Fuller v. Locomotive Engineers' Mutual Life & Accident Insurance

48 L.R.A. 86, 81 N.W. 326, 122 Mich. 548, 1899 Mich. LEXIS 740
CourtMichigan Supreme Court
DecidedDecember 30, 1899
StatusPublished
Cited by20 cases

This text of 48 L.R.A. 86 (Fuller v. Locomotive Engineers' Mutual Life & Accident Insurance) 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
Fuller v. Locomotive Engineers' Mutual Life & Accident Insurance, 48 L.R.A. 86, 81 N.W. 326, 122 Mich. 548, 1899 Mich. LEXIS 740 (Mich. 1899).

Opinion

Hooker, J.

The plaintiff was a member of a mutual benefit association, and held a certificate which he claims to entitle him to payment of $3,000 under article 19 of the by-laws, which is as follows :

“Any member, while engaged in any lawful avocation, receiving bodily injuries which alone shall cause amputation of a limb (whole hand or foot), or total and permanent loss of eyesight, he shall receive the full amount of his policy.”

The defendant refuses payment upon the ground that the injury sustained does not bring him within the by-law, for the reason that the injury did not cause amputation of [549]*549a whole hand or foot. The circuit judge directed a verdict for the defendant, and the plaintiff has appealed.

The record contains diagrams showing the size and shape of the whole left foot and the maimed right foot. They were made by drawing a pencil around them while the plaintiff stood upon a piece of paper. The length of the whole foot is 11 5-16 inches to the end of the great toe, while the amputated foot is exactly inches on a line drawn through the center of the foot, and 7f inches if drawn in the direction of the great toe. It is thus demonstrated that the foot is shortened 3 13-16 inches, which is as nearly one-third as it well could be. This one-third is from the toe, and it leaves two-thirds of the foot. This would leave all of the heel, and substantially all of the hollow of. the foot, and possibly a part of what is called the “ball” of the foot. We do not overlook the statement that the skin of the sole was left longer to lap upward over the end, and perhaps part of the top, of the mutilated foot, but this cannot have lengthened it materially. It is claimed that it would be 1 inch. Counsel claims that the proof shows that all use of the foot is lost, and insists that this brings him within the spirit and meaning of the contract. He contends: First, that the contract should be read as though it said, “Foot or whole hand,” — in other words, that the qualifying adjective, “whole,” should not be applied to “foot;” and, second, that, in any event, the whole foot was amputated when it was so far removed as to be useless in the performance of the natural functions of a foot.

The natural construction of the words would be the same as though the by-law had said, “Whole hand or whole foot.” Furthermore,, the injury insured against is not the amputation of a hand or foot, but a limb; and the words in brackets, “whole hand or foot,” are used as explanatory of what was meant by the word “limb,” i. e., an amputation, not necessarily a whole arm or leg, at the elbow or knee, but any amputation of a limb that should include a whole hand or a whole foot.

[550]*550We are cited upon the second proposition to some authorities which are said to hold that, if the beneficial use of a member is lost, there may be a recovery. That would be a reasonable construction of a contract of insurance that should insure against the “loss of a hand or foot,” for it might well be said that a foot or hand is lost when it is so impaired as to be of no further use; and that is as far as the authorities have gone. What is meant by the loss of a hand ? Ordinarily the term “loss” is obvious, but when it is considered in the light of surrounding circumstances, viz., an insurance policy that indemnifies against the loss of a hand or an entire hand, it is not unreasonable to hold that the parties understood that any injury to the hand which rendered it useless was a loss of the hand or entire hand. In Sheanon v. Insurance Co., 77 Wis. 618 (9 L. R. A. 685, 20 Am. St. Rep. 151), where “an insurance policy provided that the principal sum should be paid if the insured, from a violent and accidental injury which should be externally visible, should ‘suffer the loss of the entire sight of both eyes, or the loss of two entire hands or two entire feet, or one entire hand and one entire foot,’ the insured was accidentally shot in the back; the bullet penetrating his spine, and producing immediate and total paralysis of the lower part of his body, and entirely destroying the use of both feet. Held, that he had suffered ‘the loss of two entire feet,’ within the meaning of the policy.”

