Temples v. Prudential Ins. Co. of America

79 S.W.2d 608, 18 Tenn. App. 506, 1934 Tenn. App. LEXIS 52
CourtCourt of Appeals of Tennessee
DecidedNovember 16, 1934
StatusPublished
Cited by9 cases

This text of 79 S.W.2d 608 (Temples v. Prudential Ins. Co. of America) is published on Counsel Stack Legal Research, covering Court of Appeals of Tennessee primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Temples v. Prudential Ins. Co. of America, 79 S.W.2d 608, 18 Tenn. App. 506, 1934 Tenn. App. LEXIS 52 (Tenn. Ct. App. 1934).

Opinion

CROAYNOVER, J.

This was a suit by Pete U. Temples against the Prudential Insurance Company of America to recover on a group insurance policy, the master policy having been issued and delivered to his employer, the Nashville, Chattanooga & St. Louis Railway, at Nashville, and the certificate on same having been issued to him providing for the payment of $2,000 for total and permanent disability; it having been alleged in the bill that the insured had become totally and permanently disabled by reason of accident and illness while this policy was in force. And he further sought to recover 25 per cent statutory penalty because the defendant insurance company had failed and refused to pay him as provided in the policy after demand had been made upon it by the complainant as required by statute.

Defendant answered and denied that complainant was totally and permanently disabled, or that he became disabled while said policy was in force, and alleged that complainant’s claim was denied, for the reason that his proofs of disability did not show that he was totally and permanently disabled within the meaning of the insurance policy while said policy was in effect.

A jury was demanded and the following issues were submitted:

(1) “Is complainant permanently and totally disabled to such an extent that he is by reason of such disability or incapacity rendered wholly, continuously and permanently unable to perform any kind of work fof any kind of compensation of financial value during the remainder of his life ? ’ ’

(2) “If complainant is so disabled when did such disability commence ? ’ ’

(3) “Has the defendant Insurance Company received due proof of such disability as is required by the terms of the policy sued on ? ”

At the conclusion of all the evidence, defendant insurance company moved for a directed, verdict, which motion was overruled.

The jury returned the following answers to the issues submitted: To the first issue they answered, “Yes.” To the second issue they answered, ‘ ‘ June 28, 1928, at the time he was working in the boiler. ’ ’ To the third issue they answered, “Yes.”

Motion for a new trial having been overruled by the court and judgment entered in favor of complainant and against defendant *508 in tbe sum of $2,000, defendant appealed to this court and has assigned errors as follows:

“(1) There is no evidence to sustain the judgment.
“(A.) The undisputed evidence is that after plaintiff received his ‘so-called disability’ he worked at his regular job and received his regular wages for approximately ten months until he was discharged for misconduct.
“ (B.) The undisputed evidence is that plaintiff was able to obtain employment for substantial wages whenever he attempted to do so.”

Pete Ü. Temples, an uneducated man, was employed by the Nashville, Chattanooga & St. Louis Railway, in 1927, as boiler maker’s helper, at wages of $4.16 a day.

On February 1, 1927, certificate under group policy was issued to him, insuring him in the sum of $2,000 against total and permanent disability, etc. He testified that his health was good at that time.

In 1928, while he was removing a drawbar from an engine, he became ruptured. Other employees corroborate this fact. He was carried home, and went to bed, suffering a great deal. In three or four days he went back to work, although not able to work, because he was obliged to support himself and wife.

In January or F'ebruary, 1929, he was again ruptured while removing an arch from an engine. He had to be carried home, where he stayed a week or two. His doctor advised an operation, but he Avas unable to pay the expenses of an operation. He went back to work, suffering all the time. He testified that his foreman, understanding his condition, called some other employee to help him when heavy things had to be lifted, so he was able to stay at the job at his same AA^ages. This statement was corroborated by other employees.

On April 5, 1929, the railway company discharged him because of his drinking liquor. He testified that he would take a drink or two to relieve the pain he was suffering.

Several months later he applied to the railway company to be reinstated. He was sent to the company’s doctor for examination. After the examination, the railway company wrote him the folloAV-ing letter:

‘‘"With reference to your re-examination before being reinstated.
‘‘This examination Avas conducted by our regular physician and was referred to our Chief Surgeon at Nashville and he advised that your condition would not justify your re-employment in the service and for this reason your application for reinstatement was declined.
‘ ‘ There was no malice in this matter as we have a right to examine men entering our service and have a rule AAdiich prevents us reemploying or ‘reinstating men in the service who are physically incapacitated.
“It is with regret that aa76 found that you were in a condition which prevented our further consideration of your re-employment.”

*509 Afterwards he worked for a few months as night watchman in the government relief work; operated a filling station for three months for compensation of about 75 cents a day; and worked in his brother’s restaurant for four months for about a $1 a day.

Temples and his brother testified that his job in the restaurant was just a matter of charity; that he did not do any work. Temples says he did not do any work at the filling station, as he was not able.

Dr. A. P. Smith testified that Temples has a hernia in the right groin, an indirect inguinal hernia; that it is a dangerous condition, and he is not able to perform manual labor; that the condition could be cured by a major operation; that general anesthesia would be necessary in performing the operation, and there is always an element of danger in that; that such an operation would cost about $200; that a truss would give temporary relief if it could be properly fitted. He further testified that, when a person has hernia, there is some danger of locked bowel, which would result in death.

Notice of his disability was given the insurance company on November 12, 1931. They later denied liability on the ground that the proofs of disability showed that he was not totally disabled.

The master policy contains the following provision for total and permanent disability:

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Bluebook (online)
79 S.W.2d 608, 18 Tenn. App. 506, 1934 Tenn. App. LEXIS 52, Counsel Stack Legal Research, https://law.counselstack.com/opinion/temples-v-prudential-ins-co-of-america-tennctapp-1934.