180 A. 649 | Vt. | 1935
Lead Opinion
The plaintiff is the beneficiary under a policy of accident insurance, issued by the defendant, insuring her late husband, James H. Griswold, against "the results of bodily injuries sustained while this policy is in force and caused directly and independently of all other causes by violent and accidental means," and providing also that the policy should not cover death caused wholly or partly by infection "excepting only septic infection of and through a visible wound caused directly and independently of all other causes by violent and accidental means." Verdict and judgment below were for the plaintiff, and the cause is before us on the defendant's exceptions.
At the close of the evidence, the defendant moved for a directed verdict, which was denied subject to exception. The several grounds for the motion may be epitomized by saying that it was alleged that there was no evidence tending to show that the death of the insured was caused from septic infection of and through a visible wound caused directly and independently of all other causes by violent and accidental means.
That the insured died of septic infection is not questioned. The dispute concerns the nature and cause of the injury, *369 and the cause of the subsequent infection and death. As to these matters the evidence, taken most favorably for the plaintiff, tended to show the following: On Friday, April 28, 1933, the insured was chopping kindling wood at a chopping block some thirty to forty feet from the house. A witness, who observed him through a window, testified that, as he was chopping, a stick of wood flew up, and it "looked as though it hit him in the face." The insured immediately came into the house and asked for a clean cloth, which he took and held against the junction of his lip and nose, near the opening of his nostril, and when he took the cloth away there were spots of blood upon it. The plaintiff did not look at the insured's lip, because he would not let her do so, saying that it was nothing. But from this testimony the jury would be justified in finding that there was an abrasion of the skin which permitted the blood to escape, and hence a visible wound, caused by the impact of the stick.
On the following Tuesday the insured complained of pain at the base of his nose. Swelling appeared at the spot where he had held the cloth. A physician who was consulted on the Wednesday, found an abrasion, at the junction of the membranous tissue of the nose and lip, containing a drop or two of pus. The swelling rapidly increased and spread until his face became discolored and swollen beyond recognition. Pains developed in his side and back, along with very high temperature. He was taken to the hospital and nourishment administered through a tube, because he could not open his mouth. He died of acute septicæmia on Wednesday, May 10. The infection was the usual type that is introduced into the body only where there is a break in the skin, and, according to an expert, it was extremely probable that it had been introduced by and through an abrasion at the nose suffered on April 28. Upon this evidence it was permissible for the jury to find that the septic infection was "of and through a visible wound," as provided in the policy. It is true that there was evidence, on the part of the defendant, tending to show that the insured had had a boil in his nose some eight weeks before the accident, and that the infection might have been caused by this or some other means, but the weight of the evidence is not for consideration upon this question; it is enough if there is evidence fairly and reasonably tending to support the plaintiff's claim, and the effect of modifying *370
evidence is to be excluded. Ste. Marie v. Wells,
We come now to the question whether it can be said that the injury was caused by violent and accidental means. That it was violent seems beyond question, and is not disputed, but the defendant makes the point that, since the act of the insured in chopping the wood was voluntary and intentional, and nothing appeared to show that it was not performed exactly as intended, with no slip or mishap, the means were not accidental, although the result might be so described. This is the first time that this question has been raised before us, and a somewhat extended examination of the decisions in other jurisdictions will be profitable.
The leading case, to which practically all the authorities refer, is U.S. Mutual Accident Association v. Barry,
The former or strict view is concisely expressed in Kimball v.Massachusetts Accident Company,
Accordingly it has been held that death or injury did not result from accidental means, in the following cases: Where a rupture was caused in piling heavy mail sacks, Fane v. NationalAssn. Ry. Mail Clerks,
On the other hand, an equal, if not a greater, number of decisions uphold the more liberal view, comprehensive statements of which are found in Western Commercial Travelers' Assn. v.Smith (C.C.A.), 85 Fed. 401, 40 L.R.A. 653, 656, and Lickleider v. Iowa Traveling Men's Assn., 184 Iowa, 123, 166 N.W. 363, 168 N.W. 884, 3 A.L.R. 1295, 1300, 1301.
