Stateman v. Travelers Casualty Insurance

15 N.E.2d 607, 296 Ill. App. 5, 1938 Ill. App. LEXIS 347
CourtAppellate Court of Illinois
DecidedJune 13, 1938
DocketGen. No. 40,071
StatusPublished
Cited by1 cases

This text of 15 N.E.2d 607 (Stateman v. Travelers Casualty Insurance) is published on Counsel Stack Legal Research, covering Appellate Court of Illinois primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Stateman v. Travelers Casualty Insurance, 15 N.E.2d 607, 296 Ill. App. 5, 1938 Ill. App. LEXIS 347 (Ill. Ct. App. 1938).

Opinion

Mr. Presiding Justice O’Connor

delivered the opinion of the court.

Plaintiff brought an action on a policy of insurance issued to him by defendant to recover $80 — $20 a week for four weeks — claiming he had been permanently disabled by an accidental injury suffered while the policy was in effect. The case was tried before the court without a jury, there was a finding and judgment in plaintiff’s favor for the amount of his claim, and defendant appeals.

The record discloses that October 9, 1936, while the policy was in force and effect, plaintiff suffered an accident in which his right leg was injured, and as a result of the injury he was totally disabled from October 30,1936, to December 24, 1936. Plaintiff’s leg was put in a cast on October 27, and the cast was not removed until December 10, during all of which time he was actually and continuously confined to his home.

Plaintiff has not appeared in this court, apparently because of the expense and the small amount involved.

Defendant contends that the judgment should be reversed because “The material misrepresentations . . . as to a previous infirmity of varicose veins and which was by him denied in his application for an insurance policy with the defendant is such a material misrepresentation as to void the policy. At the trial of the cause it was stipulated and agreed between the parties that plaintiff had been suffering from varicose veins prior to his application for insurance with defendant. ’ ’ In his application plaintiff agreed “to pay a policy fee of $5 and $1 per month thereafter.” The application contained the following question and answer: ‘112. Have you ever had paralysis, fits of any kind, or brain disorder, diabetes, hernia, varicose veins, or any bodily or mental infirmity, injuries or wounds, or suffered the loss of a limb or eye? No.”

Plaintiff, 53 years old, was a truck driver for Swift & Co., for 32 years. The application was not signed by the applicant, but his name was signed by his wife. He was injured “Getting on truck when bumped leg against running board”; he was treated by Dr. Schallenberger, physician for Swift & Co.

We think the question whether plaintiff made a false answer as to his health was not presented to the trial court for decision. The record discloses that when counsel were stipulating the facts and introducing the policy and other documents in evidence, counsel for plaintiff said defendant contended “that on that one question and answer in the application the man said he did not have varicose veins and now they contend that he did have, and we admit he did have. He didn’t sign the application. Therefore, it is binding on the company.” Counsel for defendant replied, “The real contention in this matter I believe is overlooked by counsel for the plaintiff. You will notice that the policy attempts to define what shall constitute disability as to allow him to recover.” He then read from a provision of the policy, which will be hereinafter referred to, which he contended provides that total disability must immediately follow the injury; and the latter point was the one defense made. But even if we assume that the point was properly saved, we think defendant’s contention cannot be sustained for the reason that plaintiff did not sign the application. It was signed by his wife, and defendant saw fit to issue the policy and collect the premium without further information. Furthermore, there was no evidence that the varicose veins in any manner caused plaintiff to be totally disabled, as counsel for defendant contends. He bases his contention on the sworn statement made by the attending physician, Dr. Schallenberger in the blank of defendant Insurance Company submitted to him, in which he answered questions as to' his treatment of plaintiff and what he found.

The question and answer relied upon are as follows: “Is the claimant now, or has he ever been affected by, or subject to any previous injury, or any constitutional or local disease, deformity, infirmity or weakness, either acute or chronic? If so, to what extent did the same contribute to cause the accident or prolong or increase the disablement? Varicose veins in legs.” Counsel argues that this answer, made by the physician, “is a direct admission that the disability occasioned by the plaintiff was not independent and exclusive of all other causes.” A reading of the question and the answer made by the doctor, which we have quoted, shows that the answer is no answer at all. Two questions are included in question 20. One is, “has the applicant ever been affected or was he now affected by any previous injury or any constitutional or local disease,” etc.; the other is, “if so, to what extent did such injury or disease contribute to the accident?” The one answer was, “Varicose veins in legs,” which did not answer the questions at all. The alleged question 20 is so complicated that it could not be answered by any physician in the space of one line, provided for the purpose. Defendant having prepared the blank is in no position to urge the point made.

But defendant’s contention, as made on the trial, was that no recovery could be had because plaintiff was injured October 9, but did not become totally disabled until October 30, the policy providing that no recovery can be had unless plaintiff was totally disabled at the time of the injury.

Section 1 of the policy for “specific losses” provides: “If the Insured shall, through violent, external and accidental means, sustain bodily injuries as described in the Insuring Clause, which shall, independently and exclusively of sickness and all other causes, immediately, continuously and wholly disable the Insured from the date of the accident and result in any of the following specific losses within thirty days, the Company will pay, in lieu of all indemnity:” then follow the amounts to be paid for loss of life, both eyes, etc.

Section 3 provides, “If the Insured shall through violent, external and accidental means, independently and exclusively of all other causes, not sustain any specific losses as provided in Sections One and Two but shall become totally disabled and shall be actually, necessarily and continuously confined for not less than two successive weeks in the necessary charge of a legaily licensed physician who shall professionally attend the Insured at least once each seven days, the Company will pay indemnity at the rate of Twenty Dollars ($20.00) per week, beginning the eighth day after the commencement of such total disability and a like sum for each successive week during the continuance of such total disability.” Then follows sec. 4, where provision is made for “Confining Sickness Indemnity.” Following sec. 4 is the provision upon which defendant relies to relieve it of liability,- — - 61 Provided, however, that the only evidence of such total disability of the continuance thereof admissible in any action against the Company at law or in equity shall be proof of the actual, immediate, continuous and necessary confinement of the Insured.” From this provision counsel argues that since plaintiff was not immediately wholly disabled, having been injured October 9 and not totally disabled until October 30, there is no liability under the policy, and in support of this cites Merrill v. Travelers Ins. Co., 91 Wis. 329; Shambaugh v. Great Northern Life Ins. Co., 131 Neb. 415; Southern Surety Co. v. Penzel, 164 Ark. 365; Martin v. Travelers Ins. Co., 310 Mo. 411; Johnson v. Travelers Ins. Co., 269 N. Y. 401; Preferred Mut. Acc. Assoc. v. Jones, 60 Ill. App.

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Bluebook (online)
15 N.E.2d 607, 296 Ill. App. 5, 1938 Ill. App. LEXIS 347, Counsel Stack Legal Research, https://law.counselstack.com/opinion/stateman-v-travelers-casualty-insurance-illappct-1938.