Court Opinion

ID: 6272415
Source: CourtListenerOpinion
Date Created: 2022-02-18 15:49:35.949157+00
Date Added: 2024-06-11T08:59:57.016834
License: Public Domain

Opinion by
Rice, P. J.,
John H. Leo, on November 4, 1892, was an employee of the defendant company and a contributor to its Voluntary Relief Department. By an agreement between them it was stipulated that the defendant should apply from his wages the sum of $1.50 cents per month to the relief department, and that he should be entitled, in the event of sickness or accident, to benefits, and in the event of death resulting, that his wife, the plaintiff in this action, should be entitled to the sum of $500, subject to the conditions contained in the regulations adopted by the relief department. The regulation, thus made part of the contract, touching death benefits provides that to entitle the beneficiary to them the death of the member shall occur *199“ during the time for which he shall have contributed, or while receiving disablement benefits, or during a month in which he shall have recovered from disability.”
Other regulations provide, that in case of “accident” the person injured shall be entitled to disablement benefits for the entire period he is disabled; and that in case of disablement from “sickness,” he shall only be entitled to benefits for a period not greater than fifty-two weeks. It becomes important, therefore, to determine whether the disablement of the decedent terminating in his death, resulted from “accident” or “ sickness; ” for if it resulted from the latter, the averments of the affidavit of defense, taking them to be true, make it sufficiently clear, that the death of the decedent did not occur until long after the expiration of the period during which he received, or was entitled to, disablement benefits. As we view the case, as now presented, the only questions which require notice are, whether the plaintiff’s statement alleges that the disablement of the decedent resulted from “ accident ” within the meaning of the regulations, and whether the denial of this allegation in the affidavit of defense is sufficient to carry the case to a jury. The allegation of the statement is, that “ on or about the fifteenth day of December, A. D. 1894, while the said John H. Leo was in the service of the defendant, he was disabled and injured in his back, while unloading one of the defendant’s freight cars at its transfer station in the city of Philadelphia ; that the said injury resulted in paralysis of the brain ; from which the said John H. Leo died on the twenty-third day of April, A. D. 1897, after a long illness.” Granting that this is a sufficient averment that the disablement resulted from “accident,” and that the death of the decedent occurred during its continuance, is it not sufficiently denied in the affidavit of defense? We think it is. In the first place, the preceding general allegation of the statement, that the decedent “ fulfilled all the stipulations on Ms part to be fulfilled under said agreement,” is denied in as broad terms as it is made. In this particular the affidavit is as specific as the statement, and is responsive. If, as alleged in the affidavit, the death of John H. Leo did not occur during any time for which he was a contributor to the relief department, nor while he was receiving or entitled to receive, disablement benefits therefrom, the plain*200tiff lias no case. In the second place, the specific allegation above quoted is met in the affidavit by the explicit and unequivocal averment, “that the disablement of the said John H. Leo was the result of sickness and not of accident, as set out in the said statement of claim; ” and this express denial of the fundamental allegation of fact upon which the plaintiff rests her case is accompanied by the corroborative averments that the conditions (setting forth what they are) which must exist in order to entitle a member to “ accident ” benefits never existed in the present case; that the decedent never claimed such benefits; but that he did claim and receive “side” benefits during the period covered by the regulations. We need not go further into the details of the affidavit. Instead of being evasive, it seems to us to meet every claim which could possibly arise out of the agreement between the parties, and to aver a good defense thereto.
Where a defendant is put, by the statement or by the nature of the action, under an obligation, his affidavit, to be valid, must deny the supposed facts which create the obligation on his part: 1 P. & L. Dig. of Dec. and Ency. of Pa. Law, 159. Here the plaintiff’s case rests on the alleged fact that the decedent’s disablement resulted from “ accident ” as defined in the regulations set forth in the affidavit of defense, and this allegation is expressly denied. Reading the affidavit as a whole, the court was clearly right in holding that it was sufficient to put the plaintiff to proof of her claim before a jury. See Landis v. R. R. Co., 133 Pa. 579; Barker v. Fairchild, 168 Pa. 246; Hutton v McLaughlin, 1 Pa. Superior Ct. 642.
The appeal is dismissed at the costs of the plaintiff, but without prejudice, etc.