Wisconsin Nat. Life Ins. Co. v. Meixel, 27901.

• Docket Nº: No. 27901.
• Citation: 221 Ind. 650, 51 N.E.2d 78
• Case Date: November 02, 1943
• Court: Supreme Court of Indiana

221 Ind. 650
51 N.E.2d 78

WISCONSIN NAT. LIFE INS. CO.
v.
MEIXEL.

No. 27901.

Supreme Court of Indiana.

Nov. 2, 1943.

Action by Verl M. Meixel against the Wisconsin National Life Insurance Company on a health insurance policy. Judgment for plaintiff, and defendant appeals. Transferred from the Appellate Court under Burns' Ann.St. § 4-215.

Affirmed on condition of remittitur.

Superseding opinion in 48 N.E.2d 817.

[51 N.E.2d 78]

Appeal from St. Joseph Circuit Court, Dan Pyle, Judge.
Arnold, Degnan, Dohnalik & Goheen, of South Bend, for appellant.

Loomis & Hartzer, of South Bend, for appellee.

RICHMAN, Judge.

Appellant issued a policy of insurance to appellee date June 23, 1939, containing provisions for indemnity on account of sickness and hospitalization. She was ill from February 3, 1940, to November 1, 1940. Her complaint in two paragraphs was filed May 17, 1940. The first paragraph demanded $400 covering three monthly payments of one hundred dollars each on account of sickness and fifty dollars on account of hospitalization. A general denial was the only answer. The provisions of the second paragraph are not important in view of the conclusion we have reached.

The cause was tried May 4, 1941, with special finding of facts and conclusions of law to which appellant excepted. Judgment was entered against appellant for $975.88 which included nine monthly payments of one hundred dollars each as indemnity for sickness, and twenty-five dollars indemnity for hospitalization, with interest on the respective amounts from January 1, 1941, to December 15, 1941, as of which date the judgment was entered. There was no motion for a new trial. The evidence is not before us. The only errors assigned are on the exceptions to the conclusions of law.

Coverage as to illness indemnity is fixed by the two following provisions of the policy:

‘The Company will pay at the rate specified in Part I, ($100 per month) for illness indemnity, for a period not exceeding twelve months beginning with the first day after the first visit of a physician, during which the Insured shall be necessarily continuously and entirely confined within the house and totally and continuously disabled and prevented from the performance of any and every duty pertaining to the business or occupation, solely by reason of ‘such illness.’

‘Neither the accident nor illness insurance under this Policy shall cover disability for any period during which the insured is not under the professional care of and regularly attended at least once in every seven days by a legally licensed physician, other than the insured.’

[51 N.E.2d 79]

Findings seven and eight were as follows:

‘That plaintiff insured was under the terms of the policy in question continuously permanently and totally disabled and was thereby unable to follow any duties pertaining to her business or occupation from the 3rd day of February, 1940, up to and including the 1st day of November, 1940, and was continuously and wholly confined to the house, except for an occasional...