Jentz v. National Casualty Co.

204 N.W. 344, 52 N.D. 688, 1925 N.D. LEXIS 132
CourtNorth Dakota Supreme Court
DecidedMay 26, 1925
StatusPublished
Cited by6 cases

This text of 204 N.W. 344 (Jentz v. National Casualty Co.) is published on Counsel Stack Legal Research, covering North Dakota Supreme Court primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Jentz v. National Casualty Co., 204 N.W. 344, 52 N.D. 688, 1925 N.D. LEXIS 132 (N.D. 1925).

Opinion

*692 Birdzell, J.

This is an appeal from a judgment in favor of the plaintiff and from an order denying a motion for a new trial. - The action is upon a policy of insurance which provides, among other things,' stipulated indemnify for illness of the insured. The fads necessary to an understanding of the questions presented on the appeal are substantially as follows: In October, 191.9 the plaintiff, insured, purchased a health and accident policy of the defendant. At that time he was engaged in managing and operating a machinery business in Afantador, North Dakota as agent for-oue Wippermau of llankinson. In his application lie gave a negative answer to a question which called for Information as to whether or not he had or ever had had rheumatism and a number of other disease's commonly regarded as chronic. , in December, 1921 (lie insured became somewhat indisposed. On ¡January 3rd he went to 1he home of .his parents in llankinson, and while *693 there bis father called a physician, Doctor MacDonald, to attend him. At that, time lie was complaining that something was wrong with his nock; that he had pain. His head was turned backward and toward one side and his eyes would become locked in a given position. He was in an extremely nervous mental state. He was unable to control the muscles governing the movement of the head. The contraction which caused his head to turn backward and sidewise and his eyes to become fixed 'or to roll, was intermittent. The condition of the muscles affected was spasmodic. At that time Dr. MacDonald thought he had neuralgia, but oil a subsequent call he diagnosed the -case as torticollis. He recommended that the patient go to Minneapolis and consult Dr. Kistler, as he suspected that the trouble might be due to infected tonsils. ' Tlie insured then went to Minneapolis on the 5th of'January and consulted Dr. Kistler, who examined him and found everything normal except-the muscles in the neck and infected tonsils. Upon Dr. Kistler’s advice the plaintiff went to the Swedish Hospital whore the doctor removed his tonsils and where the plaintiff remained for about five days. Doctor Kistler then advised him to go home and referred him back to Dr-. MacDonald. At that time the condition of his neck was no better. Upon his return to Hankinson Dr. MacDonald recommended that he go to some place -where he could get electrical treatments of some sort or treatments with an x-ray machine, as there was none in Hankinson that, in his judgment, would answer the purpose. He remained in Hankinson for about two weeks after his return from Minneapolis and then w7ent to Fergus Falls to take treatment from a Dr. Solem. Hp to this time the plaintiff had been able to walk about and had not been confined to his hod, except during the time he was recuperating from the tonsillectomy operation in Minneapolis. While at Fergus Falls ho stopped at a hotel and walked to the doctor’s office, in the same block for treatment. He remained in Fergus Falls and received treatment for about six weeks. He then «'turned to Hankinson where he remained until the early part of March. Ho went from Hankinson to the Mayo Clinic at Koch ester, Minnesota, and was examined there by Dr. Meyerding on March 13th. Dr. Meyerding confirmed the diagnosis of spasmodic torticollis. Among other treatment prescribed and administered was a plaster cast, hut this proved to bo impracticable and, perhaps, not beneficial, and the defendant was *694 discharged not materially better than when he -went to the Clinic. While there he was examined by a number of doctors, one of whom, 'Dr. Chas. Mayo, advised an operation. It was the opinion of Dr. Meyerding that the patient was not being benefited and, as he wished to go home on March 29th, he was discharged. The plaintiff then returned to Hankinson and lafer, in .Tune, went to Minneapolis to a Dr. ,W. A. Tones. ITe called upon Dr. Tones on Tune 14th, who confirmed the previous diagnosis and sent the patient to the Rest Hospital in Minneapolis where he remained under treatment from Tune 14th to .July 21st, except for a period of about three days when the plaintiff went home. When he left on Tuly 21st, he did so against the doctor’s advice. The plaintiff’s condition improved rather steadily and when J)r. Tones saw him in October his head and neck were in nearly a normal position with a little remaining spasm of the affected muscle.

