Mutual Accident Ass'n v. Simons

69 Ill. App. 94, 1896 Ill. App. LEXIS 282
CourtAppellate Court of Illinois
DecidedMarch 8, 1897
StatusPublished

This text of 69 Ill. App. 94 (Mutual Accident Ass'n v. Simons) is published on Counsel Stack Legal Research, covering Appellate Court of Illinois primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Mutual Accident Ass'n v. Simons, 69 Ill. App. 94, 1896 Ill. App. LEXIS 282 (Ill. Ct. App. 1897).

Opinion

Mr. Presiding Justioe Shepard

delivered the opinion of the Court.

The two appellant associations were, at the time of the issuance of the certificates of membership sued upon, conducted under one management, and were afterward consolidated under the name of The Star Accident Company.

Appellee, a traveling salesman, residing at Lincoln, Nebraska, became a member of each of said associations, and the certificates of membership in question were issued to him at the respective dates thereof, to wit: October 10, 1S88 (in the first named association), and July 30, 1890 (in the last named).

These certificates of membership, while unlike in form, were substantially alike in effect and purpose, to wit, the insuring of the member (appellee) against personal bodily injuries effected or received by or through external, violent and accidental means, producing death, or th which shall, independently of all other causes, immediately and wholly disable and prevent him ” (the insured) “ from the prosecution of any and every kind of business,” etc. Each certificate contains a condition to the effect that immediate notice of any accidental injury for which claim may be made under the certificate should be given in writing to the secretary of the association, with full particulars of the accident and injury; and that failure to give such immediate written notice should invalidate all claims under the certificate.

The facts, as disclosed by the record, show that previous to the alleged injury and disability, for which claim is now made, to wit, on or about November 4, 1891, appellee presented a claim against appellants, under these same certificates, for twelve weeks and six days disability on account of a similar injury claimed to have been received by him on August 6, 1891, in getting off a freight train which started up suddenly, throwing him off and spraining his left foot, and breaking some of its bones. From the disability so suffered by him he recovered, and resumed his usual occupation on November 5, 1891; and he was paid the full amount of his claim, $642.86, by the appellants.

From that time he continued to follow his occupation f-or about four months, when, as he claims, he was again injured and suffered the disability for which these suits were brought.

Separate suits against each of the appellants were brought, but by agreement of parties the causes were consolidated and tried together, with the result of a separate verdict and judgment against each of the appellants for the same amount, $1,433.39.

The manner of receiving the injury is stated by the appellee in each declaration, as follows: “ As he was about to step off a street car or cable car, in the city of Omaha, in the State of Nebraska, on said date (March 2, 1892), the said street and cable car suddenly starting (started) up, causing the said plaintiff to be quickly, violently and accidentally thrown therefrom on the ground, causing a severe bruise and injury to the foot of the plaintiff,” etc.

The evidence shows plainly enough that the appellee suffered disability from about the alleged date of March 2, 1892, for a period exceeding the number of weeks covered by the insurance policies, and there would not seem to be any question but that the amount recovered by him is proper, if under the evidence he could recover at all.

The appellee went from Omaha to his home, in Lincoln, on March 4th, and on the next day called a physician.

On March 7th the appellee sent a notification to the appellees, as follows:

“Lincoln, Nebraska, March 7, 1892.
T. S. Quincey, Sec’y Star Accident Insurance Company of the Northwest, and Home Protection Aid Association, Chicago.
Dear Sir : This is to notify you that I was ordered by my physician, Dr. E. E. Giffen, of Lincoln, Nebraska, to stop work and lay up from all duties entirely, and to keep off my feet, on account of having sprained the metatarsus bone of my right foot, caused by favoring my left foot that was injured, and walking on it in relation to my duties as a commercial traveler. I have been confined to the house and room since Saturday, March 5 th, and can not say when 1 will be able to resume my duties. Am under Dr. Giffen's care and unable to work, or even walk.
Tours very truly,
Egbert M. Simons.”

It will be observed that he there makes no mention of being thrown from the car, but states the injury as having-been caused by favoring his left foot, which was the foot that was broken in the accident of August 6,1891.

Eesponding to such notification, the appellants sent to appellee their usual printed form, containing a list of questions, which, together with his answers, he returned to the appellants on March 14, 1892.

The form and questions and answers were as follows

“ Office of the
Mutual Accident Association op the Northwest and the
Home Protection Aid Association.
The following questions are simply preliminary. You-will please answer them fully and return same to this office,, when, according to the circumstances, you will be mailed blanks for final proof, or be notified that the association has. no liability for indemnity.
1. Under what circumstances did the accident occur I Give a full description of the time, place, cause, and those who witnessed the circumstances.
(Note : The more complete this report the sooner the association can take action on your case. Pacts left out of this report must necessarily be ascertained through other means by the company.)
Injured August 5, ’91. Euptured left foot; went to work November 5, but was lame and had to use brace and anklet on foot and use a cane; attended by physician ever since, and on March 5th, physician ordered me to lay off on account of the metatarsal bone of my right foot being sprained and my heel being bruised from walking on said foot, caused by my being so lame from injury to left foot, and am not able to attend to my business of commercial traveler.
2. When did you call a physician; who was he; what his address, and what did he do for you ?
Dr. E. E. Giffen, Lincoln, Nebraska. Use proper remedies and keep perfectly quiet and off foot.
3. Are you totally disabled—confined to your house— and if so, how long have you been in this condition; or is your injury of such a nature that you are but “ partially ” disabled, permitting you to attend to a portion of your business? '
(Note: Injuries to the foot, ankle, knee, hip or shin, unless the patient gives the same absolute rest until authorized by the.company’s representative to use the same, will not be considered. The company does not enforce the il total disability ” clause; that is, confinement to the house, for injuries received to other portions of the body.

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69 Ill. App. 94, 1896 Ill. App. LEXIS 282, Counsel Stack Legal Research, https://law.counselstack.com/opinion/mutual-accident-assn-v-simons-illappct-1897.