United States v. Ellison

74 F.2d 864, 1935 U.S. App. LEXIS 3553
CourtCourt of Appeals for the Fourth Circuit
DecidedJanuary 8, 1935
DocketNo. 3722
StatusPublished
Cited by16 cases

This text of 74 F.2d 864 (United States v. Ellison) is published on Counsel Stack Legal Research, covering Court of Appeals for the Fourth Circuit primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
United States v. Ellison, 74 F.2d 864, 1935 U.S. App. LEXIS 3553 (4th Cir. 1935).

Opinion

PARKER, Circuit Judge.

This is an appeal in a war risk insurance case in which plaintiffs contended that insured was totally and permanently disabled at the time he ceased paying premiums on his policy in 1919, and, if not then, on September 9, 1925. Plaintiffs contended that on the latter date insured was found to have been suffering from a compensable disability when his policy was allowed to lapse in 1919, and was awarded compensation in an amount sufficient to maintain his policy in full force under the provisions of the World War Veterans’ Act 1924, § 305, as amended by 44 Stat. 799, § 16, as amended by 45• Stat. 971, § 17 (38 USCA § 516). The government denied the existence of total and permanent disability on either of the dates claimed by plaintiffs and by special pleas alleged (1) that the award of compensation to the insured had been reviewed on February 7, 1929, and that, upon such review, his disability at the time of the lapse of the policy was found noncompensable; (2) that insured had procured his admission into the army in 1918 by false representations and by concealing the fact that he had previously been discharged from the army as physically unfit for service; and (3) that the award of September 9, 1925, was made as a result of fraudulent concealment by insured of the fact that he had again enlisted in the army after being discharged as disabled. Demurrer to these pleas was overruled, and the case came on for trial on the merits. At the conclusion of the testimony, both sides moved for a directed verdict, and the trial judge found for plaintiffs, holding, however, that the insured was totally and permanently disabled on September 9, 1925, but not in 1919. The question upon this appeal is whether there was evidence to sustain this finding, or whether verdict should have been directed for the government.

The insured first enlisted in the army of the United States on April 4, 1917. While in the service he suffered an attack of pneumonia which resulted in heart and lung trouble, and he was discharged as six-twelfths disabled on February 20,1918. He was anxious to go overseas with the army, and in June, 1918, attempted to enlist in Bluefield, W. Va., but was rejected. The next day he made application at Roanoke and was accepted. He saw service in France and in Russia, and was discharged in August, 1919. [866]*866During the term of this second enlistment he was granted^War risk term insurance in the sum of $10;000, upon which he paid no premiums after his discharge.

After his discharge from the army, insured suffered with- his heart and lungs and undoubtedly had a partial disability of a very serious character; but the judge below has found, and we think correctly, that he was not totally and permanently disabled at the time his policy lapsed for nonpayment of premiums. He continued to grow worse, however, and was unable to do any work whatever after March, 1925. After that he spent a considerable part of his time in government hospitals and died of tuberculosis on June 6, 1932. On April 9, 1925, he made application for compensation, stating that he last entered military service in 1917 and was last discharged on February 20, 1918. Upon this application he was awarded compensation on September 9, 1925, by the Charleston, W. Va., rating board, on the following basis:

Temporary partial • disability 32%- — $25.60 per month 2/21/18 to 10/5/24.

Temporary partial disability 32% — $30.40 per month 10/16/24 to 4/22/25.

Temporary total disability — $95.00 per month 4/23/25 to 6/4/25.

Temporary partial disability 32% — $30.40 per month 6/5/25 to 9/8/25.

Permanent total disability — $100.00 per month 9/9/25 to-.

On September 20, 1925 he was paid approximately $2,200 due him under this award.

Shortly after this payment, the Bureau discovered that insured had had a period o°f military service subsequent to his first discharge ; and on April 12, 1926, as the result of an investigation conducted following this discovery, the award of September 9, 1925, was amended by the Charleston, W. Va., rating board by eliminating therefrom compensation during the period of the second enlistment, from June 25, 1918, to August 21, 1919, amounting to $252. Insured was advised that $22 of this amount was deducted from his March, 1926, check and that $20 per month would be deducted thereafter until the overpayment should be liquidated. The report of the rating board seems to have made other changes in the rating of the insured; but the letter of the Chief of the Claims Division to insured, which advised him of the amendment of the original award, sets forth the award as amended by items and shows no other change. On November 9, 1926, insured was given another rating, this time by the Richmond, Va., rating board, amending the rating of April 12, 1926, so as to fix disability between the time of the first discharge and the second enlistment at 33 per cent, and between the time of the second discharge and April 9, 1925, at less than 10 per cent. This rating was amended by the Richmond rating board on March 28, 1927, and the disability less than 10 per cent, was held to embrace a longer period; but, upon review of the rating last mentioned by the Central Board of Appeals in New York City on June 29, 1928, the disability from June 25, 1918, to April 8, 1925, was fixed at 10 per cent, with higher ratings for succeeding months. Upon appeal from this rating to the Director of the Veterans’ Bureau, the rating was given upon which the government relies, fixing the disability at less than 10 per cent, (noncompensable) between the date of the second discharge and April 8, 1925, and the date of total permanent disability as October 22, 1926.

With respect to the concealment by insured of the fact of the second enlistment, it appears that a record of this enlistment was in the file before the rating board at all times and that the board had actual knowledge of it at the time of the rating in April, 1926. It further appears that an officer of the government conducted an investigation prior to that rating for the purpose of determining whether the right of insured to compensation should be forfeited because of statements made by him in his application, and that a' member of the board made the following statement to him: “Based upon actual contact with this claimant, I was not impressed with the fact that he would deliberately make any attempt to mislead the Board, and it may be due to the fact that a more careful search of the previous evidence in the file was not made.”

In its brief filed in this court, the government does not controvert the sufficiency of the evidence to sustain the finding that the insured was totally and permanently disabled on September 9, 1925, but contends (1) that the finding of the Director of the Veterans’ Bureau of February 7, 1929, fixing disability at less than 10 per cent, from the ‘period of the second discharge until 1925, establishes that nothing was due insured for compensation at the time the policy lapsed; (2) that the finding of the Director that total permanent disability did not begin until October 22, 1926, is binding upon the court and defeats the right of recovery [867]*867under the policy, as nothing was due insured by the government on account of compensation at that time; and (3) that the claim of plaintiffs, being based on a reinstatement of the policy under the statute because of the award of compensation, is cognizable solely by the Veterans’ Bureau and that the court below was without jurisdiction to entertain it.

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Cite This Page — Counsel Stack

Bluebook (online)
74 F.2d 864, 1935 U.S. App. LEXIS 3553, Counsel Stack Legal Research, https://law.counselstack.com/opinion/united-states-v-ellison-ca4-1935.