Opten v. Prudential Insurance Co. of America

261 N.W. 197, 194 Minn. 580, 1935 Minn. LEXIS 1041
CourtSupreme Court of Minnesota
DecidedJune 7, 1935
DocketNo. 30,370.
StatusPublished
Cited by4 cases

This text of 261 N.W. 197 (Opten v. Prudential Insurance Co. of America) is published on Counsel Stack Legal Research, covering Supreme Court of Minnesota primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Opten v. Prudential Insurance Co. of America, 261 N.W. 197, 194 Minn. 580, 1935 Minn. LEXIS 1041 (Mich. 1935).

Opinion

Julius J. Olson, Justice.

Plaintiff brought this action to recover upon two policies of life insurance issued by the defendant to him. As plaintiff is of unsound mind, the action was brought in his behalf by his general guardian. Two causes of action were pleaded in the complaint. In the first cause plaintiff sought to recover certain monthly disability benefits accruing to the time of trial; also recovery was sought of insurance premiums paid by his guardian, upon the theory that under the policy contract premiums should not be required of him while totally disabled. In the second cause the same result was sought and obtained; the only difference related to the amounts recoverable as disability benefits and of premiums alleged • to have been wrongfully exacted. In each of the policies the following provision appears:

“The insured, upon demand by the company at any time during such disability and before the' company’s liability hereunder has ceased, shall furnish due proof that he actually continues in a state of disability, as defined above, and in case of his failure so to do the insured shall be deemed to have recovered from such state of disability.”

In September, 1923, the insured ivas adjudged insane and committed to the state hospital at Rochestér and was later removed to the Anoka hospital. From the latter place he escaped August 4, 1929. Since then no one has heard anything of him. His guardian did not learn of his escape until about November 1, 1929, and defendant was not informed thereof until February 9, 1930. From the time of his original commitment and until March 15, 1930, defendant paid the disability benefits provided by the terms of the respective policies, the payments being made to the guardian. During .this period no premiums were paid nor required. Defendant, upon *582 being informed of the insured’s escape from the asylum, notified the guardian that it required proof that the insured actually continued in a state of disabilitjr and also asked to be informed of his Avhereabouts. No proof was furnished. By reason thereof defendant discontinued disability benefit payments and insisted that both policies should be returned to a premium-paying basis.

At the trial it AAras shoAvn that the insured’s physical condition Avhen he escaped from the hospital Avas good, and the court so found. His mental condition had not improved. As a matter of fact, the evidence amply Avarrants the conclusion of the trial court that the insured’s affliction (dementia praecox of the catatonic type) is regarded as almost hopeless, the recoveries in such cases being only from one to tAvo per cent. He Avas 39 years of age at the time of his escape, his normal expectancy 28.9 years. There is evidence by competent experts that one suffering with this form of insanity, when in a suitable institution for such sufferers, is likely to outlive a “normal person outside.”

Dr. Caine, superintendent of the Anoka hospital, testified amongst other things as folloAvs:

A. “In my judgment he was insane.
Q. “What type of insanity Avas it?
A. “His case was one of dementia praecox.
Q. “Was there any special type of that disease that he had ?
A. “There are various types. His was Avhat is called catatonic or a condition Avith the motor symptoms predominating.
Q. “By motor symptoms you mean the nervous system that controls the muscles?
A. “Yes. He didn’t have absolute control of the muscles at times. He had acute maniacal spells at times and Avas hard to control at those times.”

And further, respecting plaintiff’s condition:

A. “He had frequent attacks of maniacal trouble. He would be very violent and Avould either attempt to run aAvay or attack others whom he thought Avere persecuting him. And he heard things that didn’t exist. He Avould hear people, and he Avould start out to do *583 Ms work and lie might wind up in some entirely different place. You could not depend upon him, and he had to be under constant supervision there. He would do work between these attacks, but some one had to be near to see that he didn’t wander off or do things that he shouldn’t do.
Q. “State whether or not that type of insanity is considered progressive.
A. “As a rule this type is progressive. They gradually become worse.”
Respecting plaintiff’s expectancy where there is change of environment from an institution of the nature conducted by the state and where one is left to roam on the outside, the doctor testified:
A. “I Avould say his expectancy Avould be less if he Avere outside than it Avould be were he confined in an institution.
Q. “And the probable expectancy of life in cases of this kind depends a good deal, does it not, on the environment of the patient?
A. “I think it does to a degree.
Q. “And the care that he gets and his freedom from responsibility, etc.?
A. “I think that is correct.
Q. “And if those are absent they have a very marked tendency to shorten the life of'the patient?
A. “I didn’t get that last question.
Q. “I say if those features of environment are absent they have a great tendency to shorten the life 'expectancy of a patient ?
A. “Yes, sir, I think so.”

The trial court found for plaintiff and ordered judgment in his behalf in the amount of $948.64, consisting of premiums paid by the guardian after March 15, 1930, with interest from the various dates of payment, and the monthly disability instalments until the time of trial. The court found that the insured was living at the time of the trial; that he Avas and at all times since his escape had been totally incapacitated; further, that ever since his escape from the hospital his guardian “has been unable to furnish defendant Avith information as to the AAdiereabouts of said Carl Opten.” With re *584 gard to defendant’s demand that it he afforded opportunity to examine .the person of the insured or that proof of actual disability still existed as prerequisite of further payments of disability benefits, the court was of opinion that such were unreasonable requirements and would “definitely curb and limit coverage on the policy. Disability from any cause whatsoever is covered in the policy, and there is no limitation on the coverage where total disability results. Consequently it is not a reasonable requisite, in the court’s opinion, to require the opportunity to examine the person of the insured where the insured has escaped from an insane asylum while in a condition of total disability.” Lastly, so concluded the court, “it must be borne in mind that the supreme court of Minnesota has definitely adhered to the so-called liberal rule of construction in policies of this type.”

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Bluebook (online)
261 N.W. 197, 194 Minn. 580, 1935 Minn. LEXIS 1041, Counsel Stack Legal Research, https://law.counselstack.com/opinion/opten-v-prudential-insurance-co-of-america-minn-1935.