Penrose v. Commercial Travelers Insurance Co.

275 P.2d 969, 75 Idaho 524, 1954 Ida. LEXIS 258
CourtIdaho Supreme Court
DecidedOctober 29, 1954
Docket8129
StatusPublished
Cited by23 cases

This text of 275 P.2d 969 (Penrose v. Commercial Travelers Insurance Co.) is published on Counsel Stack Legal Research, covering Idaho Supreme Court primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Penrose v. Commercial Travelers Insurance Co., 275 P.2d 969, 75 Idaho 524, 1954 Ida. LEXIS 258 (Idaho 1954).

Opinions

[528]*528THOMAS, Justice.

Plaintiff, hereinafter referred to as respondent, instituted an action to recover monthly sick benefit payments under an insurance policy issued to him on November 15, 1945, by defendant, hereinafter referred to as appellant. The matter was tried before a jury. At the close of the evidence appellant made a motion for non-suit and respondent moved for a directed verdict, whereupon the court discharged the jury and made its findings of fact, conclusions of. law and entered judgment for respondent. From judgment for respondent in the sum of $1,700, together with attorneys’ fees in the sum of $500 and costs, this appeal was taken.

Both parties treated the material facts as without dispute and to the effect that there was no issue for the jury and it was proper for the court to decide the case upon the undisputed material facts and the law to be applied thereto.

, There are - two decisive questions sub- ' piitted before this court on appeal: First, .whether or not respondent .comes within . the provisions of Part D, section -1 of the ■policy with reference to house confining , sickness ,pr. Part D, section 2/ with ref'iéreñce to the. convalescence clause thereof). ■ 'secondly, whether under the terms •of jthé \insurance policy respondent, to : whom- .the, c.ourt allowed attorneys’. fees in thel.suni ¡of .$5.00, is .entitled' .to any attorneys’ fees under Chapter 289, Session Laws of 1951

Part D of the policy appertaining to monthly sick benefits provides as follows:

“Confining Sec. (1). If such sick-Sickness ness shall wholly and continuously disable the Insured from performing any and every duty pertaining to his business or occupation, and shall necessarily and continuously confine him within the house, the Company will pay the Sickness benefit at the rate per month . specified in Part A 2.
“Convales- Sec, (2). Or, for the cence period not exceeding one Clause month, immediately following -said confinement, or by reason of any non-confining sickness during which the Insured shall be wholly and continuously disabled from performing any and every duty pertaining to his business or occupation, the Company will pay the Sickness benefit at the rate per month specified in Part A 2.

“Provided that benefits under this Part shall not be paid in excess of the time the Insured is under the regular attendance of a legally qualified physician or surgeon and 'benefits payable [529]*529shall commence after one week of disability.”

Part I, Paragraph 5, of Miscellaneous Provisions also provides:

“The phrase ‘regular attendance of a legally qualified physician or surgeon’ as used herein, shall be defined to mean visits of, or personal treatments by the physician at least once in every seven days.”

Chapter 289, page 621, 1951 Session Laws, provides in pertinent part as follows:

“Section 1. Any company, corporation, * * * issuing any policy, * * * of insurance, * * * of any kind or nature whatsoever, which shall fail to pay to the person, firm or corporation entitled thereto the amount justly due under such policy, certificate or contract, shall, in any action in any court in this state for recovery under the terms of such policy, certificate or contract, pay such further amount as the court shall adjudge reasonable as attorneys’ fees in such action. In any such action, if it shall be alleged that before the commencement thereof, a tender of the full amount justly due was made to the person, firm or corporation entitled thereto, and such amount be thereupon deposited in the court, and if the allegation be found to be true, or if it be determined in such action that no amount is justly due, then no such attorneys’ fees may be recovered.
“Section 2. The provisions of this Act shall not apply to any action commenced before the effective date hereof.
“Approved March 22, 1951.”

Respondent is a farmer and livestock raiser, farming approximately 575 acres of land at Cambridge, Idaho, which is three miles north of Downey, Idaho. On May 3, 1952, respondent suffered a heart attack, diagnosed as coronary occlusion, and was confined to the hospital at Downey from May 5, 1952, to June 5, of the same year, under order of the doctor who attended him at all times thereafter to and including the time of the trial which was held on the 5th day of October, 1953.

Upon his release from the hospital and pursuant to the directions and orders of his attending physician he was taken to the home of his father for a week or ten days where he was continuously confined, and was thereafter moved to his own home.

Under and pursuant to the terms of the policy appellant paid respondent $300 for the period he was confined in the hospital and later tendered him an additional $200 for a period of one month under the convalescence clause thereof, which respondent refused to accept. The policy has a total limitation on payments of $2,QQ0; hence the maximum which respondent could re[530]*530cover was $1,700 additional, at the rate of $200 a month for the next eight and one-half months following his release from the hospital, that is, up to and including February 20, 1953.

About three weeks after his release from the hospital or in the neighborhood of July 1st he left the house for limited excursions out on the lawn where he would sit down; at times he gave instructions with reference to the farm work to his two sons, one 12 years of age and the other 14 years of age at the time of the trial; the record indicates that much of the heavy farm work was done by respondent’s father, other relatives, friends, and neighbors as the boys were too young to carry on this responsibility ; while the time is not fixed with any definiteness, respondent would go to Downey once in a while in the family car which was usually driven by his wife and infrequently by himself; his doctor made three or four calls at the home and at all other times he went to the office of the doctor in the family car, driven by his wife on most occasions; he went to the doctor’s office at least once a week for about two months; thereafter, during the balance of the time it is claimed he was confined under the house confining clause of the policy, no dates being fixed with exactitude, he went to the office of his doctor at least once a month.

Prior to his affliction, respondent attended church regularly and was active in church work; after his affliction he never attended church until sometime in the month of October and thereafter attended one service on each Sunday whenever he felt his strength would permit. Whenever he went to Downey, apparently to see his doctor, or if for any other reason, the record being very indefinite as to the time or the number of trips to Downey except to visit his doctor, he would occasionally drop in and sit down for a few minutes’ visit with business friends.

On October 22, 1952, he sold a horse and at that time was out in the pasture for a brief period of time while his two boys were catching'the horse which he led to the barnyard. Again, that same month he set the grain drill, a very simple and easy task, so his boys could drill the fall wheat.

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Penrose v. Commercial Travelers Insurance Co.
275 P.2d 969 (Idaho Supreme Court, 1954)

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Bluebook (online)
275 P.2d 969, 75 Idaho 524, 1954 Ida. LEXIS 258, Counsel Stack Legal Research, https://law.counselstack.com/opinion/penrose-v-commercial-travelers-insurance-co-idaho-1954.