Koranda v. Equitable Life Assurance Society

2 N.E.2d 945, 286 Ill. App. 34, 1936 Ill. App. LEXIS 427
CourtAppellate Court of Illinois
DecidedJune 22, 1936
DocketGen. No. 38,377
StatusPublished

This text of 2 N.E.2d 945 (Koranda v. Equitable Life Assurance Society) is published on Counsel Stack Legal Research, covering Appellate Court of Illinois primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Koranda v. Equitable Life Assurance Society, 2 N.E.2d 945, 286 Ill. App. 34, 1936 Ill. App. LEXIS 427 (Ill. Ct. App. 1936).

Opinion

Mr. Presiding Justice

Hall delivered the opinion of the court.

This is an appeal from a judgment against plaintiff for costs of suit, entered in the municipal court of Chicago. The cause was submitted to a jury, which returned a verdict for plaintiff and against the defendant for the sum of $2,203.61. After the verdict was returned into open court, upon motion of the defendant, the court set it aside, and under Buie 175 of the municipal court of Chicago, entered judgment against the plaintiff, notwithstanding the verdict of the jury.

The charge in the statement of claim filed in the cause is that the defendant entered into a contract with Lyon & Healy, Inc., by the terms of which the defendant agreed to pay certain sums to certain employees of Lyon & Healy, Inc., under the terms of a contract of insurance entered into between Lyon & Healy, Inc., and the defendant, upon a showing that such employee, while under the age of 60 years, should become wholly and permanently disabled as a result of bodily injury or disease; that the plaintiff, while under the age of 60 years, and while in the employ of Lyon & Healy, Inc., on December 11,1930, did become wholly and permanently disabled as a result of bodily injuries received at the hands of unknown persons, and that as a result of such injuries, plaintiff became and was unable to engage in any occupation, or perform any work for profit.

In its affidavit of merits, defendant does not deny that plaintiff was insured, as claimed, nor that he suffered severe injuries and that if he is entitled to recover at all, that the verdict was excessive, but alleges that by the terms of the policy in question, it is provided that “If proof shall be furnished the society that any employee insured under this policy has . . . become wholly disabled by bodily injuries or disease, and will be wholly and presumably permanently prevented thereby for life from pursuing any and all gainful occupation, the society will pay six months after receipt of such proof, in full settlement of all obligation under this contract pertaining to such employee, the full amount of the insurance on such life .... The insurance under this policy upon the life of any employee covered by this contract shall automatically cease and determine . . . upon the termination of such person’s employment with the employer in the specified classes of employees without regard to the cause of such termination .... New employees shall be eligible for insurance upon the above basis upon the completion of three (3) months of service; and for purposes of insurance, reemployment will be classed as new employment and will be subject to all the requirements thereof. This policy, together with the employer’s application therefor, copy of which is hereto attached . . . shall constitute the entire contract between the parties.” Defendant denies, however, that, as a result of any injuries sustained by the plaintiff, he became wholly and permanently disabled within the terms of the policy, nor at a time while insured under said policy, and denies that defendant furnished proof of any claim entitling him to any disability benefits under the terms of the policy, but alleges that plaintiff instead, furnished proof to it which purported to be proof of permanent disability, but which proof affirmatively shows that plaintiff did not become totally and permanently disabled within the terms of the contract of insurance.

It is further alleged in the affidavit of merits that about February 4, 1931, while plaintiff was not totally and permanently disabled within the terms of the policy, plaintiff’s employment by his employer was terminated, and that therefore, plaintiff did not become eligible for insurance under the terms of the policy.

The record shows that on and prior to December 11, 1930, plaintiff was employed by Lyon & Healy, Inc., and was insured by defendant against total and permanent disability under a group policy issued to Lyon & Healy, Inc., his employer, and that on that date, he suffered a severe injury. The record also shows that on February 6, 1931, Lyon & Healy, Inc., entered upon its employment records a notation as to plaintiff to the effect that “Services not required after January 15th, 1931, . . . Salary — time due to and including January 15th, 1931.” A similar notation was made on plaintiff’s payroll card by his employer. It is further shown that on February 28, 1931, Lyon & Healy, Inc., notified defendant of the termination of Koranda’s employment as of January 15, 1931. In so far as we can determine from the record, defendant, at this time, had not been notified that plaintiff had suffered severe injuries, and it is asserted that it was then without knowledge of any reason why his employer had terminated plaintiff’s employment. It is defendant’s contention that the above acts being a termination of plaintiff’s employment by his employer, therefore, his insurance under the terms of the policy was terminated. The record further shows that subsequent to all of the above, and on March 16, 1931, Koranda went back to work for Lyon & Healy, Inc., and continued in his employment until June 6, 1931. Koranda testified that prior to June 6, 1931, he had never been notified that he had been discharged, and that he continued to work as best he could, upon the advice of a Dr. Kelly. There is nothing in the record to suggest that this is not the fact.

It is plaintiff’s contention, however, that he was unable to perform his duties after he went back to work. It is defendant’s contention that, under the terms of the policy, plaintiff’s being taken back to work did not reinsure him, because it was necessary, after reinstater ment, that he should work for three months before being entitled to compensation, and that as a matter of fact, he did not do so, but was again discharged on June 6, 1931. The record indicates that it was on May 25, 1932, that defendant received its first notice of plaintiff’s injury on December 11, 1930, and that Lyon & Healy, Inc., plaintiff’s employer, had previously informed defendant, as stated, that plaintiff had been discharged January 15, 1931, for refusing to return to work after being pronounced sufficiently recovered from his injury which he suffered on December 11, 1930. The proofs furnished by Koranda and by a physician, are to the effect that Koranda had been wholly disabled on June 7, 1931, and that he had last worked on June 6, 1931.

The injury to plaintiff on December 11, 1930, which he claims to be the cause of his permanent disability, was the result of an assault committed upon him while in the employ of Lyon & Healy, Inc., as a piano tuner, and which at the time, rendered him unconscious. He testified that he was taken to the Presbyterian Hospital, and was there treated by Dr. Frank B. Kelly, who testified that he treated the plaintiff every day until plaintiff left that hospital on January 15, 1931, and that the witness saw the plaintiff several times after that date.

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

Cite This Page — Counsel Stack

Bluebook (online)
2 N.E.2d 945, 286 Ill. App. 34, 1936 Ill. App. LEXIS 427, Counsel Stack Legal Research, https://law.counselstack.com/opinion/koranda-v-equitable-life-assurance-society-illappct-1936.