Howard v. Benefit Association of Ry. Employees

39 S.W.2d 657, 239 Ky. 465, 81 A.L.R. 375, 1931 Ky. LEXIS 787
CourtCourt of Appeals of Kentucky (pre-1976)
DecidedJune 5, 1931
StatusPublished
Cited by21 cases

This text of 39 S.W.2d 657 (Howard v. Benefit Association of Ry. Employees) is published on Counsel Stack Legal Research, covering Court of Appeals of Kentucky (pre-1976) primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Howard v. Benefit Association of Ry. Employees, 39 S.W.2d 657, 239 Ky. 465, 81 A.L.R. 375, 1931 Ky. LEXIS 787 (Ky. 1931).

Opinion

*466 Opinion op the Court by

Judge Rees

Affirming.

On August 25, 1925, the Benefit Association of Railway Employees issued and delivered to Isaac Howard an accident and health insurance policy in consideration of the payment by the insured of a premium of $4.40 per month. By the terms of the policy the insurer agreed to pay to the insured $80 per month for the first year “for any illness (except such as is due to venereal disease), which is contracted and begins during the life of this policy and after it has been maintained in continuous force for fifteen days from its date, then for the period of total loss of time, not exceeding twelve consecutive months, during which ‘such illness’ shall wholly and continuously disable and prevent the insured from performing any and every kind of work or occupation for wages or profit, . . . And immediately following said period of twelve months, and so long thereafter as the insured shall continuously suffer total disability as defined in section (a) of this part, the association will pay one fourth of said monthly illness indemnity.” The policy provided that, upon the payment of claim thereunder, any premium then due and unpaid might be deducted therefrom.

On July 4, 1930, the insured brought this action against the insurer, and in his petition alleged that he became totally disabled by illness during the year 1928, and reported his illness to the insurance company according to the provisions of the policy and was paid the stipulated monthly indemnity by it until April, 1930, when the insurance company ceased paying the monthly indemnity and undertook to cancel the policy. He further alleged that he was 33 years of age, and that his life expectancy was 32.36 years and that he was entitled to $15.60 per month during the remainder of his life, but that on account of his physical condition he did not expect to live the full period of 32.36 years, but that his physical condition was such that he would live for a period of 16 years and he asked damages for a breach of the contract in the sum of $2,999.99. He later filed an amended petition in which he alleged that he was wholly disabled from performing any duty and every kind oí work or occupation for wages or profit and would be wholly and continuously disabled during the remaining period of his life, and on account of his physical condition he could not procure any other policy of insurance on his health of the same character and with the *467 same provisions as the policy issued to him by the defendant. A demurrer was sustained to the petition as amended, and the plaintiff having declined to plead further, judgment was entered dismissing his petition and amended petition, and from that judgment he appeals.

Appellant in this action seeks to recover damages for the alleged breach of the insurance contract by appellee, and he argues that the correct measure of damages is the amount of monthly indemnity due him while totally disabled by illness, or $15.60, multiplied by the number of months he expects to live. Mutual Life Insurance Company of Kentucky v. Twyman, 89 S. W. 178, 28 Ky. Law Rep. 167; Equitable Life Assurance Society v. Cosby (Ky.) 126 S. W. 142; American Insurance Union v. Woodard, 118 Okl. 248, 247 P. 398, 48 A. L. R. 102, and other similar cases are relied on in support of appellant’s contention that the action is maintainable. Each of those cases, however, involved a life insurance policy having a cash surrender value which could be readily ascertained. The policy here in question is a health and accident policy without a paid-up or cash surrender value, and its ultimate value to the insured is wholly speculative. The allegations of appellant’s petition disclose the' uncertain and speculative nature of the measure of damages he seeks to apply. He concedes that he is not entitled to recover upon the basis of the full expectation of life of a healthy person. The liability of the appellee for illness indemnity ceases at the death of the insured which may occur at any time, and judgment for the present value of the monthly payments due under the policy until appellant’s death, and attempting to fix appellee’s true liability would be necessarily based on a speculative hypothesis. It is true that in an action for the wrongful death of a person the jury in assessing the damages suffered by the decedent’s estate is permitted to determine how long the decedent would have lived, basing its finding upon his age and his consequent expectancy in life as affected by his state of health at the time of the injury resulting in his death. That rule, however, results from the exigencies of the circumstances. The damages could be fairly approximated by no other method.

