Parker v. North American Accident Ins.

92 S.E. 88, 79 W. Va. 576, 1917 W. Va. LEXIS 122
CourtWest Virginia Supreme Court
DecidedFebruary 13, 1917
StatusPublished
Cited by11 cases

This text of 92 S.E. 88 (Parker v. North American Accident Ins.) is published on Counsel Stack Legal Research, covering West Virginia Supreme Court primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Parker v. North American Accident Ins., 92 S.E. 88, 79 W. Va. 576, 1917 W. Va. LEXIS 122 (W. Va. 1917).

Opinion

Ritz, Judge:

"William H. Parker, plaintiff’s son, was a student in the Wheeling high school. He was captain of the football team, and a member of the baseball team of said high school, and was very much interested in amateur athletics. In the month of June, 1915, his father, plaintiff here, decided that he would [578]*578procure accident insurance for the benefit of his son, fearing injury as the result of his engaging in the above-mentioned pursuits. He applied to the agent of the defendant company for this purpose. An application was filled out at that time. Plaintiff stated to the agent that his boy was a high school student; that he was captain of the football team, and was a member of the baseball team, and very much interested in athletics; and that he desired accident insurance for him on this account. Defendant’s agent informed'the plaintiff that a student’s time was of no value, and asked him if he was engaged in anything else. Plaintiff then informed the agent that in addition to his work as a high school student he helped the plaintiff in his store in the mornings before school; and that two or three evenings after school of each week he went around in the near-by towns and solicited orders for the plaintiff ; and that during vacations of the school he was regularly employed in soliciting orders and working for the plaintiff in his business. These representations of the occupation or occupations of the plaintiff’s son were truthful, and upon the same the defedant company’s agent classified him as “travel-ling salesman, by rail, selling to dealers, not peddler.” The policy of insurance sued on in 1¡his case was issued upon this application. The monthly premiums were regularly paid thereon by the plaintiff. On the 20th of November, 1915, the insured, while engaged with his team in a football game at Buckhannon, West Virginia, and mailing a play peculiar to that game, brought his head in contact with the knee of a player on the opposing team with such force that he was rendered unconscious from the blow and died in forty minutes. Application was made to the defendant company for the indemnity provided by the policy in case of the accidental death of the insured, to-wit, for the sum of six hundred dollars. The defendant company refused to pay the indemnity provided and this suit was brought to recover the same. The defendant company’s refusal is based upon three grounds: First, that the assured is improperly classified in the policy as a travelling salesman, and that because of the following provision in the policy the beneficiary would only be entitled to receive such sum as the premium paid would [579]*579have purchased in the more hazardous occupation in which the assured was engaged at the time of his death. The provision of the policy relied upon is as follows: “In the event of the death, injury or disability of the Insured, as herein provided, while engaged temporarily or otherwise, in any act, calling, occupation, risk or exposure classified as more hazardous than the classification herein given, this insurance shall not be forfeited nor voided, but Insured or beneficiary shall be entitled to recover that indemnity which premiums paid herefor would have purchased in the more hazardous class, as shown by the Company’s manual and classification of risks in force at the time of the accident or beginning of illness.” Defendant asserts that assured should have been classified as an amateur football player, and that the premiums paid by him would have purchased a policy of insurance providing for an indemnity of fifty dollars in case of accidental death. Second, defendant claims that by reason of a provision in the policy that in the event of injury, fatal or non-fatal, from unnecessary exposure to apparent’ danger, the limit of the company’s liability, shall”be only one-fifth of the amount that would otherwise be payable under the policy, and that because of the fact that he would be entitled to only fifty dollars if properly classified; and engaging in a football game being an unnecessary exposure to apparent danger, the limit of the company’s liability would be ten dollars, or one-fifth of the amount which he would be entitled to receive under the classification to which defendant claims he belonged. Third, defendant claims -that because of a provision in the policy that in the event of injury, fatal or otherwise, of which there shall be no visible marks on the exterior of the body, the limit of the company’s liability would be one-fifth .of the amount that would otherwise be payable, and that there were no visible marks upon the body of the insured. Therefore it contends that its liability is only one-fifth of the amount which he would have been entitled to receive had he been properly classified, to-wit, ten dollars. This sum of ten dollars it offered to pay, but the same was refused. The trial of the action in the Circuit-Court resulted in a verdict and judgment in favor of the plaintiff for the full amount of the [580]*580indemnity provided in the policy, to-wit, the sum of six hundred dollars, and this writ of error is prosecuted to reverse that judgment.

The first inquiry is, is the provision of the policy limiting the assured’s recovery of an indemnity, the amount of which could be purchased by the premiums paid by him in the occupation in which he .was engaged at the time of his death, applicable under the facts in this case, and does it prevent recovery for more than fifty dollars as contended by the de- . fendant ? The plaintiff insists that in as much as he correctly and truthfully informed the defendant company’s agent as to the employments and occupations of his son, and the defendant company’s agent made the classification upon this information, the defendant is now estopped to say that the assured was at the time of his death engaged in a more hazardous occupation than that mentioned in the policy. It may be considered as established in this case that the defendant company’s agent was fully and truthfully informed as to the occupations and employments of the assured, and that he knew that the assured was engaged, and would continue to be engaged in-amateur athletics, including playing football, and that it was for the purpose of guarding against injuries likely to arise from this occupation that the accident insurance was desired, and that after this full knowledge of the assured’s employment and occupation the defendant company’s agent made the classification stated in the application and in the policy. In the conduct of the business of accident insurance it appears that different premiums are charged, depending upon the risk of injury or accident to the assured,' and the material thing for the insurance company is to fix for itself the correct premium applicable to the particular risk against which it proposes to indemnify the assured. These rates and classifications .are peculiarly within the knowledge of the company. The assured can do no more than to truthfully represent his employments and occupations, and when he does this the company writing the insurance applies to it the- appropriate classification and rate.

In 1 Corpus Juris, at p. 436, it is stated: “Where the applicant makes a true and full statement of his occupation to the [581]*581insurer’s agent the company is bound, after loss, by the classification given him by the agent. ’ ’

The case of Schwarzbach v. Protective Union, 25 W. Va.

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Bluebook (online)
92 S.E. 88, 79 W. Va. 576, 1917 W. Va. LEXIS 122, Counsel Stack Legal Research, https://law.counselstack.com/opinion/parker-v-north-american-accident-ins-wva-1917.