42 Ind. App. 483 | Ind. Ct. App. | 1908
Action by appellant against appellee upon a contract of insurance issued by appellee to B. Frank Schmid, in which appellee agreed, with certain exceptions, that should said Schmid sustain a bodily injury through external, violent and accidental means, which injury should result in death, appellee would be liable to Schmid’s beneficiaries in a certain sum. Appellant in her complaint sets out Schmid’s death, and the cause thereof, together with certain facts and circumstances connected therewith, and claims that such death, upon the showing of such allegations, was a. death from injuries sustained through external, violent and accidental means, and that appellee was liable therefor under the terms of its contract.
Appellee demurred to said complaint, upon the ground that the same did not state facts sufficient to constitute a cause of action, which demurrer the court sustained, and appellant refusing to plead further, judgment was rendered against her for costs. The correctness of the ruling of the court is the only error assigned.
The policy, and the application and by-laws of the association, which are made a part thereof, are set forth as exhibits to the complaint. So far as material to the solution of the legal questions presented, the provisions of such policy are as follows:
“No claim of any character shall ever accrue upon this contract, unless it arises from physical bodily injury, through external, violent and accidental means, while this contract is in force, and then only when the injury shall, independently of all other causes, immediately and wholly disable, the insured from performing any and every kind of business pertaining to his occupation as above stated. * * * This certificate cf insurance does not cover injuries nor death for which there is-, no visible mark upon the body of the insured; nor death nor injury from any of the following causes: disease or bodily infirmity, or. acts committed by the insured,*485 while under mental aberration, fits, insanity, rupture, vertigo, walking in sleep, narcotics, intoxication, surgical treatment, sun-stroke, freezing, voluntarily taking poison, handling or using dynamite or other explosives, riots or war, quarreling, dueling, wrestling, fighting, gymnastic sports, voluntary exposure to unnecessary danger, injury resulting from the intentional act of the insured or other persons, or received while engaged in any unlawful act, or. while in any gambling house, or house of ill-fame, or house of assignation, or any place prohibited by law; nor shall it cover suicide, whether the person is sane or insane. ’ ’
The following are the allegations of the complaint with reference to the manner of Schmid’s death: “The plaintiff further says, that on or about December 27, 1905, while said policy was in full force and effect, said B. Prank Schmid was killed by external, violent, and accidental means, in the manner following: That up to and prior to said date last named, and for a long time anterior thereto, said B. Prank Schmid was a resident of the city of Indianapolis; and a citizen of, and domiciled in, the State of Indiana; that said city last named is located about seven hundred feet above sea-level; that a few days prior to December 27, 1905, said Schmid left Indianapolis on a journey to Colorado Springs, in the state of Colorado, on business, and traveled by railway directly from Indianapolis to Colorado Springs; that said city of Colorado Springs is about six thousand feet above the sea-level; • that said journey covered — hours, and was tedious and confining; that said Schmid, at the time, was over fifty years of age; that he arrived at said Colorado Springs on the evening of December 27, 1905; that he left the railway station, carrying in each hand a traveling bag or satchel; that he went directly to the Antlers hotel in said city of Colorado Springs, said hotel being located on an elevation in said city; that said Schmid, in going to said hotel from the train and station, ascended a flight of one hundred steps leading to said hotel, being the usual method of approach by pedestrians; that he walked from the top of said
The question for determination is whether the death of
In United States Mut. Accident Assn. v. Barry, supra, the court said: “If a result is such as follows from ordinary means, voluntarily employed, in a not unusual or unexpected way, it cannot be called a result effected by accidental means; but that if, in the act which precedes the injury, something unforeseen, unexpected or unusual occurs which produces the injury, then the injury has resulted through accidental means. ’ ’ In the case of North American, etc., Ins. Co. v. Burroughs, supra, the insured was killed by accident while assisting in hauling hay. The court held that an accidental strain resulting in death is an accidental injury within the meaning of the policy. The question was upon the sufficiency of the preliminary proof of death resulting from accidental injuries. _ It appears that the affidavit stated that the deceased accidentally strained himself while loading hay, and the court held, that “it is a matter of no consequence so far as respects the liability of the company, whether it was produced by an accidental strain or by an unexpected blow from the handle of a pitchfork.”
