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Sheridan v. United States, 55 F. Supp. 996 (D.N.J. 1944) — Opinion Summary

Factual and Procedural Background

The plaintiff, James Vincent Sheridan, sustained serious eye injuries when a shell burst near him in battle on the Metz Front in September 1918. He received treatment in field hospitals in France and later in hospitals in the United States. On December 11, 1919, the Bureau of War Risk Insurance informed him that "your present total disability is founded upon conditions which render it reasonably certain that it will so continue throughout your life." A 1934 Veterans' Administration letter likewise stated that he was "permanently and totally disabled for insurance purposes" and that insurance payments would continue.

Plaintiff had been receiving monthly insurance payments of $28.75 under a yearly renewable term insurance contract issued February 2, 1918. Those payments were made from November 28, 1918 until they were terminated as of July 27, 1937 by the Insurance Claims Council of the Veterans' Administration, which found that recent examination did not establish loss of vision in both eyes and that plaintiff had recovered the ability to follow continuously a substantially gainful occupation. That decision was affirmed by the Board of Veterans' Appeals on April 17, 1941, constituting final administrative denial.

After the benefit payments ceased, the plaintiff converted his yearly renewable term insurance to a "United States Government (converted) life insurance" policy for $450 and paid premiums of $0.45 per month from July 1939 through at least May 1943. Plaintiff had been honorably discharged November 27, 1918, and the court found he had not engaged in any substantially gainful occupation since discharge.

The matter was tried before the District Court without a jury. The court conducted an in-chambers examination (by government doctor Ballou) and heard documentary and testimonial evidence, including past governmental findings and observations by Veterans' Administration and Federal Bureau of Investigation surveillance concerning plaintiff's activities. The court entered findings of fact and conclusions of law and granted judgment for the plaintiff.

Legal Issues Presented

  1. Whether the plaintiff was "totally and permanently disabled" within the meaning of Section 512c of Title 38, U.S.C.A., on July 27, 1937, and thereafter to April 17, 1941, where the disability is based solely on loss of eyesight.
  2. Whether, if the plaintiff is found to have been totally and permanently disabled during the relevant period, he is entitled to reinstatement of his yearly renewable term insurance benefits, recovery of premiums paid on his converted life insurance policy, cancellation of that converted policy, and attorneys' fees.

Arguments of the Parties

The opinion does not contain a detailed account of the parties' legal arguments.

Table of Precedents Cited

No precedents were cited in the provided opinion.

Court's Reasoning and Analysis

The court's analysis proceeded from the factual record and prior administrative determinations. It considered:

  • Historical administrative findings: the Bureau of War Risk Insurance's 1919 award finding total and permanent disability and the Veterans' Administration's 1934 letter confirming permanent and total disability for insurance purposes.
  • Medical examinations: an April 1937 Veterans' Administration eye examination indicating the right eye was "practically blind" and the left eye was assessed by a government doctor as "practically a normal vision with correction" but the court noted that this testimony "is lacking in certainty." The plaintiff claimed only slight vision at that time.
  • Observations of activities: surveillance in 1941 by the Veterans' Administration and the FBI recorded plaintiff performing tasks (walking several blocks unaided, shopping, reading billboards or race sheets, assisting in janitor duties, guiding his way down a theater aisle) that "usually cannot be done by persons who are totally blind." The court acknowledged that some of these actions could be performed by a well-trained totally blind person.
  • Plaintiff's testimony and credibility: the court found plaintiff "entitled to credence" when he testified he had been "practically blind since the battle of Metz" and that he experienced intermittent "flashes of dim sight." The court treated these flashes as recurrent and beyond plaintiff's control and concluded they were "of no permanent practical use" to him.
  • Later examination: an in-chambers examination by government doctor Ballou disclosed that plaintiff was "now positively blind in the strictest sense of the word by reason of cataracts on both eyes."

Synthesizing these elements, the court concluded that the intermittent and fluctuating recurrences of sight did not demonstrate substantive possession of normal eyesight and did not show an ability to pursue continuously any substantially gainful occupation. On that basis, the court found the plaintiff was incapacitated by his loss of eyesight to follow continuously any substantially gainful occupation from the date of his injury through the institution of suit, and specifically that he was totally and permanently disabled on July 27, 1937, and on April 17, 1941.

