Reinsch v. Pacific Mutual Life Insurance

299 N.W. 632, 140 Neb. 225, 1941 Neb. LEXIS 211
CourtNebraska Supreme Court
DecidedJuly 25, 1941
DocketNo. 31050
StatusPublished
Cited by12 cases

This text of 299 N.W. 632 (Reinsch v. Pacific Mutual Life Insurance) is published on Counsel Stack Legal Research, covering Nebraska Supreme Court primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Reinsch v. Pacific Mutual Life Insurance, 299 N.W. 632, 140 Neb. 225, 1941 Neb. LEXIS 211 (Neb. 1941).

Opinion

Eldred, District Judge.

This is an action by Claude E. Reinsch against the Pacific Mutual Life Insurance Company of California to recover 36 monthly disability instalments of $200 each, being from December 17, 1936, to November 17, 1939, under a health and accident policy issued by said insurance company February 5, 1935.

Plaintiff, appellee, in his petition claims that he became totally and permanently disabled on the 17th day of August, 1935; that he duly paid the premiums required by said policy up to said date; and that said policy is and has been since its issuance in full force and effect. The policy, a copy of which is attached to the petition, among other things, provides :

“Part B. (1) The Company will pay indemnity at the rate of Two Hundred * * * Dollars per month (herein called initial monthly indemnity) throughout the period, not exceeding twelve months, that the disability described above, shall totally disable the Insured and prevent him from performing any and every kind of duty pertaining- to his occupation ; and after the payment of initial monthly indemnity for twelve months as aforesaid, initial monthly indemnity will be paid as long as the Insured shall be totally and continuously disabled and prevented from engaging in any and every occupation or employment for compensation, gain or profit.”

The petition alleges that on the 27th day of November, 1937, in an action theretofore instituted by plaintiff against said insurance company, he recovered a judgment against [227]*227said insurance company for the payments accruing under said policy up to December 17,1936, for the first year period; that no appeal was taken therefrom; and that said judgment has become final; and from the evidence it appears to have been satisfied.

Plaintiff alleges that his physical condition has not improved, but has grown worse; and that he is now and has been during the entire period totally and continuously disabled and prevented from engaging in any and every occupation or employment for compensation, gain or profit, and will be during the balance of his life.

The amended answer admits the issuance of the policy and the institution of the action on January 25, 1936, being the first action on said policy, and denies that the plaintiff is suffering from any disability which totally disables him and prevents him from performing any and every kind of duty pertaining to his occupation, and denies that during the period sued for the plaintiff was totally and continuously disabled and prevented from engaging in any and every occupation or employment for compensation, gain or profit. Further answering, defendant alleges, in substance, that since December 16, 1936, the condition of plaintiff’s left hernia has changed for the better, and that during the time sued for herein plaintiff could have had his hernia cured by simple operation which would not endanger plaintiff’s life or health, and that he wilfully and unreasonably refuses so to do.

Cause was tried to a jury, which resulted in a verdict for plaintiff for $7,851.60; judgment was entered thereon and for costs, including a fee for plaintiff’s attorneys which was taxed at $1,000. Defendant has appealed.

• Appellant in its brief assigns 34 alleged errors, but errors in giving of court’s instructions numbered 3 and 5 are most strongly stressed. By instruction No. 3 the jury are told:

“The words ‘totally and continuously disabled’ do not mean that the insured must be rendered absolutely and totally unable to perform every duty of his occupation or employment for which he was fitted in order to recover. It is [228]*228sufficient in that respect if the insured is disabled by bodily disease from performing one or more of the necessary acts of his occupation or the employment for which he is fitted.”

By instruction No. 5 the jury are told:

“On the other hand, if you find from a preponderance of the evidence that plaintiff is disabled by reason of his bodily condition, as shown by the evidence, from performing one or more of the necessary acts of his occupation or the employment for which he is fitted, then the plaintiff would be entitled to recover.”

These two instructions are discussed together by appellant in its brief and will be likewise considered here. In both these instructions the appellant’s criticism is directed to the clause found in the last sentence of each instruction, that is, “from performing one or more of the necessary acts of his occupation or the employment for which he is fitted.” It is urged by appellant that, when the court used the words “one or more” in said instructions, it stated to the jury that, if the plaintiff was prevented from performing one act of his occupation or the employment for which he is fitted, he was totally and continuously disabled and prevented from engaging in any and every occupation or employment for compensation, gain or profit.

This identical question was considered by this court in Miceli v. Equitable Life Assurance Society, 138 Neb. 367, 293 N. W. 112, and decided adversely to appellant’s contention. On motion for a rehearing in that case, in which counsel for appellants herein ’ appeared amici curise, the question was again considered and there was a further opinion, wherein appears:

“Inability to do any act necessary for the transaction of the insured’s usual business or vocation, which prevents the substantial and practical conduct or pursuit of such business or vocation, is, to us, inability to ‘perform the substantial duties of a given occupation,’ or ‘to perform the substantial and material acts of his business or occupation in the usual way,’ or ‘to do all the substantial and material acts necessary to the prosecution of the insured’s business or occupation in [229]*229his customary and usual manner.’' It is not important how many individual acts — whether one or several — the insured is prevented from performing, but whether the thing or things which he is unable to do> keep him from substantially and practically conducting or pursuing his previous business or vocation. If his ability to perform any such act or acts is thus impaired, then he is unable to do all the substantial and material acts necessary to the prosecution of his business or occupation in his customary and usual manner.” Miceli v. Equitable Life Assurance Society, 138 Neb. 374, 294 N. W. 659.

Questions of like import have been before this court many times, and though language used varies in form, the holding has been uniformly in accord with the views expressed in Miceli v. Equitable Life Assurance Society, supra. See Hamblin v. Equitable Life Assurance Society, 124 Neb. 841, 248 N. W. 397; From v. General American Life Ins. Co., 132 Neb. 731, 273 N. W. 36; Gowe v. Mutual Life Ins. Co., 139 Neb. 1, 296 N. W. 163; Oswald v. Equitable Life Assurance Society, 128 Neb. 173, 258 N. W. 41; Woods v. Central States Life Ins. Co., 132 Neb. 261, 271 N. W. 850; Reinsch v. Travelers Ins. Co., 133 Neb. 249, 274 N. W. 572.

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Bluebook (online)
299 N.W. 632, 140 Neb. 225, 1941 Neb. LEXIS 211, Counsel Stack Legal Research, https://law.counselstack.com/opinion/reinsch-v-pacific-mutual-life-insurance-neb-1941.