Robinson v. North American Life & Casualty Co.

215 Cal. App. 2d 111, 30 Cal. Rptr. 57, 1963 Cal. App. LEXIS 2469
CourtCalifornia Court of Appeal
DecidedApril 15, 1963
DocketCiv. 26511
StatusPublished
Cited by14 cases

This text of 215 Cal. App. 2d 111 (Robinson v. North American Life & Casualty Co.) is published on Counsel Stack Legal Research, covering California Court of Appeal primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Robinson v. North American Life & Casualty Co., 215 Cal. App. 2d 111, 30 Cal. Rptr. 57, 1963 Cal. App. LEXIS 2469 (Cal. Ct. App. 1963).

Opinion

KINGSLEY, J.

This action, by the widow of William Robinson, involves the determination of whether or not decedent had coverage under a group life insurance policy issued by defendant. Plaintiff prosecutes this appeal following a trial by jury in which she was denied recovery. A motion for judgment notwithstanding the verdict or in the alternative for a new trial was denied.

For some time prior to his death on April 22, 1959, decedent operated a Texaco service station in Los Angeles as an individual proprietor leasing the premises from the Texaco Company (Texaco). Texaco offered to its employees and individual proprietors a group life insurance plan with coverage effective March 16, 1959. The policy provided that an individual proprietor within the Texaco organization would be included within the term “employee” as used in the policy if “such individual ... is actively engaged in and devotes a substantial part of his time to the conduct of the business of the proprietorship. ...” It was further provided that coverage was effective as to all Texaco employees who had made application prior to the effective date and who were “actively at work” on the effective date of the policy. For employees not actively at work on the effective date of the policy, coverage would become effective “on the date of return to active work. ”

Decedent was hospitalized for several periods of varying length between January 15, 1959, and the date of his death, April 22, 1959. On the effective date of the coverage of the Texaco group policy, March 16, 1959, decedent was in the hospital.

*115 Decedent was engaged in numerous business enterprises in addition to the service station herein involved. The record contains testimony that, on most days prior to January 1959, decedent normally spent two or three hours (usually late in the evening) at the service station doing bookkeeping work, making up bank deposits, ordering supplies, cheeking inventories, etc. There is a conflict in the evidence as to whether or not decedent ever resumed such activities after March 16, 1959, the effective date of the policy.

Plaintiff contends on appeal that the trial court committed errror in the following particulars: (1) in rulings in admitting and rejecting certain items of evidence; (2) in submitting certain issues of law to the jury; (3) in giving and refusing certain jury instructions; and (4) in denying plaintiff’s motion for judgment notwithstanding the verdict.

Evidentiary Rulings

Evidence was admitted over plaintiff’s objections in the form of defense counsel’s reading portions of plaintiff’s deposition concerning her application for benefits under certain disability policies. The court properly overruled plaintiff’s objections. Unrestricted use as substantive evidence may be made of a deposition without any showing of unavailability of the deponent where the deposition is that of a party to the record or of a person for whose immediate benefit the action or proceeding is prosecuted or defended. (Code of Civ. Proc., § 2016, subd. (d) (2); Hurtel v. Cohn, Inc. (1936) 5 Cal.2d 145 [52 P.2d 922] ; Murry v. Manley (1959) 170 Cal.App.2d 364, 366 [338 P.2d 976].)

Plaintiff also objected to defendant’s introduction in evidence of applications made by plaintiff for disability benefits, two cheeks paid by an insurance company as disability benefits and a doctor’s statement on the reverse of one of the applications. One of the applications (National Casualty Co.) was made by plaintiff on January 25, 1959. Viewed alone, its admission was possibly error since it appears remote to the issues of this case that decedent may have been disabled as of January 25. However, with further proof that the disability continued until decedent’s death, the application was material.

The other application (Calif-Western States Life Insurance Co.) made by plaintiff' on June 5, 1959, contained statements that decedent’s last day of work was January 9, 1959, and that decedent had been continuously unable *116 to do his work since January 9, 1959. On the reverse side of this application was a statement by decedent’s doctor that decedent had “been continuously disabled (unable to do regular work) from January 9, 1959 to April 22, 1959.”

When first introduced, the applications, checks and doctor’s statement were erroneously referred to by defense counsel as impeachment evidence. Since plaintiff was never a witness, such characterization of the evidence was improper. Plaintiff further objected that these same items were hearsay. It is clear that the applications could be received in evidence as admissions since they were made by plaintiff, a party to the action, and were inconsistent with her position at the trial. The cheeks and the doctor’s statement were hearsay; however, the doctor’s statement was transmitted by plaintiff to the insurance carrier there involved as part of her application and, thus, became part of her own admission. The admission of the checks does not appear prejudicial in that they added little to the effect of the applications.

As a final evidentiary point, plaintiff contends it was error to deny her effort to introduce the entire deposition into evidence. Plaintiff’s counsel was given the opportunity at the trial-to read all or any part of the deposition. In this way plaintiff had the chance to make a full presentation but it also afforded defendant the opportunity to object to items in the deposition which would be excludable. Use of a deposition is governed by the general rules of evidence. (Code Civ. Proc., § 2016, subds. (d), (e).) It was not error for the judge to deny the right to introduce the deposition as a whole into evidence.

Issues of Law to Jury

The jury was called upon to rule on two principal issues in determining whether or not decedent was covered by the group life insurance policy. The first issue was decedent’s eligibility to be an “insured” under the terms of the policy. Decedent’s eligibility depended upon his being “actively engaged in” and devoting a “substantial part of his time to the conduct of the business.” The second major issue was whether decedent ever met the individual coverage requirement of “return to active work” after March 16, 1959, the effective date of the policy:

Although the court ruled that the words “substantial” and “actively” were not ambiguous, it did include definitions or interpretations of the words in its instructions. The *117 word “substantial” is a relative term, its measure to be gauged by all the circumstances surrounding the matter in reference to which the expression has been used (Atchison etc. Ry. Co. v. Kings County Water Dist. (1956) 47 Cal.2d 140, 144 [302 P.2d 1]). When the word “substantial” is considered as used in the policy of insurance in the instant ease its meaning could denote more than half of an individual proprietor’s time or merely a material or significant amount of his time.

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Bluebook (online)
215 Cal. App. 2d 111, 30 Cal. Rptr. 57, 1963 Cal. App. LEXIS 2469, Counsel Stack Legal Research, https://law.counselstack.com/opinion/robinson-v-north-american-life-casualty-co-calctapp-1963.