Happoldt v. Guardian Life Insurance of America

203 P.2d 55, 90 Cal. App. 2d 386, 1949 Cal. App. LEXIS 987
CourtCalifornia Court of Appeal
DecidedFebruary 28, 1949
DocketCiv. 16380
StatusPublished
Cited by23 cases

This text of 203 P.2d 55 (Happoldt v. Guardian Life Insurance of America) is published on Counsel Stack Legal Research, covering California Court of Appeal primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Happoldt v. Guardian Life Insurance of America, 203 P.2d 55, 90 Cal. App. 2d 386, 1949 Cal. App. LEXIS 987 (Cal. Ct. App. 1949).

Opinion

WOOD, J.

On October 31, 1925, the defendant issued its policy of life insurance in the sum of $50,000 on the life of John H. Happoldt. On January 20, 1926, the defendant issued its additional agreement for indemnity benefit of $25,000 for death from accident, which agreement was attached, as a rider, to said policy of life insurance. The plaintiff, who is the widow of the insured, is the beneficiary named in the policy and in the additional agreement. The insured died on December 12, 1945. All premiums had been paid. The defendant paid the $50,000. The agreement, or rider, for additional .indemnity benefit for death from accident provided in part that if “death resulted directly, independently and exclusively of all other causes from bodily injuries effected solely through external, violent and accidental means, of which . . . there is as evidence a visible contusion or wound on the exterior of the body, and that such death occurred within 90 days from the date of such bodily injuries, then the sum of Twenty-five Thousand Dollars will become payable under this agreement in addition to and together with the face amount of said policy. ...” It was also provided therein that said additional indemnity should not be payable if the insured’s death resulted “directly or indirectly from bodily or mental infirmity ... or illness or disease of any kind.”

*391 This is an action to recover the additional $25,000. In a jury trial, a verdict for $25,000 was returned on June 30, 1947, and a judgment for that amount was entered on July 1, 1947. On July 31, 1947, plaintiff filed a notice of motion to amend said judgment to include interest on the $25,000 at the rate of 7 per cent per annum from February 8, 1946. The motion was granted on August 13, 1947, and the judgment which had been entered was then amended accordingly. Defendant appeals from the judgment entered on July 1st, from the judgment as amended on August 13th, and from the order granting plaintiff’s motion to so amend the judgment.

Appellant contends that the evidence was insufficient to support the judgment. Its argument is that the insured’s death did not “result directly, independently and exclusively of all other causes from bodily injuries effected solely through external, violent and accidental means”; and that his death resulted from bodily infirmity, illness and disease.

At the time of the issuance of the policy and rider, and thereafter until July, 1928, the insured was employed by a clothing company in New York. At said last mentioned time the insured, having developed asthma, discontinued his work and thereafter did not engage in any occupation. The insured and plaintiff became residents of Los Angeles in 1930. Soon thereafter, in 1930, the insured’s claim for total and permanent disability benefits under the insurance policy was approved, and from that date until the death of the insured the defendant paid him disability benefits in the sum of approximately $65,000. He continued to be afflicted with asthma from 1930 until’ his death. Every morning it was necessary for him to cough until he dislodged “an oyster of tough phlegm.” He went alone to various places in the city, and he often went, over a period of 16 years, on a bus to Gardena where he played poker, and he often attended motion picture shows. From 1937 until about three weeks before his death he was under the medical care of Dr. Euth, who saw him at irregular intervals—at times there were intervals of six months when he did not see him. On October 26, 1945, the plaintiff sent the insured to a sanitarium for rest because he was exhausted nervously. She visited him at the sanitarium every other day, and at all such visits, until November 15th, he was fully clothed and he walked without assistance. On November 15th, when she visited him, she found him sitting on the edge of his bed, and she noticed that he could not stand up. The next morning she had him *392 removed from the sanitarium to their home. Dr. Ruth then examined him and found that he had a fractured right femur, with swelling and discoloration over his right hip. Then the insured was taken to the general hospital, and Dr. Ruth did not see him again. On November 19th an operation was performed upon insured’s right hip, and the fracture was reduced by inserting a “Z nail” across the fracture. He died 23 days later, on December 12, 1945, at the age of 67 years.

