Rocci v. Massachusetts Accident Co.

116 N.E. 477, 226 Mass. 545, 1917 Mass. LEXIS 1081
CourtMassachusetts Supreme Judicial Court
DecidedMay 23, 1917
StatusPublished
Cited by24 cases

This text of 116 N.E. 477 (Rocci v. Massachusetts Accident Co.) is published on Counsel Stack Legal Research, covering Massachusetts Supreme Judicial Court primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Rocci v. Massachusetts Accident Co., 116 N.E. 477, 226 Mass. 545, 1917 Mass. LEXIS 1081 (Mass. 1917).

Opinion

Loring, J.

This case was before this court in 222 Mass. 336. To understand the arguments now made a short statement of the facts of the case is necessary.

The action is brought to recover a sickness indemnity of $50 a month for (substantially) nine months.

The policy on which the action was brought was a policy by which the insurer agreed to make “Accident Provisions” and “Sickness Provisions.” The part of the policy as to “Sickness Provisions” was in these words: “ (8) In the event of loss of time through sickness, complete, continuous and total, and such as shall wholly disable and prevent the Insured from the date of the beginning of sickness from performing every duty pertaining to any business or occupation (and as herein and hereon provided) the Company will pay one of the following Benefits, to wit: — Benefit No. 6. (9) Sickness Indemnity: — At the rate of Fifty Dollars ($50.00) per month (for a period not exceeding twelve consecutive months), for the number of consecutive days, after the first four days, that the Insured by reason of sickness is necessarily and continuously confined within the house, and is therein regularly visited by a legally qualified physician.” The other provisions of the policy material to the discussion of the case are set forth in the statement of the case.

In the case at bar it appeared that the plaintiff was táken sick on October 9, 1909, and on that day went to bed at his own house in Garden Court Street in Boston. At that time it was thought that he was suffering from tuberculosis, but it was finally determined thathe had “ an abscess of the lung and chronic bronchitis.” His sickness may be said to have had nine periods. Dining the first period he was at his own house. This period lasted two weeks. During the second period he was at the house of his sister in Schuyler Street in the Roxbury district of Boston. He went there on the [550]*550advice of his physician, who testified that “he [the plaintiff] went to Schuyler Street because he advised the plaintiff to go to a place that was more quiet, with better sanitary conditions; that his own home was cold and noisy; that Schuyler Street was quite warm, and his sister, where he was going, in good financial condition.” This period lasted two weeks. This physician testified that during this period the plaintiff "grew progressively worse.” During the third period the plaintiff was at the City Hospital. His physician testified that "he advised him to go to the City Hospital for further observation and treatment” and “that in his opinion it was necessary for a man in his condition to go from such a place as he was living in, and that it would be dangerous to leave him stay there.” He was at the City Hospital for three weeks. During the fourth period the plaintiff was at the Elm Hill Hospital, Roxbury. He was there for three weeks. He then returned to his own house “because his funds ran out and he couldn’t stay there [at the Elm Hill Hospital] any longer.” During the fifth period he was at his own house. This period lasted for three weeks. During the sixth period he was at his brother’s house at Medford and this period lasted two weeks. He then returned to his own house and this, being the seventh period, lasted about a month. During'the eighth period he was at the Mattapan Open Air Hospital. This period lasted four months. From there (with a stop of “a few days” at his own house on the way) he was carried to a steamer bound for Italy. He was immediately put to bed and he stayed in bed throughout the voyage. This was on July 24, 1910. He went to Italy on the advice of his physician. The physician testified that he told the plaintiff that proper treatment required his going to a warm equable climate and that it was essential for him to go to Italy.

It appeared that when he first was taken sick the plaintiff went to bed and that he remained in bed during the whole of the nine months in question with the exception of the four months when he was at the Mattapan Open Air Hospital. During this period there was evidence that he was in bed “most all the time”, but that “once in a while [he] sat up; that he didn’t go out.” It also appeared that when he went at the end of the first period from his own house to his sister’s he was carried from his bed to a carriage and was carried from the carriage and put to bed in his sister’s [551]*551house. And further it appeared that this was the fact each time that he went from place to place with the single exception that when he went to the Mattapan Open Air Hospital an ambulance was used in place of a carriage.

The presiding judge ruled that the plaintiff could not recover after he took ship for Italy. This was right, if for no other reason, because by the terms of the policy the company had to have “the right and opportunity to examine the person of the Insured . . . when and so often as it requires.”

In his charge to the jury the judge read to them that part of the opinion of the court in 222 Mass. 336, which begins with the first whole paragraph on page 343 and ends with the last line of page 344. He then told them: "that it was for them to say, upon the evidence, whether there was any exigency that warranted the plaintiff in making the various removals the evidence showed he made, and when such exigency commenced, and when it ended.”

1. There is a preliminary question as to the payment of the premium due on December 1, 1909. It is the defendant’s contention that there was no evidence that it was paid on that day.

There was evidence that on the morning of that day the plaintiff who was then sick in bed signed an application for a money order for $1 (the amount of the premium) gave $1 to his nurse and directed her to go to the Grove Hall post office station get a money order and send it to the company which had insured him. We say the company which had insured him because the defendant was not the company that insured the plaintiff; its liability came from a contract of reinsurance. This was about eight or nine o’clock in the morning. It further appeared in evidence that eight money orders were issued at that station on the day in question (December 1) and that the second of the eight was for $1 and corresponded in its number with the number on the stub which the nurse brought to the plaintiff for the money order for $1 which she was directed to get. Further one Harding testified that at the time he was secretary and treasurer of the company in question; that there were no records in existence showing when payment was received “but that it was received upon December 2.” He testified that it was received upon December 2 "because it was the invariable practice of the company in returning a premium which had been received, to return it on the day it was received.” In addi[552]*552tion he said that he usually left the office about 5 p. m. and if the letter was delivered after 5 p. m. he would not see it until the next day and he could not say that that was not the case with respect to this money order. There was evidence that the office of this company was in Boston. We are of opinion that this evidence warranted a finding that the premium due on December 1 was paid on that day and the seventh request asked for by the defendant was refused rightly.

2. The defendant’s first contention on the main case is that his second request for instructions should have been given.

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Cite This Page — Counsel Stack

Bluebook (online)
116 N.E. 477, 226 Mass. 545, 1917 Mass. LEXIS 1081, Counsel Stack Legal Research, https://law.counselstack.com/opinion/rocci-v-massachusetts-accident-co-mass-1917.