Opinion
8 Div. 421.
May 20, 1948.
Appeal from Law and Equity Court, Lauderdale County; Raymond Murphy, Judge.
Mitchell Poellnitz, of Florence, for appellant.
The complaint is defective in not alleging that the policy sued on was not in force and effect on the dates of the alleged disability. Gilliland v. Order of Railway Conductors, 216 Ala. 13, 112 So. 225; American Bankers' Ins. Co. v. Dean, 227 Ala. 387, 150 So. 333; Protective L. I. Co. v. Cole, 230 Ala. 450, 161 So. 818; McGifford v. Protective L. I. Co., 227 Ala. 588, 151 So. 349; McCutchen v. All States L. I. Co., 229 Ala. 616, 158 So. 729. The allegations of the complaint are insufficient to show without confusion or ambiguity a loss under either the certificate of insurance or the group policy involved. The demurrer on this ground should have been sustained. Brittain v. Prudential Ins. Co., 29 Ala. App. 57, 191 So. 794; Id., 238 Ala. 445, 191 So. 800; 46 C.J.S., Insurance, § 1284, p. 335; Life Cas. Ins. Co. of Tennessee v. Foster, 212 Ala. 70, 101 So. 765. It was error to sustain objection to the question by appellant to witness Dr. Simpson, on cross-examination, as to his opinion, from his examination of appellee, whether appellee was totally disabled to perform every duty of his occupation. New York L. I. Co. v. Torrance, 228 Ala. 286, 153 So. 463; Pacific Mut. L. I. Co. of California v. Edmonson, 235 Ala. 365, 179 So. 185; Equitable L. A. Soc. of United States v. Davis, 231 Ala. 261, 164 So. 86. Objections to questions to non-expert witnesses as to whether appellee appeared to be ill should have been sustained. Sovereign Camp, W. O. W., v. Hutchinson, 217 Ala. 71, 114 So. 684; 32 C.J.S., Evidence, § 513, p. 199.
Bradshaw Barnett, of Florence, for appellee.
To the appellee, the certificate is the policy of insurance. National Union Fire Ins. Co. v. Griffith, 221 Ala. 112, 127 So. 812. The appellee's declaration on the certificate is in Code form and sufficient. All States L. I. Co. v. Kelso, 29 Ala. App. 310, 195 So. 460; Sovereign Camp, W. O. W., v. Gunn, 224 Ala. 444, 140 So. 410; American Bankers' Ins. Co. v. Dean, 227 Ala. 387, 150 So. 333. Where appellant had, under the general issue, the benefit of the facts alleged in its special pleas, error, if any, in sustaining demurrer to special pleas, was without injury. Southern R. Co. v. Freeman, 16 Ala. App. 687, 81 So. 135; City of Cullman v. Laminack, 30 Ala. App. 85, 2 So.2d 314; Montgomery Production Cr. Ass'n v. M. Hohenberg Co., 31 Ala. App. 117, 12 So.2d 865; Cooledge v. Collum, 211 Ala. 203, 100 So. 143. Expert witness cannot give his conclusion on the very issue to be decided by the jury. American Nat. Ins. Co. v. Rosebrough, 207 Ala. 538, 93 So. 502; Capital Motor Lines v. Gillette, 235 Ala. 157, 177 So. 881. A non-expert witness may testify as to the apparent physical condition of another, which is open to ordinary observance by a person of common sense, as for example his general health, strength, vigor, feebleness, illness, etc. American Nat. Ins. Co. v. Rains, 215 Ala. 378, 110 So. 606; Mayo v. State, 32 Ala. App. 264, 24 So.2d 769; Prudential Ins. Co. v. Calvin, 227 Ala. 146, 148 So. 837; Aetna L. Ins. Co. v. Kelley, 8 Cir., 70 F.2d 589, 93 A.L.R. 482. Charges based on the literal language of the policy and not its construction were properly refused. Pacific Mut. L. I. Co. of California v. Marks, 230 Ala. 417, 161 So. 543; John Hancock Mut. L. I. Co. v. Schroder, 235 Ala. 655, 180 So. 327.