Holding and Implications

Holding:

Judgment for the plaintiff: the court held that plaintiff was totally and permanently disabled within the meaning of his yearly renewable term insurance contract on July 27, 1937, and on April 17, 1941, and that such disability continued through the time of trial.

The court's specific remedial rulings were:

  • The plaintiff is entitled to recover under the contract of yearly renewable term insurance for monthly payments of $28.75 each from July 28, 1937, through the date of entry of judgment, and the insurance contract is reinstated.
  • The plaintiff is entitled to recover the premiums he paid on the United States Government (converted) life insurance policy ($450), at the rate of $0.45 per month from July 1939 through the date of entry of judgment, and the converted policy is cancelled.
  • The plaintiff is entitled to attorneys' fees fixed at 10% of the amount to be recovered for benefits and the return of premiums; those fees are to be paid by the Government to the plaintiff's attorneys.
  • Judgment shall be entered for the plaintiff and against the defendant in accordance with the court's findings and conclusions.

Implications:

The direct consequences are the reinstatement of the plaintiff's insurance contract, payment by the Government of monthly benefits from July 28, 1937 to the judgment date, refund of premiums paid on the converted policy with cancellation of that policy, and payment of attorneys' fees at the court-fixed rate. The opinion does not discuss or announce any broader legal precedent beyond its application to the plaintiff's claims.

Sheridan v. United States

55 F.Supp. 996 (D.N.J. 1944) SHERIDAN v. UNITED STATES. Civil Action No. 2301. District Court, D. New Jersey. July 11, 1944

        Spingarn & Sachs, by Samuel Spingarn, both of Union City, N.J., for plaintiff.

        Charles M. Phillips, U.S. Atty., by Vincent E. Hull, Asst. U.S. Atty., both of Trenton, N.J., and David A. Turner, Department of Justice, of Washington, D.C., for defendant.

        FAKE, District Judge.

        The problem for solution here is whether the plaintiff was totally and permanently disabled within the purview of Section 512c of Title 38, U.S.C.A., on July 27, 1937, and thereafter to April 17, 1941; the disability being based solely on plaintiff's loss of eyesight.

        It appears that plaintiff sustained serious injury to his eyes by reason of a shell bursting near him in battle on the Metz Front in September, 1918. Thereafter he was taken to divers field hospitals in France and later to hospitals in this country, and a letter was directed to him by the Bureau of War Risk Insurance dated December 11, 1919, which states: 'It has been found that your present total disability is founded upon conditions which render it reasonably certain that it will so continue throughout your life. ' On May 25, 1934, a letter was sent to plaintiff by the Director of Insurance of the Veterans' Administration which says, that upon an examination of the records, 'It is found that you are permanently and totally disabled for insurance purposes and therefore the insurance payments previously authorized to you will continue as heretofore.'

        In April 1937 plaintiff underwent an examination of his eyes by the Veterans' Administration facility at Bronx, New York, and the examination disclosed that the right eye was practically blind and as to the left eye the government doctor said: 'It is felt that he has practically a normal vision with correction in the left eye, that is our estimate of what we thought. ' This seems to be the strongest testimony of medical men bearing on the sight of the left eye and at its best it is lacking in certainty. Plaintiff claimed he had but slight vision at that time.

        In 1941 plaintiff was put under surveillance by the Veterans' Administration and later by the Federal Bureau of Investigation, and it was found that he was doing things which usually cannot be done by persons who are totally blind, such as walking several blocks without help and without the use of a cane; going to stores, making purchases; lifting a package to avoid contact with a fire hydrant. He was observed looking at a billboard; looked up at an overcast sky; looking at his auto engine; looking at a race sheet; passing up the aisle of a theatre to show a piano on the stage without touching the seats as he passed; helped his wife in janitor service at a theatre and other like conduct. Some of these things might have been done by a well trained man of no vision whatever. A careful study of the testimony bearing on these factors leaves a feeling of uncertainty as to just how much sight plaintiff enjoyed, and in this connection I resort to plaintiff's testimony. He is entitled to credence and he says he has at all times been practically blind since the battle of Metz. It must be remembered that it is not claimed here that plaintiff's sight was at all times completely obliterated. At times he has had flashes of dim sight of more or less duration. He says so himself and a careful study of the medical testimony leads me to the conclusion that the suspicious things introduced in evidence are explained as the result of recurrent flashes of sight wholly beyond plaintiff's control and of no permanent practical use to him. I therefore have arrived at the further conclusion that such fluctuating and uncertain recurrences of sight are not sufficient to find that plaintiff is in any substantial degree in possession of normal eyesight.