To quote from the former case: "* * * The significance of this word `accidental' is best perceived by a consideration of the relation of causes to their effects. The word is descriptive of means which produce effects which are not their natural and probable consequences. The natural consequence of means used is the consequence which ordinarily follows from their use — the result which may be reasonably anticipated from their use, and which ought to be expected. The probable consequence of the use of given means is the consequence which is more likely to follow from their use than it is to fail to follow. An effect which is the natural and probable consequence of an act or course of action is not an accident, nor is it produced by accidental means. It is either the result of actual design, or it falls under the maxim that every man must be held to intend the natural and probable consequence of his deeds. On the other hand, an effect which is not the natural or probable consequence of the means which produced it, an effect which does not ordinarily follow and cannot be reasonably anticipated from the use of those means, an effect which the actor did not intend to produce and which he cannot be charged with the design of producing under the maxim to which we have adverted, is produced by accidental means. It is produced by means which were neither designed nor calculated to cause it. Such an effect is not the result of design, cannot be reasonably anticipated, is unexpected, and is produced by an unusual combination of fortuitous circumstances; in other words, it is produced by accidental means."
And the Lickleider Case: "There is, however, another alleged definition which has had a degree of judicial sanction, which ought not to be passed without notice. According to this definition, if correctly interpreted by counsel for the defense, *374 an injury happening to the insured through his own voluntary act is not an accident, nor is his hurt to be attributed to accidental means — a proposition which is wholly at variance with every statement of the true rule as illustrated in the numerous authorities above cited. It may be, and it is, true that if the insured does a voluntary act, the natural, usual, and to-be-expected result of which is to bring injury upon himself, then a death so occurring is not an accident in any sense of the word, legal or colloquial, and it is only when thus limited that the rule so stated has any proper application. * * * To say that the deceased in the case at bar did just what he attempted and intended to do, that is, he attempted to remove and did remove the tire from the wheel, and therefore there was no accident or accidental means producing his injury, is to beg the whole question and to ignore the well-established meaning of words. Says Mr. Cooley in 4 Briefs on Ins. 3156: `Accident insurance companies do business mostly with the common people, and the term "accident" as used in these policies, should be defined according to the ordinary and usual understanding of its significance.' It makes no difference whether the injured man or some other person voluntarily sets in motion the first of a series of events which in connected line of causation results in his injury or death. If, to use the language I have quoted, the resulting injury and violence to him `unexpectedly took place,' or was an `unexpected result from a known cause,' or was produced `without design or intention,' or was `an unusual and unexpected result, attending the performance of a usual or necessary act,' or was an `event happening without the concurrence of the will of the person by whose agency it was caused,' or if it was `caused or produced without design,' it falls directly within the letter and spirit of the definition which has been placed upon the words by the most competent lexicographers, as well as by our most eminent jurists who have given attention thereto."
Some decisions put the rule in terms of negligence or assumption of risk on the part of the injured person, and hold him to the results which, as a reasonable man, he should have foreseen as likely to flow from his voluntary act. In a recent case (1931), Norris v. New York Life Insurance Co. (C.C.A.), 49 Fed. (2d) 62, 63, it is said (citing the Barry Case): "The sole question to be considered here is whether the death of the *375 insured resulted directly and independently of all other causes from bodily injury effected through an accidental cause. There have been a number of decisions, on this question, by the various courts both state and federal. A study of these decisions leads us to the conclusion that the rule governing this class of cases is correctly stated to be that the cause is not accidental, if the insured, in doing what he did, should have foreseen the danger of being injured. That which cannot reasonably be expected to follow as a result of an act is accidental. In other words, an insured may not voluntarily assume the risk of that which it is apparent, or should be apparent to him, acting as a reasonable man, would result in injury or death. Unless a reasonable man could reach a different conclusion as to the probable result of his conduct, there is no question for the jury."
