OPINION AND ORDER
Whаt is an accident? “More precisely, when is death accidental under insurance policies specifically written for such events? For a century and a half, courts and underwriters have struggled to answer what has been described as ‘one of the more philosophically complex simple questions.’ ” Adam F. Scales,
Man, God and the Serbonian Bog: The Evolution of Accidental Death Insurance,
86 Iowa L. Rev. 173, 175 (2000) (quoting
Fegan v. State Mut. Life Assurance Co. of Am.,
Plaintiff Paul Svensson, Esq. (“Plaintiff’ or “Mr. Svensson”), brings this suit against Securian Life Insurance Company (“Defendant” or “Securian”). Plaintiffs wife, at the time of her death, was insured by Defendant under a $200,000 policy covering “death by accidental injury.” She died of a respiratory illness which she developed after inhaling a eommunityspread bacterial pathogen. As the policy’s beneficiary, Plaintiff alleges that Defendant owes him $200,000. Defendant has moved to dismiss or, in the alternative, for summary judgment. Plaintiff, in turn, has cross-moved for summary judgment. For the rеasons stated herein, Defendant’s Motion to Dismiss is granted.
I. Background
A. Facts
The Court assumes the following facts, as alleged in the Complaint, to be true for the purposes of the Motion to Dismiss. Plaintiffs late wife, Providencia R. Svensson (“Decedent,” or “Mrs. Svensson”), was insured under a policy owned by Defendant covering “death by accidental injury” (“the Policy”). 1 (Compl. ¶¶ 12, 13; Deck of James P. Evans, Ex. A (“Def.’s Ex. A”).) Mr. Svenson was the designated beneficiary. (Compl. ¶ 16.) The Policy is styled as an “accidental death benefit” and contains a bold disclaimer stating that it “PROVIDES ACCIDENT ONLY INSURANCE AND DOES NOT PAY BENEFITS FOR LOSS FROM SICKNESS.” (Def.’s Ex. A.) The Policy defines “death by accidental injury” as a death that “results directly and independently of all other causes from an accidental drowning or from an accidental injury which was unintended, unexpected, and unforeseen.” (Id.) The Policy further states that “[i]n no event will we pay the accidental death benefit if your death results from or is caused directly or indirectly by any of the following: ... bodily or mental infirmity, illness, or disease,” or “infection, other than infection occurring simultaneously with, and as a result of, the accidental injury.” (Id.)
According to the Complaint, on March 10, 2008, Decedent “sustained an acciden *524 tal injury from the unintended, unexpected, and unforeseen community-spread transmission of a Group A streptococcus bacterial pathogen on March 10, 2008 that resulted directly and simultaneously in an infection.” (Id. ¶ 21.) Further, “the unforeseen inhalation of Group A streptococcus bacteria resulted in the simultaneous infection of [Decedent’s] lungs leading to her death from bronchopneumonia” on March 18, 2008. (Id. ¶¶ 24-25.)
B. Procedural History
Plaintiff filed the instant action on November 21, 2008, claiming both breach of contract and breach of fiduciary duty. (Dkt. No. I.) 2 On April 17, 2009, Defendant moved to dismiss this case or, in the alternative, for summary judgment. (Dkt. No. 17.) Plaintiff opposed these motions, and cross-moved for summary judgment. (Dkt. No. 19.)
II. Discussion
A. Standard of Review
“On a Rule 12(b)(6) motion to dismiss a cоmplaint, the court must accept a plaintiffs factual allegations as true and draw all reasonable inferences in [the plaintiffs] favor.”
Gonzalez v. Caballero,
Simply put, Plaintiff must allege “enough facts to state a claim to relief that is plausible on its face.”
Id.
at 570,
Finally, in adjudicating a Rule 12(b)(6) motion, a court may consider “facts stated in the complaint or documents attached to the complaint as exhibits or incorporаted by reference,” or facts of which the Court may take judicial notice.
Nechis v. Oxford Health Plans, Inc.,
B. Analysis
1. Did Decedent Suffer From an Accidental Injury?
Plaintiffs claim derives solely from the Policy, which provides that “the accidental death benefit” will be paid if that the decedent “died as the result of an accidental injury.” The Policy explains that “death by accidental injury” means that death “results directly and independently of all other causes from an accidental drowning or from an accidental injury which was unintended, unexpected, and unforeseen.” 3 However, the Policy also provides that “in no event” will it pay benefits if death “results from” seven circumstances, including of relevance here, “bodily оr mental infirmity, illness, or disease,” and “infection, other than infection occurring simultaneously with, and as a result of, the accidental injury.”
