163 Iowa 217 | Iowa | 1913
Lead Opinion
The certificate in question provided for accident insurance only. It provided for the payment of $5,000 in case of' the death of the insured by accident. The deceased died from a gunshot wound on August 7, 1909. Such wound was inflicted upon him on May 24, 1909. He received the wound while engaged in an encounter with a burglar in his home at about 1 o’clock in the morning. The following from appellant’s brief is a sufficient preliminary statement of the circumstances attending the inflicting of the injury which resulted in the death of the insured:
That on the 7th day of August, 1909, John Thomas Carmody died by reason of injuries received at the hands of a burglar on the 24th day of May, 1909. That at the time of the injury Mr. Carmody was mayor of the city of Cedar Rapids. That on that date and about 1 to half past 1 in the morning a burglar entered the home on Fifth avenue and the sleeping room of Mr. and Mrs. Carmody. That the home of Mr. Carmody was a two-story dwelling, and he and Mrs. Carmody were sleeping in one of the upstairs rooms that had an opening into a hallway and a window leading onto a porch
The defendant is a mutual association and its contract is incorporated in its constitution and by-laws and in certain printed “rules” which were indorsed upon the back of the certificate of membership. Section 2 of article 9 of the eon
As modifying the quoted provision, the defendant pleaded certain “rules” of the defendant association which were indorsed upon the back of the certificate of membership. These rules are as follows:
That this association shall not be liable, in case of injuries, fatal or otherwise, inflicted by a member in good standing on himself while sane or insane, or injuries of which there are no visible mark upon the body (the body itself not being deemed such a mark in case of death), or in case of injury, disability or death happening to the member while in any degree under the influence of intoxicating liquors or narcotics, or by reason of and in conséquenee of the use thereof, or death or disability when caused wholly or in part by any bodily or mental infirmity or disease, dueling, fighting, wrestling, war or riot, injury causing death or disability resulting from an altercation or quarrel, voluntary overexertion (unless in a humane effort to save human life), voluntary or unnecessary exposure to danger or to obvious risk of injury, or by intentional injuries earning death or disability inflicted by the member or any other person upon him; injury causing death or disability received either while avoiding or resisting arrest, while violating the law or violating the ordinary rules of safety of transportation companies, or in case of injury fatal or otherwise, caused by disease of epilepsy, paralysis, apoplexy, sunstroke, freezing, fits, lumbago, vertigo or sleepwalking, voluntary or involuntary conscious or unconscious inhalation of any gas or vapor, injury fatal or otherwise, resulting from any poison or infection or the result of an insect bite or sting, or from anything accidentally or otherwise taken, administered, absorbed or inhaled, disease, death or disability resulting from' medical or surgical treatment; operation made necessary by the particular injury for which claim is made and occurring within six calendar months from date of accident excepted.
In instructing the jury, the trial court laid upon the defendant the burden of proving that the injury in question was intentionally inflicted by the burglar. It also instructed the’ jury that a presumption would obtain that the injury was not intentionally inflicted unless it was otherwise made to appear from all the evidence in the case. The principal assignments of error concentrate upon the proposition here involved.
I. Appellant’s first complaint is that the trial court erred in its instructions in putting upon the defendant the burden of proving that the injury in question was intentionally inflicted by the burglar.
If we could ignore the exceptions enumerated in the “rules” as above quoted, there could be no doubt of the plaintiff’s right of recovery as for death resulting from accidental injury. Jones v. U. S. Mutual, supra. If the plaintiff must fail, it is not because she has failed to show that the death resulted from accident but because by the terms of the insurance contract such accident was'excepted from its operation. Under the “rules,” not all accidental injuries are insured against. The exceptions are enumerated. These exceptions relate mainly, not to the nature or form of particular injuries, but to the immediate circumstances attending the infliction of
But the defendant in this case pleaded this provision of the “rules” as a separate and affirmative defense. If this provision was properly pleaded as an affirmative defense, necessarily the burden of proving it rested upon the pleader.
