Keffer v. Prudential Ins. Co. of America, No. 12832

CourtSupreme Court of West Virginia
Writing for the CourtHAYMOND
Citation172 S.E.2d 714,153 W.Va. 813
PartiesJoseph W. KEFFER v. The PRUDENTIAL INSURANCE COMPANY OF AMERICA.
Docket NumberNo. 12832
Decision Date10 March 1970

Page 714

172 S.E.2d 714
153 W.Va. 813
Joseph W. KEFFER
v.
The PRUDENTIAL INSURANCE COMPANY OF AMERICA.
No. 12832.
Supreme Court of Appeals of West Virginia.
Submitted Feb. 18, 1970.
Decided March 10, 1970.

Syllabus by the Court

Where the provisions of an insurance policy contract are clear and unambiguous they are not subject to judicial construction or interpretation, but full effect will be given to the plain meaning intended.

W. T. O'Farrell, Jackson, Kelly, Holt & O'Farrell, Charleston, Robert J. Thrift, Mahan, Higgins, Thrift & Graney, Fayetteville, for appellant.

Samuel W. Price, Oak Hill, for appellee.

HAYMOND, Judge.

This is a civil action instituted in the Circuit Court of Fayette County, West Virginia, in which the plaintiff, [153 W.Va. 814] Joseph W. Keffer, seeks to recover from the defendant, The Prudential Insurance Company of America, certain hospital expenses and medical costs in connection with the treatment of an injury which he sustained on May 7, 1965, under a policy of insurance dated March 15, 1965, issued by the defendant, which provided for a maximum daily hospital benefit of $15.00 per day, not to exceed 365 days, for all confinements, and a schedule of surgical procedure.

The defendant moved the circuit court for judgment on the complaint under Rule 12(b)(6) of the Rules of Civil Procedure and assigned grounds in support of its motion. By its order entered January 4, 1968 the circuit court overruled the motion and on January 5, 1968 the defendant filed its answer, in which it alleged, in addition to other defenses, that the plaintiff was injured while working; that he was covered

Page 715

as to such injury by the Workmen's Compensation law of this State; that he was paid by Workmen's Compensation, as compensation for his injury, the sum of $4400.00 for hospital, medical and like attention; that the fund available for the payment of workmen's compensation benefits was exhausted under the terms of the applicable statute; that the plaintiff incurred further and additional expenses for the treatment of his injury; and that by reason of an exception in the policy of insurance such policy does not provide benefits with respect to sickness or injury covered by any workmen's compensation act or occupational disease law.

On October 21, 1968 the case was heard by the circuit court in lieu of a jury and at the conclusion of the evidence introduced by the plaintiff, which consisted of his testimony concerning his hospitalization and medical treatment and certain bills for those services and checks by which some of those bills were paid by the plaintiff and the policy of...

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132 practice notes
  • Cox v. Amick, No. 22799
    • United States
    • Supreme Court of West Virginia
    • December 11, 1995
    ...construction or interpretation, but full effect will be given to the plain meaning intended." Syllabus, Keffer v. Prudential Ins. Co., 153 W.Va. 813, 172 S.E.2d 714 (1970).' Syl. pt. 1, Russell v. State Auto. Mut. Ins. Co., 188 W.Va. 81, 422 S.E.2d 803 (1992)." Syl. pt. 1, Miller v. Lemon, ......
  • Am. States Ins. Co. v. Surbaugh, No. 11–1186.
    • United States
    • Supreme Court of West Virginia
    • February 6, 2013
    ...construction or interpretation, but full effect will be given to the plain meaning intended.” Syl., Keffer v. Prudential Ins. Co., 153 W.Va. 813, 172 S.E.2d 714 (1970). As we previously indicated, [745 S.E.2d 186] “[a]n insurer wishing to avoid liability on a policy purporting to give gener......
  • Murray v. State Farm Fire and Cas. Co., No. 24759
    • United States
    • Supreme Court of West Virginia
    • July 21, 1998
    ...or interpretation, but full effect will be given to the plain meaning intended." Syllabus, Keffer v. Prudential Ins. Co. of America, 153 W.Va. 813, 172 S.E.2d 714 However, "[w]henever the language of an insurance policy provision is reasonably susceptible of two different meanings or is of ......
  • Jenkins v. City of Elkins, No. 11–1059.
    • United States
    • Supreme Court of West Virginia
    • November 20, 2012
    ...or interpretation, but full effect will be given to the plain meaning intended.” Syl., Keffer v. Prudential Ins. Co. of America, 153 W.Va. 813, 172 S.E.2d 714 (1970). See also Syl. pt. 2, Shamblin v. Nationwide Mut. Ins. Co., 175 W.Va. 337, 332 S.E.2d 639 (1985) (“Where provisions in an ins......
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133 cases
  • Murray v. State Farm Fire and Cas. Co., No. 24759
    • United States
    • Supreme Court of West Virginia
    • July 21, 1998
    ...or interpretation, but full effect will be given to the plain meaning intended." Syllabus, Keffer v. Prudential Ins. Co. of America, 153 W.Va. 813, 172 S.E.2d 714 However, "[w]henever the language of an insurance policy provision is reasonably susceptible of two different meanings or is of ......
  • Cox v. Amick, 22799
    • United States
    • Supreme Court of West Virginia
    • December 11, 1995
    ...construction or interpretation, but full effect will be given to the plain meaning intended." Syllabus, Keffer v. Prudential Ins. Co., 153 W.Va. 813, 172 S.E.2d 714 (1970).' Syl. pt. 1, Russell v. State Auto. Mut. Ins. Co., 188 W.Va. 81, 422 S.E.2d 803 (1992)." Syl. pt. 1, Miller v. Lemon, ......
  • Farmers Mut. Ins. Co. v. Tucker, 30469.
    • United States
    • Supreme Court of West Virginia
    • December 4, 2002
    ...interpretation. We begin by noting several axioms of insurance law. We held in the Syllabus of Keffer v. Prudential Ins. Co. of America, 153 W.Va. 813, 172 S.E.2d 714 (1970) that, on the one hand, "[w]here the provisions of an insurance policy contract are clear and unambiguous they are not......
  • Cherrington v. Erie Ins. Prop., 12–0036.
    • United States
    • Supreme Court of West Virginia
    • June 18, 2013
    ...or interpretation, but full effect will be given to the plain meaning intended.” Syllabus, Keffer v. Prudential Insurance Co. of America, 153 W.Va. 813, 172 S.E.2d 714 (1970). 10. “An insurance company seeking to avoid liability through the operation of an exclusion has the burden of provin......
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