Legrand v. Security Benefit Assn. , 210 Mo. App. 700 ( 1922 )

This is a suit on a fraternal benefit certificate or policy of insurance. The cause was tried to a jury and judgment went for plaintiff and defendant appealed.

On June 24, 1919, Clarence D. Fast made application for membership and policy in the Knights and Ladies of Security. He was duly accepted and a policy for $2000, naming Emma G. Fast, his wife, as beneficiary, was issued. The Knights and Ladies of Security was taken over by defendant and it became responsible for the old order's contracts. Fast died on October 9, 1919, in good standing. Proofs of death were duly made and the claim rejected on January 12, 1920. Emma G. Fast, the beneficiary, died in November, 1920. Thereafter plaintiff was appointed administrator of the estate of Emma G. Fast, and filed this suit August 4, 1921.

The petition is in the usual form. The answer charged misrepresentations as to disease, health, and when treated by a physician, and a plea that since suit was not filed within one year from the date of the death of the insured recovery could not be had. Defendant abandoned all points except two. It is stated in defendant's brief thus: "There are three questions raised by the defendant in this case. The first delates to the propriety of the plaintiff's first and only instruction; the second, the time of bringing the suit covered by instruction "B" offered by defendant but refused by the court; the third, whether or not the deceased, Clarence D. Fast, consulted a physician, within the meaning of the constitution, by-laws, application for membership and certificate, and within five years previous to the filing of his application for membership." Defendant does not again mention plaintiff's instruction, and makes no attempt to point out why, wherein or how the instruction is erroneous, hence we take it that it has abandoned that ground. The two remaining points are well stated by defendant, and we take them up in the order stated.

(1) Instruction B requested by defendant and refused is as follows: "The court instructs the jury that it is agreed in this case that the deceased, Clarence D. Fast, died October 9, 1919; if you find and believe from the evidence that the beneficiary, Emma G. Fast, submitted proof of the death of the insured to the defendant company and her rights as such beneficiary and the defendant company refused to allow such claim and that this suit was not filed or instituted within one year thereafter, you will return a verdict for the defendant." The policy contained this provision: "No action in any court can or shall be maintained on this certificate until after the proofs of death, and claimant's right to benefits, as provided in the laws of the order have been filed with the national secretary, and passed upon by the national executive committee, nor unless brought within one year from the date of death of the member." It was shown that the Knights and Ladies of Security was organized under the laws of the State of Kansas, and that the Statute of Limitations in Kansas on written contracts is five years. Defendant frankly concedes that our courts have held contrary to its contention on the one year provision. [Roberts v. Modern Woodmen, 133 Mo. App. 207, 113 S.W. 726.] Section 2166, Revised Statutes 1919, provides that: "All parts of any contract or agreement hereafter made or entered into which either directly or indirectly limit or tend to limit the time in which any suit or action may be instituted, shall be null and void." This statute was the basis for the ruling on the third defense set up in Roberts v. Modern Woodmen, supra, as it is the basis for other rulings of like effect. [Shearlock v. Mutual Life Ins. Co., 182 S.W. (Mo. App.) 89.] But defendant urges that the ruling in Roberts v. Modern Woodmen was prior to the passage of the Fraternal Beneficiary Association Act, in 1911. [Laws 1911, pp. 284-301.] Section 9 of that act, now section 6405, Revised Statutes 1919, provides that every certificate issued shall provide that the certificate, charter, the constitution and laws, the application and medical examination, and all amendments, etc., shall constitute the agreement. Defendant's contention is that section 9 of the Act of 1911, supra, in effect exempts fraternal insurance certificates from what is now section 2166. Section 2166 had been in force many years prior to 1911 (see Laws 1887, p. 99), and we are of the opinion that section 9 of the Act of 1911, does not have the effect of exempting defendant from the effects of the Act of 1887. Section 10273, Revised Statutes 1919, prohibits, as we see it, any by-laws running counter to the laws of the State. Section 10273, Revised Statutes 1919, was enacted in 1879, section 980, Revised Statutes 1879, and has been carried through all the revisions without change. If we hold that defendant, organized under the laws of a sister State, is by virtue of the Act of 1911 exempt from the provisions of the Act of 1887, then the effect would be that a fraternal beneficiary association organized under the laws of some other State would have advantage, in the respect under consideration, over an association of like nature organized under the laws of this State. If the Legislature had so intended it is reasonable to assume that more definite intention would have been expressed than appears in the Act of 1911.

