Union Bankers Ins. Co. v. National Bank of Commerce

408 S.W.2d 898, 241 Ark. 554, 1966 Ark. LEXIS 1207
CourtSupreme Court of Arkansas
DecidedDecember 5, 1966
Docket5-4014
StatusPublished
Cited by14 cases

This text of 408 S.W.2d 898 (Union Bankers Ins. Co. v. National Bank of Commerce) is published on Counsel Stack Legal Research, covering Supreme Court of Arkansas primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Union Bankers Ins. Co. v. National Bank of Commerce, 408 S.W.2d 898, 241 Ark. 554, 1966 Ark. LEXIS 1207 (Ark. 1966).

Opinion

Osro Cobb, Justice.

On December 3, 1962, William R. Felkins purchased a policy of insurance from appellant purporting to cover certain medical and hospital expenses thereafter incurred by Felkins and his wife-The annual premium for the policy was substantial— $149.20 for the primary policy and $14.40 for a physician’s supplement.

When Felkins applied for this insurance coverage, he set forth as a part of his past medical history that he had suffered from a stomach ulcer which required surgery, and that he had made complete recovery. The company attached two exclusionary riders to the policy.

In 1964 Mr. Felkins developed a jejunal ulcer. Such an ulcer is in an area outside the stomach and within the second portion of the small intestine which extends from the duodenum to the ileum. Felkins was hospitalized and received treatment, including surgery.

In February, 1965, Mr. Felkins was hospitalized for a circulatory embarrassment of the small intestine which resulted from a blood clot in the superior mesentery artery. Radical surgery was again performed. Mr. Felkins did not survive the second operation and appellee, National Bank of Commerce of Pine Bluff, was appointed executor of his estate.

Appellee made seasonable demand upon appellant for policy benefits as to both periods of hospitalization. Appellant denied any coverage and suit was instituted. The case was tried to the court sitting as a jury. The policy was introduced in evidence and proof was made of the exact amount of the hospital and medical expenses alleged to be reimbursable under the provisions of the policy.

Appellant in its answer admitted the issuance of the policy and the payment of all premiums due thereon during the lifetime of W. R. Felkins; admitted the period of hospitalization and made no effort to contest the accuracy of the medical and hospital bills which were offered in evidence. Appellant denied liability upon the contention that the periods of confinement to the hospital were caused or contributed to by physical conditions for which coverage was excluded under the terms of the policy.

Appellant called Dr. Raymond A. Irwin, Jr., general surgeon, Pine Bluff, Arkansas, and Dr. Walter J. Wilkins, Jr., also a surgeon, who testified concerning their treatment of Mr. Felkins and the surgery performed.

Neither side requested written finding’s of fact by the trial court and the court following hearing entered a judgment for appellee for all sums claimed to be due and owing under the policy, together with statutory penalty and a reasonable attorney’s fee. It is from this judgment that appellant brings the appeal, urging that the trial court erred in that it misconstrued or interpreted the provisions of the policy erroneously.

Appellant does not contend that the primary policy did not provide the coverage as claimed by appellee, but insists that the coverage for all claims asserted by appellee was excluded by the provisions of the two riders attached to the policy.

We are therefore required to construe the riders attached to the policy to determine whether the trial court committed error in entering judgment against appellant.

TEE FIRST POLICY RIDER. We set forth the pertinent language of this rider, as follows:

<<# # * the insured agrees to waive any claim for indemnity on account of any loss or disability hereafter sustained which shall be caused or contributed to by Stomach ulcer or any disease or affection of the digestive tract, and/or any complication therefrom * * (Emphasis supplied)

It has long been the established rule of this Court that any intent to exclude coverage in an insurance policy should be expressed in clear and unambiguous language, and the burden is upon the insurance company to present facts at trial that come within the stated ex-elusion. It has also been an established rule of this Court that any ambiguity in an exclusionary , clause must be construed strictly against the insurance company and liberally in favor of the insured. State Farm Mutual Insurance Company v. Baker, 239 Ark. 298, 388 S. W. 2d 920 (1965).

It is equally well settled that the findings of the trial court sitting as a jury will be sustained if there is any substantial evidence to support them. Mid-South Insurance Company v. Dellinger, 239 Ark. 169, 388 S. W. 2d 6 (1965).

The ancient rule of ejusdem generis, frequently invoked by this Court, is applicable here. This rule is defined in Black’s Law Dictionary, Fourth Edition, as follows :

“EJUSDEM GENERIS. Of the same kind, class or nature.
“In the construction of laws, wills, and other instruments, the “ejusdem generis rule” is, that where general words follow an enumeration of persons or things, by words of a particular and specific meaning, such general words are not to be construed in their widest extent, but are to be held as applying only to persons or things of the same general kind or class as those specifically mentioned. Black Interp. of Laws, 141; Goldsmith v. U. S., C.C.A. N. Y., 42 F. 2d 133, 137; Aleksich v. Industrial Accident Fund, 116 Mont. 69, 151 P. 2d 1016, 1021. The rule, however, does not necessarily require that the general provision be limited in its scope to the identical things specifically named. Nor does it apply when the context manifests a contrary intention.
“The maxim “ejusdem generis” is only an illustration of the broader maxim, “noscitur a sociis”. State v. Western Union Telegraph Co., 196 Ala. 570, 72 So. 99, 100.”

In Jones v. State, 104 Ark. 261, 149 S. W. 56 (1912), this Court approved a terse statement of the ejusdem generis rule, which we quote:

“When general words follow an enumeration of particular things, such words must be held to include only such things or objects as are of the same kind as those specifically enumerated.”

See also Hempstead County v. Harkness, 73 Ark. 600, 84 S. W. 799 (1905).

The stomach is a recognized, primary and essential part of the digestive tract. If it had been the intent of the rider to exclude all diseases and complications of all diseases along the entire digestive tract, it was unnecessary to single out and isolate the stomach as one of multiple parts of the entire digestive tract. To say the least, the language employed in the rider is specific and certain as to the stomach but unclear and uncertain in other respects. We must resolve such uncertainties in favor of the insured.

We have therefore concluded that the effect of this rider was to exclude claims arising solely from ulcers and diseases of the stomach and complications therefrom. Appellee’s claim for medical and hospital services which were required because of his jejunal ulcer were properly allowed by the trial court.

THE SECOND POLICY RIDER. We set forth the pertinent language of this rider, as follows:

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

Related

Farmers Insurance Exchange v. Bradford
2015 Ark. App. 253 (Court of Appeals of Arkansas, 2015)
Nicom Coatings Corp. v. Acadia Ins. Co.
Vermont Superior Court, 2003
Silverball Amusement, Inc. v. Utah Home Fire Insurance
842 F. Supp. 1151 (W.D. Arkansas, 1994)
Agape Church, Inc. v. Pulaski County
821 S.W.2d 21 (Supreme Court of Arkansas, 1991)
Tresa K. Ross v. Royal Globe Insurance Company
612 F.2d 379 (Eighth Circuit, 1980)
Foremost Insurance Company v. Sheppard
610 F.2d 551 (Eighth Circuit, 1979)
Foremost Insurance v. Sheppard
610 F.2d 551 (Eighth Circuit, 1979)
Hargraves v. Continental Assurance Co.
448 S.W.2d 942 (Supreme Court of Arkansas, 1970)

Cite This Page — Counsel Stack

Bluebook (online)
408 S.W.2d 898, 241 Ark. 554, 1966 Ark. LEXIS 1207, Counsel Stack Legal Research, https://law.counselstack.com/opinion/union-bankers-ins-co-v-national-bank-of-commerce-ark-1966.