Hartford Accident & Indemnity Co. v. Davis

210 S.W. 950, 184 Ky. 487, 1919 Ky. LEXIS 6
CourtCourt of Appeals of Kentucky
DecidedApril 18, 1919
StatusPublished
Cited by9 cases

This text of 210 S.W. 950 (Hartford Accident & Indemnity Co. v. Davis) is published on Counsel Stack Legal Research, covering Court of Appeals of Kentucky primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Hartford Accident & Indemnity Co. v. Davis, 210 S.W. 950, 184 Ky. 487, 1919 Ky. LEXIS 6 (Ky. Ct. App. 1919).

Opinion

Opinion op the Court by

Judge Quin

Affirming.

These suits were instituted by appellee, Marjorie O. Davis, wife of Frank F. Davis, against the Hartford Accident & Indemnity Company on one policy and against the United States Fidelity & Guaranty Company on two policies, seeking recovery of the face of said policies as well as certain” weekly indemnities on each of them.

The plaintiff alleged that her husband, the insured, died as the result of an accident on May 22, 1916, when he slipped and fell on the step of ¿ building, injuring his spine, and another accident occurring three days later when he injured his spine while attempting to get out of a bath tub at his residence. Liability was denied by the companies because of breach of certain warranties and misrepresentations on the part of the insured; that [488]*488the alleged injuries did not wholly and continuously disable or prevent the insured from attending to his business; that he died as the result of disease which was not brought about by any injury or accidental means, and under the terms and conditions of the policies plaintiff was not entitled to the face of the policies, nor any part thereof, nor to any indemnity whatsoever.

The cases were submitted to a jury and from verdicts adverse to appellants they have appealed.

Insured conducted a general insurance business in Paducah, and among the companies represented by him were the two appellants. All three policies were in force at the time of his death, November 21,1916. The policies contain substantially the same provisions. Those pertinent to this appeal are:

“Sec. 1. If any loss specified in this section shall result directly and exclusively from such injury, and the insured shall have been continuously and totally disabled and prevented from performing any and every kind of duty pertaining to his occupation, from the date of Such injury to the date of such loss; or if, irrespective of total disability, such loss shall result directly and exclusively from such injury within three months after the date of the accident, the company will pay for LOSS- OF LIFE The Principal Sum.
“Sec. 2. (a) If such injury shall immediately, continuously, and totally disable and prevent the insured from performing any and every kind of duty pertaining* to his occupation, the company will pay, as long as the insured lives and suffers such total disability, the weekly indemnity above specified.”

The provisions are taken from the Hartford policy.

Much medical testimony was introduced.

For appellee, his widow testifies to the bath tub accident; she heard the noise of the fall; insured complained of soreness at the end of his spine; she rubbed him with some medicine she had at home. He never was well after this; he made efforts to get out, but was never able to attend to his business like it should have been done. After the date of the accident, if he went to his office he would be all to pieces when he came home. Most of the time she would take him in the auto to deliver policies. She never saw any' external evidence of his injury; there was no change for the better in his condition from the time of the accident until his death.

[489]*489■ -Prior to tile accident lie was always well, an atlielete, fond of games. About the middle of July he went to Chicago to consult some specialists; he took a brief trip to Cerulean Springs and to South Haven, but grew worse all the time. Corroboration of different parts of her testimony is found in the evidence of five other witnesses.

Dr. Sights made a special study of the diseases of the brain and the nervous system; saw insured October first and practically every day until his death; found a bruised spot on the end of the spine; considered the fall on the iron steps (first accident) the primary cause of death, producing the condition that resulted in his death. This was his conclusion after close analysis of the history of the case and about 53 days' treatment.

Dr. Hearne, in answer to a hypothetical question, says the injury was the cause of death; was present when insured died; he died from convulsions. From his diagnosis it was a cerebral lesion or brain lesion.

For appellants, the bookkeeper in his office testified that the first she heard of the accident was about the middle of July; thinks she saw insured every day; saw no difference in the time he spent at the office; he wrote new business of all kinds and did some collecting until July. She works for the present agent of these companies.

Buford Rhodes purchased the agency after insured’s death'; he was associated with him in the office previous to his death; he corroborates the bookkeeper and states that he furnished appellants with a list of policies written by insured between May and November.

About fifteen witnesses testify' that insured solicited them, or they called him, for policies, between June and November. Most of those instances occurred in June, and were taken under varying circumstances and in different portions of the cityi

Eight physicians, osteopaths, allopaths and surgeons testify. In the opinion of most of them death was not due to the accident — insured had a disease of the spine, -which had existed probably several months.

Several exhibits are filed with the record such as proof of claim, application for disability clause on certain of insured’s policies, certificates of death, etc. When asked in rebuttal why he stated in the certificate of death That the contributory cause of insured’s death was un[490]*490known, Dr. Sights explains that he analyzed the case after insured’s death.

Insured died more than ninety days after the two accidents, at the age of thirty-two years. His average weekly income was seventy-five dollars.

In two particular instances we have had before us policies containing provisions similar to those sued on.

O’Brien’s Extx. v. Natl. Life and Acci. Ins. Co., 155 Ky. 498. The insured in that case was injured in a runaway accident. It was claimed his death was due to Bright’s disease, and that the accident did not wholly and continuously disable him from performing every and any duty pertaining to his business. The court classifies the authorities construing the disability clause, and adopts the one holding that a total disability exists if the insured’s injuries are of such a character that common prudence requires him to desist from his labors and rest, so long as it is reasonably necessary to effect a speedy cure.

The widow, O’Brien, testified that “after he was several weeks' sick he got up, but he wasn’t up very long. It might have been a week or little more and he was taken sick again and he wasn’t well from that time on then. He would get up and go out and come back to bed again and sometimes maybe he would set up' an hour or so.”

It is held in this case that the disability would be total if of such a character as to prevent the insured from transacting cmy kind of business pertaining to his occupation. That it is sufficient if the disability was such as. to prevent insured from doing all the substantial acts required of him in his business.

Doyle v. New Jersey Fidelity & Plate Glass Ins. Co., 168 Ky. 789. Here the insured, a dentist, injured his finger June 21, 1912, and blood poisoning later developed.

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Bluebook (online)
210 S.W. 950, 184 Ky. 487, 1919 Ky. LEXIS 6, Counsel Stack Legal Research, https://law.counselstack.com/opinion/hartford-accident-indemnity-co-v-davis-kyctapp-1919.