birth of her only child,, a son, she suffered pain and stiffness in her back and hips, scarlet fever, a bronchial condition and eczema of the hands, face, neck and feet. Upon due proof of such disability, the defendant insurance company on November 1, 1931, began paying her total and permanent disability benefits and paid the same continuously until February 1, 1939 — a period of over seven yeans — when it refused to pay further benefits......The testimony discloses that plaintiff is 38 years of age, married, lives with her husband and their eleven-year-old son in a modest apartment located on the floor above and behind the neighborhood grocery store conducted by her husband in Easton, Pa. While she admitted that the effects of the scarlet fever and eczema had been completely cured by 1937, she complained of shortness of breath, rapid pulse, body temperature continually above normal, slight heart attacks, occasional blind spells, arthritis of the joints, inability to stoop, dizziness, coughing at times, a sinus condition and always feeling tired. • There was considerable conflict of testimony in regard to the extent to which plaintiff’s health incapacitated her. Her own physician testified that she could not follow her occupation consistently because she had too many bad days, but could' perform routine and light household duties and her disorders do not continuously disable her. Other experts testified that plaintiff is only partially disabled and is able to look after her husband, child and small apartment, do a great deal of the house work, light cooking, wash dishes and assist her husband in his grocery store......Pour witnesses observed plaintiff for prolonged periods of time, wearing a white apron and alone and unassisted waiting on numerous customers in»the grocery store at various times. She was also seen delivering a bottle of milk to a neighbor, and shopping in the city of Easton on several occasions.”

*357 The jury rendered a verdict in favor of defendant company and plaintiff filed a motion for a new trial, alleging, inter alia, numerous errors committed by the trial judge in his charge and in affirming defendant’s points for charge. Plaintiff’s motion was overruled and refused.

All of the assignments of error relate to the trial judge’s charge to the jury and to the affirmance of certain points for instruction submitted by counsel for defendant.

Charging the jury with respect to the law applicable to the case, the trial judge said: “The words 'totally and permanently disabled’ as used in this policy do not mean that the insured must be absolutely helpless, mentally and physically and always to be confined to bed, because our Supreme Court has said, 'that these words “total and permanent disability” preventing performances of any work for compensation, gain or profit, and from following any gainful occupation, must receive a reasonable construction and if literally interpreted would require that an insured be a helpless invalid before she would be entitled to benefits under the policy. This cannot be what the parties intended. It is rare that any man is incapacitated from doing some work. Many a blind man weaves baskets, a man with both legs and one arm off can sit in a doorway and sell pencils, or act as a telegraph operator, but it cannot be well argued that either is not totally disabled.’

“Therefore, our Supreme Court says in these words, 'a reasonable interpretation of the words of the policy is that the total disability to engage in any occupation or work for compensation or profit which is insured against, means inability to perform any of the duties of any occupation which the insured might be ordinarily capable of performing.’ ”

This does not mean, as I have said before, that the insured must be a helpless invalid in order to become entitled'to total and permanent disability benefits. Nor *358 would she be barred from recovery 'because she may be able to perform a few trivial and desultory acts, or light work of a very limited character and at very irregular intervals, but it does mean that it is not enough for the insured to show that she is unable to do a substantial part of her ordinary house work. She must prove her inability to perform any of the duties of any occupation which she might be ordinarly capable of performing in order to recover in this case.

The first two paragraphs of this portion of the charge substantially adopted the wording of the applicable principle as set forth in Cooper v. Metropolitan Life Ins. Co., 317 Pa. 405, 408, 177 A. 43, and later approved and followed in Pearlman v. Metropolitan Life Ins. Co., 336 Pa. 444, 9 A. 2d 432; Sebastianelli v. Prudential Ins. Co., 337 Pa. 466, 12 A. 2d 113; Rudy v. New York Life Ins. Co., 139 Pa. Superior Ct. 517, 12 A. 2d 495; and Wuerfel v. Metropolitan Life Ins. Co., 343 Pa. 291, 22 A. 747. Although there was no objection to this portion of the charge the principle therein laid down was repeated in defendant’s second point for instruction, affirmed by the trial court and assigned as error. This assignment of error, No. 7, is overruled.

The third paragraph of the charge above quoted follows the language contained in Pearlman v. Metropolitan Life Ins. Co., supra; Silvano v. Metropolitan Life Ins. Co., 135 Pa. Superior Ct. 260, 5 A. 2d 423; Rudy v. New York Life Ins. Co., supra; Feigenbaum v. Prud. Ins. Co., 144 Pa. Superior Ct. 412, 19 A. 2d 542; Milich v. Metropolitan Life Ins. Co., 145 Pa. Superior Ct. 430, 21 A. 2d 458; Wuerfel v. Metropolitan Life Ins. Co., supra. There was no objection to this portion of the charge.

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Bluebook (online)
30 A.2d 380, 151 Pa. Super. 354, 1943 Pa. Super. LEXIS 296, Counsel Stack Legal Research, https://law.counselstack.com/opinion/frace-v-mutual-life-insurance-co-of-new-york-pasuperct-1942.