Smith v. Penn Mutual Life Insurance

7 N.W.2d 41, 233 Iowa 340
CourtSupreme Court of Iowa
DecidedDecember 15, 1942
DocketNo. 46080.
StatusPublished
Cited by2 cases

This text of 7 N.W.2d 41 (Smith v. Penn Mutual Life Insurance) is published on Counsel Stack Legal Research, covering Supreme Court of Iowa primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Smith v. Penn Mutual Life Insurance, 7 N.W.2d 41, 233 Iowa 340 (iowa 1942).

Opinion

Oliver, J.

Some years prior to 1929, appellee had issued to appellant certain policies of life insurance, aggregating $25,000. On March 11, 1929, supplemental agreements for disability benefits were added to said policies. Said supplemental agreements provide for waiver of premiums and payment of monthly income, aggregating $250 for each completed month of insured’s total and permanent disability, as therein defined as follows:

“ ‘Total and Permanent Disability’ Defined. Disability is total when the insured is prevented by bodily injury or disease from performing any work or from engaging in any occupation whatever for remuneration or profit.
‘ ‘ Total disability shall be deemed to be permanent if it has *342 been continuous for not less than three consecutive months immediately preceding the receipt of due proof.”

A clause entitled “Recovery of Disability” provides in part that if it appears at any time that the insured has become able to engage in any work or in any occupation whatever for remuneration or profit, all disability benefits (except those for the loss of sight or certain members) shall thereupon cease.

The petition alleges that about April 24, 1929, appellant became totally and permanently disabled as a result of disease and has since been at all times and is now totally and permanently disabled as defined by said policies; that on April 24, 1929, appellee commenced paying to appellant the disability benefit of $250 per month and continued said payment until the monthly payment of September 24, 1940, was due; that since August 24, 1940, appellee has denied liability and refused to make said payments. Judgment is prayed for the twelve monthly payments alleged to be due from September 24, 1940, to and including August 24, 1941.

The answer admits the policies and supplemental agreements, admits appellee made payments of disability benefits from April 24,1929, to and including August 24,1940, admits it thereafter refused to pay anything, and denies all other allegations of the petition. In the trial it was stipulated that proofs had been furnished by appellant to appellee and that there was no issue raised on the question of the sufficiency of the proof. Appellee also admitted that premiums due prior to April 24, 1929, had been paid.

I. Instruction 2 states, with reference to the definition of total disability in the supplemental agreements:

“* * * that the term ‘prevented from performing any work or engaging in any occupation whatever for remuneration or profit’ used therein does not mean absolute helplessness on the part of the party insured, but means the inability of the party insured to do all the substantial and material acts necessary to the prosecution of the business or occupation of the party insured, or some other business or occupation which he might enter in a customary and usual manner.”

*343 Substantially the same language appears in instruction 3, dealing with the burden of proof.

. Said definition adopts the rule enunciated in Hoover v. Mutual Trust L. Ins. Co., 225 Iowa 1034, 1040, 282 N. W. 781, 784, in which the occupation of insured had been similar to that of appellant. It is a correct statement of the law. We do not agree with appellant’s contention that the instructions are meaningless and confusing or inadequate. In the absence of request for amplification or further definition said statements were sufficient. Richards v. Crosby, 179 Iowa 1355, 162 N. W. 609. What amplification or further definition, if any, should have been included in the charge to the jury, if specially requested, need not be determined.

II. Appellant contends he was entitled to judgment as a matter of law; that the court erred in submitting the ease to the jury; and that the verdict is contrary to the evidence.

Appellant was born in 1888. He was a farmer and cattle breeder and for years prior to 1929 had farmed and carried on a purebred-cattle-breeding business near Tripoli, Iowa. He milked cows, eared for livestock, plowed, filled silos, handled bales of hay, sacks of feed, and large cans of cream, pitched hay and manure, drove tractors and automobiles, bought .and sold livestock in the surrounding territory, and performed other work usually incident to the occupation of a farmer and breeder.

He testified that in April 1929, he suffered severe rectal pain with bleeding. Dr. Kern testified appellant, in 1929, had an “ulcerated colitis.” Appellant testified that in 1929 or 1930 he was operated upon for what he says was amoebic ulcer and was given directions for treating himself with ointment, suppositories, and irrigation, and that since then he had suffered persistent intense rectal pain. Concerning appellant’s rectal ailments his wife testified only that he underwent the operation in 1929. There was also some evidence’ (apparently hearsay) of a rectal operation in 1935.

Dr. Amlie first examined and treated appellant in 1933, but did not learn of his rectal condition until 1934. The nature of this condition was not disclosed by the doctor, except, that he said he examined the rectum in 1936 and 1937 and found it extremely tender. He said appellant complained about it a good *344 deal the first few years. Other than as above noted, none of the various lay and professional witnesses who testified in appellant’s behalf mentioned his rectal ailments.

Dr. Rothe testified that when appellant was examined for appellee in 1936, and again in 1941, he wou)d not permit a rectal examination. This doctor also testified:

‘ ‘ Examined external orifice of rectum in August 1940, found small hemorrhoid and no other abnormal condition.”

Appellant asserts the evidence of his rectal ailments was wholly undisputed and also that said ailments formed the basis of the disability payments received by appellant from appellee for eleven years and four months. We do not agree with either of these conclusions. Whatever may have been the character and effect of these rectal ailments during the first few years, there is no reference to them subsequent to 1937 by any of appellant’s medical witnesses. On the other hand, the testimony of Dr. Rothe may, we believe, be fairly interpreted as indicating that in 1940 said ailments were not serious or disabling. It is clear that total disability from these ailments in 1940 and 1941 was not established as a matter of law.

The other phase of the testimony concerns heart ailments. Appellant and various lay witnesses testify to numerous severe heart attacks at frequent intervals between 1932 and the trial in September 1941. Dr. Amlie testified to a history of coronary thrombosis or coronary occlusion in 1932 or 1933, and that he found appellant’s heart enormously enlarged; that in 1935 appellant had some severe attacks of angina pectoris; that this condition continued and that the doctor attended him for anginal attacks in 1939 and September 1941. Dr. Gottshali testified to another anginal attack in January 1941. Dr. Whitmire testified to an anginal attack in March 1941, and Dr. Jay to an attack of some kind of coronary heart disease in August 1941. According to the testimony of various medical witnesses for appellant, he was totally disabled by his' ailments.

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7 N.W.2d 41, 233 Iowa 340, Counsel Stack Legal Research, https://law.counselstack.com/opinion/smith-v-penn-mutual-life-insurance-iowa-1942.