Page v. Prudential Ins. Co. of America

165 So. 388, 231 Ala. 405, 1936 Ala. LEXIS 24
CourtSupreme Court of Alabama
DecidedJanuary 16, 1936
Docket6 Div. 726.
StatusPublished
Cited by19 cases

This text of 165 So. 388 (Page v. Prudential Ins. Co. of America) is published on Counsel Stack Legal Research, covering Supreme Court of Alabama primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Page v. Prudential Ins. Co. of America, 165 So. 388, 231 Ala. 405, 1936 Ala. LEXIS 24 (Ala. 1936).

Opinion

BOULDIN, Justice.

The suit, in count 1, is to recover the total permanent disability benefit under a group policy of life and disability insurance.

The disability benefit clause defines the coverage in these words: “Said employee * * * shall become totally and permanently disabled or physically or mentally incapacitated to such an extent that he or she by reason of such disability or incapacity is rendered wholly, continuously and permanently unable to perform any work for any kind of compensation of financial value during the remainder of his or her lifetime.”

The cause was tried on an agreed statement of facts. These facts, so far as essential to a decision of the question presented, may be summarized thus:

The master policy was issued to the Louisville & Nashville Railroad Company.

Plaintiff, Joe H. Page, was an employee insured under such policy.. “For a number of 'years prior to June 15, 1931, plaintiff was continuously employed by the Louisville & Nashville Railroad Company as a brakeman, a switchman or flagman in the transportation department of said railroad.”

In November, 1926, plaintiff got a cinder in his right eye, which inflicted an injury which finally developed, 1931, in a total and permanent loss of sight in that eye. He is thus rendered permanently and totally disabled to engage in his employment as a member of a train crew. “Plis left eye has normal vision and he can see plainly out of that eye. * * * plaintiff is able, notwithstanding the loss of his sight in his right eye, to do other kinds of work other than work in the transportation department of a railroad as a member of a train crew after familiarizing himself with the duties of such position, and is able to hold a job in other gainful occupations such as crossing flagr man or as special agent or as freight clerk or as baggage clerk or other railroad position which does not require the sight of both eyes after familiarizing himself with the duties of such position, and it is further agreed that he is acceptable to the railroads as such in his present condition. And it is further agreed that Mr. Page’s eyesight has not and would not interfere with his performance of any kind of work which he would be otherwise able to perform and which does not require the use of both eyes to attend to, and that his physical condition *407 is normal in every respect except the loss of sight in his right eye.” Plaintiff is forty-seven years of age; “has followed the avocation of a flagman or brakeman or switch-man on a railroad the majority of his working life and knows no other trade or profession, but plaintiff is of normal and average intelligence and can read and write and completed the fifth grade in public'school.”

In the recent case of Protective Life Ins. Co. v. Hale, 230 Ala. 323, 161 So. 248, 252, construing a disability clause of like import as that here presented, our former decisions were reviewed by the full court. It was declared the disability covered by the contract must not be merely occupational, but the insured “must be physically disabled from doing and performing the substantial features of any gainful occupation, within the range of his mental and educational capacity, with the required skill and accuracy of any such occupation.”

In Protective Life Ins. Co. v. Wallace, 230 Ala. 338, 161 So. 256, 259, considered and decided by the full court at the same time as the Hale Case, substantially the ■same rule was stated in these terms : Inability “to do substantially all the material acts necessary to the prosecution of some gainful business or occupation, which the insured was qualified and capable of doing, and which requires substantially the same character of physical and mental training and effort.” See, also, Equitable Life Assur. Soc. of United States v. Davis, ante, p. 261, 164 So. 86.

Under the agreed facts above, the disability extends only to a limited field of employment, that of railway trainmen, who, because of the peculiar public service in which they are employed, two good eyes are required. It is agreed other jobs in the railroad service are open to him upon his acquainting himself with the details of the new service. It is common knowledge that a man with one good eye, may, and often ■does, engage in all the wide range of employment open to a man with two good eyes, save in some special employment demanding full equipment of two eyes.

Efficiency, in a job worth while, whether he have one or two eyes, requires that one familiarize himself with the details of his work.

In Wilson v. Metropolitan Life Ins. Co., 187 Minn. 462, 245 N.W. 826, 827, 829, the Minnesota court, declaring its adherence to the liberal rule of construction, says: “The 'existence of total and permanent disability so as to prevent the plaintiff from engaging in any occupation and performing any work for compensation or profit must mean any occupation similar to that in which he was ordinarily engaged before the accident, or for which he may be capable of fitting himself within a reasonable time.” We think this a sound holding. Any more liberal rule would virtually enlarge the coverage to occupational disability.

We make no effort to harmonize the rule declared in our late cases with all the utterances of former decisions, nor to differentiate our several cases. We follow the last word on the subject as declared by the full court.

The trial court did not err in- denying recovery of the total permanent disability benefit under the agreed facts.

Count 2 claimed a special benefit of $500, stipulated for loss, by accident, of the sight of one eye.

The stipulation of the policy here involved reads:

“Loss of eyesight or limbs.
“If any Employee while in the employ of the Employer and insured under this Policy shall sustain a physical impairment such as specified below, as a result, directly and independently of all other causes, of bodily injuries, effected solely through external, violent and .accidental means and occurring within ninety days of the accident, the Company will pay to such Employee the disability benefit hereinafter provided in addition to any other disability benefit under this Polic}-, immediately upon receipt of due proof of such impairment:
“For loss of * * *
“Sight of one eye — Five Hundred Dollars.”

Loss of sight shall mean total and irrecoverable loss of sight.

The agreed statement of facts discloses the disability did not develop within ninety days after the accident. The accident, getting a cinder in the eye, occurred in November, 1926, the defect of sight developed gradually, and as late as 1928 he was found to have sufficient vision in that eye to permit retention of his job as flagman, etc. He did retain the job until 1931.

Appellant insists upon a recovery of this benefit because the limitation “within ninety days of the accident” was not in the certificate issued to the insured employee, *408 but only in the master policy held by the employer in Louisville, and never seen by the plaintiff. Appellant argues the certificate must be treated as the sole contract under Code, § 8371, -as construed in National Union Fire Ins. Co. v. Griffith, 221 Ala. 112, 127 So.

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Bluebook (online)
165 So. 388, 231 Ala. 405, 1936 Ala. LEXIS 24, Counsel Stack Legal Research, https://law.counselstack.com/opinion/page-v-prudential-ins-co-of-america-ala-1936.