United States v. Russian

73 F.2d 363, 1934 U.S. App. LEXIS 2700
Court of Appeals for the Third Circuit·Decided October 4, 1934·No. No. 5314·Published·Cited by 7 cases

Opinion

WOOLLEY, Circuit Judge.

John Russian, a private in the United States Army, applied for and in February 1918 received a poliey of war risk insurance covering death and total permanent disability occurring during the life of the policy. In December 1918 he was honorably discharged on a surgeon’s certificate of disability disclosing chronic pulmonary tuberculosis involving the upper lobes of both lungs. At that time he was rated by the Veterans’ Bureau as being temporarily totally disabled. Upon his discharge the veteran ceased paying premiums on his insurance and, on January 1, 1919, his poliey lapsed. In 1928 the. veteran developed tuberculosis of the lower bowels and in 1929 committed suicide. In July 1931 his widow, as administratrix, brought this suit on the poliey of war risk insurance with the essential allegation of total permanent disability of the veteran incurred before the expiration of the poliey. At the trial the government moved for a directed verdict in its favor on the ground that the plaintiff had failed to present any substantial evidence of total permanent disability of the veteran within the meaning and during the life of the contract of insurance. The court, being without aid from the decision in Lumbra v. United States, 290 U. S. 551, 54 S. Ct. 272, 78 L. Ed. 492, later rendered, refused the motion. On submitting the ease the plaintiff had a verdict. The government appealed, raising the question presented on its motion for a directed verdict. Conformably with the rule, it assumed as established all the facts that the evidence supporting the plaintiff’s claims reasonably tends to prove and all inferences fairly dedueible from them. Gunning v. Cooley, 281 U. S. 90, 94, 50 S. Ct. 231, 74 L. .Ed. 720.

The law applicable to this ease may be summarized as follows:

“The basic law and the decided cases establish the propositions that recovery may not be had on a contract of war risk insurance for temporary total disability, Mason v. United States (C. C. A.) 63 F.(2d) 791; or for permanent partial disability, United States v. Thomas (C. C. A.) 64 F.(2d) 245; or for total permanent disability occurring after the expiration of the policy, United States v. McGrory (C. C. A.) 63 F.(2d) 697; and that it is incumbent upon the plaintiff suing on such a poliey to show by substantial evidence that when the insurance was in force he was totally disabled and that such total disability was reasonably certain to continue permanently. United States v. McGrory (C. C. A.) 63 F. (2d) 697.” United States v. Caldwell (C. C. A.) 69 F. (2d) 200, 201.

In looking for evidence of the requisite quality, we turn first to the history of the veteran’s health when the poliey was in force and to the subsequent history only as it bears on his condition when the policy was alive.

The plaintiff produced several lay witnesses who testified that subsequent to the expiration of the poliey the veteran was ailing. Aside from this testimony, which had little bearing on his condition before the poliey lapsed, she produced three physicians who, though not having examined the veteran when he was in the service, testified from examinations made in 1927 and 1928 and from the history of the ease as revealed to them from other sources that in their opinion the veteran was a progressive tubercular; that the tubercular condition of his lungs in 1918 spread to his bowels in 1928; and that the veteran, at all times since the development of the disease (or since his discharge) in 1918, was totally and permanently disabled, within the definition of total disability which the government announced in administering the law of war risk insurance, War Risk Insurance Act 1917, § 13 (40 Stat. 399), as amended by Act May 20, 1918, § 1, 40 Stat. 555, Treasury Decision No. 20, and which covers an impairment of the body that “renders it impossible for the disabled person to follow continuously any substantially gainful occupation.”

Although this was merely opinion evidence, it was none the less admissible in proof of the veteran’s physical condition and ability to work at the critical period. If this were all there was in the case it would be enough to warrant its submission and to sustain a verdict. United States v. Lumbra (C. C. A.) 63 F.(2d) 796, 798. But against opinion evidence of this kind there may, in some eases be evidence of the veteran’s habits of life and. capacity to work which may raise an issue of fact submissible to the jury or, as the government insists in this ease, the veteran’s habits and his work, practiced and performed after his discharge, may be such as conclusively to negative total permanent disability at the earlier period. Lumbra v. United States, 290 U. S. 551, 560, 54 S. Ct. 272, 78 L. Ed. 492. The facts bearing on this phase of the ease, shortly stated, are these:

The Veterans’ Bureau through the ten years from the veteran’s discharge to his death [365] gave him ratings of total temporary, partial temporary, partial permanent disabilities in different percentages. At no time did the Bureau give him a rating of total permanent disability. And with these ratings the veteran and his wife evidently agreed, for the veteran did not bring suit on the poliey during the ten years which were available to him, and his wife delayed her action for two years after his death; delays, in the absence of explanation, constituting strong evidence that the veteran was not totally and permanently disabled before the poliey expired. Lumbra v. United States, snpra. Indeed, his wife testified that when she married him in 1923 she believed him in good health, and he himself, in applying in 1924 for a reinstatement of his poliey for $1,000, stated under oath that he was in good health, was not suffering any disability which was the result, of anything that had happened to Mm when in the service, specifically, that he was not “per manently and totally disabled”; and that he had not consulted a physician in regard to his health since March 1919. The ratings contained the notation: “Tubercular, pulmonary, chronic, arrested — apparently cured.” The Examiner found the veteran’s pulmonary tuberculosis to be “apparently arrested,” and that no other parts of his body were involved. The policy was re-instated for the amount requested and later the insurance money was paid.

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

United States v. Russian, 73 F.2d 363, 1934 U.S. App. LEXIS 2700 (3d Cir. 1934).

73 F.2d 363 (United States v. Russian) — published by Counsel Stack Legal Research, free access to 12M+ legal documents.

Related

Pennsylvania National Mutual Casualty Insurance v. Dennis
408 P.2d 575 (Supreme Court of Kansas, 1965)
Shaw v. Missouri Pac. R.
36 F. Supp. 651 (W.D. Louisiana, 1941)
Federal Deposit Ins. Corporation v. Mason
115 F.2d 548 (Third Circuit, 1940)
United States v. Calvey
110 F.2d 327 (Third Circuit, 1940)
Crews v. United States
102 F.2d 485 (Seventh Circuit, 1939)
Russian v. United States
87 F.2d 895 (Third Circuit, 1937)
Russian v. United States
12 F. Supp. 660 (M.D. Pennsylvania, 1935)