And in Mehaffy v. Provident Life Acc. Ins. Co.,
The following decisions illustrate the application of the liberal doctrine: Where the insured, suffering from a weak heart, lifted a stove, and death ensued, it was held that, if his act was attended with an unexpected, unusual, unintended, not reasonably to be foreseen result, the death was caused by accidental means, Robinson v. U.S. Health Acc. Ins. Co.,
192 Ill. App.? 475, 477, 478; where the insured voluntarily took a nonpoisonous, harmless remedy, in a manner to produce an irritating gas, but which was not expected or intended to produce harmful results, Gohlke v. Hawkeye Commercial Men's Assn., 198 Iowa, 144, 197 N.W. 1004, 35 A.L.R. 1177, 1183; where insured intentionally took an excess dose of drug, but was not conscious that it would be harmful, Carter v. Standard Acc. Ins. Co., 65 Utah, 465, 238, Pac. 259, 41 A.L.R. 1495, 1518, 1519; Hodgson v.Preferred Acc. Ins. Co.,
Some attempt has been made to distinguish cases where poison has been taken by mistake, or where infected instruments have been used, by saying that the lack of knowledge of the dangerous quality or condition involved furnishes an accidental element in the act which constitutes the means causing the injury. But it would seem that this course of reasoning applies with equal force to the cases, considered sound by those who advocate this view, where death has resulted by an unknown weakness or other physical condition brought into fatal operation by some casual act of the deceased, and in which such death has been held not to have been caused by accidental means.
The conflict in authority is well illustrated in cases where death or injury has occurred from sunstroke or heat prostration. In some of these the voluntary act of the insured in going about his business or pleasure in the heat of the sun has been *378
considered sufficient to deny recovery, upon the theory that the sunstroke, although unexpected, was not caused by accidental means. The most recent decision to this effect appears to beLandress v. Phoenix Mutual Life Ins. Co.,
We need not give separate consideration to those cases where the jury were permitted to infer that some slip or unintended act had taken place and become the cause of the injury. Standard Life Acc. Ins. Co. v. Schmaltz,
It will be helpful to examine the syntax of the clause stating the rule in the Barry Case, which is, as we have seen, the leading authority, and may be regarded as the foundation of the doctrine of "accidental means." Again to quote the material part of it: "If a result is such as follows from ordinary means, voluntarily employed, in a not unusual and unexpected way, it cannot be called a result effected by accidental means." The punctuation of this sentence is extremely important in the ascertainment of its meaning, and must not be neglected. SeeState v. Lapan,
As Mr. Justice Cardozo says in his dissenting opinion inLandress v. Phoenix Mut. Life Ins. Co., supra,
This is a reasonable mode of interpretation. Uncertainty in the significance of a term used in an insurance policy is to be resolved in favor of the insured and against the company. Stanyan
v. Security Mut. Life Ins. Co.,
Of course, the term "accidental means" is dependent for its application upon the particular facts presented. What would be an unusual, unexpected, or unforeseen consequence in some circumstances, would be the usual, the expected, and in all human probability, the foreseen result in another situation. Davilla v.Liberty Life Ins. Co.,
Indeed, there is yet another approach to the problem in this case. There are two decisions which are factually in point. InRowden v. Travelers' Protective Assn.,
A hypothetical question put to a medical witness called by the plaintiff was permitted, subject to the defendant's exception. *383 The objection as briefed is that it assumed that a wound or abrasion near the insured's lip was caused on April 28, 1933, and that there was no evidence tending to support this assumption. But this objection is untenable because, as we have seen, the evidence was such that the jury would have been justified in finding that such an injury occurred upon the day mentioned.
Another exception relates to the failure of the court to comply with a request to charge, which raises the same question which we have discussed at length in connection with the motion for a directed verdict and does not require separate treatment.
