Rex v. Continental Casualty Co.

44 P.2d 911, 96 Colo. 467, 1935 Colo. LEXIS 431
Supreme Court of Colorado·Decided April 1, 1935·No. No. 13,348.·Published·Cited by 4 cases

Opinion

*468 Mr. Justice Young

delivered tlie opinion of the court.

This is a suit on an accident insurance policy. At the close of the evidence and upon motion of defendant by its attorneys, plaintiff was nonsuited on her claim in excess of $5,542.53, the court directed a verdict in her favor in that amount and judgment was entered accordingly. Error is assigned. The parties appear here in the same order as below and reference will be made to them in this opinion as plaintiff and defendant.

The defendant issued an accident policy to one William M. Bex, the husband of the plaintiff, who was named as beneficiary therein, insuring him against “loss of life * * * resulting from personal bodily injury * * * which is effected solely and independently of all other causes by the happening of a purely accidental event. * * *” Insured was at the time general manager of the Ingleside Limestone Company, a subsidiary corporation of the Great Western Sugar Company. The face of the policy was $9,000. The insured was classified as a select risk, and his duties described in the policy as “General manager, office and traveling duties only.”

The policy contained the following provision: “This policy includes the endorsements and attached papers if any, and contains the entire contract of insurance except as it may be modified by the Company’s classification of risks and premium rates in the event that the Insured is injured after having changed his occupation to one classified by the Company as more hazardous than that stated in the policy, or while he is doing any act or thing* pertaining to any occupation so' classified, except ordinary duties about his residence or while engaged in recreation, in which event the Company will pay only such portion of the indemnities provided in the policy as the/ premium paid would have purchased at the rate Taut within the limits so fixed by the Company for suchrmore hazardous occupation.” y

While the policy was in force, William'M. Bex was in *469 sfcantly killed, being run over by a loaded tram at tbe quarry belonging* to the Ingieside Limestone Company, at Guernsey, Wyoming. The “affidavit of claimant for indemnity” sent in by plaintiff, widow of the deceased, contains this question and answer: “What was the deceased doing at the time of accident? A. Inspecting plant. ’ ’ The affidavit is sworn to by the plaintiff. On the trial, in response to questions, she testified in part as follows: “Q. What happened there [At the office of the general agent of the defendant company] ? A. AYell, he [the general agent] told me that he regretted tliat his company could only pay me $5,543.53, and I asked him why and he' said because Mr. Rex had engaged in something very much more hazardous than he was supposed to do. AAell, of course, I did not know exactly what Mr. Rex was doing, so I asked him to explain himself. * * * Q. At the time you made and sent to the defendant company this paper marked exhibit 1 [the report of death]r where did you get the information that you gave there concerning* the circumstances of Mr. Rex’s death? A. Well, of course, I was here, and so I just took for granted those up there were qualified to say, and I merely copied it. * * * Q. Did you know of your own knowledge at the time just what Mr. Rex was doing* when he was killed? A. No,'I did not. Q. You just took the statements given you by someone else? A. That is all. I did not think it was necessary to make an investigation. They required that these affidavits be sent in.” Mr. Haskell, the insurance manager of the Ingieside Limestone Company, who was not present at the time of the accident, in his unsworn report to the company, to- the question: “If injured on duty, what work was he engaged in at the time of the accident?” replied “Supervising* and Inspection of Quarry. ”

Witness Fowler testified that he was the superintendent of the quarry; that deceased had no connection with the operation of the quarry at the time of his death, except as manager for the limestone company, and that deceased *470 was not doing anything in connection with the operation of the qnarry or tramway at the time of his death. The record discloses that Rex came to his death while he was at the quarry, but contains nothing showing why he was there other than the two statements filed, which in the light of the other testimony in the record are purely hearsay. Fowler was the only eyewitness who testified.

When plaintiff established the death of insured to have been accidental, she made out a prima facie case under the terms of the policy and the burden then was upon the defendant, if it would avoid payment, to show that the accident was within one of the exceptions named in the policy. Hess v. Preferred Masonic Mut. Acc. Ass ’n of America, 112 Mich. 196, 70 N. W. 460.

The defendant company contends that deceased, at the time of his death, was doing an act or thing pertaining to an occupation which it had classified as more hazardous than the one under which he was insured, namely, performing an act which it classifies under the heading of “quarry: proprietor, inspecting only, not superintending.” Defendant further contends that under this classification, deceased’s premium paid for only $5,542.53 insurance, which amount it offers to pay in full satisfaction of plaintiff’s claim.

When the defendant company and insured entered into the contract and classified the latter as a select risk with the duties of “General manager, office and traveling duties only,” the parties by the use of those words intended that there were certain duties the insured might perform, and if he was injured or killed in the course of their performance, he or his beneficiary could recover the face of the policy. There were certain other things the parties had in mind, incidental to classifications more hazardous, and also not incidental to the duties of “general manager, office and traveling duties only,” that, if insured did them, would entitle defendant company to scale down the amount to be paid for an injury or death occurring while he was doing them.

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Rex v. Continental Casualty Co., 44 P.2d 911, 96 Colo. 467, 1935 Colo. LEXIS 431 (Colo. 1935).

44 P.2d 911 (Rex v. Continental Casualty Co.) — published by Counsel Stack Legal Research, free access to 12M+ legal documents.

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