Muller v. Mutual Benefit Health & Accident Ass'n

68 S.W.2d 873, 228 Mo. App. 492, 1934 Mo. App. LEXIS 65
CourtMissouri Court of Appeals
DecidedFebruary 19, 1934
StatusPublished
Cited by10 cases

This text of 68 S.W.2d 873 (Muller v. Mutual Benefit Health & Accident Ass'n) is published on Counsel Stack Legal Research, covering Missouri Court of Appeals primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Muller v. Mutual Benefit Health & Accident Ass'n, 68 S.W.2d 873, 228 Mo. App. 492, 1934 Mo. App. LEXIS 65 (Mo. Ct. App. 1934).

Opinions

This suit originated in the Circuit Court of Pettis County by the filing of her petition therein by the plaintiff on the twenty-third day of March, 1933. The defendant is an insurance association organized and existing under the laws of Nebraska and lawfully engaged in the health and accident insurance business in the State of Missouri. On the eighteenth day of February, 1924, the defendant issued its certain policy of insurance to one Andrew J. Muller at the city of Atlanta in the State of Missouri by which, for a consideration therein expressed, it insured the life of the said Andrew J. Muller, should death result to him during the life of said policy by reason of and through bodily injuries resulting from accidental means, directly and independently of all other causes, and agreed to pay, in the event of such death through and from injuries so received, within thirteen weeks from the date of said injuries, to Ollie J. Muller, the beneficiary named therein, the sum of $2,000 and delivered said policy to the said Andrew J. Muller. Thereafter, at the time when said policy was in full force and effect, to-wit, on the thirteenth day of May, 1932, the said Andrew J. Muller died as a result of injuries alleged to have been received by him on the eighth day of April, 1932, and upon the twenty-third day of May, 1932.

The petition is as follows:

"Comes now the plaintiff and for her cause of action states that the defendant is now, and was at the times hereinafter stated, a foreign insurance association, organized and existing under the laws of Nebraska, and is engaged in the business of issuing and selling policies of accident and health insurance; that the defendant is licensed to do, and is doing business in the State of Missouri.

"Plaintiff states that she was the wife, and is now the widow, of Andrew J. Muller, and that heretofore, to-wit: on the 18th day of February, 1924, in the City of Atlanta and State of Missouri, by its certain policy of insurance No. 40-15625, defendant, in consideration of the payment of a certain premium then and there paid and a payment in advance thereafter of ten dollars each quarter, insured the life of Andrew J. Muller and issued to him the aforesaid policy, which is now in the possession of the defendant, wherein and whereby the said insurance association upon the death of said Andrew J. Muller, sustained by and through bodily injuries resulting from accident, agreed to pay to the beneficiary named in said policy of insurance, Ollie J. Muller, plaintiff in this cause, the face amount of said policy, being the sum of two thousand dollars, within thirteen weeks after the date of the death of Andrew J. Muller.

"Plaintiff states that heretofore, to-wit: on the 8th day of April, *Page 494 1932, and on the 23rd day of May, 1932, said Andrew J. Muller sustained such accidental bodily injuries that death resulted therefrom on the 29th day of May, 1932, in the City of Havana, State of Illinois, directly and independently of all other causes; and that said bodily injuries were sustained through purely accidental means within the provisions of said policy and that said accidental injuries caused the death of Andrew J. Muller in less than thirteen weeks from the date of said accidental injuries.

"Plaintiff further states that she gave notice to the defendant of the death of the said Andrew J. Muller and furnished proof of death to the defendant, and performed all the requirements of said policy on her part; that said policy was in full force and effect at the time of the said accidental injuries; that this suit is brought more than sixty days after the furnishing of said proof and within two years of the date of said accidental injuries; that the defendant has neglected and vexatiously refused to pay to the plaintiff the sum of two thousand dollars, though demand for said sum has been made on the defendant and that defendant is now indebted to this plaintiff in the sum of two thousand dollars, less the sum of seven hundred and fifty dollars, under said contract of insurance.

"Wherefore, plaintiff prays judgment against said defendant for the sum of two thousand dollars, less the said sum of seven hundred and fifty dollars, with interest thereon at the rate of six per cent from the 29th day of July, 1932, and ten per cent on that amount as damages for defendant's vexatious refusal to pay the amount of said policy, together with a reasonable attorney's fee and her costs in this behalf expended."

To this petition, the defendant filed an amended answer as follows:

"Comes now the defendant in the above entitled cause and for its amended answer to plaintiff's petition says that it denies all the allegations therein contained.

"Wherefore, having fully answered, defendant prays that it be discharged with its costs herein expended.

"For further and special answer, defendant says that on the 18th day of February, 1924, defendant issued its accident policy No. 40-15625 to one Andrew J. Muller; that by the terms of said policy, defendant insured the said Andrew J. Muller against loss of life resulting directly and independently of all other causes, from bodily injuries sustained through purely accidental means, subject, however, to all the provisions and limitations therein contained.

"That said policy contains a provision specified as `Accident Indemnities — Part A. Specific Losses;' whereby it is provided that if the insured shall, through accidental means, sustain bodily injuries *Page 495 as described in the insuring clause, which shall, independently and exclusively of disease and all other causes, immediately, continuously and wholly disable the insured from the date of the accident and result in death within thirteen (13) weeks, the association will pay for the loss of life — $2,000.

"Defendant expressly denied that the death of Andrew J. Muller was caused in such a manner as to bring it within the aforesaid terms of said policy.

"Defendant says that on or about the 29th day of May, 1932, Ollie J. Muller claimed to the defendant that Andrew J. Muller came to his death on said date; and on or about the 31st day of May, 1932, the said Ollie J. Muller made, executed and delivered to one Edward H. Niederer of Havana, Illinois, an assignment of all sums of money due or to become due her on the aforesaid policy to secure the payment of certain funeral expenses in the sum of four hundred seventy ($470) dollars incurred by the said Ollie J. Muller on account of the death of her said husband, Andrew J. Muller. That thereafter the said Ollie J. Muller and Edward H. Niederer made claim against this defendant for the sum of two thousand dollars ($2,000) on its policy on account of the death of the said Andrew J. Muller. That defendant immediately investigated the claim so made and from its investigation of the circumstances surrounding the death of the said Andrew J. Muller, this defendant became honestly convinced that it was not indebted on its said policy to the said Ollie J. Muller and Edward H. Niederer in any sum whatsoever; and then and there denied liability on its said policy to them; and denied that the death of Andrew J. Muller was covered by its policy or that it owed said claimants any sum whatsoever on account thereof.

"Thereupon a dispute arose betwen the said Ollie J. Muller, Edward H. Niederer and this defendant as to the validity of the claim so made, and on account of the aforesaid facts and in view of the denial of liability by defendant and the circumstances surrounding the death of the said Andrew J. Muller, the said parties agreed that it was for the best interest of all concerned that the matters in dispute be compromised, settled and adjusted so that vexatious litigation, annoyance and expense would be prevented. That the said Ollie J.

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Bluebook (online)
68 S.W.2d 873, 228 Mo. App. 492, 1934 Mo. App. LEXIS 65, Counsel Stack Legal Research, https://law.counselstack.com/opinion/muller-v-mutual-benefit-health-accident-assn-moctapp-1934.