Wiker v. Wiker, No. Fa 85 0077336 S (Jan. 27, 1997)

1997 Conn. Super. Ct. 450-E
CourtConnecticut Superior Court
DecidedJanuary 27, 1997
DocketNo. FA 85 0077336 S
StatusUnpublished

This text of 1997 Conn. Super. Ct. 450-E (Wiker v. Wiker, No. Fa 85 0077336 S (Jan. 27, 1997)) is published on Counsel Stack Legal Research, covering Connecticut Superior Court primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Wiker v. Wiker, No. Fa 85 0077336 S (Jan. 27, 1997), 1997 Conn. Super. Ct. 450-E (Colo. Ct. App. 1997).

Opinion

[EDITOR'S NOTE: This case is unpublished as indicated by the issuing court.]MEMORANDUM OF DECISION ON MOTION FOR CONTEMPT MOTION FOR MODIFICATION The parties have requested a limited decision on two issues CT Page 450-F regarding the two pending motions for contempt and modification: Whether or not disability income payments being paid pursuant to an insurance policy can be considered income pursuant to the 1986 separation agreement of the parties and income in accordance with the Child Support Guidelines. This appears to be an issue of first impression. The court has bifurcated the hearings to first decide these two preliminary issues. I have heard testimony and considered legal arguments from the parties on these two issues. The parties have reserved the right to later hearings concerning other issues that are raised by the motion for contempt and/or motion for modification of child support.

FACTS

The parties' marriage was dissolved by order of the Superior Court on February 12, 1986. A separation agreement was incorporated by reference in the decree. The issues involve child support for the minor child whose eighteenth birthday is December 31, 1996.

The husband has been suffering from an illness which has prevented him from being able to be employed. He was not employed for at least one year prior to the February, 1986 separation agreement. Article 3.1 of the separation agreement reads as follows CT Page 450-G

"The Wife shall have primary responsibility for the support of the child until such time as the Husband shall be `financially able,' as defined herein, to contribute to the child's support. The Husband shall be deemed `financially able' when his Net Subsistence Amount exceeds Fifteen Thousand (15,000) Dollars. Net Subsistence Amount shall be defined as income from any and all sources, both earned and unearned less income related cost and expenses such as withholding taxes, FICA taxes, transportation costs, overhead expenses and any other reasonable expenditure necessary to generate income."

The husband purchased a disability insurance policy from INA, an insurance company doing business in New York. The husband, a member of the New York bar, was able to purchase the policy by reason of his membership in the New York State Bar Association. The effective date of the policy was April 7, 1983. The "total disability weekly indemnity sickness benefits" pursuant to the policy are $800. Pursuant to the illness suffered by the defendant, an application was made and approved by INA in November of 1988. The husband has been receiving the $800 per week since December of 1988. The amount to the date of the court hearing received by the defendant from that policy has been no CT Page 450-H less than $326,400 over that almost eight year period of time.

INA's obligations under the policy covering the husband's illness are as follows. "The Company hereby insures the person named above in the Policy Schedule A (herein called the INA insured) against specified loss resulting: . . . (b) from sickness or disease contracted by the INA insured causing loss, commencing while applicable coverage in force (herein called `such sickness')." The clause in the insurance policy relating to the policy's effective term is as follows: "Upon payment of the Initial Term Premium, this policy takes effect for the period commencing on Effective Date and ending on the First Renewal Date set forth up above; provided, however, if the INA insured is not regularly performing the duties of his occupation upon such Effective Date, the insurance shall become effective upon the first day of the month following the date of return to his regular performance of his duties."

The policy in question utilizes the word "indemnity" or "indemnities" as opposed to loss of "income". An example is found in paragraph eight of the policy relating to time of payment of claims. "Periodic payment will be made of all indemnities payable under this policy which accrued during a period of more than four weeks. Indemnities payable under this policy for any loss other than loss for which this policy provides any periodic payment CT Page 450-I will be paid immediately upon receipt of due written proof of such loss." Also relevant to the considerations in this case, is the benefit clause of the policy which reads as follows: "In the event the Insured has received the maximum benefits payable under this policy for one disability, his coverage shall be automatically suspended and no further premium shall be due until he resumes the active practice of his profession or is engaged in the duties of his occupation."

The policy consists of eight pages. The husband is currently receiving total disability weekly indemnity for sickness. At page eight is contained the following: "If, while insured for this benefit `the insured becomes totally disabled' as defined herein, as a result of `such sickness' requiring treatment by a licensed physician other than the Insured, the Company will pay the applicable sickness Weekly Indemnity benefits, as specified in the Policy Schedule, during the continuation of such total disability, commencing with the first day after the applicable Waiting Period specified in the Policy Schedule, but not to exceed the applicable Maximum Payment Period-Sickness as defined herein." "`Total disability' and `totally disabled' as used herein means inability of the Insured to perform the substantial and material duties of the Insured's occupation during the Waiting Period and thereafter until benefits have been paid for the Maximum Payment-Sickness". CT Page 450-J

The first reference in the policy to the word "income" appears on the top of page six in an endorsement entitled "Disability Income Insurance required for Disclosure of Statement". "This policy; 1a. Pays Weekly Indemnity for total disability resulting from accident or sickness commencing with the thirty-first day of disability, b. Provides $800.00 Weekly Indemnity, which, if greater than $400, is reduced to $400 for disabilities commencing on or after the premium due date following the insured's attainment of age sixty." The mandatory rider at page seven contains a formula for the determination of a residual disability weekly benefit. The defendant is not receiving a residual disability weekly benefit. The formula is based upon the loss of weekly income divided by the prior weekly income, times the weekly benefit for total disability. That resulting number is the residual disability weekly benefit. The policy contains a definition on that page of weekly income "as meaning income earned for services which are done by the person, including from salary, wages, fees, or other forms of enumeration, after deduction of normal and customary business expenses but before deduction of any income taxes. It does not include dividends, rents, royalties, annuities, or other forms of honored income."

DISCUSSION OF LAW CT Page 450-K

One of the two issues presented to this court is whether the disability insurance payment of $800 per week to the husband is considered "Net Subsistence Amount" as defined in Article 3.1 of the agreement. This requires an analysis of an insurance policy. An insurance policy is a contract subject to the normal contract interpretation rules, despite the fact that most policies are contracts of adhesion. Finley v. Aetna Life Casualty Co.,202 Conn. 190, 199 (1987).

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Bluebook (online)
1997 Conn. Super. Ct. 450-E, Counsel Stack Legal Research, https://law.counselstack.com/opinion/wiker-v-wiker-no-fa-85-0077336-s-jan-27-1997-connsuperct-1997.