Appellant’s brief brings before us a number of cases wherein the same form of policy was involved and wherein it was held that recovery could not be had if the injury was intentionally inflicted by a third person. Special reliance is placed upon the case of Butero v. Travelers’ Accident Ins. Co., 96 Wis. 536 (71 N. W. 811, 65 Am. St. Rep. 61). In that ease the Supreme Court of Wisconsin considered the evidence and held it to be sufficiently strong in its showing of intentional killing to warrant the granting of a new trial and such new trial was ordered. Although the Wisconsin court did not order a dismissal of the plaintiff’s case, it did discuss the evidence, and it appeared to hold that the evidence was conclusive in favor of the defendant. The very discussion of the evidence contained in that opinion impresses us as presenting a question for the jury within the rule that has heretofore been followed' in this state. It is to be noted also that in such opinion it is assumed (though without discussion) that, if the killing was the intentional act of an assassin, it was not accidental within the meaning of the policy. Such an assumption leaves the burden of proof upon the plaintiff. A directed verdict in such case for the defendant presents less difficulty than if the burden of the affirmative rested upon it. We are constrained also to say at this point that there is another provision of the insurance certificate which should not pass unnoticed and we set it forth in the next division hereof.
It is true that this section of the constitution limits the liability of the defendant for resulting disability to a weekly indemnity of ten weeks and that it has not assumed to deal
To construe the insurance contract otherwise would render it naturally misleading to the assured. Under this construction the plaintiff would have been entitled to a directed verdict under the undisputed evidence and concessions in the case. Plaintiff, however, did not base her claim of recovery on this ground. But, if we should otherwise feel compelled to award new trial because of errors presented, we should deem it our duty to take notice of these provisions of the contract in support of the judgment already obtained. The injury involved is clearly within the fair scope and spirit of accident insurance. The enumeration of exceptions on the back of the certificate is sufficiently voluminous, and we ought not to add to such exceptions by unnecessary construction.
The defendant suffered no prejudicial error in the court below, and the judgment is therefore Affirmed.
Dissenting Opinion
(dissenting). — So much depends.upon the facts disclosed by the record with reference to the manner of Carmody’s death that I here reproduce the uncontradicted and undisputed testimony with reference thereto. Testimony was adduced without objection as to declarations made by
Q. Did you have any conversation with him at that time as to how the injury occurred, if so, state what? A. I had hold of his hand; I said, knowing him as I did,-1 said, ‘John, wasn!t there anything that you could get hold of that you could beat him up with?’ He said, ‘No, Billy, if there was I could have beat him to death, I know.’ Made the remark if he could even got a slipper or anything that he might have battered his head or something of that kind. Q. Did he say where the shooting occurred or anything about .that, where they struggled? A. Well, I don’t know, of course I know we talked on that line; it was in the house, of course, from one room to the other. Q. Did he say anything about how many times the burglar shot at him? A. I think he made the remark about two or three shots anyhow. (On cross-examination plaintiff’s counsel insisted on making the following record) : I had been a police officer for twenty-five years and have had experience in the investigation of burglars. Q. Became acquainted with their ordinary ways and manner of carrying on their business from observation and investigations that you have made? A. I have made some of those investigations, yes. Q. Isn’t it a very usual and ordinary thing with those burglars, not robbers, to carry a pistol for the sake of bluffing and intimidation? (Objected to as incompetent, irrelevant, and immaterial and as calling for the conclusion and opinion of the witness. Overruled; defendant excepts.) A. I don’t know about their bluffing anything of that kind; I think they are there to do business. Q. Isn’t that a common thing for them to be making threats of what they will do without any intention of-carrying that out? A. I never came in contact with one of them making those threats. (On redirect examination the witness said) : I know it is a matter of common custom that, when a man breaks into a house and is pressed to the wall, the common custom among burglars is to shoot rather than be caught. My impression they are there for business.
