Marshall's U. S. Auto Supply, Inc. v. Maryland Casualty Co.

189 S.W.2d 529, 354 Mo. 455, 1945 Mo. LEXIS 531
CourtSupreme Court of Missouri
DecidedJune 4, 1945
DocketNo. 39170.
StatusPublished
Cited by37 cases

This text of 189 S.W.2d 529 (Marshall's U. S. Auto Supply, Inc. v. Maryland Casualty Co.) is published on Counsel Stack Legal Research, covering Supreme Court of Missouri primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Marshall's U. S. Auto Supply, Inc. v. Maryland Casualty Co., 189 S.W.2d 529, 354 Mo. 455, 1945 Mo. LEXIS 531 (Mo. 1945).

Opinion

*457 HYDE, P. J.

This is an action to recover $7561.78 as costs of defending an action (brought against plaintiff by an employee) which plaintiff claims defendant was obligated to defend tinder an insurance policy issued by defendant to plaintiff. (Plaintiff successfully defended the case, which was Tindall v. Marshall’s U. S. Auto Supply, Inc., 348 Mo. 1189, 159 S. W. (2d) 302.) Judgment for defendant and plaintiff appeals.

The policy of insurance was a “Standard Workmen’s Compensation and Employers’ Liability Policy.” It was substantially the same as the policy described in Soukop v. Employers’ Liability Co., 341 Mo. 614, 108 S. W. (2d) 86, to which we make reference for provisions not hereinafter stated. Paragraph One (a) thereof insured plaintiff’s liability under the Workmen’s Compensation Act. Paragraph One (b) provided for indemnity against loss by reason of liability imposed upon plaintiff on account of personal injuries to its employees.

Paragraph Three required the Insurance Company to defend in the name of the insured “any suits or other proceedings which may at any time, be instituted against him on account of such injuries, including suits or other proceedings alleging'such injuries and demanding damages or compensation therefor, although such suits, other proceedings, obligations or demands are wholly groundless, false or fraudulent. ’ ’

The policy, however, was subject to the following endorsement:

“The policy to which this endorsement is attached does not cover, occupational disease. It is agreed that the policy of which this endorsement forms a part does not afford insurance under paragraph. One (b) with respect to occupational disease. The provisions of paragraphs Two, Three and Four shall not apply with respect to occupational disease, insurance for which is herein excluded under paragraph One (b).”

Plaintiff’s employee, Tindall, claimed injury from the effect of carbon monoxide poisoning. On February 24, 1939, he filed a claim for compensation before the Missouri Workmen’s Compensation Commission in which he alleged that he' had suffered an accidental injury on December 28, 1938. Defendant was notified, took charge of the case, and made payments to him under the Compensation Act. On March 9,1939, however, Tindall’s attorneys withdrew the compensation claim by a letter to the Commission in which it was stated:

“The reason for this action is that it is our belief that, under the facts in this case, the claimant is suffering from an occupational disease, and your office has advised me that the above employer has not elected *458 to come under the occupational disease section of the compensation act. ’ ’

Tindall then brought suit against appellant in the Circuit Court, alleging in his petition that he had entered the employment of the plaintiff in July 1938, and had continued in such employment until December 1938; that “during the entire time of his employment” he was the sole employee in the service department and devoted his time exclusively to the servicing of automobiles; that automobiles were “continuously” passing in and out of the service department where he worked; that motors of the automobiles would be caused and permitted to run while the said automobiles were in the service department “as a necessary incident to being serviced and tested” by him; that the automobile motors emitted poisonous gases, vapors and fumes and contaminated and poisoned the air of his place of work; that said condition was present and did exist during the entire time of his employment; that he inhaled such poisonous gases, vapors and fumes while so employed; that he “did contract a severe form of occupational disease incident and peculiar to plaintiff’s employment aforesaid’’; that plaintiff was negligent in permitting the aforesaid condition to exist “as a direct result of which he had contracted and is now suffering from a severe form of occupational disease”; and that this disease was incident and peculiar to his employment. [Grounds of negligence, based on insufficient ventilation, are summarized in our opinion in the Tindall case, 159 S. W. (2d) l. c. 303.]

Due notice of the suit was given defendant but it refused to assume the defense thereof because “recovery was sought on the ground that Tindall contracted an ocupational disease”, the coverage of which was excluded by the policy and endorsements, unless the Marshall Company would give it “full and complete reservation of all its rights.” Plaintiff and defendant attempted to work together in the defense under reservations, until defendant brought a declaratory judgment action in the United States District Court to determine its liability. [Maryland Casualty Co. v. Tindall (U. S. C. C. A.-8), 117 Fed. (2d) 905.] Thereafter, plaintiff’s attorneys notified defendant that owing to the conflicting interests plaintiff was-not agreeable to it defending with reservations, and this ended defendant’s participation in the Tindall case.

Defendant contends that it had no obligation under the policy to defend an action for occupational disease and that the question of whether or not Tindall’s suit was for an occupational disease was to be, determined from the allegations of his petition, citing Fessenden School, Inc. v. American Mutual Liability Co., 289 Mass. 124, 193 N. E. 558 and cases following it. [Leonard v. Maryland Casualty Co., 158 Kan. 263, 146 Pac. (2d) 378; Bloom-Rosenblum-Kline Co. v. Union Indemnity Co., 121 Ohio St. 220, 167 N. E. 884; Brodek v. Indemnity Ins. Co., 292 Ill. App. 363, 11 N. E. (2d) 228; Inter-State Oil Co. *459 v. Equity Mutual Ins. Co. (Mo. App.), 183 S. W. (2d) 328.] Plaintiff, however, contends that defendant knew the actual facts and had no right to rely on the statement concerning occupational disease in the petition (which it says was only a conclusion) and that even the facts actually stated in the petition showed .that plaintiff’s case was not occupational disease. Plaintiff further says that our decision in the Tindall case (that it was not an occupational disease case) is res judicata and conclusive on defendant. Plaintiff relies on Hardware Mutual Casualty Co. v. Hilderbrandt (U. S. C. C. A. 10), 119 Fed. (2d) 291, on its contention that the actual facts rather than the allegations of the petition determine the obligation to defend.

We do not think that an insurance company can ignore actual facts (known to it or which could be known from reasonable investigation) in determining its liability to defend. Nevertheless, we think that the actual facts here fully justified defendant’s refusal to defend the Tindall case because it was not one covered by this policy. (We mean by actual facts the facts which were known, or should have been reasonably apparent at the commencement of the suit and not the proof made therein or the final result reached.) If the actual facts could show only accident (and we held they did) then Tindall’s only right was under the Workmen’s Compensation Act; and defendant was liable for everything due him under the Act (as well as for investigating and defending his Compensation claim) because defendant had fully insured plaintiff on that liability. It did take charge of Tindall’s claim and commenced to carry out its policy obligations with regard to it.

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Bluebook (online)
189 S.W.2d 529, 354 Mo. 455, 1945 Mo. LEXIS 531, Counsel Stack Legal Research, https://law.counselstack.com/opinion/marshalls-u-s-auto-supply-inc-v-maryland-casualty-co-mo-1945.