R. R. v. . Casualty Co. , 145 N.C. 114 ( 1907 )

This action was brought by the plaintiff to recover $1,999, alleged to be due on a contract to indemnify it against liability to its employees, which was the amount theretofore adjudged to one J. G. (115) Andrews, an employee of the plaintiff, on account of injuries received by the negligence of Henry Clark Bridgers, another of its employees, in a suit brought by him against the plaintiff. The policy of the defendant indemnifies "against loss from common-law or statutory liability; for damages on account of bodily injuries, fatal or nonfatal, accidentally suffered within the period of this policy by any employee or employees of the assured, while on duty at the places and in the occupations mentioned in this application, in and during the continuance of the work described in this application." But the liability is limited by the following clause: "This policy does not cover loss for liability for injuries, as aforesaid, to or caused by any person unless his wages are included in the estimated wages named in the schedule and he is on duty at the time of the accident, in an occupation hereinafter described, at the place or places mentioned in the schedule." It appears that Andrews' compensation as an employee of the plaintiff was included in the estimated wages named in the schedule, which is a part of the policy, while Bridgers' was not so included.

Issues were submitted to the jury and answered, by consent, as follows:

1. Was J. G. Andrews, at the time of the injuries for which he obtained the judgment in controversy, an employee of the plaintiff, and was he on the pay-roll and his wages included in the estimated wages named in the schedule? "Yes."

2. Were the injuries to J. G. Andrews for which the judgment was obtained, caused by an employee of the plaintiff, and if so, who? "Yes; Henry Clark Bridges, who was at the time running as engineman, and who held the office of president and general manager."

3. Were the wages of such employee included in the estimated wages named in the schedule? "No."

The court, upon the verdict, was of the opinion that the defendant was not liable to the plaintiff upon the contract, and so adjudged. The plaintiff thereupon appealed. After stating the case: The policy upon which this suit was brought is most clearly restricted to cases where the injury results to (116) an employee of the insured from the negligence of some other employee whose wages were on the pay-roll of the company and included or considered in the estimate upon which the premium was computed. Parties who are sui juris must be permitted to make contracts for themselves, and the Court, in the absence of any equitable element invoking its protection in favor of one or the other of the parties, must take the contract as it finds it and so construe it. It is true that, in passing upon contracts of insurance or indemnity like the one now in band, the courts have adopted certain canons of interpretation, one of which is, that the contract will be liberally construed in favor of the assured, so as not to defeat, without a clear necessity, his claim for indemnity. When doubt arises by reason of the language employed to express the agreement, so that it admits of two interpretations, the courts, as a general rule, adopt that one which, without any violence to the words selected by the parties, will sanction the claim and cover the loss.Goodwin v. Assurance Society, 97 Iowa 226; Kendrick v. Ins. Co.,124 N.C. 315. The leading idea which controls in such cases was well stated by Judge Douglas in Grabbs v. Ins. Co., 125 N.C. 399: "The extraordinary development of insurance, and its necessary adaptation to the varying and complicated business relations of a progressive age, tax the utmost ability of the courts. But, while different conditions may require the application of different rules, one great principle must always be kept in view, and that is, the ultimate object of all insurance. While we should protect the companies against all unjust claims and enforce all reasonable regulations necessary for their protection, we must not forget that the primary object of all insurance is to insure. We cannot permit insurance companies, by unreasonable stipulations, to evade the payment of such indemnity when justly due, and thus defeat (117) the very object of their existence." And so in Bank v. Fidelity Co., 128 N.C. 371, the same learned judge tersely restated the rule: "The object of an indemnifying bond is to indemnify; and if it fails to do this, either directly or indirectly, it fails to accomplish its primary purpose, and becomes worse than useless. It is worthless as an actual security, and misleading as a pretended one."

