Moskowitz v. Prudential Insurance Co. of America

54 Pa. D. & C. 584, 1945 Pa. Dist. & Cnty. Dec. LEXIS 42
CourtPennsylvania Court of Common Pleas, Philadelphia County
DecidedSeptember 28, 1945
Docketno. 336
StatusPublished

This text of 54 Pa. D. & C. 584 (Moskowitz v. Prudential Insurance Co. of America) is published on Counsel Stack Legal Research, covering Pennsylvania Court of Common Pleas, Philadelphia County primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Moskowitz v. Prudential Insurance Co. of America, 54 Pa. D. & C. 584, 1945 Pa. Dist. & Cnty. Dec. LEXIS 42 (Pa. Super. Ct. 1945).

Opinion

Bok, P. J.,

This matter is before us on plaintiff’s motion for a new trial following a directed verdict for defendant.

On January 21, 1927, defendant issued to plaintiff two policies of life insurance providing that if the insured, while the policies were in force, “became totally and permanently disabled, either physically or mentally, from any cause whatsoever to such extent that he is rendered wholly, continuously and permanently unable to engage in any occupation or to perform any work for any kind of compensation of financial value during the remainder of his lifetime”, then the company (1) would pay him monthly disability payments of $100 per month, and (2) would waive payment of premiums subsequently accruing during his disability.

On July 3, 1941, at a time when these policies were in force, plaintiff, while working as a baker in his own establishment, accidentally caught his right hand in a grinding machine; the hand was crushed and he sustained injuries which ultimately required the amputation of the fingers of his right hand at the metacarpal joint.

On December 17, 1941, plaintiff filed an action against defendant in the Municipal Court of Philadelphia as of December term, 1941, no. 574. In this [586]*586action plaintiff contended that as a result of the accident he became totally incapacitated, and sued to recover (1) $600 for disability payments of $100 per month alleged to have accrued for the six months between the date of the accident and the date of the filing of the action, and (2) the sum of $215, representing premiums which plaintiff was obliged to pay during the said period, notwithstanding the provisions of the policy waiving premiums in the event of total disability. Plaintiff recovered a verdict and judgment for these sums, plus interest.

Defendant appealed to the Superior Court and that tribunal (see Moskowitz v. Prudential Insurance Co, of America, 154 Superior Ct. 362 (1943)) reversed the decision of the municipal court and entered judgment n. o. v. for defendant, ruling that although plaintiff in the evidence presented had established the fact that he was unable any longer to perform the physical labor of a baker, he had failed to establish his inability to exercise managerial and supervisory duties incident to his business.

Thereafter plaintiff commenced the instant suit in which he sought to recover disability benefits of $2,600, alleged to have accrued under the policies during the 26 months between January 1942 and February 1944, and also the sum of $860, representing the premium payments for the years 1942 and 1943. Plaintiff averred in his statement of claim that “he had been for the period here sued for and is now wholly, continuously and permanently disabled”.

At the trial before Bok, P. J., plaintiff offered to prove the facts surrounding the aforesaid accident and also “that as a result of the injury ... he continuously suffers pain ... his memory, which before the disability was good, has become impaired. He cannot concentrate. His disposition has changed . . . since his accident he suffers a feeling of revulsion and disgust . . . he can do no physical work of any kind. . . . Because of the assured’s disability and inability to do [587]*587any of the things connected with his business it has been necessary to sell the business . . . that the assured is unable to get a job at his trade, would be useless industrially. His attitude and condition of mind as a result of the accident are psychopathological and that the assured was rendered not only unable to perform the substantial duties of any occupation for which he might be fitted but was disabled from performing any work of any nature, manual, supervisory or otherwise”. The trial judge sustained defendant’s objection to this offer of proof and gave binding instructions for defendant, ruling that the said decision of the Superior Court was res adjudicata.

