United States Casualty Co. v. Hanson

20 Colo. App. 393
Colorado Court of Appeals·Decided January 15, 1905·No. No. 2476·Published·Cited by 9 cases

Opinion

Gunter, J.

This is an action upon a policy of accident insurance, and resulted in a verdict and judgment for the plaintiff, appellee.

1. Attached, to the policy were numerous conditions which, not satisfied, would defeat a recovery, among them a visible mark of the injury on the body of insured; also the injury must not have been sustained in a wild or uncivilized country.

It is said this action must fail because the injury satisfied neither of these conditions. A breach of such conditions was a matter of defense and could be availed .of only by being specially pleaded. This was not done.

‘ ‘ It would be extraordinary if a plaintiff coming into court with one of these policies of insurance should be bound to have witnesses to everything that is set down in the policy to prove everything which may be set up as a defense. I say it would be most remarkable, and nobody would have greater reason to complain of it than the insurance company itself, because, if plaintiff should be fortified on all points with an extraordinary number of witnesses, the cost would be very great. The rule is that in respect to all such matters the insurance company must plead its defense specially in order that it may put the matter in issue.” — Bittinger v. Providence Washington [396] Insurance Company, 24 Fed. 549; Knights of Honor v. Wollschlager, 22 Colo. 213; American Ins. Co. v. Barr, 68 Fed. 873.

Further, as to both conditions there was evidence bringing the case within them. The shrinkage of the muscles of the hip' and leg, and the lameness of the leg, were- visible marks of the injury within the authorities; so was the breaking down of the bones at the joint, which was perceptible to digital' examination. — Union Casualty Ins. Co. v. Mondy, 18 Colo. App. 395; Mutual Accident Asso. v. Barry, 131 U. S. 111; Pennington v. Insurance Company, 85 Iowa 440; Thayer v. Insurance Company, 68 New Hampshire 577; U. S. Mutual Accident Asso. v. Newman, 84 Va. 52, 54; Gale v. Mutual Aid and Accident Association, 66 Hun, 600.

The accident occurred in a sawmill camp, in which some three hundred people were residing, distant about thirty-five miles from a railroad station in the Province of Ontario, Dominion of Canada; therefore, not in a wild or uncivilized country.

2. Appellant insured appellee, by occupation a supervising builder, against bodily injuries which should “independently of all other causes, immediately, wholly and continuously disable him from transacting any and every kind of business. ’ ’

It is said that the injuries sustained by appellee did not so disable him.

The only evidence was that offered by appellee; this was, that June 7, 1897, appellee, while supervising the construction of a mill, fell, striking the base of his spine on a rock. By this he was seriously injured, but at the time thought it a trivial matter, not worthy of calling to the attention of appellant. In about ten days a lameness in one of his hips developed .and he experienced severe pains in the thigh. He was unable on account of his crippled con[397] dition and suffering to continue Ms work, and employed an experienced man to take Ms place.

He remained at the mill until it was completed in October following, but was incapacitated from personally doing the substantial acts necessary to the work of supervision, such acts being entrusted to the man he had employed. During this time appellee thought he was suffering from rheumatism, and took medicine for that supposed disorder. From October, 1897, to February, 1898, practically all of appellee’s time was devoted to taking treatment for his supposed ailment, rheumatism. During this time he was treated by several different physicians, and spent- weeks at various sanitariums, the treatment of the different physicians, and at the various sanitariums being for rheumatism.

February 4, 1898, he submitted himself to Dr. Eskridge, who attributed his condition to the injury of June, 1897. Dr. Eskridge advised a course of treatment, but appellee deemed it wise to take the advice of other physicians and surgeons presumed to be reputable, and remained under their charge almost continuously to the date of the trial of this cause, November 21, 1900.

While appellee has been able to travel unattended to various parts of the United States in search of medical and surgical aid, has been able to give some attention to his correspondence, and has been in possession of his mental faculties, he has given substantially his entire time and attention to obtainiug relief from the condition brought about by the injury, and has through the time so given, and the suffering and anxiety attendant upon his injury, been entirely incapacitated for business.

“Total disability contemplated by the instrument does not mean a state of absolute helplessness: The plaintiff might have been able to walk, he might [398] have been able to ride on the ears to his physician’s office, and still have been entirely incapacitated for work or business. In view of the object of the contract, we think, that if he was so incapacitated he was totally disabled within the meaning of the policy.” — ■ Mutual Ben. Ass’n v. Nancarrow, 18 Colo. App. 274.

“As long as one is in full possession of his mental faculties, he is capable of transacting some part of his business, whatever it may be, although he is incapable of physical action. If the words 'wholly disable him from transacting any and every kind of business pertaining to the occupation under which he is insured,’ were to be construed literally, the defendant would be liable in no case, unless by the accident the insured should- lose his life or his reason. * * * It is certain that neither party intended such a result. ’ — Thayer v. Ins. Co., supra. See, also, Hooper v. Accident Company, 5 Hurl. and N. 545, 546; Turner v. Casualty Company, 112 Mich. 425; McMahon v. Supreme Council, 54 Mo. App. 468.

“The object to be accomplished by this contract was, indemnity to the plaintiff for loss of time from being wholly disabled from prosecuting his business by an injury received as specified in the policy. He was not able to prosecute his business unless he was able to do all the substantial acts necessary to be done in its prosecution. If the prosecution of the business required him to do several acts and perform several kinds of labor, and he was able to do and perform one only, he was as effectually disabled from performing his business as if he could do nothing-required to be done, and while remaining in that condition he would suffer loss of time in the business of his occupation. — Young v. Insurance Co., 80 Me. 244, 248.

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United States Casualty Co. v. Hanson, 20 Colo. App. 393 (Colo. Ct. App. 1905).

20 Colo. App. 393 (United States Casualty Co. v. Hanson) — published by Counsel Stack Legal Research, free access to 12M+ legal documents.

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