The cases of Hamlyn v. Crown, etc., his. Co., supra, Appel v. Aetna Life Ins. Co. (1903), 86 Hun, App. Div., 83, Horsfall v. Pacific Mut. Life Ins. Co., supra, and Fetter v. Fidelity, etc., Co. (1903), 174 Mo. 256, 73 S. W. 592, 61 L. R. A. 459, 97 Am. St. 560, are referred to in In re Scarr (1905), 1 Am. and Eng. Ann. Cas. 787. In the case last named the policy provided for the payment of a certain sum by the insurance company upon the death of the insured from ‘ ‘ any bodily injury caused by violent, accidental and external visible means within the terms of the policy, ’ ’ etc.. Scarr was in the apparent enjoyment of good health, and able to discharge the duties of his employment, which were active duties, and he was unaware that his heart was affected. In fact, however, on December 26, and for some considerable time prior thereto, his heart ufas in a weak and unhealthy condition, the effect of which was to render it less capable of working under strain. At about 9:45 o ’clock on the morning of December 26, being apparently in his usual state of health, he attempted to eject a drunken man from the premises where he was working, using some physical exertion for that purpose by pushing or pulling in order to overcome the drunken man’s passive resistance. The effect of the physical exertion was to cause dilation of the heart,, which resulted in his death on January 25, 1904. But for what happened' on December 26, Scarr might have lived a considerable time. The evidence showed that there was no intervening or fortu
In Rustin v. Standard Life, etc., Ins. Co., supra, where the injury upon which the claim' for indemnity is grounded was the result of an effort on the part of insured to raise a heavy dumb-bell from the ground, the contract contained stipulations exempting the company from liability for injuries occasioned by unnecessary lifting and voluntary overexertion. The court held that it could not be said as a matter of law that the slight elevation of a 300-pound weight by a strong man accustomed to lifting was voluntary overexertion. It was held that a condition in a contract of casualty insurance forbidding unnecessary lifting is not broken by an act of lifting which was apparently reasonable, and performed in the line of duty. The terms of contract are not set out, and there was no question involved as to whether the injury was one from accidental means.
In Atlantic Accident Assn. v. Alexander, supra, the policy was payable to plaintiff, and insured her husband against “personal, bodily injuries, effected * * * through external, violent and accidental means.” The plaintiff alleged that the insured was injured by the unexpected and unforeseen using of a heavy hammer; that he was injured by the lacerating, tearing and wounding of his person by external, violent and accidental means, the same being the direct and immediate result of such means; that from said result alone he died in less than two days. The court held that the evidence was sufficient to authorize the jury to infer that the plaintiff’s husband was injured in the manner described in
In Rodey v. Travelers Ins. Co., supra, plaintiff in an action on an accident. policy testified that he dived from a plank into water.six or seven feet deep, and that the “tympanum of the ear was ruptured by external violence in diving. ” It was held that the court had fairly submitted to the jury the question as to whether the injury was caused by external, violent and accidental means, stating: “A slight accidental turn of the body while, descending into the'sea might very easily bring his ear in contact with the water in such manner that the force of his passage through it would create the injury.” In Miller v. Fidelity & Casualty Co., supra, the action was under a policy insuring the holder against “bodily injuries sustained through external, violent and accidental means,” but excepting “injuries, fatal or otherwise, resulting from poison or anything accidentally or otherwise taken, administered, absorbed, inhaled, * # * or any disease or bodily infirmity, ’ ’ etc. The complaint alleged that the insured sustained bodily injuries by swallowing certain hard, pointed and resistant substances of food, which substances accidentally, by reason of the force with which and the manner in which they came in contact with the intestinal tissue of the insured, and by reason of a weakened condition of said tissue, caused by illness from which he otherwise had recovered, of which weakened condition the
