28 F. Supp. 3d 915
D. Minnesota2014Background
- Davidson suffered from back spasms, degenerative disc disease, post-laminectomy syndrome, arthritis, and tremors, treated with hydrocodone-acetaminophen, oxycodone, and benzodiazepine.
- Davidson died after ingesting alcohol while taking prescribed pain medications; autopsy found mixed drug toxicity and a blood-alcohol level of .318.
- Hartford Life and Accident Insurance Company issued a $100,000 accidental-death-and-dismemberment policy to Davidson; the policy excludes sickness or medical treatment as a cause of death.
- Bolin (Davidson’s mother) and Pamela Miller (his sister) were designated beneficiaries and filed a claim for accidental-death benefits, which Hartford denied.
- The parties filed cross-motions for summary judgment in federal court; the court applied Minnesota law and granted Hartford’s motion, denying Bolin and Miller’s claim.
- The court held that Davidson’s death did not result from an Injury under the policy because it resulted from medical treatment during which alcohol was consumed.
Issues
| Issue | Plaintiff's Argument | Defendant's Argument | Held |
|---|---|---|---|
| Whether death falls within Injury under the policy’s exclusion | Bolin argues death resulted from Injury since alcohol use was not tied to medical treatment | Hartford argues death resulted from medical treatment, excluding it from Injury | Death did not fall under Injury; exclusion applies |
| Whether the death was caused by the medical treatment sufficiently to be excluded | There is a causal link but not necessarily proximate to medical treatment | Prescription-medication use after treatment caused death, aligning with exclusion | Death resulted from medical treatment, so not an Injury under the policy |
| Choice of law for applying the contract | Minnesota law should apply | Tennessee master policy location could apply Tennessee law | Minnesota law applied; no conflict with Tennessee law found; choice of law unnecessary to outcome |
| Applicability of concurrent/divisible-cause doctrine | Non-excluded cause (alcohol) could combine with excluded medical treatment | Doctrine requires non-excluded cause capable of causing injury independently | Divisible, concurrent-cause doctrine not applicable given lack of independent non-excluded cause |
Key Cases Cited
- Peterson v. Fulton, 192 Minn. 360 (1934) (proximate cause framework for determining substantial factor in result)
- Ross v. City of Minneapolis, 408 N.W.2d 910 (Minn. Ct. App. 1987) (interpretation of 'resulting from' language in policy context)
- SECURA Supreme Ins. Co. v. M.S.M., 755 N.W.2d 320 (Minn. Ct. App. 2008) (policy exclusion applied where criminal-like conduct or related factors influence loss)