This is a suit brought by Marvin S. Hanback against The Life Insurance Company of Virginia on a certificate issued under a group accident and sickness policy. The complaint consisted of one count, which will appear in the report of the case. It was amended by striking the words "December 1" and inserting in lieu thereof the words "November 17". It is insisted that the amended complaint, which substantially follows the statute (form 12, Title 7, § 223, Code of 1940), is subject to demurrer for failure to allege that the policy was in force and effect during the period for which disability payments are claimed. The complaint was not subject to demurrer in this regard. Inter-Ocean Casualty Co. v. Anderson, 245 Ala. 534, 17 So.2d 766; American Bankers' Ins. Co. v. Dean, 227 Ala. 387 150 So. 333; Sovereign Camp, W.O.W., v. Gunn, 224 Ala. 444, 140 So. 410.
It is further claimed that the complaint does not clearly show whether recovery is sought for loss under the certificate or under the group policy. This position is not correct. The group or master policy is issued to the employer and the certificate is issued to the employee. But the two contracts are not separate and distinct without relationship to each other. On the contrary while the suit is upon the certificate, "The policy contract is to be found upon examination of the provisions of the certificate in connection with those of the 'Master Policy'." All States Life Ins. Co. v. Steward, 242 Ala. 258, 5 So.2d 784, 785. In this connection there is no violation of § 75, Title 28, Code of 1940. Page v. Prudential Ins. Co. of America, 231 Ala. 405, 165 So. 388. The demurrer was properly overruled.
The demurrers of plaintiff to pleas 2 through 9 inclusive were sustained by the court. Evidence of the matters alleged in the pleas was introduced under the general issue. Whatever error, if any, there may have been in these rulings, was error without injury. Coolidge v. Collum, 211 Ala. 203, 100 So. 143; Montgomery Production Credit Ass'n v. M. Hohenberg Co., 31 Ala. App. 117, 12 So.2d 865. And this is especially true when the incidents of the trial, such as for example the charge of the court, show that the jury understood and passed on the issues as though the pleading was sufficient. Mindler v. Crocker, 245 Ala. 578, 18 So.2d 278. Counsel appear to be in some uncertainty as to the provisions in the policy relating to notice. The provisions of the policy introduced in evidence make proof of loss a condition precedent to recovery. When such a policy is sued on, the plea of the general issue casts on the plaintiff the burden of showing that due proof of loss has been made. If the policy does not make proof of loss a condition precedent to recovery, then failure of proof of loss must be specially pleaded. Continental Assur. Co. v. Hendrix, 246 Ala. 451, 20 So.2d 851; New York Life Ins. Co. v. Sinquefield, 231 Ala. 185, 163 So. 812.
The court sustained objection to the following question propounded to Dr. Harry M. Simpson. "In your professional opinion, from your examination of Mr. Hanback, was he totally disabled to perform every duty of his profession when you examined him?" We do not think the court should be put in error for this ruling. Without considering whether the question invades the province of the jury, there is no proof that the doctor knew or had been informed of the duties of plaintiff's profession. In fact Dr. Simpson expressly testified, "I didn't inquire into his industrial history." Birmingham Amusement Co. v. Norris, 216 Ala. 138, 112 So. 633, 53 A.L.R. 840.
Raymond Stults, witness for plaintiff who was not qualified as an expert was asked on direct examination, "I will ask you if after November 17, 1945, if he appeared to be ill?" The defendant objected on the ground that the witness was not an expert. The court overruled the objection and permitted the witness to give an affirmative answer. In this ruling there was no error. American Nat. Ins. Co. v. Rains, 215 Ala. 378, 110 So. 606; Sovereign Camp, W.O.W., v. Hutchinson, 217 Ala. 71, 114 So. 684.
The court refused to give written charges 1, 2, 4, 5, 6, 8 and 9 requested by the defendant. There was no error in these rulings. The charges are either covered by other written charges or the oral charge or are contrary to tendencies of the evidence or follow the wording of certain parts of the policy and not the meaning or construction which should be given to such parts of the policy. Pacific Mutual Life Ins. Co. of California v. Marks, 230 Ala. 417, 161 So. 543; John Hancock Mutual Life Ins. Co. v. Schroder, 235 Ala. 655, 180 So. 327.
Affirmed.
GARDNER, C. J., and FOSTER and LAWSON, JJ., concur.