State Ex Rel. Mutual Life Insurance v. Shain

126 S.W.2d 181, 344 Mo. 276, 1939 Mo. LEXIS 392
CourtSupreme Court of Missouri
DecidedMarch 15, 1939
StatusPublished
Cited by12 cases

This text of 126 S.W.2d 181 (State Ex Rel. Mutual Life Insurance v. Shain) is published on Counsel Stack Legal Research, covering Supreme Court of Missouri primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
State Ex Rel. Mutual Life Insurance v. Shain, 126 S.W.2d 181, 344 Mo. 276, 1939 Mo. LEXIS 392 (Mo. 1939).

Opinions

Certiorari to review the ruling of the Kansas City Court of Appeals in Hansen v. Mutual Life Insurance Company of New York (relator here), 118 S.W.2d 505, an action by the beneficiary of an insurance policy providing for $1,000 ordinary or $2,000 accidental death benefits. Insurer made payment under the ordinary death benefit provisions and this action involves only the accidental death or double indemnity provisions. Insurer's motion for judgment on the pleadings and the opening statement for plaintiff was sustained, which judgment was reversed and the cause remanded by the Court of Appeals. *Page 279

The contentions of the litigants with respect to double indemnity revolve around Section 1 and the "occupation" clause of Section 13 of the policy. They read, so far as thought material, (italics ours):

Section 1. "The Double Indemnity will be payable upon receipt of due proof that the insured died before the end of the endowment period as a direct result of bodily injury effected solely through external, violent and accidental means, independently and exclusively of all other causes . . .;provided that the Double Indemnity shall not be payable if deathresulted directly or indirectly from . . . [mentioning such acts as self-destruction, taking poison, etc.] from military or naval service in time of war, or from any act incident to war; . . . orfrom operating or riding in any kind of aircraft, whether as apassenger or otherwise, except as a fare-paying passenger in a licensed passenger aircraft . . ."

Section 13. "Occupation — This policy is free from restrictionsas to occupation except the restrictions as to military or naval service applying to Double Indemnity as provided in Section 1."

Insured's application and policy were dated December 12, 1932, and December 30, 1932, respectively. The application stated and at that time insured was a "trained nurse, employed as an assistant to a physician." Sometime after the issuance of the policy insured changed her occupation to that of "`stewardess on airplanes,'" which occupation required her to ride in aircraft, and while insured in the performance of her duties as stewardess was riding in an aircraft, but not "as a fare-paying passenger," the plane crashed, resulting in the death of insured.

Reading the policy as a whole, giving effect to that portion of Section 13 reading "this policy is free from restrictions as to occupation," and considering it in connection with the sole exception expressed in said section of "the restriction as to military or naval service applying to double indemnity as provided in Section 1," there being a total absence of any restriction with respect to occupation which required persons engaged therein "to operate or ride in any kind of aircraft;" the Court of Appeals held: ". . . the exclusion provisions of clause 1 [providing "that the double indemnity shall not be payable if death resulted directly or indirectly . . . from . . . riding in any kind of aircraft, whether as a passenger or otherwise, except as a fare-paying passenger . . ."] refer to those who operate or ride in aircraft other than those required to engage therein as a necessary part of the duties of his occupation, or, such duties as must be performed in order that the occupation itself be performed. Otherwise, the clause is a restriction, limitation or restraint as to occupation." (l.c. 507.)

Relator expressly disavows interposing any defense resting on insured's "occupation"; asserts its defense goes solely to the manner and cause of death, disregarding entirely insured's occupation, and *Page 280 that since insured's death resulted directly or indirectly from riding in an airplane while not a fare-paying passenger, the beneficiary may not recover under the expressed double indemnity provisions of the policy.

Speaking to the quoted policy provisions the Court of Appeals, l.c. 507(1), states: "But we are of opinion that there is no ambiguity."

