Ozark Mutual Life Ass'n v. Winchester

1926 OK 99, 243 P. 735, 116 Okla. 116, 1926 Okla. LEXIS 648
CourtSupreme Court of Oklahoma
DecidedFebruary 2, 1926
Docket16455
StatusPublished
Cited by20 cases

This text of 1926 OK 99 (Ozark Mutual Life Ass'n v. Winchester) is published on Counsel Stack Legal Research, covering Supreme Court of Oklahoma primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Ozark Mutual Life Ass'n v. Winchester, 1926 OK 99, 243 P. 735, 116 Okla. 116, 1926 Okla. LEXIS 648 (Okla. 1926).

Opinion

Opinion by

FOSTER, C.

The defendant in error was plaintiff and the plaintiff in error was defendant in the trial court, and the parties will be designated herein as they appeared in the trial court. The action was based on a benefit certificate issued by the defendant to Mirs. M. L.' Winchester on the 1st day of November, 1919, which, among other things, contained the following provision :

“This certificate becomes payable when the member suffers either the loss of an eye, a hand above the wrist, a foot above the ankle, total permanent disability by accident.”

The plaintiff, J. F. Winchester, was the beneficiary named in said certificate, and he brought his action in the district court of Bryan county to recover the sum of .$1,000 on account of an accident alleged to have occurred to M|rs. M. L. Winchester, his wife, in December, 1922, from which it was claimed that she lost the use of her foot and became totally and permanently disabled. •

The answer of the defendant was a general denial, and upon the issues thus raised the! cause was tried to the court and a jury, resulting in a verdict in favor of the plaintiff for the sum of $1,000. From this judgment and from an order overruling its motion for a new trial the defendant brings the cause regularly on appeal to this court for review, claiming that the judgment or the trial court is not supported by the evidence, is contrary to law, and that the trial court erred in the giving of certain instructions and in refusing to give other requested instructions.

The argument that the judgment is not sustained by sufficient evidence is based upon the proposition, ,as shown by the evidence, that Mrs. Winchester ig still able to perform and does perform a portion of her household duties, such as sewing, washing the dishes, using her crutches and wheel chair, and that the injury to her right leg, of which she complains, was not such as to deprive her of the entire use of her right foot.

The evidence discloses that on the 19th day of December, 1922, Mrs. Winchester slipped and fell from the back porch of her home, breaking the fibula of the right leg; that she was confined to her bed for a period of about three months thereafter; that she suffered intense pain, and during a portion of the time of her confinement was delirious or unconscious, that in two or three weeks after the injury, inflammation developed, forming a pus which affected the entire leg so that it became necessary to insert drainages at the front and back of the knee joint. When the inflammation subsided, it was found that the knee joint had become ossified, that is to say that the patient has lost the ability to bend the leg at the knee joint, and that her right leg was shorter than the other leg, so that she could not place it on the ground without bending the other knee; that there was a sore on the ankle of her right foot which appeared to be incurable. Prior to her injury, Mrs. Winchester was an active woman, performing practically all of her housework, and, in the absence of her husband, milked the cows, fed the hogs, and performed other outside labor; that since the accident she has been compelled to use a wheel chair and crutch in going from place to place, and has been unable to perform her household duties except a few trivial things, such as. sewing and washing the dishes, or such things as she may perform with her hands while sitting.

In this state of the record we think the jury was fully justified in finding that Mrs. Winchester had become totally and permanently disabled within the rule established in this jurisdiction.

In Continental Casualty Co. v. Wynne, 36 Okla. 325, 129 Pac. 16, this court said in the 7th paragraph of the syllabus;

“ ‘Total disability,’ under the provisions of an accident insurance policy, does not mean absolute physical inability on the part of the insured to transact any kind of business pertaining to his occupation. It exists, although the insured may be able to perform a few occasional or trival acts relating thereto, if he is not able to do any substantial portion of the work connected with his occupation.”

*118 The body of ithe opinion quotes with approval this statement from May on Insurance (4th Ed.) p. 522, as follows:

“Total disability from the prosecution of one’s usual employment means inability to follow his usual occupation, business, or pursuits in the usual way. Though he may do certain parts of his accustomed worlc, and engage in some of his usual employments, he may yet recover, so' long as he cannot to some extent do all parts and engage in all such employments.”

'It must be borne in mind that Mrs. Winchester in following her occupation as housewife was necessarily required to engage in various employments, all of them, however, being within the scope of her general occupation. After the happening of the accident there were some of these employments which she could not engage in at all. The fact that she might have been able after the accident to engage in some special work, although within the general scope of her former occupation, cannot defeat her right to recover under the terms of the policy involved in the instant case. “ Total disability, ” as used in the contract involved here, must be construed to mean the disability which prevented Mrs. Winchester from engaging in the occupation she was following at the time of the disability, and not some other vocation which she might be able to follow afte.r the disability. Foglesong v. Modern Brotherhood (Mo.) 97 S. W. 240.

Furthermore, there is evidence in the record of a very positive character that Mrs. Winchester was wholly incapable of using her right foot by reason of the stiffened and ossified condition of the knee joint; that by reason of its shortened condition she could not place the right foot upon the ground, and it was therefore entirely-useless. The rule has been announced in several cases and by text-writers, that the term “loss of certain members of the body, used in an accident policy, does not mean an actual severance of the member from the body, but any injury which renders the member useless is a loss within the protection of the policy, and that the expression “loss of foot” would generally be understood to mean the loss of the use of this particular member. 1 Corpus Juris, p. 467; Sheanon v. Pacific Mutual Life Insurance Co. (Wis.) 46 N. W. 799.

•Instructions Nos. 2, 3, and 4 of the trial court are criticised as not being correct statements of the law applicable to the case. The instructions criticised are as follows:

“2. You are instructed that the phrase ‘total and permanent disability,’ as used in the insurance contract sued on herein, means that the person insured therein has, by reason of some accident, been rendered unable to follow her usual occupation, business, or profession, in her usual way, and that such injury is permanent.
“3. You are therefore instructed that if you find from a fair preponderance of the evidence that Mrs. M. L.

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Bluebook (online)
1926 OK 99, 243 P. 735, 116 Okla. 116, 1926 Okla. LEXIS 648, Counsel Stack Legal Research, https://law.counselstack.com/opinion/ozark-mutual-life-assn-v-winchester-okla-1926.