         I find that plaintiff is so far incapacitated in the loss of his eyesight, sustained in battle, that he is incapacitated to follow continuously any substantially gainful occupation and that has been his condition from the date of his injury down to the date of the institution of this suit.

        Moreover, an examination before me in my chambers by the government doctor, Ballou, disclosed that plaintiff is now positively blind in the strictest sense of the word by reason of cataracts on both eyes.

        This action having been tried by the Court, without a jury, the Court hereby makes the following findings of fact and conclusions of law:

        Findings of Fact.

        First: That while the plaintiff, James Vincent Sheridan was serving in the United States Army during World War I, there was issued to him by the Bureau of War Risk Insurance of the Treasury Department a contract of yearly renewable term insurance in the principal sum of $5,000, effective February 2, 1918, which provides for the payment of monthly installments of $28.75 in the event of the total and permanent disability of the said plaintiff.

        Second: On December 11, 1919, the Bureau of War Risk Insurance, as the result of its finding that plaintiff was totally and permanently disabled, made an award to the plaintiff of insurance benefits in monthly installments of $28.75 from the 28th day of November, 1918.

        Third: Pursuant to the said award made by the Government, insurance payments of $28.75 per month were made by the Government to the plaintiff from November 28, 1918, up to and including July 27, 1937.

        Fourth: The said monthly payments of $28.75 were terminated as of July 27, 1937, by reason of a decision rendered by the Insurance Claims Council of the Veterans Administration on July 8, 1937, to the effect that loss of vision in both eyes had not been established by a recent examination and that plaintiff had recovered the ability to follow continuously a substantially gainful occupation. That the said decision of the Insurance Claims Council was affirmed by the Board of Veterans' Appeals on April 17, 1941, such affirmation constituting final administrative denial of the plaintiff's claim.

        Fifth: That after the discontinuance of the said benefit payments on July 27, 1937, plaintiff converted his yearly renewable term insurance to a policy or contract of United States Government (converted) life insurance, in the amount of $450, and paid premiums on the said converted policy at the rate of $0.45 per month from July, 1939, to and including at least the month of May, 1943.

        Sixth: That the plaintiff was honorably discharged from the military service on November 27, 1918, and since such discharge has not pursued or engaged in any substantially gainful occupation and has received no compensation or remuneration for any work done or services performed by him.

        Seventh: That on July 27, 1937, the date of the termination of monthly benefits to him by the Government, the plaintiff was totally and permanently disabled within the meaning of his aforesaid contract of yearly renewable term insurance.

        Eighth: That on April 17, 1941, the date of the final administrative denial of the plaintiff's claim by the Government, the plaintiff was totally and permanently disabled within the meaning of his aforesaid contract of yearly renewable term insurance.

        Ninth: That the totality and permanency of the plaintiff's disability have continued down to the time of the trial herein.

        Conclusions of Law.

         First: That the plaintiff is entitled to recover judgment in this action against the defendant under the contract of war risk yearly renewable term insurance which was issued to him by the Government for monthly payments of $28.75 each from July 28, 1937, to and including the date of the entry of judgment in this suit, and the contract of insurance shall be and is hereby reinstated.

        Second: That the plaintiff is entitled to recover judgment in this action against the defendant for all premiums which he has paid to the Government on the policy of United States Government (converted) life insurance in the amount of $450, viz.: At the rate of $0.45 per month from July, 1939, to and including the date of the entry of judgment herein and the said converted policy in the amount of $450 is cancelled.

        Third: That the plaintiff is entitled to recover judgment in this action against the defendant for attorneys' fees which the Court does hereby fix at 10 per cent of the amount to be recovered by the plaintiff for benefits and the return of premiums, pursuant to the foregoing first and second conclusions of law, which said fees shall be paid by the Government to the plaintiff's attorneys.

        Fourth: That judgment shall be entered in favor of the plaintiff and against the defendant in accordance with the foregoing findings of fact and conclusions of law.

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Sheridan v. United States
(Jul 11, 1944)