Pacific Mutual Life Insurance v. Branham

70 N.E. 174, 34 Ind. App. 243, 1904 Ind. App. LEXIS 39
CourtIndiana Court of Appeals
DecidedFebruary 17, 1904
DocketNo. 4,526
StatusPublished
Cited by21 cases

This text of 70 N.E. 174 (Pacific Mutual Life Insurance v. Branham) is published on Counsel Stack Legal Research, covering Indiana Court of Appeals primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Pacific Mutual Life Insurance v. Branham, 70 N.E. 174, 34 Ind. App. 243, 1904 Ind. App. LEXIS 39 (Ind. Ct. App. 1904).

Opinion

Comstock, J.

Appellee, who was plaintiff below, recovered judgment against appellant upon an accident policy issued to him by appellant. The policy is made a part of the complaint. The defendant answered in three paragraphs: First, a general denial. Second, that the plaintiff’s disability was not immediately consequent upon the happening of the accident, which was March 8, and the disability did not occur until March 24, and that between those dates appellee was not continuously and totally disabled, in consequence of the injury, to perform the character of labor mentioned in the policy. The third alleged that the plaintiff .failed to give notice of the accident according to the terms of the policy. The case was tried by a jury, and a verdict returned for appellee in the sum of $922 — $Y5 of this sum was remitted. Appellant’s motion ■ for a new trial was overruled, and judgment rendered.

The errors assigned are (1) that the court erred in overruling appellant’s demurrer for want of facts to the amended complaint; (2) in overruling appellant’s motion for a new trial.

1. It is urged that the complaint is bad because it fails to aver that the disability resulted proximately from the injury. The complaint, after alleging the receipt of the injury, avers that appellee “was immediately and continuously disabled and crippled and wholly incapacitated for all [246]*246business, labor or calling, and so remained wholly incapacitated, disabled and., prevented from performing any work or labor, or pursuing any calling, for the space of fifteen months,” etc. The objection is not well taken.

Appellant next argues, in the order stated, that appellee’s disability was not continuous. Second that his loss of time was not total.

2. The provisions of the policy involved are (omitting the formal parts) : “Against the effects of bodily injuries sustained within the terms of this policy, caused solely by external, violent and accidental means, the colnpany will pay an indemnity of $35 per week, not exceeding fifty-two consecutive weeks, for the immediate, continuous and total loss of'such business time as may necessarily result from such injuries alone.” The evidence shows that in March, 1900, appellee was twenty-nine years old, and in good health, and was paymaster and chief clerk to the treasurer and purchasing agent of the Peoria, Decatur & Evansville Railroad Company. At that time he held an accident poljcy in the appellant company, promising the payment to him of $25 per week for the immediate, continuous and total loss of such business time as might necessarily result from such injury alone. On the night of March 8, while bowling in a tenpin alley, he slipped, fell and -wrenched his knee, which he thought unimportant at the time. Uext morning his knee was swollen. It was bathed and bandaged, and this treatment was kept up for five or six days, with no improvement. At the end of five or six days, or on the 13th or 14fch of March, he consulted Dr. G. M. Young, the examiner for the appellant company, who continued the same general treatment, but without benefit, and at the end of a week, or about the 20th or 21st of March, he had to go- to bed and be operated on. lie remained in bed under treatment for four weeks, then, under the advice of the physician, he went to his office, exercising proper care, and performing such portion of his labor as he could, until the 20th [247]*247of May, when he went to Indianapolis to consult a specialist and returned to Indianapolis on the 26th, where he remained until the 6th of August, when he was obliged to return home to Evansville because of the sale of his railroad. He returned home on crutches with his knee in plaster of Paris, and remained in that condition for a month. Hnder the direction of his surgeon he removed the plaster, and took massage treatment until November, when he again returned to Indianapolis and was operated on. He remained in the hospital until December 15, when he returned to Evansville, and was able to get around with crutches and cane until the middle of February, when he was obliged again to return for treatment to Indianapolis, where hte was again operated on, and again spent three or four weeks in the hospital, returning to Evansville about the middle of March with his knee in plaster of Paris, and remained in that condition until the 20th of April. About that time he took treatment from Dr. Young, who operated on him April 21, and continued treating him until May 20,1901, and this was his condition from about the middle of March, 1900, extending over a period of fifteen months continuously. From the evidence the jury was justified in concluding that appellee’s disability was continuous.

3. Applying the rule laid down by the court in Commercial Travelers, etc., Assn. v. Springsteen (1899), 23 Ind. App. 657, 671, his disability was total. In that case the court approved the following instruction given by the" court below: “This paragraph sets out as an exhibit a copy of the policy, and in said policy it is provided that no claim shall ever accrue unless it arises from physical bodily injury through external, violent and accidental means, and then only when the injury shall, independently of all other causes, immediately and wholly disable the insured from performing any and' every kind of business pertaining to his occupation as manager of the When Clothing Company. I instruct you that as a matter of law the meaning of [248]*248this provision of the policy is not that the plaintiff must have been disabled so as to prevent him from doing anything whatsoever pertaining to his said occupation, but that he must have been disabled only to the extent that he could not do any and every kind of business pertaining to his occupation. He might be able to do a part and not be able to do all, and because he was not able to do all be deemed to be wholly disabled from doing any and every kind, provided, of course, that he was so disabled as to be prevented from doing substantially all the necessary and material things in said occupation requiring his own exertions in substantially hil customary and usual manner of so doing. He might be able to do personally minor and trivial things, not requiring much time or physical labor, and through others, acting under his direction, to ' do the heavier things requiring physical exertion, which in the ordinary and proper performance of his duties he had heretofore done personally, and yet, because of inability to do these heavier things and more material things personally, be said to be wholly disabled within the terms of his policy; provided, further, that the things he was unable personally to do constitute substantially all of his said occupation.” In the opinion many cases are collected. We do not deem it necessary to recite them.

We quote from Joyce, Insurance, §3031, in speaking of indemnity clauses of accident insurance contracts, as follows : “The general purpose of such clauses is to furnish an indemnity to assured for the loss of time by reason of accident or injury which prevents him from prosecuting his business, and it would seem that this ought to refer to his inability to perform substantially the duties which are necessary to be done in the business to which the contract refers, and absolute physical inability ought not to be-meant in all cases, for the injury might be of such a character as that common care and prudence would preclude the [249]*249prosecution of said business.” From Kerr, Insurance, p.

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Cite This Page — Counsel Stack

Bluebook (online)
70 N.E. 174, 34 Ind. App. 243, 1904 Ind. App. LEXIS 39, Counsel Stack Legal Research, https://law.counselstack.com/opinion/pacific-mutual-life-insurance-v-branham-indctapp-1904.