Propst v. Capital Mutual Ass'n

124 S.W.2d 515, 233 Mo. App. 612, 1939 Mo. App. LEXIS 7
CourtMissouri Court of Appeals
DecidedJanuary 9, 1939
StatusPublished
Cited by14 cases

This text of 124 S.W.2d 515 (Propst v. Capital Mutual Ass'n) is published on Counsel Stack Legal Research, covering Missouri Court of Appeals primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Propst v. Capital Mutual Ass'n, 124 S.W.2d 515, 233 Mo. App. 612, 1939 Mo. App. LEXIS 7 (Mo. Ct. App. 1939).

Opinion

*622 BLAND, J.

— This is an action in four counts, each count upon a certificate of accident insurance issued by the defendant to the plaintiff, plaintiff claiming the loss of an eye by accident. There *623 was a verdict and judgment in favor of the plaintiff in the sum of $750 on each of the four counts, or aggregating the sum of $3080, and defendant has appealed.

The four certificates are identical in form. They are all dated the 4th day of November, 1925. They recite that the written application for the certificates and the by-laws of the association now in force or afterwards to be enacted, are taken together and construed as a part of the agreement; that the defendant would, within 30 days after the receipt, at the office of its secretary, of satisfactory proof of the death- of or accident to, the applicant, pay the insured, or her beneficiary, the sum of money therein set forth; that payment would be made to insured if she should lose, by accident, and not otherwise, the entire sight of one or both eyes; that “this Association must be notified within ten days from the date of the accident, and loss of the member must occur within sixty days from the date of accident or no benefits will be paid under this certificate.”

The by-laws of the defendant provided that “Loss of an eye must result solely through external, violent and accidental means and where disease is contributory to the loss of an eye, or eyes, no benefits will be paid;” also that “Proof of loss by accident to be submitted on form prescribed and furnished by the Association, and shall consist of affidavit of a competent oculist and in case there was no attending physician then by affidavits by witnesses personally knowing the facts.”'

As before stated, plaintiff’s evidence tends to show that she lost the sight of her eye by reason of an accident. Defendant’s evidence tends to show that she lost it as the result of the atrophy of the optic nerve caused by optic neuritis which, in turn, was caused by infection from her sinuses.

The evidence on behalf of plaintiff tends.to show that sometime between Thanksgiving and Christmas in the year 1927, .she, her husband and family were riding in his automobile from their farm to Jefferson City when her husband, who was driving, made a. sudden turn in passing another car. This caused her to be thrown against the side of the automobile, striking her head.' As soon as her head struck the side of the car her left eye “swelled up and was bruised.” At no time since the accident has she been able to see out of the eye.

Plaintiff was born in Germany and did not understand the English language well. She testified that she had always been in good health prior to her injury and that, “well, when it happened it (her eye) hurt. I could not see out of it. And it.swelled up . . . swelled right away when it happened. ... I could not see anything out of it at all;” that when they arrived in Jefferson City her husband wanted her to go to see a doctor but she thought that the eye might get well without medical attention.

However, the condition of her eye, not improving, she went to see: *624 Dr. Howard in Jefferson City about a week after tbe accident. Dr. Howard treated her eye for several months. He first treated it for about two months when he took plaintiff to St. Louis, where her eye was examined by Dr. Keller. ■ When they returned to Jefferson City Dr. Howard performed an operation on her eye. After returning from St. Louis Dr. Howard treated her eye for two months more. He then told her that the eye was out and he could do nothing for her. She did not go to see him any more after that.

When Dr. Howard told her that nothing more could be done she and her husband immediately went to the office of the defendant in Jefferson City, where they talked with Mr. Dunlap, whom the evi■denee shows was its secretary and. general manager. She testified that the reason she went to see Mr. Dunláp was ‘ ‘ I thought we would have to sign some papers so they would pay us then;” that she related to Mr. Dunlap the circumstances of the accident and the loss of her eye-and he stated: “He would see about it and he would let us know, but he never did;”'- that she asked Mr. Dunlap to pay her for the loss of her eye but did not ask “for any papers” and that he did not give here “any papers to sign;” that she and her husband called to see Mr. Dunlap a number of times after this; that Mr. Dunlap always gave them the same answer, that is, that he would see about it and let her know; that she also talked with Mr. Payne, whom the evidence shows was the vice-president of the defendant; that Mr. Payne “was, in the office with Mr. Dunlap, and Mr. Payne said there was no claim there for me to get and there was no use to fool with the law because he thought it would cost my farm.”

On cross-examination, plaintiff testified that when she went’to see Mr. Dunlap, after Dr. Howard told her that her eye was gone, he did not tell her to make out a written statement and that she did not make one, merely “explained it to him;” that she did not remember whether either Mr. Payne or Mr. Dunlap told her that she did not havé a claim on account of the fact that she lost the sight of her eye by disease and not accident. She was asked whether they told her that she had not furnished proofs of loss. ""She stated that she did not understand what was meant by that.

She further testified that she sent for Mr.. Vogel, defendant’s agent, who sold her the certificates; that she told him “just how it happened;” that she did not tell him that “it (the eye) just went out;” that she did not tell Mr. Vogel that gravel had hit her in the eye; that when Mr. Vogel came to see her he told her “there was no claim for me to get;” that “they hardly ever paid for the loss of an eye, but he said generally a woman got hurt, then he said oh, yes, they do.pay.”'

She further testified that she did not remember whether she told Mr. Dunlap that Mr. Vogel’had been to see her; that she did not remember of any of these three men stating to her that she had not *625 given “them notice in time.” She further testified that she took the insurance certificates to Dr. Howard’s office and asked him “to sign” them, . . . “so we could get the money”' for the loss of her eye; that Dr. Howard told her that he would not sigh them; that Mr. Dunlap did not' tell her that it was necessary for her to do anything; that she took the certificates to Dr. Howard to be signed because neighbors and others told her that “he was the man who had to fill them out.”

Plaintiff’s husband’s testimony, in the main, was similar to that of plaintiff. However, he stated that she was in error in saying that Dr. Howard told her about two months after they returned from St. Louis that he could do nothing further for her; that this happened about a week after; that they then went to see Mr. Dunlap. He testified that Mr. Dunlap did not say he could not pay the loss because no notice had been given within ten days; that Mr. Payne said, in the presence of Mr. Dunlap, that “they could not do anything;” that it was the day that Dr.

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Bluebook (online)
124 S.W.2d 515, 233 Mo. App. 612, 1939 Mo. App. LEXIS 7, Counsel Stack Legal Research, https://law.counselstack.com/opinion/propst-v-capital-mutual-assn-moctapp-1939.