The opinion, l.c. 508, continues: "Under the terms of the policy if the insured had been a lawyer, doctor or merchant and were fortunate enough to have a free pass and if he were killed while riding in an airplane, not being a fare-paying passenger, etc., although it were customary for the lawyer, doctor or merchant, in connection with his profession or business to travel by airplane, no doubt there could be no recovery." We add: so, too, as respects a "trained nurse, employed as an assistant to a physician." And, after citing and quoting from the Dailey case, ubi infra, continues: "So, in the case at bar, defendant agreed: `This policy is free from any restrictions as to occupation' and, in effect, agreed that insured was privileged to enter the occupation of airplane stewardess without affecting the accident provisions of the policy . . ."; but held, since insured thereafter became an airplane stewardess and was required to ride in airplanes, "the restriction contained in clause 1, relating to riding in any kind of aircraft, cannot be relied upon by defendant." We are unable to perceive how said accident provisions remained unaffected if insured had met her death from riding in an airplane when not a "fare-paying passenger" while "a trained nurse, employed as an assistant to a physician," her beneficiary could not but after insured became a "stewardess on airplanes" could recover under said provisions.

Dailey v. Preferred Masonic Mut. Acc. Assn., 102 Mich. 289, 298, 57 N.W. 184, 187, 26 L.R.A. 171, 174, the only authority cited in respondents' opinion, was an action on an accident policy for accidental death benefits. Insured was a railroad passenger conductor, it being common knowledge that his duties embraced the boarding and alighting from moving trains. His application fully disclosed his employment; but the policy provided insured "by his acceptance hereof" agrees that hazards arising, among others, from "attempting to enter or leave moving conveyances using steam . . . as a motive power" are not covered. Insured met his death while attempting to alight from a moving railroad train, and defendant interposed the quoted policy provision as a defense. The court held the restriction could not be insisted upon by the insurer. But, what were the facts? In that case the insured met his death before the policy ever reached him. He never saw it. He never had an opportunity to accept or reject it. The only instrument upon which the minds of the insured and insurer could have possibly met was insured's application. *Page 281 It was "accepted" by insurer prior to insured's death. The excepted risks named in the application did not embrace the risk named in the policy and interposed as a defense. The case pivoted on the application, not the policy. The court said. "As before stated, the contract was complete when the application was accepted and credit given by the secretary for the premium. The insurance which the parties agreed upon is substantially set out in the application, and the insured had no reason to believe from it that there was to be any such restriction as to entering or leaving moving trains as contained in this policy. He was entitled to have a policy issued to him in conformity to the application. . . ." The issue there involved is not the issue here.

Respondents' brief cites Brown v. Railway Passenger Assurance Co. (Banc), 45 Mo. 221.

Free access — add to your briefcase to read the full text and ask questions with AI

Related

Simpson v. American Automobile Insurance Company
327 S.W.2d 519 (Missouri Court of Appeals, 1959)
Smith v. Prudential Insurance Company of America
300 S.W.2d 435 (Supreme Court of Missouri, 1957)
J & C DRUG COMPANY v. Maryland Casualty Company
298 S.W.2d 516 (Missouri Court of Appeals, 1957)
Wilmington Trust Co. v. Mutual Life Ins.
177 F.2d 404 (Third Circuit, 1949)
Provident Life & Acc. Ins. v. Anderson
166 F.2d 492 (Fourth Circuit, 1948)
Fields v. Pyramid Life Ins. Co.
176 S.W.2d 281 (Supreme Court of Missouri, 1943)
Fields v. Pyramid Life Insurance
176 S.W.2d 281 (Supreme Court of Missouri, 1943)
Liederman v. Independent Order of Brith Sholom
173 S.W.2d 848 (Supreme Court of Missouri, 1943)
State Ex Rel. Mutual Benefit Health & Accident Ass'n v. Shain
166 S.W.2d 484 (Supreme Court of Missouri, 1942)
State Ex Rel. Maryland Casualty Co. v. Hughes
164 S.W.2d 274 (Supreme Court of Missouri, 1942)
St. Louis Police Relief Ass'n v. Aetna Life Insurance
154 S.W.2d 782 (Missouri Court of Appeals, 1941)
Johnson v. Central Mutual Ins. Assn.
143 S.W.2d 257 (Supreme Court of Missouri, 1940)

Cite This Page — Counsel Stack

Bluebook (online)
126 S.W.2d 181, 344 Mo. 276, 1939 Mo. LEXIS 392, Counsel Stack Legal Research, https://law.counselstack.com/opinion/state-ex-rel-mutual-life-insurance-v-shain-mo-1939.