Plaintiff claims that he is entitled to benefits under this Policy because his wife died from an accidental injury. In particular, he claims that his wife sustained an accidental injury from the unintended, unexpected and unforeseen, community-spread transmission of a Group A streptococcus bacterial pathogen, and that as a direct result of this, she passed away from bronchopneumonia.
The first question, then, is whether Decedent’s fatality was the result of an “accidental injury.” This initially requires the Court to consider what the Policy means by “accidental injury.” Under New York law, “the initial interpretation of a contract ‘is a matter of law for the court to decide.’ ”
K. Bell & Assocs. v. Lloyd’s Underwriters,
Unlike ordinary life insurance, which generally provides coverage simply for death, accidental death insurance pays only if the death of the insured was accidental.
5
Accident insurance is therefore a more narrow class of insurance, as it limits the circumstances of coverage, but is at the same time broader in that it oftеn offers larger indemnity than normal life insurance.
6
As noted, the etymological challenges in accidental death insurance policies have flummoxed courts since such policies were first introduced by the Railway Passengers Assurance Company in England in 1849.
7
Scales,
supra,
at 179. One court put it this way: “What is an accident? Everyone knows what an accident is until the word comes up in court.”
Brenneman v. St. Paul Fire & Marine Ins. Co.,
Here, the Policy provides that benefits will only be paid if the death of the insured directly results from “accidental drowning or from an accidental injury which was unintended, unexpected, and unforeseen.” The policy does not offer a precise definition of “accidental injury,” however.
8
The caselaw therefore dictates
*527
that this phrase should be given its ordinary meaning, as understood by the “average person.”
See Barnes v. Am. Int’l Life Assurance Co. of N.Y.,
New York courts have considered the question of what meaning an average person would ascribe to the term “accidental injury.” Thus, for example, while New York courts have broadly construed the term “accident,” they have not endorsed the proposition that
“any
unexpected event is an accident.”
Michaels v. City of
*528
Buffalo,
Germs may indeed be inhaled through the nose or mouth, or absorbed into the system through normal channels of entry. In such cases their inroads will seldom, if ever, be assignable to a determinate or single act, identified in space or time. For this as well as for the reason that the absorption is incidental to a bodily process both natural and normal, their action presents itself to the mind as a disease and not an accident.
Id. (citations omitted). Thus, in then-Judge Cardozo’s view, while contraction of an infectious illness from an abnormal event, such as “a lesion or a cut,” could be an accident, a “common-sense appraisement of everyday forms of speech and modes of thought must tell us when to stop.” Id. (internal quotation marks omitted). 11
Then-Judge Cardozo’s common sense approach has long been applied by New York courts. Thus, death resulting from an infection contracted through ordinary circumstances has been deemed to be a disease, and not an accident or an injury.
See Michaels,
*529
The same rationale has been applied by numerous other courts. For example, in
Simpson v. Travelers Ins. Co.,
In the face of this authority, Plaintiffs claim that there are no eases which “support [the] theory that a community-acquired bacterial infection is not an accidental injury” is way off the mark. Equally unpersuasive is Plaintiffs’ argument that New York courts have “consistently held that an ‘accidental injury’ is one that was unintentional and unexpected,” and that such an injury need not be the result of violence. (Pl.’s Mem. 4-5.) Without invoking weighty metaphysical concepts about what it means for an event to be accidental,
14
it does not advance the ball in this case to fight over whether Decedent’s pneumonia was “unintentional” and “unexpected.” Presumably, nobody expects or intends to contract any disease, including pneumonia.
