McCarthy v. Pacific Mutual Life Insurance Co. of California

178 Ill. App. 502, 1913 Ill. App. LEXIS 1081
CourtAppellate Court of Illinois
DecidedMarch 26, 1913
DocketGen. No. 16,947
StatusPublished
Cited by6 cases

This text of 178 Ill. App. 502 (McCarthy v. Pacific Mutual Life Insurance Co. of California) 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
McCarthy v. Pacific Mutual Life Insurance Co. of California, 178 Ill. App. 502, 1913 Ill. App. LEXIS 1081 (Ill. Ct. App. 1913).

Opinion

Per Curiam.

— On March 18, 1908, appellant issued to Matthew H. McCarthy, then a tailor by occupation, an accident insurance policy, in which, in consideration of $25 premium then paid by him, appellant undertook to pay to appellee, as beneficiary, in case the insured should be killed by certain means therein named a sum varying according to the character of the occupation or exposure in which he was injured. On November 12, 1908, the insured died as the result of injuries received in a manner rendering appellant liable for some amount. This suit was commenced to recover the amount appellant would be liable for on the theory that the insured was injured in the occupation or exposure of a tailor, in which he was engaged when insured. On the issues joined and submitted to a jury, a directed verdict for appellee was returned for $6,880, and a judgment was entered for appellee for that amount and for costs. It is not contended that, on the issues as they were made up at the time the case was submitted to the jury, there is anything wrong with the verdict or judgment, but it is earnestly insisted that in sustaining a demurrer to four pleas of appellant, designated as additional pleas, reversible error was committed by the court.

The policy contained, among other stipulations, the following:

“3. If the insured is injured in an occupation or exposure classified by this company in its latest manual as more hazardous than that stated in the Schedule of Warranties, the company’s liability shall be limited to such proportion of the principal sum or other indemnity as the premium actually paid will purchase at the rate fixed by the company for such more hazardous occupation or exposure.”

With the quoted stipulation as a basis appellant filed the four pleas above mentioned. In the first of these additional pleas, after reciting that the policy contained the stipulation quoted, appellant avers:

“That at the time of receiving the bodily injuries, as alleged in the plaintiff’s declaration, the said insured, to wit: the said Matthew H. McCarthy, was then and there engaged in the occupation of farmer; and that the occupation of said McCarthy at the time and place last aforesaid was that of farmer; by means whereof defendant became liable, upon the death of the said insured, to wit: said Matthew H. McCarthy, as alleged in said declaration, and still is liable to pay to the plaintiff the sum of $2,031.25, part and parcel of the said sums of money in the said declaration mentioned, according to the tenor and effect of tie said policy of insurance.”

The second additional plea is the same as the first, except, instead of containing the words, “was then and there engaged in the occupation of a farmer; and that the occupation of said McCarthy at the time and place last aforesaid was that of farmer,” it contains the words, “was exposed to the risk or hazard of a farmer and received the bodily injury mentioned and alleged in the declaration while so exposed.”

The third additional plea was, in substance, the same as the first, except the occupation of the insured at the time of the injury is described as “farmer supervising only,” and it is averred that the occupation of “farmer supervising only” was classified as “medium,” but more hazardous than that of a tailor and that at the time of the injury the insured “was engaged in the occupation of farmer supervising only, and that his occupation was at the time last aforesaid that of a farmer supervising only.”

The fourth and last additional plea was the same as the third, except that, instead of the language last above quoted, the words “was exposed to the risk of a farmer supervising only and received the bodily injury mentioned in the declaration aforesaid while so exposed” were used.

In the view we take of this case, the question of the sufficiency of these four additional pleas can be disposed of by determining what construction should be given to the words “injured in an occupation or exposure,” contained in the clause of the policy above quoted, and whether these additional pleas or any of them set up a state of facts which under that stipulation, when properly construed, would limit the liability of appellant to the amount mentioned in such pleas.

In the interpretation of a contract it is the duty of courts to seek to discover and give effect to it according to the sense in which the parties to it mutually understood it when it was made. Whalen v. Stephens, 193 Ill. 121. If the intention of the parties is sufficiently apparent, the contract will be construed accordingly, even if in so doing violence is done to the ordinary interpretation of the words (Dowiat v. People, 193 Ill. 264), but if there is nothing to indicate that the parties intended otherwise, the language used will be given its usual and ordinary meaning. Kirby v. Wabash, St. L. & P. R. Co., 109 Ill. 412.

It is a matter of common knowledge that the classification of risks, using the term to signify persons applying for accident insurance, is made upon the basis of the employment in which the risk or applicant is engaged at the time the policy is applied for and issued. This classification is made for the purpose of ascertaining whether such person is eligible for insurance at all, and if so, what premium will he exacted for a given amount of indemnity. Such premium varies according to whether the employment in which the applicant is engaged is considered by the insurance company as preferred, or as hazardous, and if hazardous, to what degree. It is also well known that persons change their employment. In order to avoid the forfeiture of the policy and the loss to the insured of all the premium paid by him, in case, after the policy is issued, he embarks in some business more hazardous than the one he was engaged in when insured, it has come to be the practice of insurance companies to provide by some apt language in the policy some plan or scheme whereby, when the assured does change his occupation, the indemnity shall he proportionate to the hazard of the new employment and rate paid. It is to effectuate that purpose that the clause quoted was included in the policy issued to Matthew H. McCarthy.

Appellant contends that the insured in this case was engaged in a more hazardous occupation, when he was injured, than he was engaged in when he was insured, and that by reason of this change in occupation his indemnity was decreased; that the words “injured in an occupation,” as used in the clause quoted, mean “while engaged in an occupation” in the sense that it was his regular occupation when he was injured,as distinguished from being the occupation in the actual performance of which he was being injured. Identical, as well as similar, language has, however, been construed by the courts to mean what is here contended for it. McNevin v. Canadian Ry. Accident Ins. Co., 32 Ont. Rep. 284; Berliner v. Travelers’ Ins. Co., 121 Cal. 458; Fox v. Masons’ Fraternal Acc. Assn., 96 Wis. 390; Holiday v. American Mut. Acc. Ass’n, 103 Iowa 178; Standard Life & Accident Ins. Co. of Detroit v. Carroll, 30 C. C. A. 253, 86 Fed. 567 ; Aetna Life Ins. Co. v. Dunn, 71 C. C. A. 79, 138 Fed. 629.

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Bluebook (online)
178 Ill. App. 502, 1913 Ill. App. LEXIS 1081, Counsel Stack Legal Research, https://law.counselstack.com/opinion/mccarthy-v-pacific-mutual-life-insurance-co-of-california-illappct-1913.