Flood v. Order of United Commercial Travelers of America

268 N.W. 767 | Mich. | 1936

Under an insurance policy on the life of her husband, plaintiff was beneficiary. The policy — "indemnified * * * against the results of bodily injury * * * effected through external, violent and accidental means, * * * which shall be occasioned by the said accident alone and independent of all other causes," but indemnification did not extend to — "any infection (unless the infection is introduced *649 into, by and through an open wound, which open wound must be caused by external, violent and accidental means and be visible to the unaided eye)."

March 22, 1934, the insured was riding in an automobile which went into a ditch, and there overturned and he was thrown against the side of the car and another occupant of the car was thrown upon him. After the accident he helped push the car out of the ditch and while doing so slipped and fell into a puddle of water. Thereafter, and with wet feet, he proceeded in the automobile to Toledo, attended a lodge meeting there and returned to his home in Ann Arbor late at night. The weather was cold and in a few days he died, it is claimed, from traumatic lobar pneumonia.

The court directed a verdict in favor of defendant stating, in substance, that the fair interpretation of the testimony showed that the insured died with pneumonia, which is an infectious disease, and — "there is not liability under this policy in infectious diseases, unless the infection has been introduced through an open or visible wound, and that the testimony also showed in this case that there were no open and visible wounds." Plaintiff prosecutes review by appeal.

Pneumonia needs no accident; it is an infectious disease; it may follow traumatic injury but, under the policy, even though it so followed, there was no liability unless the infection was introduced by and through an open wound, visible to the unaided eye. There was no such wound and the usual symptoms, accompanying lobar pneumonia, could not supply the showing required by the policy.

Also, under the policy, there was no liability unless the pneumonia was traumatic in origin and independent of all other causes. *650

Assuming that an accidental bodily injury may, independent of all other causes, result in lobar pneumonia, and so be properly termed traumatic lobar pneumonia, we turn to the case at bar and find no evidence of a bodily injury, but do find evidence of a cause for lobar pneumonia independent of any bodily injury. The case would be outside of the policy if we found an accidental bodily injury, coupled with exposure, resulting in lobar pneumonia.

The judgment is affirmed, with costs to defendant.

NORTH, C.J., and FEAD, BUTZEL, BUSHNELL, EDWARD M. SHARPE, and TOY, JJ., concurred. POTTER, J., did not sit.