Judgment affirmed.
Dissenting Opinion
The law of this case as laid down in the majority opinion is tersely stated therein as follows: "It was an accident, and hence the injury was caused by accidental means." To reach this conclusion is to ignore the plain terms of the contract involved, eliminate all distinction between "accident" and "accidental means," confuse cause and effect, and allow the latter to control and give character to the former. To such a result, I cannot agree; and my views are so deep-seated that I feel constrained to give expression to them.
I shall first give attention to cases relied upon by the majority. Of these, one group — twenty-three in number — is especially stressed. An analysis of these cases will disclose the weakness of the support they afford the majority.
Of them, seven are from inferior or intermediate federal courts, and their value as authorities is utterly eliminated byLandress v. Phoenix Mutual Life Ins. Co.,
Among the authorities relied upon in the above case, are UnitedStates Mut. Acc. Assn. v. Barry,
But in Lehman v. Great Western Acc. Assn., 155 Iowa, 737, 133 N.W. 752, 753, 42 L.R.A. (N.S.) 563, the insured ruptured a blood vessel while bowling. The opinion is by Judge McClain, a distinguished jurist and text-writer, who says: "Our inquiry must be limited to the more concrete question, arising under a policy of accident insurance, as to what is an injury caused solely by external, violent, and accidental means; for the defendant company had the right to limit its liability so as *385 to exclude injuries not of that character." Further on, he says: "Finally, it is to be borne in mind that in this case there is no evidence whatever of any slipping or falling, or any straining of muscles, other than the intentional strain put upon them in the voluntary and intentional act of bowling. Such a strain was not an accidental strain, and if it produced an unintentional result and consequent injury, nevertheless the resulting injury and not the means producing it, was accidental." Judgment for the defendant was affirmed. The opinion presents a candid and convincing statement of the law I am contending for. Carnes v.Iowa State, etc., Assn., 106 Iowa, 281, 76 N.W. 683, 68 A.S.R. 306, was a case of death by morphine. It was held that the burden was on the plaintiff to show that the cause of death was accidental, and, if the decedent took just as much morphine as he intended to take, but misjudged its effect, there could be no recovery. For failure of proof a verdict for the plaintiff was reversed.
In Smouse v. Traveling Men's Assn., 118 Iowa, 436, 92 N.W. 53, the insured ruptured a blood vessel in attempting to remove his night shirt. He became entangled in the garment, and, in his efforts to get it off, he suffered the fatal injury. The case is unsatisfactory and confused. To me, it presents an intervening fortuitous circumstance, and the man's struggle seems to have been more or less involuntary. But the general tenor of the opinion favors my views of the question in hand.
In Payne v. Fraternal Acc. Assn., 119 Iowa, 342, 93 N.W. 361, the insured was run over by a freight car. His policy covered injuries occurring "through external, violent, and accidental means." The court said: "An accident, in the sense we are here called upon to consider the expression, means a result the inducing cause for which was not put in motion by the voluntary and intentional act of the person injured."
In Clarkson v. Union Mutual Casualty Co., 201 Iowa, 1249,
From these cases, it appears that the Iowa court correctly stated the law in practically all of its cases, and I confidently assert that the law of that state is with me.
Returning to the cases cited in support of the majority opinion:
Two are from Utah, and I agree that the law as applied in that state is with the majority, though the Carter Case states the rule correctly.
One is from North Carolina, but it affords little support to the majority. On the contrary the law therein laid down is mostly in my favor. The insured died under rather suspicious circumstances, and it was claimed that he died of poisoning. The coroner found that he died "from some `poisonous substance taken internally.'" And the question, as stated by the court, was whether this finding was "sufficient evidence to warrant recovery upon the policy and ward off a non-suit?" The liability clause of the policy was like the one in hand. "Therefore," says the court, "in order to warrant recovery for death in such event, such death must not only be accidental but must be produced by `accidental means.' There is abundant authority for the proposition that death by inadvertent poisoning or by taking poison through mistake constitutes `accidental means' within the meaning of clauses similar to the one forming the basis of this suit." The court then quotes from Olinsky v. Railway Mail Assn.,
Two of the majority cases are from New York, and the law of that state is with it.
