Weum v. Mutual Benefit Health & Accident Ass'n

54 N.W.2d 20, 237 Minn. 89, 1952 Minn. LEXIS 702
CourtSupreme Court of Minnesota
DecidedMay 29, 1952
DocketNo. 35,621
StatusPublished
Cited by34 cases

This text of 54 N.W.2d 20 (Weum v. Mutual Benefit Health & Accident Ass'n) is published on Counsel Stack Legal Research, covering Supreme Court of Minnesota primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Weum v. Mutual Benefit Health & Accident Ass'n, 54 N.W.2d 20, 237 Minn. 89, 1952 Minn. LEXIS 702 (Mich. 1952).

Opinion

Magnet, Justice.

Thurston W. Weum, who as plaintiff instituted these actions, died following the appeal to this court, and Evelyn Zoe Weum as executrix of his estate has been substituted as respondent in his stead. Decedent will be referred to hereinafter as plaintiff in this, opinion.

Plaintiff was born on May 7, 1882. In 1909, he was licensed as a physician by the state of Minnesota. After eight years of general practice, he returned to medical school for a year of postgraduate [91]*91work in obstetrics and gynecology, and thereafter engaged in no other field of practice. Obstetrics has to do with the delivery of babies and the necessary prenatal and postnatal care of the mother. Gynecology deals with the surgical and medical treatment of diseases of women.

On June 11, 1937, defendant Mutual Benefit Health & Accident Association, Omaha, hereinafter referred to as Mutual, issued to plaintiff a health and accident policy. In his application for insurance, plaintiff stated the nature of his business and occupation to be that of “Physician and Surgeon.” To the question: “What are all of your duties connected therewith?” he answered: “Obstetrics and Gynecology.” The policy in its listing of accident indemnities provides:

“(1) Monthly Indemnity at the Bate of Two Hundred ($200.00) Dollars. For such injuries that wholly am,d continuously disable the Insured so long as the Insured lives and total loss of time continues,
*'* * .” (Italics supplied.)

On the outside cover of the policy there is printed in large letters:

“This Policy Provides
Benefits for Loss of
Life, Limb, Sight or Time,
By Accidental Means,
Or Loss of Time by
Sickness as Herein
Provided”

On the first page of the policy at the very top, in large letters, there is printed:

“Business and Professional Men’s Non-cancellable Policy
“This Policy Provides Benefits
For Loss of Life, Limb, Sight
Or Time, by Accidental Means,
Or Loss of Time by Sickness as
Herein Provided”

[92]*92Paragraph. 1 of the “Standard Provisions” of the policy reads:

“* * * No reduction shall be made in any indemnity herein provided by reason of change in the occupation of the Insured or by reason of his doing any act or thing pertaining to any other occupation.”

Paragraph 12 of the “Standard Provisions” reads:

“If the Insured shall at any time change his occupation to one classified by the Association as less hazardous than that stated in the policy, the Association, upon written request of the Insured, and surrender of the policy, will cancel the same and will return to the Insured the unearned premium.”

On June 19, 1944, defendant United Benefit Life Insurance Company, Omaha, hereinafter referred to as United, issued to plaintiff two health and accident policies. In each application plaintiff stated that the nature of his business and occupation was that of “Physician and Surgeon.” In answer to the question in each application: “What are all of your duties connected therewith?” he answered: “Obst. and Gyn. Specialty.” Along the left-hand edge of each application this notation in longhand is found: “Minnesota State Medical Ass’n — 6th Dist. — Mpls.” Diagonally across the face of one of the applications is printed in large letters: “Special Policy foe Your Medical Group.” Aside from this item, the two policies are identical. Attached to each policy is a rider which is captioned: “Special Eider for Eligible Members of Minnesota State Medical Society, Sixth District.” A provision of the rider reads:

“It is further agreed that the Company reserves the right to decline to renew this policy on the following grounds only:
“A. Nonpayment of premiums on or before their due dates.
“B. If the Insured leaves the practice of Medicine.
“C. If all renewals are declined on all such policies issued to members of the above-named Society.”

[93]*93The cover of the policies has this notation in large letters:

“This Policy Provides Benefits
For Loss of Life, Limb, Sight
Or Time, by Accidental Means,
Or Loss of Time by Sickness
As Herein Limited and Provided."

At the top of the first page of each policy, in large letters, ive find printed:

“Special Income Protection Policy
“This Policy Provides Benefits for Loss of
Life, Limb, Sight or Time, by Acci-
dental Means, or Loss of Time
by Sickness as Herein Limited
and Provided."

Part E of each policy reads:

“If such injuries, as described in the Insuring Clause, do not result in any of the above mentioned specific losses but shall wholly and continuously disable the Insured for one day or more, the Company will pay a monthly indemnity at the rate of the Regular Monthly Benefit so long as the Insured lives and suffers said total loss of time.” (Italics supplied.)

Part of Section 1 of the Standard Provisions of the policies is worded:

“* * * No reduction shall be made in any indemnity herein provided by reason of change in the occupation of the Insured or by reason of his doing any act or thing pertaining to any other occupation.”

Section 12 reads:

“If the Insured shall at any time change his occupation to one classified by the Company as less hazardous than that stated in the policy, the Company upon written request of the Insured, and [94]*94surrender of the policy, will cancel the same and will return to the Insured the unearned premium.”

On March 30, 1947, plaintiff suffered an accidental injury. For some time he was paid total accident disability benefits. He claimed that the nature of the results of his injuries was such that he was entitled to total disability benefits for life under the terms of all three policies, and he brought these actions to recover such additional benefits. Defendants denied that under the terms of the policies the physical condition of plaintiff, as a result of the accidental injury, was such that he was entitled to total disability benefit payments for life, and refused to make such additional payments.

At the trial the court submitted to the jury, in the form of special verdicts, two questions. The first one reads:

“Was Thurston W. Weum, the plaintiff, wholly and continuously disabled and did he suffer total loss of time on and after February 18th, 1948?”

The jury answered in the affirmative.

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Bluebook (online)
54 N.W.2d 20, 237 Minn. 89, 1952 Minn. LEXIS 702, Counsel Stack Legal Research, https://law.counselstack.com/opinion/weum-v-mutual-benefit-health-accident-assn-minn-1952.