Personius v. United States

65 F.2d 646, 1933 U.S. App. LEXIS 3106
CourtCourt of Appeals for the Ninth Circuit
DecidedJune 5, 1933
DocketNo. 6891
StatusPublished
Cited by7 cases

This text of 65 F.2d 646 (Personius v. United States) is published on Counsel Stack Legal Research, covering Court of Appeals for the Ninth Circuit primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Personius v. United States, 65 F.2d 646, 1933 U.S. App. LEXIS 3106 (9th Cir. 1933).

Opinion

SAWTELLE,- Circuit Judge.

The sole point involved in this appeal is whether or not the lower court erred in sustaining a general and special demurrer to the eomplaint.

■ This, in turn, involves the single question as to whether or not a veteran can recover under war risk insurance certificates if his eom-plaint alleges that “he was totally and permanently disabled from October 31,1918, until January 1,1929"; but fails to allege that he was totally and permanently disabled the time he brought suit, namely, on December 10, 1931.

The eomplaint sets forth that the appellant served in the United States Army from June 16, 1918, to February 27, 1920; that while in the service he applied for two policies of war risk insurance for $5,000 each; that a certificate of war risk insurance was issued under each application, by the terms whereof the appellee agreed to pay to the appellant $28.75 a month in the event that he suffered total and permanent disability; and that: “ * * * While this plaintiff was in the military service of the United States as aforesaid -and during the World War, and subsequent to the effective date of said insur[647]*647anee, and while said policy [policies] was [were] in full force and effect, this plaintiff on October 31,1918, while engaged in armed combat with the armed forces of the Central Powers, was wounded by being struck in the left leg by a fragment of high explosive shell, which caused a destruction of bone substance in the tibia and fibula, a contracture of the plantar tendon, a shortening of the left leg, an atrophy of the left leg, an infection of the left leg, and osteomyelitis of the bones of the left leg, and the plaintiff has continuously suffered from and been afflicted with said injuries and diseases from October 31, 1918, and this plaintiff is informed and believes, and upon information and belief alleges the fact to be that as a result of said injuries and diseases the said plaintiff became and was, on October 31,1918, and during the time said insurance was in full force and effect, totally disabled, and that such disability was founded upon conditions which made it reasonably certain that it would continue throughout his life and that he was totally and permanently disabled from October 31, 1918, until January 1, 1929. That by reason thereof he became entitled to receive from the defendant the sum of $28.75 per month from October 31,1918, to January 1,19291.”

The foregoing paragraph appears as part of the appellant’s first cause of action, based upon the first insurancé certificate, and, by reference, is made part of the second cause of action, based upon the second certificate.

The complaint also sets forth that, as to each application for insurance, there were “deducted from his monthly pay certain sums of money as premiums for said insurance to and including the month of February, 192,0.”

To the appellant’s complaint and to each cause of action thereof, the appellee interposed a demurrer, as follows:. “That the first [or second] cause of action of plaintiff’s Complaint does not set forth facts sufficient to constitute a cause of action against this defendant, in this: That it appears on the face of the complaint as pleaded in said * * * cause of action, that the plaintiff is not now, and that he never has been, permanently and totally disabled, but that the diseases as set forth in Paragraph VI of said * * * cause of action were only temporarily disabling.”

The lower court sustained the appellee’s demurrer. The appellant declined to plead further, and the court entered a judgment of dismissal against the appellant. From that judgment the present appeal was taken.

In his brief the appellant indicates that he has recovered “from his total disability, but not from his permanent disability,” and that he, “after a period of eleven years, did actually recover the ability to follow a substantial gainful occupation.”

After quoting regulation No. 11, under Treasury Decision 29, W. R., which provides, among other things, that “any impairment of mind or body which renders it impossible for the disabled person to follow continuously any substantial gainful occupation shall be deemed, in Articles III and IV, to be total disability,” and that “ 'total disability’ shall be deemed to be 'permanent’ whenever it is founded upon conditions whieh render it reasonably certain that it will continue throughT out the life of the person suffering from it,” the appellant observes: “So that in any ease of total and permanent disability, within this regulation, it may always be possible for the insured to recover the ability to follow continuously any substantially gainful occupation, and since this is true, if at any time while the insurance is in effect the insured becomes totally disabled and the condition? at that time make it reasonably certain that his disability will continue throughout his life, the insurance becomes payable, regardless of the fact that in the future he may recover,” etc.

The appellant’s reference to the possibility that the insured may “recover the ability to follow continuously any substantially gain-fid occupation,” “in any case of total and permanent disability,” is in connection with the provision in rule 11, supra, to the effect that: “Whenever it shall be established that any person to whom any installment of insurance has been paid as provided in Article IV on the ground that the insured has become totally and permanently disabled, has recovered the ability to continuously follow any substantially gainful occupation, the payment of installments of insurance shall be discontinued forthwith, and no further installments thereof shall be paid so long as such recovered ability shall continue.”

From the language of rule 11 the appellant seeks to draw the inference that “this regulation means that if the plaintiff in this action, while his insurance was in force and effect, became totally disabled and the conditions surrounding his disability were such that it was reasonably certain that it would continue throughout his life, the insurance became due him at that time and that he was entitled to such payments so long as that condition continued.”

In view of the clear holdings of this and [648]*648other courts contrary to the appellant’s position, however, we do not deem it necessary to attempt to reply to the extended arguments of the appellant as to the inferences to be drawn from the language either of the statutes or the regulations.

As we have already noticed, the clear implication to be drawn from the appellant’s complaint is that he is at present able to follow continuously a substantially gainful occupation; and this implication is confirmed by the appellant’s brief.

The preliminary proposition to be considered here is the effect of a veteran’s ability to continue in gainful employment, upon the question of his total and permanent disability. That such employment may negative a claim of such disability is too well established to require much elaboration or citation of authority.

In United States v. Rice, 47 F.(2d) 749, the late Judge Rudkin, of this court, said: “But we feel constrained to hold that the manual labor performed by the appellee for the period of five years following his discharge from the army and the compensation received for his services are utterly inconsistent with his present claim that he was totally and permanently disabled before the policy lapsed.”

The rule was recognized by the Circuit Court of Appeals for the Fourth Circuit in the case of United States v.

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Bluebook (online)
65 F.2d 646, 1933 U.S. App. LEXIS 3106, Counsel Stack Legal Research, https://law.counselstack.com/opinion/personius-v-united-states-ca9-1933.