See
Scales,
supra,
at 240 (“Beyond intentional suicide, when is death ever expected?”);
cf. Richardson,
176
*530
N.Y.S. at 655 (“If it can ever be said that there is involved an accident or an occurrence in the sudden invasion of the human body by bacteria, then in substantially all infectious diseases there is a precedent accident, and therefore an accidental injury.”). Moreover, it is common ground that violence is not required to trigger coverage under an accident policy like the one at issue in this case. Indeed, the courts have found that an accidental injury can occur (and cause a fatal infection and trigger coverage) when a pimple is punctured,
see Lewis,
Nor is the Court persuaded by the cases Plaintiff cites. First, Plaintiff offers a quote from the Supreme Court’s decision in
Landress v. Phoenix Mut. Life Ins. Co.,
Plaintiff also cites
Middleton v. Coxsackie Corr. Facility,
In fulfilling its duty to “predict how the state’s highest court would” rule on a question of state law, a federal court must “give the fullest weight to pronouncements of the state’s highest court.”
See Runner v. New York Stock Exchange, Inc.,
The Workers’ Compensation Law was enacted for socioeconomic remediation purposes as a means of protecting workers and their dependents from want in case of injury on the job. An employee is entitled to receive compensation on a “no-fault” basis for all injuries “arising out of and in the course of the employment.” Under Workers’ Compensation Law § 2(7), “injury” and “personal injury” means only “accidental injuries arising out of and in the course of employment and such disease or infection as may naturally and unavoidably result therefrom.” To effectuate the statutory objectives, Workers’ Compensation Law § 21(1) creates a presumption that injuries “arising out of and in the course of employment” are compensable ... as “accidents.” Moreover, given the remedial nature of the Workers’ Compensation Law, the Court has construed the statute and given the Board, as “trier of the facts,” a very wide latitude in determining whether a disabling condition is an accident.
Johannesen,
Finally, Plaintiff cites
Iannucci v. John Hancock Mutual Life Ins. Co.,
What happened to Decedent is indeed tragic. In the end, however, Plaintiff is unable to cite any persuasive authority that a person who is a victim of a fatal infectious disease that is contracted through normal means brought about by everyday life has suffered an accidental injury, as that phrase has been applied to accidental insurance disputes. Put another way, and in Justice Cardozo’s terms, Plaintiff cannot claim that the average person would say that what happened to Decedent was an “accidental injury,” or that the Policy here was drafted to cover pneumonia contracted from the ambient air.
See Burns v. Employers’ Liab. Assurance Corp. Ltd.,
2. Do Any of the Exclusions Bar Recovery Under the Policy?
The Court shall now consider whether Plaintiff is additionally barred from recovery because of two exclusions under the Policy. The two exclusions provide that benefits will not be paid if death “results from” seven circumstances, including “bodily or mental infirmity, illness, or disease,” or “infection, other than infection occurring simultaneously with, and as a result of, the accidental injury.” Because the Court finds that the second exclusion applies here, it will not address the first exclusion. 16
*533
To disclaim coverage because of a policy exclusion, “an insurer must establish that the exclusion is stated in clear and unmistakable language, is subject to no other reasonable interpretation, and applies in the particular case.”
Continental Cas. Co. v. Rapid-American Corp.,
Defendant has met this burden because there is no “reasonable interpretation” of the exclusion that allows recovery under the Policy for a death caused by an infection which results from contracting a community-spread bacterial pathogen. The Policy excludes coverage for “infections,” except for a small category of infections that remain: infections that result from “accidental injuñes.” Thus, by the clear and unmistakable language of the Policy, in order for an infection to be covered, the cause of the infection must itself be an “injury,” i.e., an event that is itself harmful, separate and apart from the infection that it causes, or the infection itself. 17
For instance, suppose that a policy-holder aсcidentally cuts himself with a chainsaw, the cut becomes infected, and the policy-holder dies. The policy-holder’s beneficiary would be entitled to recovery because the cut was not only “accidental” but was itself an “injury,” since cuts are harmful regardless of whether they lead to infections.
See Simpson,
This reading of the “infections clause” is not only required by the text, it is also necessary to fulfill the clause’s evident purpose. Insurance policies, like other contracts, “are interpreted in the light of all the circumstances, and if the principal purpose of the parties is ascertainable it is given great weight.” Restatement (Second) of Contracts § 202(1);
see also Sunrise Mall Assocs. v. Import Alley of Sunrise Mall, Inc.,
The Policy as a whole, then, appears aimed at covering only “accidents” in the traditional, common sense of the word. Indeed, the Policy states that it is limited to deaths caused by “an
accidental drowning
or [other] accidental injuries]” (Def.’s Ex. A (emphasis added)), thus conjuring imagеs of accidents in the traditional “mishap” sense.
