New York Life Insurance v. Bradford

196 S.E. 92, 57 Ga. App. 657, 1938 Ga. App. LEXIS 359
CourtCourt of Appeals of Georgia
DecidedFebruary 22, 1938
Docket26644
StatusPublished
Cited by8 cases

This text of 196 S.E. 92 (New York Life Insurance v. Bradford) is published on Counsel Stack Legal Research, covering Court of Appeals of Georgia primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
New York Life Insurance v. Bradford, 196 S.E. 92, 57 Ga. App. 657, 1938 Ga. App. LEXIS 359 (Ga. Ct. App. 1938).

Opinions

G-uerry, J.

This is the second appearance of this case in this court. See 55 Ga. App. 248 (189 S. E. 914). The plaintiff seeks a recovery of disability benefits under three insurance policies issued to him by the defendant insurance company. The petition alleged in substance that in October, 1933, plaintiff became disabled within the meaning of the provisions of the policies sued [658]*658upon as a result of a serious fracture of his right thigh, caused by a gunshot wound, and that his claim for disability benefits was recognized by the defendant and benefits were paid up to January 1, 1935, at which time the defendant refused to make further payments; that on or before that date plaintiff became disabled from other and additional ailments, to wit, neuritis or rheumatism; that defendant, at or before the time it ceased making payments, did not request of the plaintiff further and additional proof of his disability, but denied his claim, although on January 31, 1935, he wrote defendant a letter insisting that he was totally disabled and in which he offered to submit to medical examination and furnish any additional information desired. On the former appeal the court said: '“It is apparent that in refusing to continue payments the defendant did not have in mind any disability of the plaintiff other than that originating from a gunshot wound, as the plaintiff had not, according to the exhibits, or from any allegation in the petition, reported any disability from rheumatism or neuritis as was subsequently alleged by amendment to have arisen con or before January 1, 1935/ and to have existed since. Nevertheless the defendant did know, as shown by the letters from the plaintiff, that the latter was claiming to be still disabled. If he was totally and permanently disabled from the original gunshot wound, or totally and permanently disabled because the disability had continued by reason of aggravation by rheumatism and neuritis, or totally and permanently disabled because of rheumatism and neuritis independently of the gunshot wound, he was so disabled as to be entitled, under the policies, to the monthly payments upon complying with the terms of the policy as to furnishing due proof, or if, upon being notified by the plaintiff that he was totally and permanently disabled within the meaning of the policies, the defendant refused to make payment, without predicating its refusal upon any failure of the plaintiff to make proof upon demand by the defendant.” Since the law of the case has become fixed, the only questions now before this court are, (1) did the plaintiff offer sufficient evidence to authorize the jury to find that he was totally and permanently disabled for the period sued for within the meaning of the terms of the policies sued upon? (2) Was there sufficient evidence to authorize the jury to assess the defendant with attorney’s fees? (3) Did the court err in admitting certain evidence over the objection of the defendant?

[659]*659The plaintiff testified, in part, as follows: “Something happened to me about the 21st day of October, 1933. I got shot. As a result of that shot I went to the hospital. I was operated on as a result of that injury. Later, there was effort made by me to recover the disability benefits provided for in these policies of insurance. I submitted to them proof of my disability. As a result of the submission of that proof they paid me my disability benefits for twelve months. They paid me up until January 1, 1935. Since that time they have paid me no disability benefits. . . As to what my physical condition is, I could not say exactly only what the doctors say. They say it is neuritis or something. I know I am in aches and pains all the time. This occurred after the cast was taken off my leg. That was when I was operated on in Savannah. That condition is still existing. It has continued to exist since it first began. I did not have any of this trouble prior to my injury on October 1 [21 ?], 1933. I later went back to see some of the doctors who examined me. I went to see Dr. Branch and also Dr. Williams and Dr. G. W. Tootle. Dr. Williams later examined me again. I forget exactly what time it was, but it was when the New York Life Insurance Company had me examined. They had me examined by Dr. Williams. At that time my condition was bad. My 'ankle and knee was swollen bad and gave me a lot of pain and trouble. I had other pains in other places. They run all over my head and all about. Since that disability occurred on October 21, 1933, 1 have not been able to engage in my regular farm work. I had not been able to do any regular farm work since that time. After they refused to pay me my disability benefits and notified me they would cease the payments, I wrote them and explained to them the best way I could my condition. . . After I had communicated with them, in each and every instance they refused and declined to pay me the disability benefits. After they once stopped and declined they never did pay me any more benefits. I am forty-five years old. My occupation is farming. Well, my education is practically none, you might as well say. I was in the fourth grade when I quit school. When I say my occupation was farming, I mean I farm. It covers everything there is to do on the farm. I do all of it. At the time I went to Dr. Williams’s office in Savannah he made a recommendation to me with reference to my condition. I [660]*660did what he requested. I did what he said about taking sun baths, and I wore an elastic support. They helped me some. . . Since October 21, 1933, I have not been able to engage in any farming. I am not now able to work at my occupation of farming. I have tried to work since this injury on October 21, 1933. Well, if I would go out and try to work for an hour or two, then I had to go and take my bed and call a doctor, and then I would suffer for weeks at a time, just go all to pieces somehow or other. I can’t stand it. On each occasion I made an effort to work, that same occurred.” It further appears from plaintiff’s testimony that he owned a small farm of approximately sixty acres, and prior to his injury "did the superintending and labor on it too.” He employed one man on the farm with him and with his help had been operating the farm; that at times it was necessary to employ additional laborers in gathering his crops; that since his disability he was still able to supervise the operation of the farm but was not able to do any of the farming work himself.

Dr. Williams, who treated the plaintiff and operated on him at the time he was shot, testified substantially as follows: "I attended the plaintiff, . . at one time for a broken or fractured leg. That was October 22, 1933. We reduced the dislocation and removed some particles of bullet and little shives of bone. His injury was a gunshot wound on the femur. It was what we call a compound, comminuted fracture. . . He consulted me in April of this year. He consulted me in April. I probably prescribed something for his pain. I decided it was mostly neuritis causing his discomfort. I did not think at the time that had anything to do with the wound. I later, on September 26, 1935, examined Mr. Bradford. I had an x-ray made. . . The x-ray was made by Dr. W. A. Cole. . . I made an examination of Mr. Bradford independently of the x-ray. From my experience with a fractured femur and the result of the treatment I don’t see any reason why Mr. Bradford should not be able to perform some services. He could develop other conditions and cause him to be crippled, but, as far as the bone is concerned, it looks to me like it is in good position and healed thoroughly; and in other cases I have seen they have gone back to work in three or four months.

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Cite This Page — Counsel Stack

Bluebook (online)
196 S.E. 92, 57 Ga. App. 657, 1938 Ga. App. LEXIS 359, Counsel Stack Legal Research, https://law.counselstack.com/opinion/new-york-life-insurance-v-bradford-gactapp-1938.