Railway Officials Accident Ass'n v. Armstrong

53 N.E. 1037, 22 Ind. App. 406, 1899 Ind. App. LEXIS 201
Indiana Court of Appeals·Decided May 24, 1899·No. No. 2,688·Published·Cited by 5 cases

Opinion

Robinson, J.

— This appeal is prosecuted from a judgment in appellee’s favor as beneficiary named in an accident insurance policy. The assignment of errors questions the sufficiency of the first, second, third, and fourth paragraphs of complaint, the refusal to grant a new trial, and sustaining [407] the demurrer to the second paragraph of answer to the first paragraph of complaint.

It is argued that neither paragraph of complaint sufficiently avers an accidental death. The policy provides that “No claim of any character shall ever accrue upon this contract unless it arise because of and as the direct and immediate result of physical bodily injury effected while this contract is in force, and then only when such injury undoubtedly proceeds from, and is inflicted by, external, violent, and accidental means.” Each paragraph of the complaint avers that on August 5, 1893, the insured was killed, his death resulting solely from physical bodily injuries proceeding from and inflicted by external, violent, and accidental means, the same producing immediate death. These averments are certainly sufficient. In the case of Newman v. Railway, etc., Assn., 15 Ind. App. 29, cited by counsel, where a like provision was in question, it was simply held that it must be shown that the injuries were inflicted, or at least received accidentally. Each paragraph in question shows this.

The further objection is made to the first paragraph that there is no averment as to giving of notice and proof of death. This paragraph avers that “from the time of the death” of the insured, the company “has denied and continues to deny liability” to appellee or in any respect for the payment of the amount claimed. This language of the pleading is plain, and there is no good reason why it should be read as meaning that the company denied liability from the time it learned of the death. The pleading avers a plain fact. A continued denial of liability beginning at the time of the death dispenses writh any formal proof required by the policy.

The demurrer to the second paragraph of answer to the first paragraph of complaint was properly sustained. As we have seen, this paragraph averred that the company had denied liability from the time of the death. This answer pleads in bar that no proofs of death were ever furnished as re[408] quired by the policy. If there was a denial of liability from the first, no proof of death could be required.

The second paragraph of complaint is further argued to be defective for failure to aver that proofs of death were furnished within the limited time. This paragraph avers that the insured in his lifetime complied with all the provisions and conditions of the policy, and that upon the death of the insured immediate notice thereof, satisfactory to the company, was given, but that further proof of the death was not given because waived by the company. The policy contained a condition that: “Immediate notice*of injury or death shall be given, in writing, addressed to the association at Indianapolis, Indiana, stating the name, occupation, and address of the member, with date and full particulars of the injury, or death, and causes thereof; and failure to give such notice shall render void all claims for such injury or death. Also satisfactory verified affirmative proof, in writing, of the same must be furnished by the claimant within seven months from the happening of such injury, or all claims are thereby relinquished.” It is further averred that more than ninety days had elapsed since such waiver, and that after the expiration of the ninety days, and before suit, demand was made, and liability denied. It is true the pleading must show the waiver to have become effective before the policy was forfeited through failure to perform the conditions. Immediate notice of the death was given, and this notice was satisfactory to the company. This is not a case where no notice at all was given and an attempt made to plead a waiver. A fair construction of this paragraph is that the waiver of further proof was made at the time notice of the death was given, and, this being true, there is an averment of denial of liability within the stipulated seven months. See Phoenix Ins. Co. v. Pickel, 3 Ind. App. 332.

Counsel have presented no objection to the third paragraph of complaint, other than its failure to aver an accidental death, which has already been considered.

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Railway Officials Accident Ass'n v. Armstrong, 53 N.E. 1037, 22 Ind. App. 406, 1899 Ind. App. LEXIS 201 (Ind. Ct. App. 1899).

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