We are of the opinion that the ruling of the trial judge was erroneous for the following reasons:

There is no such identity of causes of action in the municipal court proceedings and in the instant case as to make the former judgment res adjudicata of the issues here involved.

“ ‘To constitute res adjudicata there must be: (1) Identity of the thing sued for; (2) identity of the cause of action; (3) identity of persons and parties to the action; (4) identity of the quality in the persons for or against whom the claim is made.’ ”: American Surety Co. of New York v. Dickson et al., 345 Pa. 328, 332 (1942).

In this case the “thing sued for” and “the cause of action” sued on are not identical with the claim adjudicated in the municipal court proceedings. There “the thing sued for” was alleged disability payments accruing during the six months immediately following the accident of July 1941. Here “the thing sued for” is the disability payments which are alleged to have accrued thereafter, namely for the 26 months between January 1942 and February 1944. While these “things” are similar in character, the two causes of action are separate and distinct. The gist of plaintiff’s action in the former proceedings was that he had be[588]*588come permanently and totally disabled within the meaning of the policy on July 3, 1941, and that this disability continued during all of the succeeding six months. The Superior Court found, as a matter of law, that plaintiff failed to establish that he had such a cause of action because of his inability to prove his asserted disability. In this case, plaintiff predicates his right of recovery on his allegation that he was totally and permanently disabled during the subsequent period between January 1942 and February 1944. If, as he now alleges,;he was so disabled during this later period, it is evident that his present right of action to recover on the policies is separate and distinct from his right to recover for alleged payments which he claimed during the prior period in which it was adjudicated that he was not then suffering total disability within the terms of the contract.

Since the factual issues involved in the present case were not involved or passed upon in the municipal court proceedings, not only is the former judgment not res ad judicata but it cannot operate as a collateral estoppel to bar plaintiff from proceeding with this case. A judgment in a prior action between the same parties on a different cause of action operates as an estoppel only as to those matters in issue or points controverted in the former proceeding, upon the determination of which the finding or verdict was rendered: City of Philadelphia v. Ridge Ave. Passenger Ry. Co., 28 W.N.C. 106 (1891). If a particular point was not in issue or necessarily involved in the suit in which the judgment was rendered either on the face of the pleadings or in the sense of being actually decided in the case, the judgment in the former case raises no estoppel which bars a party from subsequently proceeding on a separate and distinct cause of action, notwithstanding both claims grow out of the same contract: Morrison v. Beckey, 6 Watts 349 (1837) ; Maloney & Co. v. Bartlett, 172 Pa. 284 (1896) ; Reading Co. v. Spink, 263 Pa. 445 (1919). See also 34 C. J. §1338, p. 932.

[589]*589An examination of the record of the municipal court proceeding clearly indicates that the only factual question involved in that case was whether or not plaintiff was totally and permanently disabled during the six-month-period immediately following the accident.

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Related

American Surety Co. of New York v. Dickson
28 A.2d 316 (Supreme Court of Pennsylvania, 1942)
Maloney v. Bartlett
33 A. 553 (Supreme Court of Pennsylvania, 1896)
Reading Co. v. Spink
106 A. 728 (Supreme Court of Pennsylvania, 1919)
Lowry v. Atlantic Coal Co.
115 A. 847 (Supreme Court of Pennsylvania, 1922)
Elliott v. Prudential Insurance Co. of America
76 Pa. Super. 534 (Superior Court of Pennsylvania, 1921)
Morrison v. Beckey
6 Watts 349 (Supreme Court of Pennsylvania, 1837)
Eminent Household of Columbian Woodmen v. Bunch
115 Miss. 512 (Mississippi Supreme Court, 1917)

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Bluebook (online)
54 Pa. D. & C. 584, 1945 Pa. Dist. & Cnty. Dec. LEXIS 42, Counsel Stack Legal Research, https://law.counselstack.com/opinion/moskowitz-v-prudential-insurance-co-of-america-pactcomplphilad-1945.