The Supreme Court of the United States is equally explicit: "If, looking at its provisions, the bond is fairly and reasonably susceptible of two constructions — one favorable to the bank and the other favorable to the surety company — the former, if consistent with the objects for which the bond was given, must be adopted, and this for the reason that the instrument which the Court is invited to interpret was drawn by the attorneys, officers, or agents of the surety company. This is a well-established rule in the law of insurance." Surety Co. v. Pauly,170 U.S. 144.

In Bray v. Ins. Co., 139 N.C. 393, in considering the same principle of construction, where the meaning of any provision or of the entire policy is uncertain, we held that the interpretation should be such as to favor the plaintiff, or party insured or indemnified, assigning as one all-sufficient reason for this view of the matter, "that the company has had the time and the opportunity, with a view to its own interest, to make clear its meaning by selecting with care and precision language fit to convey it, and if it has failed to do so, the consequences of failure should not even be sharedby the assured, so as to deprive him of the benefit of the contract as one of indemnity for his loss."

Probably the most important general rule guiding courts in the construction of insurance policies is, that all doubt or uncertainty as to the meaning of the contract shall be resolved in favor of the insured. Vance on Insurance, p. 592. The latter author also says: "This rule, it is well settled, applies in full force to those contracts of special insurance which, unfortunately for both insurers and insured, are often filled with numerous conditions, the legal significance and economic (118) purpose of which are alike uncertain." Jones v. CasualtyCo., 140 N.C. 264; Bank v. Ins. Co., 5 Otto, 673; Lumber Co. v. FidelityCo., 30 L.R.A., 691; Fenton v. Fidelity Co., 48 L.R.A., 770.

This Court has distinctly declared that, if a contract of insurance is reasonably susceptible of two constructions, the uniform rule in all courts is to adopt that which is most favorable to the insured. Rayburn v.Casualty Co., 138 N.C. 382; Bank v. Ins. Co., 95 U.S. 673; Jones v.Casualty Co., 140 N.C. 265. But, while this salutary rule is well established, it is never enforced except in those cases to which it is strictly applicable and which come within its reason and purpose; and while we generally favor the insured when the company, by the language of its own selection, has created a doubt as to what was meant, the rule will never be carried so far as to make a contract for the parties different from what they have made for themselves, and it is not applicable when the intent of the parties has been clearly expressed and their rights can with certainty be ascertained from the language as used. Bray v. Ins. Co., 139 N.C. 393;Durand v. Ins. Co., 63 Vt. 437 (25 Am. St., 773); Vance on Insurance, p. 593.

In this case it is perfectly clear what the parties meant. Indeed, there cannot well be two opinions about it. They have plainly contracted that the plaintiff should not be indemnified for any loss arising to one of its servants who is injured and who is either not on the pay-roll or within the list of estimated wages, or who was injured by a fellow-servant not within the same category. If the employee injured is not on the payroll, or if the employee who injured him by his negligence is not, there is no liability. The exception is inclusive of both classes of servants, although expressed alternatively, or, as counsel said, disjunctively. Stated differently, the plaintiff, in order to recover, must have shown that both of the servants, the injurer and the injured, were on the pay-roll and not within the descriptive words of the exception from (119) liability. This is not an unreasonable view of the matter, as the basis of calculating the premium to be paid is just this very stipulation and requirement. If we should hold the plaintiff entitled to recover, he would clearly receive a benefit and indemnity for which he had never paid the defendant; and when it asserts the defendant's liability to it, the latter may well reply non haec in federa veni.

The able and learned brief of Judge Battle is conclusive upon the question, and we do not hesitate to follow it, although confronted by a very able and ingenious one by Mr. Bridgers.

We do not understand why plaintiffs sue generally for $1,999, when a sum demanded not exceeding $2,000, exclusive of interest and costs, takes the case out of the jurisdiction of the Federal courts. 4 Anno. Fed. Stat., 265 and 312; Coffin v. R. R., 118 Fed., 688.

The judgment of the court upon the verdict was correct.

Affirmed.

Cited: Crowell v. Ins. Co., 169 N.C. 37; Stagg v. Land Co., 171 N.C. 591.

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