Reed v. Loyal Protective Ass'n

117 N.W. 600, 154 Mich. 161, 1908 Mich. LEXIS 692
CourtMichigan Supreme Court
DecidedSeptember 10, 1908
DocketDocket No. 24
StatusPublished
Cited by15 cases

This text of 117 N.W. 600 (Reed v. Loyal Protective Ass'n) is published on Counsel Stack Legal Research, covering Michigan Supreme Court primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Reed v. Loyal Protective Ass'n, 117 N.W. 600, 154 Mich. 161, 1908 Mich. LEXIS 692 (Mich. 1908).

Opinion

Hooker, J.

The plaintiff, a policy holder, sued the defendant for sick benefit claimed thereunder, in justice’s court, where he recovered a judgment for $170. On appeal the learned circuit judge restricted the jury to a verdict for $60, and, from a judgment for that sum, the defendant has appealed.

We infer that the plaintiff was hurt through a fall in his barn, and the testimony indicates that his recovery from the effects of the fall was not complete for some months. The accident happened on October 24th or 26th. A physician was at once called, and his last visit at the home of plaintiff was on October 31st. The policy was made—

“ In consideration of the payment of the membership fee, and of the agreements and statements contained in the application for membership, and of the conditions and agreements contained herein and on the back hereof, all of which are hereby made a part of this certificate.”

It promised:

“It is further agreed that if said member shall be afflicted with sickness or receive an injury as aforesaid (other than an injury received while riding as a passenger on said public conveyance), which sickness or injury shall independently of all other causes immediately, wholly, and continuously disable and prevent him from the prosecution of any and every kind of business or labor, then said member in case of sickness and subject to the conditions herein and on the back hereof/shall be indem. [163]*163nified in the sum of 5.00 dollars for the first week and 10.00 dollars a week thereafter, not exceeding twenty.-nine weeks in any twelve months that said member is totally disabled, and, if total disability exceeds thirty weeks in any twelve months, then the said member shall be indemnified in the sum of 5.00 dollars a week for a further period not exceeding twenty-two weeks in the aforesaid twelve months; and, in case of a total disability resulting from accident, 10.00 dollars a week for fifty-two weeks from the date of happening thereof. * * *
“ Total disability by reason of sickness or accident shall be interpreted as inability of said member to perform any of the duties of his usual occupation, trade or employment, or other business or labor, and requiring the regular and frequent attendance of a physician or surgeon.
“Unless notice of any injury or of the beginning of any sickness is received in writing at the home office of this association in Boston, Massachusetts, on or before the expiration of fourteen days from the commencement of such disability, together with particulars of the injury or sickness, including a statement of the time, place and cause of injury, or date of beginning, and an accurate description of the sickness, signed by the claimant or attending physician or surgeon, the claim shall be valid only for the period dating from the actual time the notification is received at the home office. The claimant shall also furnish within thirty days after the termination of the disability period a sworn statement of the time he was totally or partially disabled, and actual time attended by the physician or surgeon and chairman of the visiting committee of the lodge of which he is a member or of the lodge whose care he is under on and in accordance with blanks provided by this association, and shall furnish such further proof as may be deemed necessary. Failure to comply with the above conditions renders all claims against the association null and void. * * *
“ To receive the weekly indemnities for sickness as stated upon the face of this certificate, a member must be totally disabled for fourteen consecutive days, in which event he shall be paid for the number of weeks he shall continue to be totally disabled and shall receive benefits from the Odd Fellows Lodge of which he is a member, provided he shall furnish the required evidence as to his claim, and that he was under the personal care of his lodge during disability and was visited regularly by its [164]*164visiting committee, and further provided that, if not within the above proviso, the sickness must be such as to require absolute, necessary, and continuous confinement to the house and shall not be payable for a longer period than the actual, necessary, and continuous confinement to the house. * * *
“ The member herein named to secure indemnity agrees that some medical adviser or representative of this association shall have the opportunity to examine him as often as may be required by this association during the disability; also that during the disability he shall be regularly and frequently attended by a duly authorized and legal practicing physician or surgeon fully qualified and recognized by the profession in his State. * * *
“No suit shall be brought in any case until after the expiration of ninety days from the receipt by this association of acceptable proofs of loss, nor after the expiration of six months from the date of termination of the disability period or death.”

On December 1st the notice required to be served within 14 days after the accident was received by the company. It was made — i. e., filled out — by the physician and dated December 5th, and it was claimed by the defendant that this noncompliance with the terms of the contract was fatal to plaintiff’s action, but the trial judge held that this would be true, unless the jury should find that the plaintiff was insane at the time of the accident—

“ To the extent that his mind was so deranged that he was unable to furnish defendant notice of such accident within 14 days from the happening of the accident, which derangement of mind was the result of such accident. If you so find, then such failure on the part of plaintiff to give such notice within the 14 days as provided for in said policy of insurance would not operate as a forfeiture of plaintiff’s right to recover under the policy, but that plaintiff would be entitled to a reasonable time in which to furnish defendant with such notice after his mind had attained its normal condition.”

Counsel for defendant assign error upon this instruction on two grounds:

(1) That the contract is an unconditional agreement as [165]*165to notice, and not subject to a construction, which does violence to its plain terms.

(2) If this construction were a proper one, the plaintiff has not proved such derangement, and the proof conclusively shows the opposite.

The testimony upon the subject is, in substance, as follows:

Weaver, the physician, testified that when he was called, .which was soon after the accident, he “found him suffering from an injury of some sort that he had received, an injury to his head, as I remember it, to his shoulder, back and one rib fractured. He was in a sort of dazed condition, did not fully comprehend things.” He made out the notice in December, and at that time examined him at his store. He continued:

“At that time I did not particularly notice any mental impairment. After my first visit, he was in a sort of dazed condition each visit I made there; yet he would answer questions when I would ask him a question. I think that, as I stated on the former trial, all of his answers were rational.
“Q. And you never in any of your visits heard him make any irrational statements did you, doctor ?
“A. Not particularly. •

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Cite This Page — Counsel Stack

Bluebook (online)
117 N.W. 600, 154 Mich. 161, 1908 Mich. LEXIS 692, Counsel Stack Legal Research, https://law.counselstack.com/opinion/reed-v-loyal-protective-assn-mich-1908.