See Connelly,
Infections, being a type of “sickness,” would appear to be a strong candidate for categorical exclusion. There is one complication, hоwever. Suppose a policy holder sustains an accidental injury that
results in
an infection. In the chainsaw example described above, where the person cuts himself with a chainsaw, develops an infection, and ultimately perishes. It would be a perversion of the Policy to bar recovery from this chainsaw accident simply because death was technically caused by infection instead of, say, loss of blood. This is the Serbonian Bog of which Justice Cardozo warned.
See Landress,
This reading of the “infections” clause is also necessary to give that clause effect. New York contract law dictates that a “court should not adopt an interpretation which would leave any provision without force and effect.”
Sunrise Mall Assocs.,
*536
Plaintiff seeks to avoid this unavoidable interpretation of the infections clause by noting that “if the insurer intended to exclude bacterial infection resulting from airborne transmission into the lungs, the policy could have been crafted,” as other policies have been, to exclude all infections except those caused by “an accidental cut or wound.” (Compl. ¶¶ 44-45.) Plaintiff is correct that the Policy could have been drafted differently. That is, the Policy could have been written a way that might have made this an easier case. But that is true in almost every contract case. The question is whether the Policy as written is “ambiguous”; not whether it is “imperfect.” A policy is “ambiguous” where it is subject to more than one “reasonable interpretation.”
Continental Casualty Co.,
Finally, Plaintiffs choice of cases to support his position is misguided.
See, e.g., Gardner v. N.Y. Med. Coll.,
No more helpful is
Iannucci
in which, as noted above, a policy-holder died of serum hepatitis which he contracted from blood administered during a spinal operation.
Because the Court finds that, taking all of Plaintiffs allegations to be true, Defendant properly denied coverage under the Policy, the Court finds that Defendant breached neither the contract nor any fiduciary duty it supposedly owed to Plaintiff. Therefore, the Court grants Defendant’s motion to dismiss. 21
*537 III. Conclusion
For the reasons stated herein, Defendant’s motion to dismiss is granted. Defendant’s alternative motion for summary judgment is denied as moot, and Plaintiff’s cross-motion for summary judgment is denied. The Clerk is respectfully directed to remove the pending motions (Dkt. Nos. 17, 19), enter judgment for Defendant, and close this case.
SO ORDERED.
Notes
. The Policy also provided coverage for accidental dismemberment. The Policy is identified as Contract No. 0390788-001101839198. (Compl. ¶ 7.)
. Plaintiff is domiciled in New York. (Compl. ¶ 5.) Defendant is domiciled in Minnesota. id. ¶ 4.) Accordingly, federal jurisdiction is proper under 28 U.S.C. § 1332.
. The Policy further provides that death “must occur within 90 days after the date of injury.”
. Because this is a diversity case, New York substantive law governs.
See Gasperini v. Center for Humanities, Inc.,
. In 2002, accidents accounted for only 4.4% of deaths in the United States. See Kenneth D. Kochanek, et al., Deaths: Final Data for 2002, 53 Nat'l Vital Stat. Rep., Oct. 12, 2004, at 5. Heart disease (28.5%), cancer (22.8%), strokes (6.7%), and chronic lower respiratory diseases (5.1%) all accounted for more deaths. Id. Influenza and pneumonia accounted for 2.7%. Id.
. Originally, accident insurance was sold as a separate product, but it later was often coupled with standard life insurance (as "double indemnity” coverage), "largely shaking off its early moorings to the travel industry.” Scales, supra, at 177.
. The сompany, a creature of Parliament, had a business model described as "straightforward and perceptive.” Scales, supra, at 180. Railway companies were statutorily deemed to be the agents of the Assurance Company and would sell insurance as part of the ticket. Id. The insurance was to indemnify the passenger if he might "sustain any personal injury whatever incident to, and consequent on, railway traveling.” Id. (quoting Insurance From Railway Accidents, Times (London), Jan. 6, 1849, at 5). The business model succeeded because rail travel was viewed as hazardous, even though accident rates for rail travel were relatively low. Id. at 182. This created high demand for relatively minor risk. Id.
