Mosher v. Equitable Life Assurance Society of U S

14 N.E.2d 413, 57 Ohio App. 435, 26 Ohio Law. Abs. 310, 11 Ohio Op. 121, 1936 Ohio App. LEXIS 271
CourtOhio Court of Appeals
DecidedNovember 27, 1936
StatusPublished
Cited by4 cases

This text of 14 N.E.2d 413 (Mosher v. Equitable Life Assurance Society of U S) is published on Counsel Stack Legal Research, covering Ohio Court of Appeals primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

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Mosher v. Equitable Life Assurance Society of U S, 14 N.E.2d 413, 57 Ohio App. 435, 26 Ohio Law. Abs. 310, 11 Ohio Op. 121, 1936 Ohio App. LEXIS 271 (Ohio Ct. App. 1936).

Opinion

OPINION

By SHERICK, J.

John M. Mosher, appellee, in 1924, pro- ■ cured a contract of life insurance from the appellant. The policy contained a provision that m case of total and permanent dis- - ability of the insured before reaching the age of sixty years the insurer would waive payment of future premiums upon receipt of proper proof, and during the continuance thereof would pay the sum of twenty dollars per month. The policy also contained the following clause:

“Disability shall be deemed to be total when it is of such an extent that the insured is prevented thereby from engaging in any occupation ’ or performing any work for compensation of financial value, and such total disability shall be presumed to be permanent when it is present and has existed continuously for nob less than three months; and further, the entire arid irrecoverable loss of sight of both eyes, or the severance of both hands at or above the wrists, or of both feet at or above the ankles, or of one entire hand and one entire foot, will of themselves be considered as total and permanent disability within the meaning of this provision.”

In October of 1934, the insured, then of the age of fifty-nine years, sustained an injury to his left arm. Amputation below the elbow became necessary. Upon receipt of proof of loss the association compensated the insured for one month. The plaintiff by this suit seeks recovery for the five-month period immediately following, upon the theory that he is still totally and permanently disabled. The defendant by its answer denies that the plaintiff has been disabled from engaging “In any occupation or performing any work for compensation of financial value” since the expiration of the first month after amputation.

Upon trial a verdict was rendered in favor of the insured and judgment entered thereon, from which the insurer appeals. The principal errors relied upon for a reversal of this cause are in the admission and exclusion of evidence, the refusal of the court to give certain special requests, errors of commission in the general charge, and incompatible propositions of law given m certain special requests with portions of the general charge on the same subject. All of the irregularities relied upon find their premise in the claim of the appellant that the trial court misconstrued the terms of the policy when it limited proof of total and permanent disability to the narrow limits of the claimant’s sole occupation, which was that of farming. It is maintained that a proper interpretation of the contract’s plain provision embraces the pursuing of any gainful occupation and that the cause was tried upon an incorrect theory highly prejudicial to the rights of the appellant.

We have not been cited to any Ohio authority, or are we able to find that any *312 Ohio court has passed upon this precise question. We do, however, learn that the court in Rose v New York Life Ins. Co., 127 Oh St 265, 187 NE 859, had before it a question of total and permanent disability under a life policy. That policy prescribed that disability shall be deemed to be total when the insured “is prevented thereby from engaging in any occupation whatsoever for remuneration or profit.” This clause is very like that appearing in the present contract. The court in the Rose case made the following pronouncement:

“Where the meaning of a contract of insurance against loss resulting from total and permanent disability can be fully and clearly ascertained from the words of the contract itself, the court may not resort to surrounding circumstances or the conduct of the parties for aid in its interpretation.”

And further on, in the course of its opinion, it is reasoned that:

“When the meaning of the contract can be fully and clearly ascertained from its own words, we are at liberty to go no further in search of aid in its interpretation.”

In the light of this rule of construction of insurance contracts our attention must of necessity be directed to the query as to whether the phraseology and the words employed in this policy are ambiguous and susceptible of construction. If they are clear and plain, then this court is not privileged to rewrite the contract. Without again setting forth the phrase hereinbefore twice repeated, we must and do conclude that the same is perfectly understandable. It is not susceptible of two meetings. It is not therefore in need of construction.

It is pointed out in Hurley v Bankers Life Co., 198 Iowa 1129, 199 NW 343, 37 A.L.R. 146, at page 1130, that:

“Many cases have been before the courts, involving construction of contracts of this character, which, however, are not always identical in phraseology. The cases fall quite readily into two general classes; those where 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 tho policy .provides for indemnity if the insured is disabled from performing any work or following any occupation.”

In the first class of cases it is universally held that the test is ability to perform the insured’s “then” occupation. The present controversy represents the second class. We readily confess that authorities are to be found pro and con of almost equal weight which do and do not extend the test of the first class to that of the second. If it were a matter of the heart, prompted by sympathy for an insured, who long thought himself insured against permanent and total disability in his own occupation or profession, fortified by the fact that the insurer drew the contract which promised much but accomplished little, then we would be inclined to the view that the contracting parties intended, irrespective of the language employed, to insure as to the insured’s “then” employment. Unfortunately for the insured this court feels bound to view the matter in the light of reason and the mandate of the rule of interpretation of contracts prescribed by this court’s superior in the Rose case, supra.

With all due respect for those courts which have applied the test of the first class to the second class as well, we have diligently sought to find a case wherein the court felt called upon to interpret a contract where an insured had one occupation at the time of the execution of the contract and another when total permanent disability overtook him. Such a situation should not be unusual. We are, however, unable to find such a case. The thought comes, that when such a situation does arrive in those jurisdictions, the question of the intention of the parties may become vexatious, for it could hardly be reasoned that insurance written for a skilled mechanic covered one who was thereafter disabled in farming. Perhaps the dilemma might be met with the thought that the “then” occupation, that is, such as existed at the time of disability, was intended. If it should be so reasoned, it would naturally follow that that which was determined as intended was not within the contemplation of the parties when the contract was executed.

Some authority contra suggests that the insurer’s claim may lead to absurd ends, in that even selling shoe laces and pencils may be a gainful occupation. It rather strikes us that such is the asking of alms.

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14 N.E.2d 413, 57 Ohio App. 435, 26 Ohio Law. Abs. 310, 11 Ohio Op. 121, 1936 Ohio App. LEXIS 271, Counsel Stack Legal Research, https://law.counselstack.com/opinion/mosher-v-equitable-life-assurance-society-of-u-s-ohioctapp-1936.