The court said:

“ The question is, Does the policy cover such an injury? The policy covers both death and indemnity; the company agreeing to pay the principal sum if the insured, frpm a violent and accidental injury which shodld be externally visible, should ‘ suffer the loss of the entire sight of both eyes, or the loss of two entire hands or two entire feet, or one entire hand and one entire foot.’ This is the language of the policy, and the question is, What does it mean, or what must be understood by it ? Is its meaning that the insured is not entitled to recover the insurance money unless his legs and feet have been amputated or severed from his body, or does it mean that the injury [551]*551must have destroyed the entire use of his legs and feet, so that they will perform no function whatever ? The contention of the learned counsel for the defendant is that the clause is to be understood in the former sense, and implies an amputation or physical severance of the feet from the body, and does not include an injury such as paralysis, though such injury actually deprives the insured of all use of his feet and legs. We cannot adopt such a construction of the contract. To our minds, the loss of the hands and feet embraced in the policy is an actual and entire loss of their use as members of the body; and if their use is actually destroyed, so that they will perform no function whatever, then they are lost as hands and feet. In ordinary and popular parlance, when a person is deprived of the use of a limb we say he has lost it. This is the ordinary sense attached to the word when used in such a connection. Now, if the feet and hands cannot be used for the purpose of moving about or walking, or for holding and handling things, they are in fact lost as much as though actually severed from the body. The expression £ loss of feet ’ would generally be understood to mean a loss of the use of these members; and if the lower portions of the plaintiff’s body and his feet are completely paralyzed, and he is permanently and forever deprived of their use, he has suffered £ a loss of two entire feet,’ within the meaning of the policy.”

The next case in chronological order to which our attention is called is Stevers v. Insurance Ass’n, 150 Pa. St. 132 (16 L. R. A. 446 ). There it was held that:

“An accident policy insuring against involuntary, external, violent, and accidental injuries, and not against disease of any kind, or against disabilities which are the result, wholly or in part, of disease or bodily infirmities, and providing for a stipulated indemnity for partial permanent disablement, which is -defined to be the loss of one hand or foot or both eyes, does not cover the case of indemnity for an injury where the foot is not lost or injured, and it may be used constantly by means of an appliance of a plaster jacket to the spine, although the foot could not be used if the appliance were removed.”

It was held that he had lost neither the foot nor the use of it.

The case of Snech v. Insurance Co. is next in order of [552]*552time. This case was tried twice, and is reported in 81 Hun, 331, and 88 Hun, 94.

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

Related

Shivers v. Schmiege
776 N.W.2d 669 (Michigan Court of Appeals, 2009)
Scott M Cain v. Waste Management Inc
472 Mich. 236 (Michigan Supreme Court, 2005)
Morgan v. Prudential Insurance Co. of America
534 P.2d 581 (Court of Appeals of Washington, 1975)
Crawford v. Lloyds London
275 Cal. App. 2d 524 (California Court of Appeal, 1969)
Great Northern Life Ins. v. Tulsa Cotton Oil Co.
1938 OK 111 (Supreme Court of Oklahoma, 1938)
King v. Met. Life Ins. Co., Inc.
97 S.W.2d 651 (Court of Appeals of Tennessee, 1936)
Smoak v. Southeastern Life Ins. Co.
179 S.E. 56 (Supreme Court of South Carolina, 1935)
Fowler v. Brotherhood of Railroad Trainmen
70 S.W.2d 669 (Court of Appeals of Kentucky (pre-1976), 1934)
Covington v. Sextet Local Mut. Aid Ass'n
8 S.W.2d 679 (Court of Appeals of Texas, 1928)
Brotherhood of Locomotive Firemen & Enginemen v. Williams
291 S.W. 301 (Court of Appeals of Texas, 1927)
Jones v. Continental Casualty Co.
189 Iowa 678 (Supreme Court of Iowa, 1920)
Continental Casualty Co. v. Bows
72 So. 278 (Supreme Court of Florida, 1916)
Newman v. Standard Accident Insurance
177 S.W. 803 (Missouri Court of Appeals, 1915)
Moore v. Ætna Life Insurance
146 P. 151 (Oregon Supreme Court, 1915)
Wiest v. United States Health & Accident Insurance
171 S.W. 570 (Missouri Court of Appeals, 1914)
Brotherhood of Railroad Trainmen v. Walsh
89 Ohio St. (N.S.) 15 (Ohio Supreme Court, 1913)
Beber v. Brotherhood of Railroad Trainmen
106 N.W. 168 (Nebraska Supreme Court, 1905)

Cite This Page — Counsel Stack

Bluebook (online)
48 L.R.A. 86, 81 N.W. 326, 122 Mich. 548, 1899 Mich. LEXIS 740, Counsel Stack Legal Research, https://law.counselstack.com/opinion/fuller-v-locomotive-engineers-mutual-life-accident-insurance-mich-1899.