National Accident Society v. Taylor , 1891 Ill. App. LEXIS 235 ( 1891 )

Cartwright, J.

On the 29th day of August, 1887, plaintiff in error issued its certificate to Isaac D. Taylor upon application signed by him, and thereby, in consideration of a membership fee of $5 and quarter annual payments of $3 each, to be paid during the continuance of the certificate, insured him against injury received through external, violent and accidental means in the sum of $3,000, to be paid in case of his death from such injuries to his wife, the defendant in error, upon proof of his death from such injuries.

On the 21st day of September, 18S7, the insured was engaged in repairing a private bridge on his farm over Kickapoo creek, by driving posts somewhat larger than common fence posts, and eleven or twelve feet long, in the bed of the creek by means of an axe and sledge, and while so engaged met with his death by accidental drowning. Proof of death and the cause was furnished, and no objection was made to the form or sufficiency of such proof, but plaintiff in error refused to pay the full amount named in the certificate on the ground that the insured at the time of his death, was engaged in an extra hazardous occupation, and offered to pay $250, which was claimed to be the amount payable upon the death of a “ pile driver.” Suit was instituted and the case was tried without a jury resulting in a finding and judgment for $3,360. Humorous errors are assigned, but they may be all resolved into these propositions : that no suit could be maintained until after a specific demand for the levy of an assessment and upon proof that such levy would yield the required amount; that no suit could be maintained unless the proofs furnished are satisfactory to the insurance company, which is not the fact; that the statements of the insured as to his occupation and freedom from disorder of the brain were untrue, and that if there is any liability it is only for the amount payable in the occupation of pile driving.

The undertaking of plaintiff in error contained in this certificate is to pay $3,000, not to make an assessment. It agreed to pay that amount within ninety days after satisfactory proof without limitation or condition as to amount, except that it was conditioned in accordance with a statute of Hew York upon its being realized from assessments of members.

The only assessments of the company appear to be payable quarterly without reference to' deaths.

The contract makes no provision for assessments upon a death occurring. If there was a method of making assessments to enable the company to meet its obligation to pay the money it should have proceeded to do so. If there was anything which would excuse the' company from payment under the condition, it was matter of defense to be pleaded and proven by it.

Our statute requires as a condition of a company of this kind doing business in this State, that it shall appear by its sworn statement that an ordinary assessment upon its members is sufficient to pay its maximum certificates of membership to the full limit named therein, and the presumption would be that such assessment, if that be the method of payment, would be sufficient to realize the required amount. Defendant in error was entitled to recover the full amount in case of the death of her husband unless the amount was reduced by a showing of facts excusing payment in full. Union Mutual Accident Association v. Frohard, 134 Ill. 228; N. W. Ben. Mut. Aid Asso. of Ill. v. Wanner, 24 Ill. App. 357.

The certificate required that proof should be furnished of the death with particulars of the accident and injury. Proofs were furnished to which no objection was made, and they were' deemed satisfactory to the extent of 8250.

Ho objection being made, the proofs will be held to be of the character required by the company, and the fact that the company does not admit a liability does not affect the sufficiency of the proofs.

In the application of Taylor he stated that his occupation was that of a farmer and his duties were the supervision of his farm only, and that he never had and was not subject to fits, disorders of the brain, or any mental or bodily infirmity which would thereby render him liable to personal injuries. It appears from the evidence that he did not till the soil, or sow, plant, cultivate or harvest crops, all of which he hired done under his direction. He had the management and superintendence of his farm and his time was largely employed in doing chores and making necessary repairs to keep the farm in order.

There were two houses, a barn, outbuildings and fences on the farm as well as the bridge in question.

He did odd jobs about the place such as were necessary for comfort or convenience. He salted cattle, fed stock, mowed out fence corners, fixed up gates, fences, and buildings, when out of repair and superintended the farm. It is contended that supervision of a farm means overseeing, inspection and direction merely without any personal action or manual labor, and that his statement was therefore false.

There is evidence that the company in its classification of risks had a class called supervising farmers or farmers having supervision of farms only, and its president testifies that by its rule that class must do no manual labor. However the company may have understood the term, there is practically no such class in this State to whom it could be applied with that definition annexed, and we think that the supervision of a farm includes in its care and oversight the doing of such incidental things as may be required for keeping it in order and does not mean absolute idleness as far as physical labor is concerned. The claim that Taylor’s statement of freedom from disorder of the brain was untrue is not sustained by the evidence.

The certificate provided that if the insured should be killed while engaged temporarily or otherwise in any occupation classed by the company as more hazardous than the occupation under which the certificate was issued, the beneficiary should only be entitled to the amount payable in the more hazardous class.

There was an occupation designated as “ pile driver—employe,” classed as more hazardous than that of supervising farmer, and in which the amount payable upon death was $250. A pile driver is a machine for driving piles by raising, by means of power applied to the machinery, a heavy weight and dropping it upon the pile. It is manifest that one who drives a post by means of an axe or sledge is not engaged in the occupation of a pile driver, either .in the capacity of pile driver or employe. Besides, there was no change of occupation or business on account of this act of repairing the bridge. He had not gone into the bridge business. In Union Mutual Accident Association v. Frohard, 131 Ill. 228. it is said that “ the word occupation * * * must be held to have reference to the vocation, profession, trade or calling which the assured is engaged in for hire, or for profit, and not as precluding him from the performance of acts and duties which are simply incidents connected with the daily life of men in any or all occupations.”

Plaintiff in error puts the same construction upon the term in its manual furnished to its agents.

The action of the court in passing upon the numerous propositions of law submitted to it was in harmony with the views herein expressed, and they need not be noticed in detail.

The judgment will be affirmed.

Judgment affirmed,.