Goldman v. Commercial Travellers Eastern Accident Ass'n

18 N.E.2d 373, 302 Mass. 74, 1938 Mass. LEXIS 1121
CourtMassachusetts Supreme Judicial Court
DecidedDecember 30, 1938
StatusPublished
Cited by11 cases

This text of 18 N.E.2d 373 (Goldman v. Commercial Travellers Eastern Accident Ass'n) is published on Counsel Stack Legal Research, covering Massachusetts Supreme Judicial Court primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Goldman v. Commercial Travellers Eastern Accident Ass'n, 18 N.E.2d 373, 302 Mass. 74, 1938 Mass. LEXIS 1121 (Mass. 1938).

Opinion

Ronan, J.

The plaintiff upon becoming a member of the defendant, a corporate fraternal beneficiary association, in September, 1913, received a certificate by which it agreed to pay certain sums upon death or disability caused by accident. The plaintiff was a member in good standing when on January 6, 1930, he was injured while alighting from a train at Manchester, New Hampshire, when “he slipped on the last or next to the last stair on which there was some ice ‘or something’ and landed” upon the station platform. He sought in each count of his declaration to recover indemnity for one hundred four weeks at the rate of $50 a week, on the ground, as alleged in the first count, that he suffered a “total disability from injury received while riding as a passenger in a passenger car of a passenger train propelled by steam” and, as alleged in the second count, for “disability in accordance with the terms of certificate in defendant company.” The plaintiff excepted to the direction of a verdict for the defendant.

The plaintiff was protected only to the extent of the contract he had made with the defendant and he was not [76]*76insured against all accidents. To recover he was bound, in the first place, to prove that the accident with its consequent disability was one among those described in his certificate, and then he was required to show that he had submitted proof satisfactory to the board of directors of the defendant. The defendant, however, had amended its by-laws before the date of the accident and had struck out the words which we have quoted from the first count of the declaration and substituted for them a total disability resulting "from accident which occurred to the member while riding as a passenger on a passenger train and inside a passenger car thereof, which train or car was propelled by steam power.” The amendment restricted the defendant’s liability by limiting the nature of the accident for which it could thereafter be required to pay indemnity at the prescribed rate. We need not decide whether in the absence of a statute the defendant was authorized to effect such an amendment. Newhall v. American Legion of Honor, 181 Mass. 111. Porter v. American Legion of Honor, 183 Mass. 326. The plaintiff in addition to his rights as a member in the defendant association had certain contractual rights which did not depend entirely upon the defendant’s by-laws. Pain v. Société St. Jean Baptiste, 172 Mass. 319. Messer v. Ancient Order of United Workmen, 180 Mass. 321. Following the extended litigation of the American Legion of Honor (see Attorney General v. American Legion of Honor, 206 Mass. 131, and companion cases) the Legislature enacted St. 1911, c. 628, § 8, which provides: “A certificate issued by any such society shall specify the amount of death 'benefit provided thereby; and the certificate, the charter or articles of incorporation (or if a voluntary association, the articles of association), the constitution and laws of the society and the application for membership and medical examination, if any, signed by the applicant, and all amendments to each thereof, shall constitute the agreement between the society and the member; and copies of the same, certified by the secretary of the society or corresponding officer, shall be received in evidence of the terms and conditions thereof. [77]*77Any changes, additions or amendments to said charter, or articles of incorporation (or articles of association if a voluntary association), constitution or laws duly made or. enacted subsequent to the issuance of a benefit certificate shall bind the member and his beneficiaries and shall govern and control the agreement in all respects in the same manner as if such changes, additions or amendments had been made prior to and were in force at the time of the application for membership. The foregoing provision of this section shall in effect be incorporated in every benefit certificate hereafter issued.” (See now G. L. [Ter. Ed.] c. 176, § 20.)

The enactment was a lawful exercise of the regulatory power possessed by the Legislature over the business of insurance for the protection of the public, and it may also be supported on the ground that the General Court had ample authority over this domestic corporation to permit it, in the performance of its chartered powers, to make such amendments to the rules governing the management and maintenance of its business as might be necessary and expedient in order to conduct its affairs upon a sound financial basis and enable it properly and fully to discharge its obligations to its members. New York Life Ins. Co. v. Hardison, 199 Mass. 190. Schiller v. Metropolitan Life Ins. Co. 295 Mass. 169, 173.

The plaintiff’s certificate, having been issued subsequently to this enactment, must be read and interpreted in the light of the statute. Contractual rights of certificate holders were no longer immune from reasonable changes due to alterations of the by-laws. It is clear that the declaration was based upon a provision of the certificate which was not in force and effect at the time of the plaintiff’s accident but had been superseded by a new and different provision. Mulcahy v. Travelers Ins. Co. 261 Mass. 245, 248. Caccavo v. Kearney, 286 Mass. 480. Rosenthal v. Monarch Life Ins. Co. 290 Mass. 254. The plaintiff could not recover under the certificate as amended by proving that he was a passenger or that he was upon a passenger car at the time of his, accident, Farber v. Mutual Life Ins. Co. 250 Mass. [78]*78250, but it was incumbent upon him to prove that the accident occurred while he was inside a passenger car. Aetna Life Ins. Co. v. Vandecar, 86 Fed. 282. National Life Ins. Co. v. Fleming, 127 Md. 179. Anable v. Fidelity & Casualty Co. 44 Vroom, 320. Van Bokkelen v. Travelers’ Ins. Co. 167 N. Y. 590. New Amsterdam Casualty Co. v. Rust, 164 Tenn. 22. The ruling directing' a verdict for the defendant must be assumed to have been made in view of the pleadings. R. J. Todd Co. v. Bradstreet Co. 253 Mass. 138. Ferris v. Boston & Maine Railroad, 291 Mass. 529.

On July 1, 1929, the plaintiff sustained serious injuries from an accident, while riding in an automobile, which resulted for a time in complete paralysis of his limbs and an intense nervous shock. He filed with the defendant on August 10, 1929, a claim of total disability and in his last written report on November 19, 1929, to the defendant, relative to this automobile accident, he then stated that he was still totally disabled. The defendant made the prescribed payments on account of this accident.

On January 15, 1930, the defendant received the first written notice concerning the accident of January 6, 1930, and sent a proof of claim which was filled out and returned to the defendant on January 21, 1930. Thereafter, as shown by letters sent by the defendant to the plaintiff, frequent requests were made for an examination by the defendant’s physician and for copies of the records of the various hospitals where the plaintiff had been treated or that authority be given the defendant to obtain a copy of these records or that it be.permitted to see them.

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Cite This Page — Counsel Stack

Bluebook (online)
18 N.E.2d 373, 302 Mass. 74, 1938 Mass. LEXIS 1121, Counsel Stack Legal Research, https://law.counselstack.com/opinion/goldman-v-commercial-travellers-eastern-accident-assn-mass-1938.