Swanson v. Mutual Benefit Health & Accident Ass'n

10 N.W.2d 340, 143 Neb. 515, 1943 Neb. LEXIS 103
CourtNebraska Supreme Court
DecidedJuly 2, 1943
DocketNo. 31585
StatusPublished

This text of 10 N.W.2d 340 (Swanson v. Mutual Benefit Health & Accident Ass'n) is published on Counsel Stack Legal Research, covering Nebraska Supreme Court primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Swanson v. Mutual Benefit Health & Accident Ass'n, 10 N.W.2d 340, 143 Neb. 515, 1943 Neb. LEXIS 103 (Neb. 1943).

Opinion

Paine, J.

In this suit at law for accidental death on a policy of health and accident insurance, only one question was submitted to the jury, who found by their verdict, signed by eleven jurors, that after a settlement made between the company and the deceased in 1934, the entire policy of insurance was to remain 'in force without the payment of future premiums by deceased. On this verdict the court entered a judgment for $5,290, together with attorneys’ fees of $500, from which the defendant company appeals.

The transcript discloses that a petition was filed by Franklin C. Swanson, administrator of the estate of Louis C. Larsen, deceased, alleging that deceased was accidentally killed by suffocation on October 19, 1941; that defendant issued to deceased its policy No. 36-21966, which was supplemented by written agreement entered into on June 29, 1934, both of which were in full force and effect on the date of the death of insured. It is further alleged that the policy, together with its supplemental agreement, provides that defendant will pay to the estate of deceased the sum of $5,000 in the event the insured suffered death through accidental means. Plaintiff claims that all requirements have been met, and demand has been made upon defendant for payment of. amount due, but defendant has refused to pay said sum or any part thereof, and there Is due and owing from defendant to plaintiff the sum of $5,000, with interest at 6 per cent, from October 19, 1941, and plaintiff prays judgment for said amount with attorneys’ fees and costs of suit.

In its answer defendant association admits the issuance of the policy, which provided for the payment of $100 a [517]*517month for disability resulting from disease which confinés the insured continuously within doors and requires regular visits by a legally qualified physician, provided said diséase necessitates total disability and total loss of time; providing for the payment of $50 a month, not exceeding one month, for disability resulting from disease which does not confine the insured continuously within doors, but requires regular medical attention, provided said disease necessitates total disability and loss of time. The policy further provides for a payment in advance of $46 premium the first year and of $9 quarterly thereafter, beginning with March 1, 1924, and that if any such dues be unpaid the policy shall terminate on any day such payment is due. Defendant alleges that on May 21, 1933, Louis C. Larsen became disabled as the result of illness; that defendant paid indemnity to insured for confining illness from May 21, 1933, to March 21, 1934; that a dispute then arose between the insured and defendant as to the liability of the association for further indemnity, the insured contending that said illness was of so permanent ,a character that it would disable him the balance of his life, while defendant contended that said illness did not necessarily require confinement within doors and that insured was not necessarily totally disabled and should not suffer a total loss of time.

On June 29, 1934, a written agreement was entered into, wherein the defendant association agreed to pay to insured the sum of $175 in cash for the two months expiring on May 21, 1934, for which insured had claimed the full sum of $200. It was further agreed that so long as insured should continue to be disabled, either totally or partially, the association would continue to pay him at the rate of $50 a month, and that during the continuance of such disability the association would not require that the insured be continuously confined within doors, or require regular visits by a physician, it being understood and agreed that the insured may without prejudice endeavor to remain outdoors, and engage in his former occupation of jeweler and optician, provided he remains totally or partially disabled from ful[518]*518filling all of the duties of said occupation, said agreement being duly executed by the deceased and the defendant company.

Thereafter said company paid the $50 a month, as provided in said supplemental agreement, but denies that the policy was in force on the date of the death of the deceased, but charges that the deceased failed to pay the $9 quarterly premium due September 1, 1933, and never thereafter paid any premiums whatever thereon, and that said policy did not cover any accidental injuries sustained after said date, and prays that plaintiff’s petition be dismissed.

• The reply denies generally the allegations of the answer, and charges that defendant failed to mail any notice to deceased of any premiums claimed to be due.

At the close of plaintiff’s case, defendant moved for a directed verdict, as did the plaintiff, but after argument the defendant withdrew its motion and introduced its evidence. At the close of the case, defendant again moved for a directed verdict on eight grounds. After argument the court overruled this motion.

Ten assignments of error are set out for reversal of the judgment, the principal ones being that judgment is contrary to law, and not sustained by the evidence.

The policy was issued on November 30, 1923, and contains the application, in which insured stated that he was born February 3, 1883, was five feet eight inches tall, weighed 175 pounds, and was the owner of Larsen’s Jewelry Store. The beneficiary was his wife, Laura Larsen, with whom he resided at 2878 California street, Omaha.

This policy provided that, in the event the policyholder became disabled through sickness or accident and was confined indoors and regularly attended by a physician, defendant would pay him $100 a month. It also provided that his estate would be paid $5,000 in the event of accidental death. Deceased paid the premiums on this policy for about ten years, and on May 21, 1933, suffered a stroke of paralysis, from which he never recovered.

The defendant promptly paid the insured $100 a month [519]*519total indemnity for this disease from May, 1933, to March, 1934, and then stopped payments. A series of conferences followed, the result of which was a supplemental written agreement between the parties, consisting of three typewritten pages, which was executed June 29, 1934, by the parties, and provided that the monthly payments would be reduced to $50 a month, and relaxed the requirements so the insured could be outdoors and not be constantly attended by a physician, and might fulfill part of his duties as a jeweler. However, it also provided that if his disability ceased, the payments of $50 a month should likewise cease.

This supplemental agreement is silent as to two important matters: (1) What about payment of quarterly premiums? (2) Was the policy as a whole still in force?

Parol evidence is generally admissible when offered to explain or show the true nature of the transaction, and not to vary the terms of a written instrument. Spangenberg v. Losey, 116 Neb. 112, 216 N. W. 191; Brock v. Lueth, 141 Neb. 545, 4 N. W. (2d) 285. For where a contract is uncertain and ambiguous, evidence may be received to show the construction placed upon it by the parties. In re Estate of Enyart, 100 Neb. 337, 160 N. W. 120; 22 C. J. 1173.

The testimony included this evidence:

Arthur Rasmussen, brother-in-law of Louis C. Larsen, testified: “Q. And particularly with reference to the subject of payment of premiums what was said, if anything? * * * A. He (Mr. Belfiore) told Mr. Larsen that no other payment of premiums would be required. Q. Did he tell him how much he was to receive? A.

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Related

Enyart v. Enyart
160 N.W. 120 (Nebraska Supreme Court, 1916)
Spangenberg v. Losey
216 N.W. 191 (Nebraska Supreme Court, 1927)
Brock v. Lueth
4 N.W.2d 285 (Nebraska Supreme Court, 1942)

Cite This Page — Counsel Stack

Bluebook (online)
10 N.W.2d 340, 143 Neb. 515, 1943 Neb. LEXIS 103, Counsel Stack Legal Research, https://law.counselstack.com/opinion/swanson-v-mutual-benefit-health-accident-assn-neb-1943.