Here, if the appellee wrongfully fails or refuses to pay the indemnity due under the policy, a remedy is available to appellant by which he can recover the exact *468 amount owing to Mm by the terms of the contract. If the averments of his petition are true and he has become totally disabled by illness for the remainder of his life, the appellee will be indebted to him at the end of each month during his life in the sum of $20, subject to a credit of $4.40, the amount of the monthly premium. Under a contract like this the appellant should not be permitted to recover payments which, by reason of his death or recovery from his illness, might never accrue. Keith’s Executor v. Hinkston, 72 Ky. (9 Bush.) 283; Frankfort & C. Railway Company v. Jackson, 153 Ky. 534, 156 S. W. 103. We have been cited and have found no case from this jurisdiction involving a suit on a health policy of insurance, the monthly indemnity being payable in installments, where the question now raised was presented, but there are numerous authorities from other jurisdictions in which the courts have held that a renunciation of the contract by the insurer would not authorize the insured in treating the contract as breached and suing for gross damages. It was further held in these cases that the insured could recover only for installments due, though all of the matured installments could be joined in one action. Some of the cases so holding are Metropolitan Life Insurance Company v. Lambert, 157 Miss. 759, 128 So. 750; Donlen v. Fidelity & Casualty Company, 117 Misc. Rep. 414, 192 N. Y. S. 513; New York Life Insurance Company v. English, 96 Tex. 268, 72 S. W. 58; State Life Insurance Company v. Atkins (Tex. Civ. App.), 9 S. W. (2d) 290; Hardie v. Metropolitan Life Insurance Company (Mo. App.) 7 S. W. (2d) 746; Bonslett v. New York Life Insurance Company (Mo. Sup.), 190 S. W. 870; Commercial Casualty Insurance Company v. Campfield, 243 Ill. App. 453; Atkinson v. Railroad Employees’ Mutual Relief Society, 160 Tenn. 158, 22 S. W. (2d) 631.

In Federal Life Insurance Company v. Rascoe (C. C. A.), 12 F. (2d) 693, it was held that, where an insurer repudiates liability on an accident policy requiring it to make weekly payments to insured for total disability, the insured could maintain an action for breach of the entire contract. The majority opinion was based on the theory that the contract was executory in so far as the insured Was concerned because she was still required to furnish regularly to the insurance company each thirty days a report in writing from her attending physician, or surgeon, fully stating her condition and *469 the probable duration of her disability.

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

Related

Sagebrush Development, Inc. v. Moehrke
604 P.2d 198 (Wyoming Supreme Court, 1979)
Overstreet v. Greenwell
441 S.W.2d 443 (Court of Appeals of Kentucky, 1969)
Prudence Life Insurance v. Morgan
213 N.E.2d 900 (Indiana Court of Appeals, 1966)
McCann v. John Hancock Mutual Life Insurance
48 Misc. 2d 325 (New York Supreme Court, 1964)
Fanning v. Guardian Life Insurance Co. of America
366 P.2d 207 (Washington Supreme Court, 1961)
Asbury v. New York Life Ins. Co.
45 F. Supp. 513 (E.D. Kentucky, 1942)
Lane v. Brotherhood of Locomotive Enginemen & Firemen
73 P.2d 1396 (Oregon Supreme Court, 1937)
Metropolitan Life Ins. Co. v. Evans
96 S.W.2d 152 (Court of Appeals of Texas, 1936)
New York Life Insurance v. Viglas
297 U.S. 672 (Supreme Court, 1936)
Box v. Metropolitan Life Ins. Co.
168 So. 220 (Supreme Court of Alabama, 1936)
Cobb v. Pacific Mutual Life Insurance
51 P.2d 84 (California Supreme Court, 1935)
Brix v. Peoples Mutual Life Insurance
41 P.2d 537 (California Supreme Court, 1935)
Mobley v. New York Life Ins.
74 F.2d 588 (Fifth Circuit, 1935)
Rishmiller v. Prudential Insurance Co. of America
256 N.W. 187 (Supreme Court of Minnesota, 1934)
Prudential Insurance Co. v. Cox
71 S.W.2d 31 (Court of Appeals of Kentucky (pre-1976), 1934)
American National Ins. Co. v. Briggs
70 S.W.2d 491 (Court of Appeals of Texas, 1934)
Allen v. National Life & Accident Insurance
67 S.W.2d 534 (Missouri Court of Appeals, 1934)
Equitable Life Assurance Society of United States v. Branham
63 S.W.2d 498 (Court of Appeals of Kentucky (pre-1976), 1933)
Wyll v. Pacific Mut. Life Ins. Co.
3 F. Supp. 483 (N.D. Texas, 1933)

Cite This Page — Counsel Stack

Bluebook (online)
39 S.W.2d 657, 239 Ky. 465, 81 A.L.R. 375, 1931 Ky. LEXIS 787, Counsel Stack Legal Research, https://law.counselstack.com/opinion/howard-v-benefit-association-of-ry-employees-kyctapphigh-1931.