Halperin v. Equitable Life Assurance Society of United States

125 Misc. 422, 210 N.Y.S. 720, 1925 N.Y. Misc. LEXIS 893
CourtCity of New York Municipal Court
DecidedJune 30, 1925
StatusPublished
Cited by6 cases

This text of 125 Misc. 422 (Halperin v. Equitable Life Assurance Society of United States) is published on Counsel Stack Legal Research, covering City of New York Municipal Court primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Halperin v. Equitable Life Assurance Society of United States, 125 Misc. 422, 210 N.Y.S. 720, 1925 N.Y. Misc. LEXIS 893 (N.Y. Super. Ct. 1925).

Opinion

Genung, J.:

Two actions are brought by the plaintiff to recover the disability annuity provided in two policies of life insurance, issued by the defendant, and payable in case of the total and permanent disability of the insured. The policy in action No. 1 provides:

Total and Permanent Disability. If the Insured becomes wholly and permanently disabled before age 60 the Society will waive subsequent premiums and pay to the Insured a disability-annuity OF ONE HUNDRED FIFTY DOLLARS a month * * * by bodily injury or disease * * *.
Disability shall be deemed to be total when it is of such an extent that the Insured is prevented thereby from engaging in any occupation or performing any work for compensation of financial value, and such total disability shall be presumed to be permanent when it is present and has existed continuously for not less than three months * * *.”

The policy in action No. 2 contains a similar clause except that the amount of the disability annuity therein is $100 a month. Both of the policies are known as ordinary life policies; the policy involved in action No. 1 is for the face amount of $15,000, and the policy involved in action No. 2 is for the face amount of $10,000.

The plaintiff makes claim against the defendant in action No. 1 for $450 for three months’ installments which he claims to be due at the time of the. commencement of the action. The claim in action No. 2 is for $300 for a like period which plaintiff claims as installments due at the commencement of this action.

The complaint in each of the actions alleges inter alia that while the said policies were in full force and effect the plaintiff became wholly, totally and permanently disabled by disease as therein outlined and so incapacitated by said disease that he is prevented thereby from engaging in any occupation or performing any work for compensation of financial value ” and that said disability was present and had extended continuously for at least three months before the month of May, 1924, and further alleges that he is still wholly, totally and permanently disabled due to the said disease referred to in the complaint.

The defendant admits the various preliminary steps necessary to be taken by the plaintiff in presenting his claim so that the only questions which remain to be decided are whether or not the plaintiff [424]*424was totally and permanently disabled so that he “is prevented from engaging in any occupation or performing any work for compensation of financial value,” and whether or not the said disability was present and had existed continuously for at least three months before the commencement of the said actions.

The testimony elicited at the trial indicated that the plaintiff became afflicted with a disease known as Buerger’s disease and that the symptoms dated back to about the month of November, 1923.

The plaintiff produced as a witness Dr. Buerger, who discovered what is known as Buerger’s disease and to which diseases he gave the name of thrombo angititis obliterans, and which he testified was subsequently called by his name by others in the medical profession through this and other countries. He stated that this malady is an affection of the arteries and veins which leads to the closure of the arteries by the formation of clots and infects so large a territory of the arteries of the extremities that it leads to the impairment of function and very frequently gangrene of one or more extremities. He further testified that the plaintiff was afflicted with this disease known as Buerger’s disease and that the disease was not a curable one from a standpoint of pathology, that it required constant care and attention and treatment at all times for the reason that this disease is a rapidly progressing one. He further said that the clots cannot be dissolved and that this condition impedes the use of his legs; further that he prescribed a treatment for the plaintiff which Would keep the plaintiff occupied the greater part of the day by devoting his time to the treatment, and that such treatment should take about eight hours a day. As part of the treatment the exercises which were prescribed consist in elevating for a period of time both limbs to a position almost vertical, the patient lying on a bed, and then allowing the limbs to hang down for a short period over the edge of the bed, and then placing them in a horizontal position again. This exercise is repeated for a period of about an hour, then another period of baking treatment is instituted for a half hour or an hour, then a short period of rest in order to begin the exercise all over again.

Dr. Buerger testified that this repetition of exercises and baking would occupy most of the day. He stated that the baking process consists of a hot air apparatus which is allowed to heat the limbs. The treatment which was prescribed would also prevent the setting in of gangrene. The testimony also indicated that in carrying out this treatment the plaintiff is disabled during that period and that, if plaintiff attempted to occupy himself with anything other than the treatment and rest, it would undoubtedly interfere with [425]*425his condition and that to properly apply the treatment his mind should not be occupied with other pursuits, but should be concentrated on the treatment; otherwise his condition would undoubtedly get worse.

Dr. Buerger testified that he first attended the plaintiff on March 20, 1924, at which time he diagnosed the case as Buerger’s disease and prescribed the treatment related herein and that he had attended the plaintiff many times since, as late as May 21, 1925, at which time he found that his condition was not improved.

Dr. Snyder, a witness produced by the defendant and in its employ, admitted that the treatment which was prescribed by Dr. Buerger was that which was prescribed by many other doctors. He also stated that Buerger’s disease is a progressive one in that the disease increases rather than diminishes. He admitted that Dr. Buerger is recognized as a specialist with respect to this particular disease known as Buerger’s disease and that he (Dr. Snyder) would diagnose the disease with which the plaintiff was afflicted as Buerger’s disease, and that he so diagnosed it on July 11,1924, when the witness examined the plaintiff. He further testified that he would prescribe a treatment similar to that suggested by Dr. Buerger, but in more moderation, and that the treatment in any event would depend upon the doctor and the patient. He also expressed the opinion that the treatment of Dr. Buerger is the best treatment for such disease up to the present time. He ventured the opinion that there is no better treatment than that prescribed by Dr. Buerger except possible amputation of the limbs, but that he would not recommend amputation until gangrene developed.

On cross-examination he admitted that he would recommend the type of treatment that Dr. Buerger prescribed in this particular case and that he respects Dr. Buerger’s opinion as to the treatment prescribed. He also stated that he would not advise the plaintiff to abandon the treatment prescribed by Dr. Buerger and that such treatment required the plaintiff to he flat on his back in bed. It was his professional opinion that if any walking or standing were done by the plaintiff the disease would become worse with the danger of gangrene and also with the danger of ulceration, resulting eventually in amputation as a possible means of saving the plaintiff’s life.

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Bluebook (online)
125 Misc. 422, 210 N.Y.S. 720, 1925 N.Y. Misc. LEXIS 893, Counsel Stack Legal Research, https://law.counselstack.com/opinion/halperin-v-equitable-life-assurance-society-of-united-states-nynyccityct-1925.