Thе appellee, Administratrix of the Estate of Bobby Wayne Martin, Deceased, commenced рroceedings to recover death benefits under appellant’s Group Accidental Death Policy. Decedent died as a result of a self-inflicted gun shot wound. The trial court found that decedеnt “did not intend to kill himself and therefore his death was accidental”, and sustained appellee’s motion for Summary Judgment. Appellant appealed.
*1079 The first issue to be resolved is whether the exclusionary provisions of appellant’s master group policy or the exclusionary provisions of an individual certificate of insurance furnished to decedent prevails. Under the master policy, benefits would not be payable if death resulted from (6) suicide or any self-inflicted injury while sane or insane. Under the individual certificate furnished to decedent, benefits would not be payable if death resulted from (6) suicide or any attempt threat. Appellant does not contend deсedent’s death was not accidental.
Appellant argues that the exclusionary clause of its master group policy prevails and that it excludes coverage for death resulting from “any self-inflicted injury” even if the injury was accidental and it was unnecessary for the trial court to determine if decedent’s death was accidental or not.
Appellee contends that the exclusionаry clause in the individual certificate prevails over the exclusionary clause in the master policy because there is a significant variance between their terms. Appellee argues that decedent’s insurance contract consisted of both the master group policy and the individual certificate and that they must be construed together, and that any ambiguities or conflicts between the two must be resolved as to provide the broadest coverage.
Appellee furnished decedent with the individual certificate pursuant to 36 O.S.1971, § 4502(2), which provides that each group accident and health policy shall contain a “provision that the insurer will furnish to the policy holder, for delivery to each employee or member of the insured group, an individual certificate setting forth in summary form a statement of the essential features of the insurance coverage of such еmployee ...” Appellee alleged she did not have a copy of the master policy.
California has a statute similar to § 4502(2), supra, which requires a group policy of insurance to contain a provision that an individual certificate setting forth a statement as to the insurance cоverage will be delivered to the insured employee. In
Humphrey v. Equitable Life Assurance Society of America,
In
Colvin v. Louisiana Hospital Service, Inc.,
La.App.,
“In cases involving statutory, master policy, and certificate provisions very similar to those involved here, the California and Wisconsin Supreme Courts held that the provisions оf the certificate prevailed. Humphrey v. Equitable Life Assurance Society of America,67 Cal.2d 527 ,63 Cal.Rptr. 50 ,432 P.2d 746 (1967); Riske v. National Casualty Company,268 Wis. 199 ,67 N.W.2d 385 (1954).
* * * * ⅜ ⅜
Although there are some decisions contrary to the holding of the Humphrey and Riske cases, Boseman v. Connecticut General Life Insurance Co.,301 U.S. 196 , 203,57 S.Ct. 686 [689],81 L.Ed. 1036 (1937); Chrysler Corporation v. Hardwick,299 Mich. 696 ,1 N.W.2d 43 , 45 (1941); Germain v. Aetna Life Insurance Co.,285 Mich. 318 ,280 N.W. 773 , 776 (1938); Seavers v. Metropolitan Life Insurance Company,132 Misc. 719 ,230 N.Y.S. 366 , 370 (1928), the weight of authority holds that the terms of the certificate are binding on the insurer. Prudential Insurance *1080 Company of America v. Roberts,358 F.2d 394 , 395-396 (5th Cir. 1966); John Hancoсk Mutual Life Insurance Company of Boston, Mass. v. Dorman,108 F.2d 220 , 222 (9th Cir. 1939); Clauson v. Prudential Insurance Company of America,195 F.Supp. 72 , 78-79 (D.C.Mass.1961); United Security Life Insurance Company v. Harden,275 Ala. 169 ,153 So.2d 246 , 247 (1963); Missouri State Life Insurance Company v. Foster,188 Ark. 1116 ,69 S.W.2d 869 , 870 (1934). This result is easily justified upon the ground that the individual certificate is the only document which the employee sees or is given at any time and that the insurer, whо drafts the instrument in language it selects, cannot thereafter complain that it does not exprеss the intention of the parties. Humphrey v. Equitable Life Assurance Company of America, supra. 1 Appleman, Insurance Law and Practice, 68-70 (1965).”
Our Court of Appeals in
Evans v. Lincoln Income Life Insurance Co.,
Okl.App.,
All the cases we have cited or referred to which hold that the provisions of the individual certificate prevails over the master policy are those in which the individual certificate provided broader coverage than the master policy. We are concerned here only with that type of individual certificate.
We hold the exclusionary clause in the individuаl certificate prevails over the exclusionary clause in appellant’s master policy. The trial court correctly entered summary judgment for appellee.
JUDGMENT AFFIRMED.