The following are the provisions of the insurance policy that arc; pertinent in this case:

“Paragraph K. Indemnity for Confining Illness. At the rate of One Hundred ($100.00) Dollars per month for the number of consecutive days, but not exceeding six months, that the insured is necessarily, continuously and actually confined within the house, and therein regularly visited by a legally qualified physician, by reason of illness that is contracted and begins after this policy shall have been maintained in continuous force for thirty days from its date.
“Paragraph L. Indemnity For Non-Confining Illness. One-half of the above rate, as partial indemnity, hut not exceeding two months, if immediately following said confinement, or if, by reason of sickness, beginning after this policy shall have been maintained in continuous force for thirty days from its date, the insured shall be wholly and continuously disabled (though not confined witliin the house), and actually attended by, or calling upon such physician professionally; provided, that this period shall not exceed two months, and tire combined periods for which indemnity shall be paid for any one illness sliall not exceed six (G) consecutive months.
“Paragraph M. Indemnity For Chronic Diseases. Disability or illness resulting wholly or in part from rheumatism, tuberculosis, paralysis, hernia, lumbago, sciatica, neuritis, Plight’s disease, cancer, dementia, or 'any chronic disease, the Oompany]s liability shall be *695 limited under paragraphs (K) and (L) to a period not exceeding three consecutive months, anything herein to the contrary notwithstanding.
“Paragraph. P. Indemnity For Hospital Sendee. The indemnity otherwise payable under the provisions of paragraph (K) shall be increased twenty per cent, for such period of time, not exceeding six consecutive weeks, as the insured shall be under the treatment at a licensed hospital and also a resident therein.
“Paragraph Q. General Provisions. (2) If the insured is disabled by injury or illness for more than thirty days, he, or his representative, shall furnish the company, every thirty days, or as soon thereafter as may be reasonably possible, with a report from the attending physician or surgeon fully stating the condition of the insured.
“(6) Strict compliance on the part of the insured and beneficiary with the provisions of this policy is a condition precedent to recovery hereunder, and any failure in this respect will forfeit to the company all rights to any indemnity.
“(9) The acknowledgment by the company of the receipt of notice of claim given under this policy, or the furnishing of forms for filing proofs of loss, or the acceptance of such proofs, or the investigation of any claim hereunder, shall not operate1, as a waiver of any of the rights of the company in defense of any claim arising under this policy.

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

Related

Occidental Life Ins. Co. v. Bocock
266 P.2d 1082 (Arizona Supreme Court, 1954)
Franklin Life Ins. Co. v. Lewis
55 So. 2d 518 (Alabama Court of Appeals, 1951)
Bankson v. Mutual Ben. Health & Accident Ass'n
24 So. 2d 59 (Supreme Court of Louisiana, 1945)
Lewis v. Liberty Industrial Life Ins. Co.
166 So. 143 (Louisiana Court of Appeal, 1936)
Interstate Life & Accident Co. v. Lange
81 S.W.2d 931 (Supreme Court of Arkansas, 1935)
Garvin v. Union Mutual Casualty Co.
222 N.W. 25 (Supreme Court of Iowa, 1928)

Cite This Page — Counsel Stack

Bluebook (online)
204 N.W. 344, 52 N.D. 688, 1925 N.D. LEXIS 132, Counsel Stack Legal Research, https://law.counselstack.com/opinion/jentz-v-national-casualty-co-nd-1925.