In Western Commercial, etc., Assn. v. Smith, supra, an abrasion of the skin of a toe, unexpectedly caused without design by unforeseen, unusual and unexpected friction in the act of wearing a new shoe, was held an accidental injury, within the meaning of an accident policy. The court stated that it was difficult to understand why an abrasion of the skin, produced unexpectedly and without design, by friction in wearing a new shoe, does not fall within the same category as if one slipped, without design,' in walking, or punctured his foot by stepping on a nail, or pierced’it with a nail in his shoe while drawing it on. In Bailey v. Interstate Castialty Co., supra, the insured, a physician, was in his carriage in the highway, and administering to himself, for extreme exhaustion, medicine with a hypodermic needle. Ilis horse suddenly started, by reason whereof he accidentally inserted the needle deeply into his leg, causing an injury on account of which blood poisoning immediately set in, whereby the plaintiff was disabled. The court said: ‘ ‘ If, in the use of the needle, an agency that otherwise would not have been in force, and which was the efficient cause of the injury, was accidentally set in motion, I see no good reason why it might not be found that the injuries were attributable to the accident, as the sole and proximate cause. ’ ’ In American Accident Co. v. Reigart, supra, death was caused by the accidental passing of a piece of meat into the windpipe and lodging there. It was held to be death through external and violent means within the principles stated. In Niblack, Accident Ins. (2d ed.), §373, the case of Hamlyn v. Crown, etc.. Ins. Co., supra, is used to distinguish the dif
Appellant also cites the following cases: (death resulting from asphyxiation) Pickett v. Pacific, etc., Ins. Co. (1891), 144 Pa. St. 79, 22 Atl. 871, 13 L. R. A. 661, 27 Am. St. 618; Fidelity Casualty Co., etc., v. Waterman (1896), 161 Ill. 632, 44 N. E. 283, 32 L. R. A. 654; Paul v. Travelers Ins. Co. (1889), 112 N. Y. 472, 20 N. E. 347, 3 L. R. A. 443, 8 Am. St. 758; (death from drowning) Peele v. Provident Fund Soc. (1897), 147 Ind. 543; (death from strain and fright in effort to control runaway horse) McGlinchey v. Fidelity & Casualty Co. (1888), 80 Me. 251, 14 Atl. 13, 6 Am. St. 190; (death caused by strain from lifting) Standard Life, etc., Ins. Co. v. Schmaltz (1899), 66 Ark. 588, 53 S. W. 49, 74 Am. St. 112; (death resulting from eating unsound oysters) Maryland Casualty Co. v. Hudgins (1903), (Tex. Civ. App.), 72 S. W. 1047.
The following cases hold, as do the decisions in this State, that the result, though unexpected, is not an accident within the meaning of an accident insurance policy providing for liability on death of insured by accidental means. The means or cause must be accidental. In these eases it is held that death resulting from voluntary physical exertion or from intentional acts on the part of the insured is not accidental and not within the meaning of the contract like the one under consideration. Nor is disease or death' caused by the vicissitudes of climate or atmosphere the result of an accident. Sinclair v. Maritime, etc., Assur. Co. (1861), 3 El. & E1. *478; Dozier v. Fidelity & Casualty Co. (1891), 46 Fed. 446, 13 L. R. A. 114; United States Mut. Accident Assn. v. Barry (1889), 131 U. S. 100, 9 Sup. Ct. 755, 33 L. Ed. 60; Appel v. Aetna Life Ins. Co, supra; Cobb v. Preferred Mut. Accident Assn., supra; Feder v. Iowa State, etc., Assn., supra; McCarthy v. Travelers Ins. Co., supra; Southard v. Railway, etc., Assur. Co., supra; Smouse v. Iowa State, etc., Assn., supra; Niskern v. United Brotherhood, etc., supra. If the result is such as follows from ordinary means, voluntarily employed, in a not unusual or unexpected way, it cannot be called a result effected by accidental
A death may in a sense be “an accident” or “accidental,” that is, a death or injury may be a result not intended, but may or may not be occasioned by accidental means. Thus, it is said in 3 Joyce, Insurance, §2863: “ ‘ A person may do certain acts the result of which acts may produce unforeseen consequences and may produce what is commonly called accidental death, but the means are exactly what the man intended to use,' and did use, and was prepared to use.. The means were not accidental, but the result might be accidental.’ ” And so, in the case at bar, without attempting to harmonize all the cases that cannot be distinguished, we hold that the means which produced the death of the insured were not accidental.
' Judgment affirmed.