Q. What was 'the first that you knew of any difficulty happening at the Carmody home on the night that he was shot ? A. I heard the shot. I was on Fifth avenue and Sixth street on the south side of Fifth avenue and the east side of Sixth street. I should judge one hundred and fifty to one hundred and seventy-five feet from the Carmody home. The first shot I could not locate. Within four or five seconds there was another shot and I located that one. Officer Graham was with me at the time. We started to run down there as fast as we could. It could not have been over five minutes after the shot when we arrived there. Q. In the neighborhood of half a minute or so you was there? A. Yes, not very long anyhow. I went to the front door and told Officer Graham to go around to the back door. I went up to the front door and it was locked and I couldn’t get in. I rapped at the door. Mrs. Carmody was up on this porch hollering, ‘Help,’ and I stepped back and called to open the door and then went back to the door again, and I think Mrs. Buckingham opened the door. When I got inside in the hall I flashed my light and Mrs. Buckingham and Mr. Carmody was there. It was dark in the front part of the house. There was a curtain drawn between what I call the parlor and the sitting room and the hall. I went right through the house flashing my light and went to the back door. In the dining room there was a light ; what I call the dining room; it is the room back of the kitchen. I went to the back door to see if the door was locked and it was bolted on the inside so I knew that he couldn’t have gone that way. Mr. Carmody following me back to the back door or right close to me. I came back again and Officer was on the outside and he said, ‘Sam, I believe here is where he got out.’ The window was open on the west side of the house and of course we turned the lights on. Chief Cook was there at the time. He came right in behind me and I turned around and I saw Mr. Carmody was hurt, and I asked him, ‘Are you hurt, John?’ He said,‘Yes, I believe I am.’ I said, ‘How bad?’ and he said, ‘Pretty bad, I have an awful pain.’ About that time he was ready to fall and I took him in ray arms and I think Chief Cook was there at that time. Cook
Other witnesses for the defendant gave substantially the same testimony. Mrs. Carmody, who was a witness for plaintiff in rebuttal, did not dispute any part of the testimony, save that she said:
A. I was asleep and Mr. Carmody was asleep. Something awakened me. I don’t know what; my impression is that it was the presence of some one in the room. I raised up and listened and I heard some one on his side of the bed where his clothes were; that is, the west side of the bed. I reached out my hand and put it on him and says, ‘ Jack! Jack! Some one is in the room.’ Just then a flash light was turned on me, on my eyes instantly, and then it was flashed into Mr. Carmody’s eyes and then back and forth right close to my eyes and his, and then I raised up and some one struck me a blow here and said, ‘Lay quiet at your peril.’ Then it seemed as though Mr. Carmody was undertaking to get up and as though he was thrown back on the bed again, because it
On cross-examination the witness said:
. . . I heard a noise on my husband’s side of the bed. The noise was the first thing I heard when I wakened
The defendant company is not liable if the shot was fired intentionally by a burglar or any third person. It had the right to so contract, and courts are not justified in disregarding a perfectly valid provision of the policy. Again, if the first shot was accidental and the burglar had escaped from Carmody knowing, as he must have known from the circumstances, that Carmody was not armed, why did he fire the second and third shots ? It was so dark that he could easily escape as the avenues were open and he was upon the
The case is so much like one from the Wisconsin court, Butero v. Travelers’ Insurance Co., 96 Wis. 536 (71 N. W. 811, 65 Am. St. Rep. 61), that I cannot forbear quoting therefrom. After quoting the following instruction: ‘ ‘ That the burden was on the defendant to satisfy them to a reasonable certainty, and by a preponderance of the evidence, that the insured met his death through intentional violence inflicted upon him by some person or persons unknown. That the presumption of murder does not arise from the mere fact of external marks of violence upon the body of the deceased, as testified to, but ‘you must be satisfied from all the evidence, in order to find for the defendant: First, that the insured met his death through bodily injuries inflicted at the hands of some person or persons unknown; second, that 'at the time such person or persons inflicted such injuries he or they intended to so- inflict them upon the body of the said Joseph Butero (that is, that he or they knew, at the time he or they inflicted such injuries, that he or they inflicted them upon the body of the said Joseph Butero); and if you are satisfied from all the evidence that the person or persons inflicting such bodily injuries knew that he or they were inflicting them upon the body of the said Butero and intended to so inflict them, then you will find for the defendant, otherwise for the plaintiff’ ” — the court said through Pinney, J.:
So here I think the facts admit of but one conclusion. See, also, Orr v. Travelers’ Co., 120 Ala. 647 (24 South.