Two are from Illinois, but neither is from the court of last resort. Hutton v. States Acc. Ins. Co.,
One of the majority's cases is from California, but not from the highest court of that state. It holds that one who voluntarily submits to ministrations by a dentist and suffers an injury from germs introduced by unsterile dental instruments, sustains an injury through accidental means. The court correctly recites the rule that requires that it be made to appear that the injury was caused by accidental means, that it is not enough that the injury should be unexpected and unforeseen, and that there must be something of an unexpected or unforeseen character in the means through which the injury was sustained. And it finds that element in the condition of the dental instruments. It purports to follow Rock v. Travelers' Ins. Co.,
Olinsky v. Ry. Mail Assn.,
One of the majority's cases is from Alabama. There was nothing decided in that case that has any significance here. It is true that the court said this: "When the voluntary act of the insured caused the injury, by way of, or as the result of, unanticipated and unexpected circumstance and result, it is within the terms of the contract." What this obscure statement was intended to mean, I cannot imagine. But it had nothing to do with the result of the case. All that was decided was that the injury which resulted in a hernia was sustained before the issue of the policy and that it was not covered thereby.
More to the point is Stokely v. Fidelity Casualty Co.,
One of the majority's cases is from Kentucky. It holds, as stated, that one who drinks a poisonous liquid in ignorance of its character, is injured by accidental means, and finds the fortuitous element in the ignorance referred to. But it is not to be *389
taken that the law of Kentucky supports the conclusion of the majority in this case. The law of that jurisdiction is thus stated in Salinger v. Fidelity Cas. Co.,
Still again, in Provident Life Acc. Ins. Co. v. Watkins,
One of the majority's cases is from Nebraska; it supports the majority, and expresses the law of that state. The same may be said of the Washington case, cited by the majority.
The Missouri case cited by the majority, as above stated, was expressly overruled by Caldwell v. Travelers' Ins. Co., 305 Mo. 619,
Now let us turn to the further authorities on which I rely.Parker v. Provident Life Acc. Co.,
In Smith v. Travelers' Ins. Co.,
To the same effect is Henderson v. Travelers' Ins. Co.,
In Lawrence v. Massachusetts Bonding Ins. Co., 113 N.J. Law, 265,
In Ramsey v. Fidelity Casualty Co.,
In Kendall v. Travelers' Protective Assn., 87 Ore. 179, 169 P. 751, a barber was removing a dead hair from a customer's chin, and the wound made in the process became infected. It was held that if the wound was intentionally made the resulting injury was not caused by "accidental means," since under such a policy as was there (and here) involved liability was to be determined by causes rather than consequences.
In Standard Acc. Ins. Co. v. Cherry (Tex. Civ. App.),
In New Amsterdam Casualty Co. v. Johnson,
In Husbands v. Indiana Travelers' Acc. Assn.,
Young v. Continental Casualty Co.,
There are many Federal Reporter cases that support me in this dissent; and, as the Supreme Court of the United States has now affirmed the rule as therein stated, I may properly cite them as authorities. I shall refer to only a few of them. Shanbery v.Fidelity Casualty Co. (C.C.A. 8), 158 Fed. 1, 5, 19 L.R.A. (N.S.) 1206, is of especial interest because it was decided by the same court — not the same judges, but including (now) Mr. Justice Van Devanter — that decided Western Com. Travelers'Assn. v. Smith (C.C.A.), 85 Fed. 401, 40 L.R.A. 653, much relied upon by courts holding with the majority. In that case, one who was covered by a policy containing the "accidental means" clause, assisted in carrying a heavy door from one building to another, and thereby ruptured his "fatty" heart. The court disregarded the Smith Case, and said: "It would not help the matter to call the injury itself — that is, the rupture of the heart — an accident. That was the result, and not the means through which it was effected. Carrying the door, or, after putting it down, the act of filling his lungs with air by drawing a long breath, was the means by which the injury was caused. Both were done by the assured voluntarily, and in an ordinary way with no unforeseen, accidental, or involuntary movement of the body whatever. There was no stumbling, slipping, or falling; there was nothing accidental in his movements, any more than there would be in walking on the street, or passing down the steps of his house, during each of which he might *394 have filled his lungs by drawing a long breath, and ruptured his heart." Recovery was denied.
