Marchant v. New York Life Insurance

155 S.E. 221, 42 Ga. App. 11, 1930 Ga. App. LEXIS 229
CourtCourt of Appeals of Georgia
DecidedAugust 29, 1930
Docket20273
StatusPublished
Cited by28 cases

This text of 155 S.E. 221 (Marchant v. New York Life Insurance) is published on Counsel Stack Legal Research, covering Court of Appeals of Georgia primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Marchant v. New York Life Insurance, 155 S.E. 221, 42 Ga. App. 11, 1930 Ga. App. LEXIS 229 (Ga. Ct. App. 1930).

Opinion

Bell, J.

(After stating the foregoing facts.)

1. A motion to dismiss a case upon the ground that under the pleadings and the evidence there can be no legal recovery is never a proper motion where the petition sets forth a cause of action, no matter whether the evidence fails, or to what extent it may fail, to sustain the allegations made. ■ Such a motion is different from a motion for a nonsuit, since it relates to the sufficiency both of the petition and of the evidence, while a motion for a nonsuit is in the' nature of a demurrer to the evidence only. In the brief filed in this court for the insurer, counsel do not even contend that the petition failed to state a cause of action, the argument being devoted wholly to the sufficiency of the evidence to prove total disability within the meaning of the policies or to sustain the allegations of the petition; but regardless of the position taken by counsel, either in this court or in the trial court, it is clear that the petition did not fail to allege a cause of action, and that it was therefore not subject to an oral motion to dismiss in the nature of a general demurrer. Such was the character of the motion made, so far as it applied to the petition, and it should have been overruled. Kelly v. Strouse, 116 Ga. 873 (4 a) (43 S. E. 280); Rountree v. Seaboard Air-Line Ry. Co., 31 Ga. App. 231 (120 S. E. 654); Hughes v. Weekley Elevator Co., 37 Ga. App. 130 (1) (138 S. E. 633). However, if the allegations were not proved by the evidence it would doubtless be correct for this court, instead of ordering a reversal, to affirm the judgment of dismissal, with direction that it operate only as a judgment of nonsuit, and not as an adjudication of the insufficiency of the petition to state a cause of action. Hughes v. [19]*19Ga. Ry. & Electric Co., 126 Ga. 462 (55 S. E. 229). So we have the question of whether the evidence would have authorized a verdict in favor of the plaintiff.

2. There is no insistence that the evidence did not show a permanent disability, but the chief contention is that the disability was not total within the intent and purview of the policies. Each of the policies provided that “ disability shall be deemed to be total whenever the insured is wholly disabled by bodily injury or disease, so that he is prevented thereby from engaging in any occupation whatsoever for remuneration or profit;” and it is the construction of this clause and the applicability of the evidence to it which present the further problem for determination by this court. Upon the question of the proper construction of the policy the case is virtually controlled by the decision of the Supreme Court in Cato v. Ætna Life Insurance Co., 164 Ga. 392 (138 S. E. 787). In that case the language of the policy was as follows: “If total disability of any employee entitled to insurance, under the schedule of insurance contained in this policy, begins before the age of 60, and if due proof be furnished the company after such disability has existed for a period of six months, and if such disability presumably will during lifetime prevent such employee from pursuing any occupation for wages or profit, such employee shall be deemed to be totally and permanently disabled within the meaning of this policy.” Attention is here called to the fact that the policy in the Galo case did not, like some policies, provide merely for a disability to follow the usual occupation or employment of the insured, or to transacting any business pertaining to such occupation, but said that the disability insured against must be such' as to prevent the insured “from pursuing any occupation for wages or profit.” Notwithstanding this language, the Supreme Court laid down the following principles as governing the rights and liabilities of the parties under such a policy: “Total disability exists when one is wholly disabled from pursuing the usual and customary duties of his employment on which he depends for a living. . . When the insured is incapacitated from performing any substantial part of his ordinary duties, a case of total disability is presented, although he is still able to perform some parts of his work. Total disability is inability to do substantially allq of the material acts necessary to the transaction of the insured’s occupation, in substantially his [20]*20customary and usual manner. . . Total disability does not mean absolute physical inability to work at one’s occupation, or to pursue some occupation for wages or gain; but it exists if the injury or disease of the insured is such that common care and prudence require him to desist, and he does in fact desist, from transacting his business. In such circumstances total disability exists.” There is no substantial difference between the disability clause considered in the Galo case and those involved in the instant case; and we could not here apply the rule of strict construction contended for by the insurer, without doing violence to the precedent which inheres in that case.

It is suggested by counsel for the defendant that the policy in the Calo case was a group policy issued for the protection only of employees of a particular industrial institution. However, the liberal construction adopted in that ease does not appear to have sprung from this fact, and an examination of the cases cited in support of the decision lends force to the inference that the Supreme Court did not intend to express a doctrine which should be applicable only to group insurance. In Hurley v. Bankers Life Co., 198 Iowa, 1129 (199 N. W. 343, 37 A. L. R. 146), the Supreme Court of Iowa, after noting that cases of this character fall readily into two general classes, namely, “those wherein the policy provides for indemnity if the insured is disabled from transacting the duties pertaining to the occupation in which he is then engaged, and those wherein the policy provides for indemnity if the insured is disabled from performing any work or following any occupation,” stated that the case then for decision belonged to the latter class, since the disability there insured against must have been such as prevented the insured “wholly from performing any work or following any occupation for compensation or profit.” The ruling was that the loss of a leg by an uneducated farmer, compelling him to use crutches and preventing his doing any effective work on the farm, was not within the meaning of a policy providing compensation for a total, permanent, incurable disability preventing him permanently, continuously, and wholly from performing any work or following any occupation for compensation or profit. But in the course of the opinion it was recognized that numerous courts in other jurisdictions had applied to like policies an interpretation more favorable to the insured, and the doctrine of stare [21]*21decisis apparently influenced the result in that case. The decision followed the earlier case of Lyon v. Eailway Pass. Assur. Co., 46 Iowa, 631, as to which the court in the Hurley case said: “The Lyon ease was decided in 1877. Contracts of insurance in this state have presumably been entered into in view of that decision since that time. The effect of the holding can easily be obviated by a change in the phraseology of the contract. We are not disposed to now overrule the Lyon case, or depart from the rule therein announced. If it were a case of first impression, we would find much persuasive argument in appellant’s contention.

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Bluebook (online)
155 S.E. 221, 42 Ga. App. 11, 1930 Ga. App. LEXIS 229, Counsel Stack Legal Research, https://law.counselstack.com/opinion/marchant-v-new-york-life-insurance-gactapp-1930.