The one year provision in the policy sued on is taken from the constitution and by-laws and while that provision provides that no suit shall be brought unless within one year after the death of the member, defendant recognized that in no event could the claimed limitation begin to run until the beneficiary was notified of rejection (Simmons v. Modern Woodmen,194 Mo. App. 29, 188 S.W. 932), and defendant so framed its refused instruction B, set out, supra. As stated, supra, the limitation in Kansas on the character of contract here is five years. If the one year provision in the policy at bar had been valid under the laws of Kansas as was the one year provision in the policy under consideration in Roberts v. Modern Woodmen, supra, by virtue of the Illinois law then a different question would be here; but there is no such situation here. It is our conclusion that instruction B was properly refused.

Did the insured make false answer as to consulting a physician? In the application he was asked this question: "Have you either consulted professionally or been treated by a physician or surgeon within the past five years?" Insured answered "No" to this question. The evidence shows, in fact it is admitted, that insured consulted and was treated by an osteopath in January prior to the application in June. If insured consulted or was treated by a physician or surgeon, as these terms are used in the application, in January prior to his application in June then recovery cannot be had in this cause. [Cromeens v. Sovereign Camp, Woodmen of the World, 233 S.W. (Mo. App.) 287.] The question, therefore, is: Is an osteopath a physician or asurgeon as these terms are used in the application? Defendant asked and was refused this instruction: "The court instructs the jury that if you find and believe from the evidence that the deceased, Clarence D. Fast, had previous to the time of filing his application for membership in the Knights and Ladies of Security, and within five years theretofore, consulted with a physician or surgeon, and that he represented to said Knights and Ladies of Security at the time of making his application for membership that he had not so consulted with a physician or surgeon, you will return your verdict for defendant." This instruction was refused on the theory that an osteopath is not a physician or surgeon within the meaning of these terms in the application. What is now section 9202, Revised Statutes 1919, was enacted in 1897, Laws 1897, p. 206, and is as follows: "The system, method or science of treating diseases of the human body commonly known as osteopathy, and as taught and practiced by the American School of Osteopathy of Kirksville, Missouri, is hereby declared not to be the practice of medicine and surgery within the meaning of article I of chapter 65, and not subject to the provisions of said article." Section 7330, Revised Statutes 1919, a part of article 1, chapter 65, Revised Statutes 1919, which has been the law for many years (Laws 1901, p. 207), provides that it shall be unlawful for any person not a registered physician within the meaning of the law to practice medicine or surgery in any of its departments. Section 9202, Revised Statutes 1919, supra, which was enacted in 1897, specifically provides that the practice of osteopathy is not the practice of medicine and surgery within the meaning of article 1, chapter 65. In Granger v. Still, 187 Mo. 197, l.c. 224, 85 S.W. 1114, this language appears: "In other words osteopaths are not physicians or surgeons in any of the departments of medicine or surgery, but may cure or relieve any disease of the human body according to the system, method or science as taught by the American School of Osteopathy of Kirksville, Missouri, or any other legally chartered and regularly conducted school of osteopathy."

In Maupin v. Southern Surety Co., 205 Mo. App. 81, 220 S.W. 20, we held that a veterinarian was not a surgeon as that term is commonly understood. There we undertook to define surgeon, but there is nothing therein, especially in view of section 9202, Revised Statutes 1919, which runs counter to our conclusion here. There was no evidence that the insured consulted any one claimed to be a physician except an osteopath, hence instruction C was properly refused. The judgment below should be affirmed and it is so ordered. Cox P.J., and Farrington, J., concur.