McCarthy v. Travelers' Ins. Co., 8 Biss. 362, Fed. Cas. No. 8602, was the case of one injured by the use of Indian clubs. The court said: "If he voluntarily used them (the clubs) in the ordinary way for taking such exercise, without the occurrence of any unusual circumstance interrupting or interfering with such use, or causing any unforeseen, accidental or involuntary movement of the body, and in such use of the clubs there occurred a rupture of a blood vessel and consequent injury as claimed, I do not think it then could be said that the means through which the injury was effected were accidental. But, if while engaged in such exercise there occurred any unforeseen, accidental or involuntary movement of the body of the deceased, which, in connection with the use of the clubs, brought about the injury; or, if there occurred any unforeseen or any unexpected circumstance which interfered with or obstructed the usual course of such exercise, and there was thereby produced an involuntary movement, strain or wrenching, by means of which the injury was occasioned, that would be an accident within the spirit of the policy; that is, the means by which the injury was effected would in such case be accidental."
United Commercial Travelers v. Shane (C.C.A. 8), 64 Fed. (2d) 55, 58, is cited by the federal Supreme Court in the Landress Case. It was a case wherein the insured died from the effects of a local anesthetic. In the opinion, the court quotes from the Barry Case as follows: "If in the act which precedes the injury something unforeseen, unexpected, unusual, occurs, which produces the injury, then the injury has resulted * * * through accidental means."
Lincoln Nat. Life Ins. Co. v. Erickson (C.C.A. 8), 42 Fed. (2d) 997, 1001, is another case cited by the Court in the Landress Case. "In the case at bar," says the Court, "the deceased was insured, not against accidental results of intended means, but against death resulting from bodily injury effected directly through external, violent, and accidental means."
In further support of my views reference may be had to 5 Joyce on Insurance, § 2863, Richards on Insurance, § 391, Vance on Insurance, 875, and Kerr on Insurance, 383.
The majority attempts to sustain its conclusion by the syntax of the Barry Case. It says that the clause "in a not unusual or unexpected way," relates to and modifies the word "follows." *395
This cannot be. The majority refers to Caldwell v. Travelers'Ins. Co., 305 Mo. 619,
But there is now no reason or excuse for discussing the syntax or meaning of the Barry Case. Any possible doubt regarding it has been dispelled by Landress v. Phoenix Mut. Life Ins. Co.,
Tested by the cases I have cited, and many others to be found in the books, it becomes apparent by the record that it was reversible error to refuse to instruct the jury as requested by the defendant.
It remains to consider whether it was error to submit the case to the jury.
The burden of proof was, of course, on the plaintiff, and, since the phrase "by violent and accidental means" defines the defendant's liability, she was required to establish the fact that the accident on account of which she is suing was so caused. What mishap attaching to the means of this accident did she give evidence of? There is but one possible answer, none. There is not a scintilla of evidence that anything unexpected, unintended, or fortuitous intervened to affect the insured's intention, between the time he raised his axe and the time it came into contact with the wood he was at work upon. No slip, no catching of the axe on anything over his head, nothing to divert his attention or the course of the blow he was striking. Everything connected with his act worked as he intended, and there was nothing about it that was accidental except the result — the flying of the chip or stick.
There was nothing to go to the jury, and a verdict should have been ordered for the defendant.