Inter-Ocean Casualty Co. v. Scruggs

131 So. 549, 24 Ala. App. 130, 1930 Ala. App. LEXIS 284
CourtAlabama Court of Appeals
DecidedNovember 11, 1930
Docket8 Div. 114.
StatusPublished
Cited by8 cases

This text of 131 So. 549 (Inter-Ocean Casualty Co. v. Scruggs) is published on Counsel Stack Legal Research, covering Alabama Court of Appeals primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Inter-Ocean Casualty Co. v. Scruggs, 131 So. 549, 24 Ala. App. 130, 1930 Ala. App. LEXIS 284 (Ala. Ct. App. 1930).

Opinion

*131 BRICKEN, P. J.

Appellee, Henrietta Scruggs, sued appellant, Inter-Ocean Casualty Company, upon a policy of insurance issued by appellant to Calvin Scruggs, husband of appellee. The policy provided indemnity for loss of life, limb, limbs, sight, or time by accidental means, and for loss of time and death from sickness not caused by accidental means, subject to certain limitations which we shall presently point out.

The front page of the policy, so far as pertinent to the questions now involved, appears substantially as follows:

“The Improved ‘Ten Pay’ Special Policy.
“This policy provides indemnify for loss of life, limb, limbs, sight or time by accidental means and for loss of time and death from sickness as herein limited and provided.
“Class
“AA
“Protection.
“Inter-Ocean Casualty Company
“Executive Offices Cincinnati, Ohio.
“Incorporated under the laws of the State of Indiana
“Founded 1903 (Hereinafter Called The Company)
“Monthly Benefits $30.00 Death Benefit at Beginning $500
“Maximum Monthly Maximum Death Benefits $60.00 Benefit $1,000
“Does hereby insure
“Calvin Scruggs (Hereinafter called the Insured)
“Section ‘A’.
“Against the effects of bodily injuries caused directly, solely and independently of all other causes, by external, violent and accidental means, which bodily injuries, or the effects thereof, shall not be due directly or indirectly to any mental or physical defect or infirmity, and which shall within thirty (30) days from the date of the accident result in a loss as provided in Section ‘B’ or ‘C’ or in continuous disability as provided' in Section ‘D’ (suicide or any attempt thereat not covered) and against disability and death from illness that is contracted and has its beginning after thirty (30) days from date this policy is issued or more than thirty (30) days from date of last reinstatement as provided in Sections ‘G,’ ‘H,’ and ‘K’ hereof.”

Next thereafter follow separately lettered sections, commencing with the letter B and extending through the letter Q, containing provisions setting forth in great particularity the risks insured against, and other terms and provisions.

Under section B, which it will be noted is specially referred to in section -A, is set forth the amounts to be paid for certain accidental injuries, as the loss of eyes, hands, and feet, and the provision: “For loss of life— $500.00.”

Section C states that, when death results from an accident under certain limited circumstances (while riding as a fare-paying passenger within the inclosed part of a railway passenger train, street or interurban car, provided by a common carrier for the exclusive use of passengers), the amount payable for loss of life under Section B, namely $500, shall be doubled, that is, it shall be $1,000: and section C further states that, when total disability results from an accident under the limited circumstances mentioned, the amount payable to the insured during the continuance of the disability shall be double the amount payable as for total disability resulting from an accident occurring otherwise than under the limited circumstances mentioned.

Section D provides the amount payable for total disability resulting from an accident occurring otherwise than under the limited circumstances stated in section C, and the amount so provided in section D, is the sum of $30 per month-during the continuation of the disability. If the disability should result from an accident under the limited circumstances stated in section C, then the provisions of section D would become operative and entitle the insured to double the amount of the ordinary indemnity. This would be the sum of $60 per month.

Summed up, the net result of the provisions just mentioned is: (1) For total disability as the result of an accident occurring otherwise than under the limited circumstances stated in section C, the insured would receive “Monthly benefits (of) $30, while total disability existed.” (2) For total disability as the result- of an accident occurring under the limited circumstances stated in section C, the insured would receive “Maximum month *132 ly benefits (of) $60,” while total disability existed. (3) For death resulting from an accident otherwise than under the limited circumstances stated in section C, the beneficiary should receive the sum of $500. As we shall hereinafter point out, it is this item that is intended to be described by the caption “Death benefit at beginning $500.” (4) For death resulting from an accident under the limited circumstances stated in section O, the beneficiary should receive $1,000.

It should be stated that the foregoing summary of the provisions of sections A, B, O, and D mentioned is not intended as an interpretation of those provisions in respect of every question that might conceivably arise as to their meaning, but is intended as a statement of their meaning only as pertinent in determining the construction and effect to be given the words “Death benefit beginning $500,” appearing as a captional statement on the face of the policy, just underneath the words “Inter-Ocean Casualty Company.”

The evidence showed without dispute that the insured died of natural eáuses — pneumonia ; and that he did not die as the result of an accident.

The learned trial judge was of the opinion that the captional words: “Death Benefit at Beginning — $500,” constituted a part of the contract; that, to use his words (appellee’s brief), “as the death benefit for loss of life by accident does not arise by the terms of section ‘A,’ except after (such) 30 days (from the date the policy became effective) this clause or contracted sentence must mean (certainly may mean) that the death benefit for death by disease is not postponed for the thirty day period * * * but is in effect from the beginning; that the policy was thus susceptible of two reasonable constructions; and that applying the well known rule that under such circumstances that construction should be adopted which is most favorable to the insured, the beneficiary should be entitled to $500, for the death of insured from natural causes.”

We have no doubt that the words, “Death Benefit from beginning — $500,” were a part of the contract. Any reasonable person would regard that statement as a part of the contract.

We are of the opinion, however, that the learned trial judge misapprehended the effect of section A of the policy in supposing that the death benefit of $500 provided would not arise until after the expiration of 30 days from the time the policy became effective.

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Bluebook (online)
131 So. 549, 24 Ala. App. 130, 1930 Ala. App. LEXIS 284, Counsel Stack Legal Research, https://law.counselstack.com/opinion/inter-ocean-casualty-co-v-scruggs-alactapp-1930.