In answer to your written request for advice touching the last two shots fired, you are instructed that you may consider with what intent the burglar fired the second and third shots as bearing on the question of his intent in firing the first shot; but, if you find from the evidence that the first shot was fired accidentally, then it makes no difference with what intent the second and third shots were fired; and if you are unable to determine, from a preponderance of all the evidence introduced bearing upon that question, whether the first shot was fired accidentally or intentionally, then you should find that it was fired by accident.
This, it seems to me, is entirely erroneous and prejudicial, and the effect of it was to take away from the jury all consideration of the firing of the second and third shots in so 'far as they bore upon the intent of the burglar. Assuming that the jury started out with the presumption that the shots were accidental, they, under this instruction, would have been justified, indeed, it would seem to have been their duty, to disregard the second and third shots. The instruction, to my mind, presents an anachronism if not a solecism.
The court also instructed:
(7) The burglar in this case may have intended to commit larceny, and may even intended to fire his pistol at the. time the shot took effect without intending to injure the deceased, and, unless it appears affirmatively by a fair preponderance of the evidence that the burglar intentionally and did thereby intend at the time to inflict an injury upon the said Carmody, then the defendant has failed to sustain this ground of defense. Or if you find that the pistol went off accidentally, or as the result of a struggle between the
This instruction, to my mind, had no support in the testimony. It was not fired as the result of a struggle, in which Carmody may have himself discharged it, nor was there any testimony tending to show that fact. The instruction invited the jury into a field of surmise, conjecture, and speculation for which there was no warrant in the testimony.
Moreover, I especially dissent from the argument made in the fifth division of the opinion. Counsel for appellee makes no such point; and, to my mind, the fact that the company inserted this third section in article 9 of its constitution clearly negatives the thought that it in any way intended to modify the other provision as to accidents resulting in death. In one case it assumed liability for certain accidents, resulting in injury only, and specifically and expressly contracted against liability for death resulting in any such manner.
II. With the general rule as to burden of proof of an exception contained in a policy of insurance, as announced by the majority, I have no quarrel, but it should be noted that in the cases first cited, or the majority of them, as in Jones v. Accident Co., 92 Iowa, 652, there was no such clause in the policy as the defendant is here relying on.
I shall not enter into a long discussion of the troublesome questions of prima facie cases, presumptions, burden of the evidence, and burden of the proof. These terms have perplexed courts and text-writers from time immemorial, and it may be said that there are all kinds of presumptions and that the burden of the evidence is something entirely different from the burden of proof. These matters are fully
Prof. Thayer, in his work entitled Preliminary Treatise on Evidence, 575 and 576, discusses this question very thoroughly, and-there is also a learned discussion of the matter in 3 Harv. Law Review, pages 148, 151, 156, 166. We have adopted Judge Thayer’s rule in State v. Thiele, 119 Iowa, 659. See, also, Clemens v. Royal Neighbor, 14 N. D. 116 (103 N. W. 402, 8 Ann. Cas. 1111); Stevens v. Continental Co., 12 N. D. 463 (97 N. W. 862); Kornfeld v. Supreme Lodge, 72 Mo. App. 604; Mutual Life Co. v. Hayward (Tex. Civ. App.), 27 S. W. 36; Supreme Lodge v. Fletcher, 78 Miss. 377 (28 South. 872, 29 South. 523); Hardinger v. Brotherhood, 72 Neb. 860 (103 N. W. 74), reversing 101 N. W. 983.
But I promised myself not to go deeply into this perplexing problem; and to meet this promise I shall not take the time to cite other cases. The trial court erred, in my opinion, in giving the instructions to.which I have referred and in not setting aside the verdict of the jury. As said in the beginning, I regret this conclusion, but I cannot, in justice to my convictions, join in an opinion affirming the judgment.