Prudential Ins. Co. of America v. Gang

197 S.W.2d 806, 184 Tenn. 188, 20 Beeler 188, 1946 Tenn. LEXIS 281
CourtTennessee Supreme Court
DecidedNovember 30, 1946
StatusPublished
Cited by9 cases

This text of 197 S.W.2d 806 (Prudential Ins. Co. of America v. Gang) is published on Counsel Stack Legal Research, covering Tennessee Supreme Court primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Prudential Ins. Co. of America v. Gang, 197 S.W.2d 806, 184 Tenn. 188, 20 Beeler 188, 1946 Tenn. LEXIS 281 (Tenn. 1946).

Opinion

Mr. Chief Justice Green

delivered the opinion of the Court.

This suit was brought by the plaintiff to recover on two certificates, each for $2000, issued to him under a group policy covering employees of the Fire and Police Departments of the City of Chattanooga. Plaintiff alleged total disability. A verdict was found in his favor, which the trial- judge approved. Judgment was entered accordingly, which judgment was affirmed by the Court of Appeals. We granted defendant Company’s petition for certiorari and the case has been fully briefed and argued in this Court.

The particular provision of the certificates upon which the plaintiff bases his suit runs as follows:

“Total and Permanent Disability. — If the said ém-ployee, while less than sixty years of age, and while the insurance on the life of said employee under said Policy is in full force and effect, 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 and permanently unable to perform any work for any kind of compensation of financial value, said amount of insurance will be paid to said employee. ...”

*190 For about twenty years prior to November, 1943, tbe plaintiff was an employee of the Police Department. He served in different capacities. For a number of years preceding November, 1943, he was a detective. At that time he was demoted to the rank of uniform patrolman, his compensation being decreased $25' a month. Thereupon the plaintiff, on account of the reduction in rank or conceiving himself physically unable to perform the duties of patrolman, applied for retirement. This privilege was granted him by the city authorities and he was retired and put on a pension.

Defendant insists there is no material evidence that plaintiff was totally and permanently disabled as that term is defined in his certificates under the group policy. This contention, of course, necessitates some consideration of the evidence. The evidence is in conflict but it is to be remembered that the jury accredited plaintiff’s proof and conflicts must be resolved in his favor if the verdict is supported by material proof.

Plaintiff testified that he had been suffering with a heart ailment for three or four years before his retirement. That he was nervous, had shortness of breath, and was weak. That on a number of occasions he almost passed out while on duty. That he could not climb stairs nor was he capable of any violent physical exertion. At times while driving his car, he would have to grab his heart and slump over.

It appears that the detectives on this force generally work in pairs, using an automobile. Plaintiff said that he usually drove the car and that his “buddy” accompanying him would ordinarily leave him in the car, the former getting out when an arrest was to be made or other things done which required physical exertion. Three detectives who had worked with the plaintiff cor *191 roborated this statement. They all testified that they tried to help him out and confirmed his evidence about frequent attacks, his inability to climb steps or physically exert himself. Thése “baddies” said that plaintiff was not lazy, tried to do his work, and did not complain to his superior officers.

It was further developed in plaintiff’s evidence that he had to rest a part of each day in bed or on a davenette.

Plaintiff’s physician was introduced, whose qualifications were admitted, and he said that plaintiff had a dilated heart and other infirmities which he described in more or less technical terms. The doctor thought that plaintiff was unable to do any work, at least without endangering’ his health, unless it was some work of a very light character. Evidently, from this doctor’s testimony, plaintiff had a bad heart and.quiet and rest were necessary for the preservation of his life. As a matter of fact, heart ailment is now so common if.it be serious, that we may take judicial notice that rest and quiet are demanded if the victim is to survive.

The record shows that the plaintiff was frequently off on sick leave and it appears from the testimony of one of his superiors, a witness for defendant, that a reason for demoting plaintiff was his irregularity in reporting for duty.

Good feelings seems not to exist between the plaintiff and some of his superior officers and two-of them testified that they saw nothing wrong with him and defendant likewise introduced a doctor who testified that he examined the plaintiff and found nothing particularly wrong with him. As said above, however, this conflict in the proof was a question for the jury to resolve.

Defendant Company submits the case as though the plaintiff were still a detective when he filed his claim for *192 total disability. It is then argued that the plaintiff had for some time, notwithstanding his afflictions, gone ahead with his work, drawn his salary, and accordingly received compensation of financial valne. It is said that plaintiff’s own testimony accordingly shows that he was not totally disabled as that term is defined in the certificate of insurance.

This argument ignores the fact that the plaintiff had been demoted from his position as detective and reduced to the rank of a uniform patrolman at the time he filed his claim for total disability. If the plaintiff was afflicted as he and his witnesses claim, and the jury believed he was, it is idle to argue that he could have performed the substantial duties of a uniform patrolman — “pound a beat,-” chase marauders, and exert the physical force often necessary in effecting arrests.

The plaintiff testified that he did not know of anything he could do in his present condition by way of earning a living'. Accepting the proof offered by him, as we must, we do not think of any job open to a man of plaintiff’s qualification which would permit him to work irregularly, lie down a good part of the day, and require no physical exertion.

Perhaps no question has been more frequently before the courts in recent years than what constitutes total disability under insurance policies like the one before us. The decisions are numerous, as reference to the textbooks and annotated cases will show. It is not necessary for us, however, to attempt a review of the various authorities for this particular matter has been considered by this Court in a number of late cases.

One of our earlier cases is Pacific Mutual Life Ins. Co. v. McCrary, 161 Tenn. 389, 32 S. W. (2d) 1052, in which the policy defined total disability very much as it is *193 defined in the certificate before ns. That case was really disposed of as though an occupational policy was involved. The plaintiff had stated his occupation as physician and farmer. It was conceded that he was disabled from functioning as a doctor but it was urged that he was still conducting farming operations and there was no liability under the policy. This Court concluded that he was not conducting farming operations, not even performing the duties of supervision, and that he was totally disabled and entitled to recovery on the policy.

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Bluebook (online)
197 S.W.2d 806, 184 Tenn. 188, 20 Beeler 188, 1946 Tenn. LEXIS 281, Counsel Stack Legal Research, https://law.counselstack.com/opinion/prudential-ins-co-of-america-v-gang-tenn-1946.