Great Eastern Casualty Co. v. Robins

164 S.W. 750, 111 Ark. 607, 1914 Ark. LEXIS 84
CourtSupreme Court of Arkansas
DecidedMarch 2, 1914
StatusPublished
Cited by27 cases

This text of 164 S.W. 750 (Great Eastern Casualty Co. v. Robins) is published on Counsel Stack Legal Research, covering Supreme Court of Arkansas primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Great Eastern Casualty Co. v. Robins, 164 S.W. 750, 111 Ark. 607, 1914 Ark. LEXIS 84 (Ark. 1914).

Opinion

McCulloch, C. J.

This is an action on a policy of insurance giving indemnity against sickness and consequent confinement and disability to perform the duties of business or occupation. The clauses of the policy upon which liability is based read as follows:

“Loss of Time — Confining Period.
“Section 8. Part A. If any sickness, contracted and beginning after this policy has been in continuous force for thirty days from this date, shall totally disable and prevent the insured from performing any and every duty pertaining to any and every kind of business or occupation, and shall necessarily and continuously confine him within the house, where he shall be regularly visited by a licensed physician, the company will pay for the period of such confinement, not exceeding six months, benefit at the rate per month of one hundred dollars.
“Loss of Time — Nonconfinement Period.
“Part B. If immediately following such confinement, or if by reason of any sickness so contracted, the insured shall be totally and continuously disabled as above defined and regularly treated by a licensed physician, but not necessarily confined within the house, the company will pay for such disability, not exceeding one month, the benefits provided in Part A of this section; provided, always, that the combined periods for which benefits will be paid for any one sickness shall not exceed six consecutive months.
“Special Increased Benefits, Accident and Sickness, Hospital Confinement.
“Section 9. In the event of the insured becoming entitled to benefits under the provisions of sections 2 and 8 of this policy, and if such injury or such sickness necessitates the insured’s removal to a regularly incorporated hospital within ninety days from the date of accident or commencement of sickness, the company will pay the insured an additional ten per cent of the amount that would otherwise be payable under this policy, for the period of such confinement, not exceeding three consecutive months.”

The plaintiff was editor and publisher of a newspaper at Conway, Arkansas, his duties being that of writing editorials for the paper and superintending the publication of the paper. On October 6, 1912, the policy having been in force for more than thirty days, he became ill, and his malady was diagnosed by the physicians as incipient tuberculosis. He had fever every day from that time on and was regularly treated by a physician. After the case had been diagnosed by several physicians he was sent to a sanatorium in the city of Denver, where he remained for a time and was discharged from treatment, it being determined that the progress of the disease had been arrested.

On the trial of the cause below the jury returned a verdict in favor of the plaintiff, as follows:

‘ ‘ Confinement period................$436.00
Nonconfinement period............. 100.00
Hospital fee ...................... 30.00
Total .........................$566.00”

That was the amount claimed by plaintiff.

The court entered judgment upon the verdict, and also for the statutory penalty of 12 per cent and an attorney’s fee.

The testimony discloses the course of treatment to which plaintiff was subjected while in the sanatorium at Denver. He was continuously finder the treatment of physicians and was confined to the house except that he was out for a short time daily, under the direction of the physician, for the purpose of getting sunshine and fresh air.

The court instructed the jury that “a continuous confinement within the meaning of this instruction does not mean that the plaintiff, in order to be entitled to this benefit, must have actually been confined within the walls of a house every minute or hour,” but that “the mere fact that he went out occasionally and at stated intervals for the purpose of taking exercise and fresh air, under the instructions of his physician, would not be sufficient to prevent plaintiff from recovering in this action.”

This instruction was given over the objection of the defendants, and the ruling is assigned as error. That is the principal ground urged here for reversal.

We are of the opinion that the court correctly interpreted the contract and that the instruction complained of was not in conflict with the law which controls. Cases cited in the brief fully sustain that view. Jennings v. Brotherhood (Col.), 96 Pac. 982, 18 L. R. A. (N. S.) 109; Breil v. Claus, 84 Neb. 155, 120 N. W. 905, 23 L. R. A. (N. S.) 359; Metropolitan Plate Glass & Casualty Ins. Co. v. Hawes, 150 Ky. 52, 149 S. W. 1110; Ramsey v. General Accident Ins. Co., 160 Mo. App. 236, 142 S. W. 763.

In Metropolitan Plate Glass & Casualty Ins. Co. v. Hawes, supra, the policy was almost identical with the one in suit and' the facts were the same with respect to plaintiff’s malady, the only difference in the case being that, instead of leaving the house, he sat on the porch for a considerable time each day under the advice' of a physician. The court said: “Appellee’s deceased was affected with tuberculosis and it is of common knowledge that a person in that condition requires fresh air and as much as possible, .and he testified that while he was actually sick and would have felt much better in the house and in bed, his physician ordered him to get out into the open as much as possible and he did so. He sat on the porch at times as the weather was warm. ’ ’

In Breil v. Claus, supra, the court, in passing upon a similar provision of a policy, said: “That a person ‘must remain constantly in the house’ does not necessarily mean that one must remain perpetually within the four walls of a house. Within the meaning of the bylaw quoted, one is confined to the house by sickness if his condition is such that he is unable to attend to the ordinary affairs of life and is required to remain in the house, except when making necessary visits to his physician. It can not be said that a patient is not confined to his house constantly during an illness, which is characterized by recurring periods of severity, although at intervals he may step into his yard, or make visits to his physician, or other short and unusual trips, he át all times being unable to resume the ordinary duties or pleasures of life.”

In the Colorado case cited above, the court said:

“It appears from the testimony that during a considerable portion of the period for which plaintiff claimed sick benefits he was out nearly every day, by advice of his physician, when the weather was favorable, and that he was not actually confined to his bed on account of sickness during that time. It does appear, however, that during this period he was not able to perform any labor, or pursue his usual calling.

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Bluebook (online)
164 S.W. 750, 111 Ark. 607, 1914 Ark. LEXIS 84, Counsel Stack Legal Research, https://law.counselstack.com/opinion/great-eastern-casualty-co-v-robins-ark-1914.