Miceli v. Equitable Life Assurance Society

293 N.W. 112, 138 Neb. 367, 1940 Neb. LEXIS 133
CourtNebraska Supreme Court
DecidedJune 28, 1940
DocketNo. 30770
StatusPublished
Cited by7 cases

This text of 293 N.W. 112 (Miceli v. Equitable Life Assurance Society) is published on Counsel Stack Legal Research, covering Nebraska Supreme Court primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Miceli v. Equitable Life Assurance Society, 293 N.W. 112, 138 Neb. 367, 1940 Neb. LEXIS 133 (Neb. 1940).

Opinion

Johnsen, J.

Plaintiff recovered a judgment for $1,550.24, on a group insurance policy, with a total and permanent disability provision, issued by defendant upon the lives of the employees of the American Smelting & Refining Company. The court also allowed an attorney’s fee of $350. Defendant has appealed.

The errors alleged are (1) the denial of defendant’s motion for a directed verdict on the ground that plaintiff was not totally, and permanently disabled at the time his insur[369]*369anee coverage ceased; (2) the refusal to give certain instructions tendered by defendant; (3) the giving of a particular instruction on the trial court’s own motion; and (4) the excessiveness of the attorney’s fee allowance.

Defendant’s principal contention is that the evidence was insufficient to establish total and permanent disability on the part of plaintiff, within the meaning of the policy, and that its motion for a directed verdict should therefore have been sustained. The disability provision of the policy is as follows: “If proof shall be furnished the Society that any employee insured under this policy has, before having attained the age of 60, 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 * the full amount of the insurance on such life.” The policy further provided that the insurance as to any employee should automatically cease upon the termination of his employment.

The evidence shows that* the smelting company dropped plaintiff as an employee of its Omaha plant on April 5, 1932. He was actually laid off on March 31, 1932, when the plant was being temporarily shut down. During the twenty-five years that he had worked at the smelter, there had been other temporary shut-downs, but each time he had been called back to work, in his turn, when the plant was reopened. On this occasion, the plant reopened about a month after the shut-down, but, while other employees, younger in service than plaintiff, were returned to work, he was told that they had nothing that they could give him to do.

He contends that the reason his employment was permanently terminated was that, because of arthritis and lead poisoning, he was no longer fit to do the kind of work which the plant required and in which he had for so many years been engaged. It appears that, until 1931, he had worked at heavy manual labor, in what was called the “kettle gang.” That year he was shifted to lighter work, such as unloading automobile battery plates, where he was placed on a piece [370]*370work basis. He claims that, even at this lighter work, he was unable to keep up his end with the other men, and that he frequently was obliged, during working hours, to go home and go to bed. The only employment he had ever known, from the time he immigrated to this country, was at the smelter, and when he saw that the plant had reopened, he says that he sought to get the personnel officer to allow him to come back and to give him some light work to do, such as distributing towels about the plant.

There is evidence that plaintiff, for a number of years, had been suffering from progressive arthritis, and also some indications that he had chronic lead poisoning. The smelter’s dispensary records show that for several years he had been carrying a blue line on his gums. In 1927' an assistant personnel man and safety director had made a notation in the dispensary records that, in view of his lead absorption, plaintiff was a bad plant risk and should be released. In 1928 he had made another notation, suggesting that plaintiff should be released because of a pronounced case of lead poisoning. In 1931 there was a 'further notation that plaintiff ought to be gotten rid of as soon as it was conveniently possible. It appeared also that plaintiff had been troubled with constipation for a long time, and was suffering abdominal pains, and that he had pains in his legs and arms on motion, all of which were shown to be symptoms of lead poisoning. As early as 1927, he had begun to develop arthritis, which had grown progressively worse, with calcium deposits throughout the joints of the hands, and, in 1932, the physician of the smelter had been giving him repeated injections, for a period of ten to twelve weeks, prior to the termination of his employment.

From the testimony of plaintiff, his wife, and his daughter, it appeared that in 1931 the arthritis had progressed to the point where the knuckles and the other joints in his hands were hard and swollen, and where he had constant pains in his hands, arms and shoulders. He was unable to close his hands, on attempting to grip. The movements of his legs were affected. He vomited and had dizzy spells, [371]*371and would come home from the plant at times, during working hours, and would go to bed. A medical expert, whom he employed to examine him in July, 1932, said that he had multiple arthritis to the degree that he was totally and permanently disabled from doing any work, and that such disability, in his opinion, had existed for at least six to twelve months prior to his examination. This doctor further testified that, in whatever attempts plaintiff had made to do manual labor at the plant that spring, “he was overstepping his distance, he was too ambitious to hold his job probably. A lot of times a working man like that might carry on.” One of the assistant personnel men of the smelter, whose connection, however, had since been severed, declared that, in 1931, although plaintiff was kept on the pay roll, he was not actually able to do his share of the work. There was testimony also that he had not done and was not able to do any work since his release by the smelter.

There was evidence, of course, on the part of defendant, controverting the testimony as to plaintiff’s physical condition and his total disability, which it is unnecessary to detail. The testimony of plaintiff’s witnesses, if believed, was such that the jury could properly find that, from 1931, until his employment was terminated, and thereafter, he was unable physically to do the kind of work that had been his sole occupation for approximately twenty-four years; that, because of his condition, the smelter had given him some lighter work for a year or so before he was dropped from the pay roll; that, even this lighter work, he had been un^ able to carry on satisfactorily, and that he could not hold up his end with the other men; and that, on April 5, 1932, and all times subsequent thereto, he was so disabled by disease that he could not do the essential tasks of a laborer, which was the only occupation for which he was fitted. This was all that was required to create a liability upon the policy.

We have repeatedly held, though in varying language, that a liability will be held to exist under a total and permanent disability provision in an insurance policy, where [372]*372there is a disability that renders the insured unable to perform the substantial and material acts of his vocation in the necessary manner. McCleneghan v. London Guarantee & Accident Co., 132 Neb. 131, 271 N. W. 276; Woods v. Central States Life Ins. Co., 132 Neb. 261, 271 N. W. 850; From v. General American Life Ins. Co., 132 Neb. 731, 273 N. W. 36; Bennett v. Metropolitan Life Ins. Co., 136 Neb. 785, 287 N. W. 609; and other cases. In Hamblin v. Equitable Life Assurance Society, 124 Neb. 841, 248 N. W.

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Bluebook (online)
293 N.W. 112, 138 Neb. 367, 1940 Neb. LEXIS 133, Counsel Stack Legal Research, https://law.counselstack.com/opinion/miceli-v-equitable-life-assurance-society-neb-1940.