Kinard v. Mutual Benefit Health & Accident Ass'n of Omaha, Neb.

108 F. Supp. 780, 1952 U.S. Dist. LEXIS 2370
CourtDistrict Court, W.D. Arkansas
DecidedDecember 9, 1952
DocketCiv. A. 562
StatusPublished
Cited by16 cases

This text of 108 F. Supp. 780 (Kinard v. Mutual Benefit Health & Accident Ass'n of Omaha, Neb.) is published on Counsel Stack Legal Research, covering District Court, W.D. Arkansas primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Kinard v. Mutual Benefit Health & Accident Ass'n of Omaha, Neb., 108 F. Supp. 780, 1952 U.S. Dist. LEXIS 2370 (W.D. Ark. 1952).

Opinion

JOHN E. MILLER, District Judge.

Formal findings of fact and conclusions of law, separately stated, have been filed herein.

The plaintiff, Kenneth Kinard, is seeking to recover from the defendant, Mutual Benefit Health and Accident Association of Omaha, Nebraska, benefits in the sum of $200 per month from November 29, 1950, to the date of the filing of the complaint, April 2, 1952. However, at the trial it was stipulated by the parties that if the plaintiff is entitled to recover, judgment should be entered for the amount found due at the date of the trial, October 29, 1952.

The suit is based upon a policy of insurance No. 204A 191723-47M, dated May 9, 1947.

The material facts, as shown by the testimony and set forth in the findings of fact, are not in dispute, but the parties are in disagreement as to the rules of law that should be applied to the facts. Only such facts as are necessary to a clear understanding of the contentions of the respective parties will be referred to hereinafter.

The plaintiff contends:

(1) That following the date of the occurrence of the accident, June 29, 1949, in which he was injured, and after the submission of proof of the accident and the injury, a settlement was entered into between him and the defendant under the terms of which the defendant began paying him monthly benefits of $200 per month under part C of the policy, and that the said payments continued from the date of the accident to November 29, 1950, when the defendant wrongfully ceased to make such payments.

(2) That even though the Court should hold that a new contract had not been entered into by the parties, nevertheless, defendant, by making such payments with full knowledge of all the facts, waived any defenses it might have to plaintiff’s claim.

(3) That in any event, under the provisions of the policy he is entitled to recover under part C the sum of $200 per month until his 60th birthday, and $100 per month thereafter.

(4) That the injuries received by him were within the provisions of the policy and were not “received as a result of or while participating in aeronautics or air travel.”

The defendant contends:

(1) That there was no independent contract entered into by the parties following the occurrence of the accident in which plaintiff was injured, and that by making the payments of $200 per month from the date of the accident, June 29, 1949, to *783 November 29, 1950, it did not waive any of the provisions of the policy, and that the extent of its liability under the provisions of the policy is $1,500. That it has paid the plaintiff far in excess of the said sum of $1,500 and is entitled to recover from plaintiff the difference between the amount paid him and the said sum of $1500.

(2) That the injuries of plaintiff were received while participating in aeronautics ■or air travel and as a result thereof, and that under the provisions of the policy the defendant is not liable to the plaintiff in any amount for such injuries.

Neither party has made any contention that the law of any state other than Arkansas applies, and both parties have cited and.relied largely upon Arkansas ■decisions in their respective briefs. Although the testimony was not entirely clear upon the point, a fair inference from the testimony is that the contract was ■completed by a delivery of the policy by Mr. White, the representative of the defendant, to the plaintiff in El Dorado, Arkansas. Assuming that the policy was thus completed in Arkansas, then Arkansas law governs the rights of the parties herein. John Hancock Mut. Life Ins. Co. of Boston, Mass. v. Munn, 8 Cir., 188 F.2d 1,3.

In considering the contentions of the parties it should be borne in mind that when the language of the policy is clear and unambiguous the policy should he construed as any other contract and the language should be given its natural meaning, i. e., the interpretation which an ordinary person would place upon it. Life & Casualty Ins. Co. of Tennessee -v. De Arman, 192 Ark. 11, 90 S.W.2d 206; Hearin v. Standard Life Ins. Co., D.C. E.D.Ark., 8 F.2d 202. Moreover, the policy should be considered and construed as a whole. National Life Ins. Co. v. Gregg, 168 Ark. 80, 269 S.W. 62; Hearin v. Standard Life Ins. Co., supra. But, if the . policy is ambiguous and susceptible to more than one reasonable construction, the law is well settled that the construction most favorable to the insured should be adopted. Martin v. Mutual Life Ins. Co. of N. Y., 189 Ark. 291, 71 S.W.2d 694; Travelers’ Protective Association of America v. Stephens, 185 Ark. 660, 49 S.W.2d 364; American Standard Life Ins. Co. v. Meier, Ark., 246 S.W.2d 128. The reason for the rule is stated in Travelers’ Protective Assoc. of America v. Stephens, supra, on page 665 of 185 Ark., on page 366 of 49 S.W.2d, as follows:

“Where the provisions of a policy of indemnity are reasonably susceptible of two constructions consistent with the object and purpose of the contract, one favorable to the insurer and the other to the insured, that will be adopted which is favorable to the insured. It has been the settled policy of this court since the beginning of its construction, of contracts of insurance to hold that the policy should be liberally construed so as not to defeat, without necessity, the claim for indemnity. The reason is that such policies are written on printed forms prepared by experts employed by the insurance companies for that purpose,, and the insuréd has no voice in the matter. Hence, it is fair and reasonable that, where * .* * "susceptible of two constructions, that which will ' sustain the claim and cover' the loss should be adopted.” •

The parties, while agreeing that ‘the rule of construction is as above stated, do not agree as to whether the terms and lant guage used in the policy involved herein are ambiguous. However, in considering and deciding the issues presented in the case, the Court has examined and studied the policy with the above principles in mind.'

Plaintiff’s first contention is that a settlement or adjustment contract was entered into by the parties. However, adjustment contracts must meet the requirements applicable to contracts generally, and in the instant case the plaintiff offered no proof of any agreement between the parties, nor did he allege or prove any consideration for such a" contract. There is no evidence from which the Court could find the existence of a valid contract of settlement or adjustment intended by the par *784 ties to supersede the contract as evidenced by the policy, and plaintiff’s first contention is without merit.

Plaintiff’s second contention is based upon the following facts:

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Bluebook (online)
108 F. Supp. 780, 1952 U.S. Dist. LEXIS 2370, Counsel Stack Legal Research, https://law.counselstack.com/opinion/kinard-v-mutual-benefit-health-accident-assn-of-omaha-neb-arwd-1952.