The general hospital records relative to the insured, which were received in evidence, show as follows: that he was admitted to the hospital on November 16, 1945; five days prior thereto he had fallen and injured his right hip; he had had asthma for 16 years; at the time of entering the hospital his blood pressure was 170 over 100, his heart was moderately enlarged, his liver was “palpable two fingers down to the right”; on November 19th an open reduction of the fracture of the right hip was performed, and the “patient left the table in fair condition”; on December 3, 1945, he became comatose; on December 7th, “Cond is same, prognosis poor.”; on December 10th, “prognosis poor 2 days ago, Seen by two medics resident who said patient was terminal as far as two days go, ’ ’ and “patient appears to be terminal Dr. Tompkins called relative to transfer to medical ward; This case is no longer an ortho, problem. Advise: (1) transfer to a medical ward.”; a report of December 10th stated “T 103.4 . . . improvement of lung path. Widespread bronchopneumonia on left. No evidence of pulmonary edema. Liver percusses down 3 F. but is a chronic alcoholic. No venous distension of peripheral edema. Hip is now healed. Problem is no longer ortho.”; and a report of December 12, 1945, at 11 (a.m.) states “end near,” and at 4:45 (p.m.) states, “patient died.” Those hospital records also show that following the operation the insured was given three grains of digitalis three times daily; that, four days after the operation, insured’s blood pressure was 200 over 120, and that the giving of digitalis was then discontinued. Those records also show that the medical summary, made after death, was as follows: heart failure due to broncho-pneumonia and congestive failure due to arteriosclerotic heart disease; coronary sclerosis; cronie myocardial degeneration; and the complications were: fracture of the right hip; emphysema.

An autopsy was performed on December 13, 1945, by Dr. Myers, an autopsy surgeon in the office of the coroner of Los Angeles County. His autopsy report states that the *393 immediate cause of death was broncho-pneumonia and emphysema; and that other conditions were coronary sclerosis, chronic myocardial degeneration and recent fracture of the right hip. His report also states that the heart was slightly enlarged, and the liver was enlarged ‘ about 3 fingerbreadths below the costal margin and contains much fat.” The death certificate signed by the coroner stated that the immediate cause of death was broncho-pneumonia and emphysema.

An autopsy was performed on December 15, 1945, by Dr. Butt, who is the chief pathologist of the general hospital, but the autopsy was not made in his official capacity—it was made under private employment by the defendant. That report states that his anatomical diagnosis, based on the autopsy performed by him, was as follows: “1. Emphysema with moderate right cardiac hypertrophy and decompensation. 2. Bronchitis, chronic. 3. Bronchitis, acute. 4. Arteriosclerosis, local, coronary arteries with scars in the heart muscle. 5.

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

Related

Glassman v. Safeco Ins. Co. of America
California Court of Appeal, 2023
Glassman v. Safeco Ins. Co. of Am.
California Court of Appeal, 2023
Vernon v. Culotti CA2/7
California Court of Appeal, 2020
Vogt v. Minn. Life Ins. Co.
383 F. Supp. 3d 996 (E.D. California, 2019)
Colosimo v. Pennsylvania Electric Co.
486 A.2d 1378 (Supreme Court of Pennsylvania, 1984)
Williams v. Hartford Accident & Indemnity Co.
158 Cal. App. 3d 229 (California Court of Appeal, 1984)
Safeco Insurance Co. Of America v. William Guyton
692 F.2d 551 (Ninth Circuit, 1982)
Clark Equipment Co. v. Mastelotto, Inc.
87 Cal. App. 3d 88 (California Court of Appeal, 1978)
Nash v. Prudential Ins. Co. of America
39 Cal. App. 3d 594 (California Court of Appeal, 1974)
Esgro Central, Inc. v. General Insurance
20 Cal. App. 3d 1054 (California Court of Appeal, 1971)
Slobojan v. Western Travelers Life Insurance
450 P.2d 271 (California Supreme Court, 1969)
Shafer v. American Casualty Co.
245 Cal. App. 2d 1 (California Court of Appeal, 1966)
Hom v. Clark
221 Cal. App. 2d 622 (California Court of Appeal, 1963)
Johnson v. Aetna Life Insurance Co.
221 Cal. App. 2d 247 (California Court of Appeal, 1963)
Zuckerman v. Underwriters at Lloyd's
267 P.2d 777 (California Supreme Court, 1954)
Wharton v. Prudential Insurance of America
265 P.2d 956 (California Court of Appeal, 1954)
Miller v. United Insurance
113 Cal. App. 2d 493 (California Court of Appeal, 1952)

Cite This Page — Counsel Stack

Bluebook (online)
203 P.2d 55, 90 Cal. App. 2d 386, 1949 Cal. App. LEXIS 987, Counsel Stack Legal Research, https://law.counselstack.com/opinion/happoldt-v-guardian-life-insurance-of-america-calctapp-1949.