Hill v. National Life Accident Ins. Co.

160 So. 312, 1935 La. App. LEXIS 226
CourtLouisiana Court of Appeal
DecidedApril 1, 1935
DocketNo. 4965.
StatusPublished
Cited by3 cases

This text of 160 So. 312 (Hill v. National Life Accident Ins. Co.) is published on Counsel Stack Legal Research, covering Louisiana Court of Appeal primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Hill v. National Life Accident Ins. Co., 160 So. 312, 1935 La. App. LEXIS 226 (La. Ct. App. 1935).

Opinion

Taliaferro, Judge.

In the year 1926 defendant issued to plaintiff its endowment, sick, and accident policy,wherein appears the following provision, viz.

“If the insured shall lose both hands at or above the wrist, or both feet at or above the-ankle, or one hand and one foot at or above the wrist and ankle, or if the insured shall, permanently lose the sight of both eyes, as a result either of accident or illness, not caused or contributed to■ by venereal disease,. * * * this Policy shall thereupon mature' and the Company shall be liable for double-the sum payable in event of death from natural causes. The payment to the insured or- ■ his beneficiary of such sum, without deduction for any weekly indemnity previously- *313 paid, shall end and fully discharge all of the obligations and liabilities of the Company hereunder.”
On the reverse side of the policy, under “Conditions,” appears the following stipulation, viz.:
“2. Benefits will be paid for each day that the insured is by reason of illness necessarily confined to bed and for each day that the insured is by reason of accidental injury, of which there is external evidence, disabled from performing work of any nature, provided such confinement or disability is not less than four consecutive* days and a certificate of a duly licensed and practicing physician is furnished as hereinafter provided. The total number of days for which benefits will be paid under this policy is limited to one Hundred and eighty-two (1S2) during any twelve consecutive months. Benefits under this clause will be paid each seven days, except when payment is for less than one week, then payment will be made at the rate of one-seventh of the weekly benefits for each day.”

It is further stipulated that if insured is living at end of endowment period, or if he died prior to such time, that the sum of $88 would be due and payable to him, or his beneficiary, as the ease may be. The maximum weekly allowance for sickness or disability from accident is fixed at $8.

Plaintiff alleges:

“3. That on or about the 1st day of March, 1933, your petitioner suffered the loss of his left eye through the . accidental discharge of a firearm, and inasmuch as petitioner, at the time of the issuance of the above described policy, had a cataract on his right eye, all to the knowledge of the defendant, and petitioner’s vision in said right eye is approximately 20-60, petitioner merely being able to distinguish between light and darkness, to distinguish colors and objects, and having been examined by Doctors A. L. Peters, J. P. Brown, and P. L. Perot, the latter two doctors having examined petitioner for defendant herein, and petitioner having been pronounced by all of the said doctors as being totally*and permanently disabled from following any gainful occupation, or performing work of any nature, your petitioner avers that he is totally and permanently disabled under the terms of the said policy.

“5. Under the terms and stipulations of the said policy of insurance your petitioner is entitled to receive the sum of Eight ($8.00) Dollars per week, for a period of twenty-six weeks out of every year, and that during the year of 1933 the defendants herein paid your petitioner, under the accidental benefits, Eight ($8.00) Dollars per week for the total number of weeks allowed in one calendar yea'r, which covered all disability allowances under the accidental feature of the policy, until February 16, 1934, and that beginning February 16, 1934, payments were again due your petitioner under the said above described accident clause of the policy, and that your petitioner is, therefore, entitled to receive the sum of Eight ($8.00) Dollars per week for a period of eight weeks that had elapsed.”

He also alleges that, beginning with 16th of February, 1934, and for 5 weeks thereafter, he submitted due proof of his disability to defendant’s local superintendent and representative, but he refused to entertain fur'ther claim for disability payments. He avers that inasmuch as payments under the policy have been delayed more than 30 days, defendant is liable for the total amount claimed, “plus the equal thereof as a statutory penalty, and reasonable attorney’s fees,” which he fixed at $100. Judgment is prayed for accordingly.

Defendant admits issuance of the policy sued on and that it was in full force and effect when plaintiff lost his left eye. It also admits payments to plaintiff of $8 per week for 14 weeks, and refusal to make additional payments of like amounts. Answering article 3 of plaintiff’s petition', quoted above, defendant says:

“Bespondent admits that plaintiff suffered the loss of his left eye through the accidental discharge of a firearm on or about March 21, 1933, and that plaintiff has lost the vision in his right eye to the extent that he has no practical use of said eye and can not perceive and distinguish objects, but denies the remaining allegations contained in Article Three of plaintiff’s amended and supplemental petition.”

Further pleading, defendant says:

“Further answering, your respondent shows that plaintiff on or about March 1, 1933 suffered an injury to his left eye causing him to be totally blind in the said eye and by reason thereof has lost the total sight of his left eye, and the vision of the right eye is lost as the sight left is of no practical use or benefit and plaintiff has permanently lost the sight of both eyes, and said contract of insurance issued to plaintiff by defendant provides in Paragraph Three (3) thereof that, ‘if the insured shall permanently lose the sight of both eyes as a result either of accident or illness, not caused or contributed to by venere *314 al disease, the company shall he liable for double the sum payable in the event of death from natural-causes,’ and, therefore, respondent is, under the terms and provisions of said policy, liable to plaintiff in the sum of One Hundred Seventy-six and no/100 ($176.00) Dollars, less the amount heretofore paid plaintiff in the sum of One Hundred Twelve and no/100 ($112.00) Dollars, and respondent shows that it is ready and willing to pay to the said plaintiff the'balance of Sixty-four and no/100 ($64.00) Dollars due by it to plaintiff.”

There was judgment for plaintiff for $176, and he appealed to this court. Plaintiff moved for judgment on the face of the pleadings, and complains here of adverse ruling of the lower court thereon. Under the record facts, this ruling was obviously correct. Besides the claim of compensation for total disability, plaintiff sued for counsel fees, which Act No. 310 of 1910, § 3, requires the trial court to fix. This presupposes introduction of testimony to prove proper amount of such fees. When the motion for judgment was filed, the case had not been tried, therefore a judgment at that time would have necessarily left undecided the question of counsel fees. Oases should not be disposed of by piecemeal. Aside from this, the only correct judgment that could have been rendered on the face of the pleadings was the judgment that was finally rendered after trial on the merits.

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Glover v. National Life & Accident Insurance
177 Cal. App. 2d 811 (Appellate Division of the Superior Court of California, 1960)
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Cite This Page — Counsel Stack

Bluebook (online)
160 So. 312, 1935 La. App. LEXIS 226, Counsel Stack Legal Research, https://law.counselstack.com/opinion/hill-v-national-life-accident-ins-co-lactapp-1935.