Metropolitan Life Ins. Company v. Hawley

198 S.W.2d 171, 210 Ark. 855, 1946 Ark. LEXIS 446
CourtSupreme Court of Arkansas
DecidedDecember 2, 1946
Docket4-8018
StatusPublished
Cited by4 cases

This text of 198 S.W.2d 171 (Metropolitan Life Ins. Company v. Hawley) is published on Counsel Stack Legal Research, covering Supreme Court of Arkansas primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Metropolitan Life Ins. Company v. Hawley, 198 S.W.2d 171, 210 Ark. 855, 1946 Ark. LEXIS 446 (Ark. 1946).

Opinion

Bobins, J.

Appellee sued appellant in tlie lower court on. October 12,- 1945, for $2,500, alleged to be due under a policy issued by appellant providing certain indemnity in case of appellee’s disability. Judgment for penalty and attorney’s fee was also asked. By an amendment to bis complaint appellee reduced tbe amount of bis claim, alleging that be was entitled under tbe policy to a total of forty monthly installments of $52.50 each, and that be bad been paid thirty of these installments, leaving $525 due him. Appellant’s defense was that appellee, during tbe time tbe last ten instalments accrued, was not disabled within tbe meaning of tbe policy; and this averment made tbe issue in tbe court below. From judgment of tbe lower court based on jury’s verdict, for $472.50, appellant prosecutes this appeal.

Tbe policy sued on was a certificate issued by appellant under a “group policy” covering employees of a Pine Bluff newspaper and it provided for payment of $52.50 per month for forty months, upon proof that “insured . . . has become so disabled as a result of bodily injury or disease, as to be prevented permanently from engaging in any occupation or from performing any work for compensation or profit. ’ ’

Tbe evidence, in which there is little dispute, shows that appellee bad worked for tbe Pine Bluff Commercial for about thirty years. He was circulation manager and as such earned an average (for four years before retiring from tbe work) of $3,985.38 net, according to bis income tax returns', per year. By reason of illness be was forced to give up bis position with the newspaper in January, 1943, and- did no work of any kind for about a year. In 1944, be did some collecting at a salary of $22.50 a week, working, as be stated, when be felt like it. In January, 1945, he began working as a salesman for a monument dealer at a salary of $40 per week, and lie was doing this during the time indemnity sought herein accrued. In this position he worked about three or four hours a day and took regular rest each day.

Dr. J. D. Eiley, superintendent of the Arkansas Tuberculosis Sanatorium, testified that an examination on January 19, 1943, disclosed that appellee was suffering from pulmonary tuberculosis and that an examination on June 29,^1945, showed unimprovement. From the latter examination Dr. Eiley concluded, and so testified, that appellee was totally and permanently disabled. Attached to his deposition were copies of the records of the sanatorium showing numerous examinations, all of which revealed a continuing and almost static tubercular involvement of appellee’s lungs.

Dr. W. T. Lowe, a witness for appellant, testified that he had recently examined appellee and found that he had an ‘ ‘ arrested case ’ ’ of tuberculosis. He said: ‘ ‘ Sometimes people have these cases of arrested tuberculosis . . ., not benefited much by medicine of any kind whatsoever, for his life is strictly in his own hands, and when a doctor gives him advice, . . . and he follows that advice he probably will go on and live a long time, but there is also the danger that his resistance will no-be sufficient to keep this localized area of infection dormant, maybe he will develop pneumonia, the grippe, a bad cold, or he might break a rib and puncture the lung —a good many things might lower his resistance and cause that thing to become active again.” When asked as to whether Mr. Hawley is capable of doing some work, Dr. Lowe testified: “Some doctors might examine him and say he ought to stay in bed all the time, and another . . . might say it would be better for him to be up and around. The question is, is he able, can he work, if ,he can work and does work I or no other doctor has got a right to say he is permanently and totally disabled because his actions belie that. ... I don’t think he should be in bed; whether the work is going to hurt him or not, ... I don’t think the work will hurt him. . . . Q. It is in evidence in this case that for 30 years Mr. Hawley was circulation manager for the Pine Bluff Commercial, and as such he had as his duty to see to it that the paper was distributed to the customers, and collections made. He has testified that it required him to work a full day for sis days a week, and sometimes at night, especially on Saturdays; and seven days a week wasn’t it; in your opinion could he perform his usual work with tuberculosis arrested? A. I don’t think- he could do that kind of work. I don’t think lie should try to,do it. Q. That, in your opinion, would produce strain that might bring the condition hack in an active status? A. Yes.”

Lee Dunlap, owner of the monument concern, testified that appellee’s work “is about a half time job”; that when appellee went to work for him appellee explained that he had to have rest periods . . . “some days probably he wouldn’t go out at all. ’ ’

Appellant urges that the lower court erred in giving instruction No. 1, at the request of appellee. This was a general instruction as to liability in cases of this kind, and merely stated the rule as frequently expressed in decisions of this court.

• It is also argued by appellant that the lower court erred in refusing to give a proper instruction as to the burden of proof. This phase of the case was properly covered in another instruction given by the court.

Appellant’s principal contention is that the lower court erred in refusing to give a peremptory instruction in its favor, because the proof failed to show such disability of appellee as to entitle him to indemnity under the policy.

It is urged by appellant that, since appellee was able to, and did, earn some compensation during the period for which he asked indemnity payments, he was not ‘ ‘ disabled” within the meaning of that term as used, in the policy.

Many cases from this and other jurisdictions might be cited to show the efforts, of courts to arrive at a proper construction, of policies such as was, issued by appellant to appellee. To enumerate these' cases, and to attempt to reconcile the rules laid down iii them, would serve no useful purpose. Divergent as are the views expressed in these decisions, we think it may be said that all of them support these conclusions:

(1) That the language of the policy being that of the insurer it should be given the strongest construction against the insurer that it will reasonably bear.

(2) That no rigid standard as to the extent of disability necessary to create liability can be set up and that every case must be governed by its own peculiar facts.

(3) That the disability contemplated under a policy such as is involved here does not mean utter helplessness and that ability of the insured to earn only a nominal 'ncome does not necessarily bar his right of recovery.

Dealing with this question, the Supreme Court of South Carolina, in the case of Dunlap v. Maryland Casualty Company, 203 S. C. 1, 25 S. E. 2d 881, 149 A. L. R. I, said: “A policy of this kind cannot be held to be one of income insurance, guaranteeing the insured against depreciation of his income on account of any injury; yet, if an insured is rendered incapable of continuing in his former occupation, but is able to perform some'other work, that work in our opinion must not only be an occupation or employment for which he is.

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Bluebook (online)
198 S.W.2d 171, 210 Ark. 855, 1946 Ark. LEXIS 446, Counsel Stack Legal Research, https://law.counselstack.com/opinion/metropolitan-life-ins-company-v-hawley-ark-1946.