Workingmen's Mutual Protective Ass'n v. Roos

113 N.E. 760, 63 Ind. App. 18, 1916 Ind. App. LEXIS 160
CourtIndiana Court of Appeals
DecidedOctober 13, 1916
DocketNo. 9,117
StatusPublished
Cited by4 cases

This text of 113 N.E. 760 (Workingmen's Mutual Protective Ass'n v. Roos) is published on Counsel Stack Legal Research, covering Indiana Court of Appeals primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Workingmen's Mutual Protective Ass'n v. Roos, 113 N.E. 760, 63 Ind. App. 18, 1916 Ind. App. LEXIS 160 (Ind. Ct. App. 1916).

Opinion

Moran, J.

Appellee recovered of appellant the sum of $75 upon an insurance policy indemnifying him .against loss by accident or sickness for an injury, -which he alleged was sustained by him during the life of the policy. A review of the judgment is sought upon errors assigned: (1) in overruling appellant’s demurrer to appellee’s complaint, and (2) in overruling appellant’s motion for a new trial.

1. The first error assigned is waived, as no point or proposition in appellant’s brief is addressed to the overruling of the demurrer to the complaint. Mutual Life Ins. Co. v. Finkelstein (1914), 58 Ind. App. 27, 107 N. E. 557; Dunton v. Howell (1915), 60 Ind. App. 183, 109 N. E. 418. Therefore, nothing, further need be said in reference to the complaint than that it is in the usual form of an action of this character, with a copy of the policy of insurance made a part thereof.

Within the specification that the court erred in overruling appellant’s motion for a new trial, the correctness of the instructions given by the court of its own motion to the jury and the refusal to give certain instructions re[20]*20quested by appellant, together with, the sufficiency of the evidence to sustain the verdict of the jury are presented for consideration; the main objection being that, under the stipulations of the policy and the evidence in the cause, the court erred in instructing the jury as to what constituted total disability, and, by reason thereof, a recovery was had for total disability of appellee when he was not entitled to recover on this theory.

2. By the provisions of the policy, appellee was indemnified against the effect of bodily injuries caused directly, solely, and independently of all causes by external, violent and accidental means, and, if such injuries from the date of the accident disabled and prevented the assured from performing every duty pertaining to any and every kind of business or occupation, the association Was to pay for such total disability for a period not to exceed twenty-four consecutive months at the rate of $50 per month; and if such injuries wholly and continuously from date of accident disabled and prevented the assured from performing one or more important duties pertaining to Ms occupation, or in the event of like disability immediately following total loss of time, the insured was to be paid $25 per month for the period of such partial disability, not to exceed six consecutive months. And further, in the event of injury or loss, fatal or otherwise, of wMch there were no external and visible wound or contusion on the exterior of the body, or injury, fatal or otherwise, due wholly or in part, directly or indirectly, to disease or bodily infirmity, or in the event of disability, or death, due to either accident or illness where the loss was occasioned or contributed to in any way by tuberculosis, rheumatism, paralysis, the limit of the association’s liability was not to exceed one month’s indemnity as provided for total disability; and that indemnity should not accrue in excess of the time the assured was by reason of the injury under the professional care and regular attendance of a legal qualified physician and surgeon.

[21]*21There is evidence in the record disclosing that about the hour of 9:30 p. m. on the evening of October 5, 1913, the assured entered his real estate office located in the city of Anderson, Indiana, while • the office was very dark, and, while attempting to turn on the electric lights, he struck his head violently against the corner of a high desk that stood in the room, from the effects of which he fell to the floor. The injury he received was painful and caused dizziness. The part of the head that came in contact with the desk became swollen and left a blue mark about the size of a quarter, and to relieve the pain hot applications were applied shortly thereafter; that on either the next or the second day after he received the injury he consulted a physician, who treated him continuously until December 5, 1913. The injury caused paralysis of the side of the face, so that he could not close his eye, and it interfered with his speech; likewise his rest was considerably impaired for more than a month after receiving the injury. The physician gave him electrical treatments for the fifth nerve at the side of the temple over the parietal region of the head. There is a conflict in the evidence as to whether he was able to perform any service during the period of time for which a recovery was sought. The assured testified that he was unable to transact any business during this period of time; while other witnesses testified that they saw him going about and attending in part, at least, to his real estate business. With the record disclosing the foregoing as to the nature of the injury and appellee’s condition physically, the court, in construing the policy in reference to total and partial disability, informed the jury that if appellee was injured as alleged in the complaint, and by 'reason thereof he was immediately thereafter disabled from performing his usual vocation for any period of the time mentioned in the complaint,- then for such time as he. was totally disabled, he would be entitled to recover $50 per month; and if, on, account of the injury, he was immediately thereafter par[22]*22tially disabled from performing his usual vocation to the extent of being unable to perform one or more of his duties during any part of the time mentioned in the complaint, then for such portion of the time, he would be entitled, to recover $25 per month. “Total disability,” as used in the policy, the jury was informed is such disability as disqualified appellee from performing his usual regular work and vocation; and that if a person was so disabled that he was disqualified and rendered unable to perform substantially and in a reasonable way his usual and ordinary work and vocation, then he was totally disabled within the meaning of the language used in the policy, even though he might be able to perform some of the minor and less important portions of such, sendee or vocation; and, on the other hand, if his disability was such as not to render him incap-' able of performing the-major and more important portions of his work and vocation, he was not totally disabled within the meaning of the language used in the policy.

As to what, under the law, constitutes total disability in an accident insurance policy has been before the* courts for consideration upon numerous occasions, and, as disclosed by the decisions, the language covering such stipulation varies in form. In many of the decisions, the language is substantially to the effect that should the assured be disabled from prosecuting his usual employment, or from prosecuting any and every kind of business pertaining to his occupation, he would be entitled to the indemnity; and under such language or language similar in effect, Cooley, in his brief on the Law of Insurance (Vol. 4, p. 3290), after reviewing the decisions generally, says: “It must not, however, be inferred that to constitute total disability the insured must be unable to perform each and every act and duty connected with his occupation. On the contrary, the weight of authority supports the rule that even under the clause providing for indemnity for disability preventing the insured from prosecuting any and every kind of business pertain[23]

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Cite This Page — Counsel Stack

Bluebook (online)
113 N.E. 760, 63 Ind. App. 18, 1916 Ind. App. LEXIS 160, Counsel Stack Legal Research, https://law.counselstack.com/opinion/workingmens-mutual-protective-assn-v-roos-indctapp-1916.