Wabash Life Insurance v. Parchman

458 S.W.2d 390, 249 Ark. 173, 1970 Ark. LEXIS 1079
CourtSupreme Court of Arkansas
DecidedOctober 12, 1970
Docket5-5308
StatusPublished

This text of 458 S.W.2d 390 (Wabash Life Insurance v. Parchman) 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
Wabash Life Insurance v. Parchman, 458 S.W.2d 390, 249 Ark. 173, 1970 Ark. LEXIS 1079 (Ark. 1970).

Opinion

J. Fred Jones, Justice.

This is an appeal by Wabash Life Insurance Company from a judgment of the Prairie County Circuit Court in favor of Elza Parchman on a health and accident insurance policy issued by Wabash to Parchman.

Under the policy issued to Mr. Parchman, Wabash agreed to pay him the sum of $300 per month during total disability occurring while the policy was in force. Total diability is defined in the policy as follows:

“The term ‘TOTAL DISABILITY’ whenever used in this policy shall mean the complete inability of the Insured to engage in any gainful occupation for which he is qualified by education, training or experience.”

Mr. Parchman is a self-employed farmer who, in partnership with his brother-in-law, farms over 400 acres in soybeans. On March 3, 1968, he injured his left thumb while stacking wood on his farm. He was seen by Dr. Robert Bethell who, on March 18, 1968, filled out a medical report in questionnaire form as follows:

“1. Date of accident: 3-3-68
Please describe injury received: Struck (L) Thumb. General swelling of tenderness over carno mila carxl point Xray reveal no fracture.
2. What operation was performed if any? None. Charge for surgery? None.
If laceration, number of sutures needed? None.
3. Please give dates you attended patient for this injury. Office: 3-4-11-18-1968.
4. How long was, or will, patient be TOTALLY disabled:
From 3-4-1968 to 3-18-68.
5. When was, or will, patient be able to resume any part of his work? 3-19-1968.
6. Has patient any chronic or constitutional disease, physical defect or deformity? No.”

Mr. Parchman filed claim for two weeks’ total disability benefits under the policy and apparently, upon the request of Wabash for more detailed medical information, Dr. Bethell wrote to Wabash as follows:

“Mr. Elzie Parchman was seen in my office on 3-3-68 with pain in his left thumb and hand. Examination revealed moderate soft tissue swelling of thumb and weakness of the left thumb on flexion and extension movements. There was point tenderness over the carpo-metacarpol joint of the thumb.
Ex-rays of the thumb and hand were essentially normal, however it was my impression that this represented an early rheumatoid arthritis or a tendonitis..
Mr. Parchman was instructed to use hot soaks q.i.d He was placed in anti-inflammatory medication and his hand was practically [sic] splinted with an elastic bandage.
He returned on 3-11-68 for follow up. Most of the swelling had subsided. He was maintained on the same medication and rechecked on 3-18-68 at which time he was essentially asymptomatic. He was discharged at that time to return to light work. He was given 2 weeks total disability from 3-3-68 to 3-18-68.”

Upon receipt of this report Wabash denied the claim for total disability by letter to Mr. Parchman dated May 9, 1968, as follows:

“Mr. Edmiston of our Memphis office has just forwarded to us the statement received from Dr. Robert Bethell in reference to the recent thumb injury you suffered.
We do want to let you know that we are not doubting the doctor’s diagnosis and treatment, nor the fact that you did suffer the injury. However, we cannot agree that this injury would result in total disability.
To clarify this point, total disability as defined by your policy means the complete ability [sic] to engage in any gainful occupation. We do believe that the temporary loss of the use of one hand would prevent you from performing some of the regular occupational duties in which you had previously been engaged.
It was on this basis that we allowed the non-disabling injury in the amount of your doctor’s bills as indicated by you on a previous report.”

When his claim for two weeks’ total disability was denied by Wabash, Mr. Parchman stopped payment on a check he had mailed to Wabash in payment of a quarterly premium which fell due on his policy during the two weeks disability period. Sometime after payment on the check was stopped by Mr. Parchman, he fell from a tractor and sustained a broken leg. He made claim for 60 days’ total disability benefits because of this second injury, and this additional claim was denied by Wabash on the ground that the policy had lapsed for nonpayment of premium.

In October 1968, Mr. Parchman filed his suit on the policy alleging total disability from March 3 to March 18, 1968, because of the injury to his thumb, and total disability for a period of 60 days because of his leg injury. He alleged that when he sustained his second injury and disability, Wabash owed him for the two weeks’ total disability, which amount was more than sufficient to pay the delinquent premium he owed Wabash; and he prayed judgment for the full amount of benefits for both periods of total disability, less the amount he owed Wabash on his past due quarterly premium.

In its answer Wabash denied that Mr. Parchman was totally disabled within the terms of the policy because of his thumb injury and denied liability for the 60 day period of disability because the policy had lapsed for nonpayment of premium.

The case was tried before the trial judge sitting as a jury. The trial court found that Mr. Parchman was totally disabled for 14 days because of his thumb injury; that Wabash should have paid the insurance premium out of the amount it owed Mr. Parchman and judgment was rendered for Mr. Parchman in the amount of $619.75, together with $250 attorney’s fee, 12% penalty and costs. On appeal to this court Wabash relies on the following points for reversal:

“The decision of the trial court that the insured is entitled to total disability benefits for the 14-day period following his injury of March 3, 1968, is not supported by substantial evidence.
In the alternative, even if it be said that such decision is supported by substantial evidence, it should be reversed as being against the preponderance of the evidence.
The trial court erred in its finding that the disability policy was in effect on June 17, 1968, the commencement of appellee’s second alleged period of total disability.”

Since we are of the opinion that the judgment must be reversed under the appellant’s first point, we do not reach the second and third points.

The extent of Mr. Parchman’s disability during the two weeks period following his thumb injury was the all important question before the trial court, and the substantiality of the evidence that the disability was total is the all important question on this appeal.

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Cite This Page — Counsel Stack

Bluebook (online)
458 S.W.2d 390, 249 Ark. 173, 1970 Ark. LEXIS 1079, Counsel Stack Legal Research, https://law.counselstack.com/opinion/wabash-life-insurance-v-parchman-ark-1970.