. "The fact that a term is not defined in a[n] [insurance] policy ... does not alone make it ambiguous.”
Riverwood Int’l Corp. v. Employers Ins. of Wausau,
. Judge Posner agrees: "Thе insured ought to know what he is getting in his insurance policy, so that he can decide whether he would like more coverage at a higher price or less at a lower price.”
Senkier v. Hartford Life & Accident Ins. Co.,
. Ascertaining the expectations of the average person can involve reference to dictionaries. Thus, Plaintiff’s dictionary definition of accident, as being something that arises “from extrinsic causes” or something “occurring unexpectedly or by chance” (Mem. of Law Submitted on Behalf of PI. by Their [sic] Att'ys ("PL’s Mem”) 5), is useful; so too is the dictionary definition of “injury,” as being an "act that damages or hurts.” Merriam-Webster's Online Dictionary, www.merriamwebster.com/dictionary/injury (last , visited Mar. 29, 2010). Still, other dictionaries provide definitions of the whole phrase, so that accidental injury could be defined as "an injury occurring as the unforeseen and chance result of a voluntary act.” Dictionary.com, http://dictionаry.reference.com/browse/ accidental + injury (last visited Mar. 29, 2010).
. In then-Judge Cardozo’s view, the abnormality that might lead to a lethal infection, and thus an accidental injury, need not be violent nor traumatic. Indeed, in Connelly, he concluded that the deceased had suffered an accidental injury, under New York’s Workers' Compensation law, when gangrenous matter had infected deceased through a "little cut in his hand.” Id. at 366, 368. In such a circumstance, "[t]he whole group of events, beginning with the cut and ending with death, was an accident, not in one of its phases, but in all of them.” Id. at 367.
. Plaintiff attempts to distinguish Bacon, arguing that the accident policy in that case *529 covered loss due to "external, violent, and accidental” injury, whereas the Policy here does not exclude all accidental injury unless caused by such means. (Pl.’s Mem. 6.) The effort fails because the point of Bacon is that a disease contracted through normal means is a disease, and not an injury.
. Other courts have cited
Connelly
with approval.
See, e.g., USX Corp. v. Liberty Mut. Ins. Co.,
. Philosophical discussions of what constitutes an accident can invite endless discussion. See Scales, supra, at 198-99 (noting that lightning strikes are natural, if unpleasant, phenomena, and that a "traveler's poisoning is not an accident to the tsetse swarm,” but yet both have traditionally been covered by accident policies).
. Indeed, the Workers' Compensation Board found that Decedent's death in this case was covered by that Act. (Pl.'s Mem.. 6.)
. Plaintiff argues that this exclusion does not apply here because he alleges that Decedent suffered from no pre-existing condition. (Pl.'s Mem. 12-14.) Of course, the Court accepts this allegation, explicitly made in the Complaint, to be true for purposes of deciding Defendant's Motion to Dismiss. The Court also notes, without deciding the issue, that courts have permitted recovery, under accidental death policies, where either there was no evidence of a pre-existing condition,
see, e.g, Bernstein v. American Home Assur. Co.,
. The Ninth Circuit recently espoused a similar interpretation of the term ''injury.”
See Dumontier v. Schlumberger Tech. Corp.,
. Though not alleged in the Complaint, the Court is aware, both from the Infectious Disease Report of Dr. William M. Lipsky and the decision of the Workers’ Compensation Board in Decedent’s case, that Plaintiff’s theory is that Decedent was exposed to the Group A streptococcus bacterial pathogen via an airborne, community-spread transmission while working at an elementary school. The Court does not rely on the Lipsky report in deciding this motion, but properly can take judicial notice of the Workers' Compensation Board’s decision that is to the same effect.
See Mangiafico v. Blumenthal,
. Plaintiff could contend that his interpretation would not cover all unintentionally-acquired infections, but only uncommon ones. After all, to be "accidental” an injury must not only be "unintentional,” but also "unexpected” and "unforeseen.” (Def.’s Ex. A.) While this interpretation of "accidental” would limit the infections covered by the Policy, it would not provide an independent role for the infections exclusionary clause, since the definition of "death by accidental injury” already limits coverage to injuries which are “unintended, unexpected, and unforeseen.”
. Tellingly, Plaintiff does not provide his own interpretation of the infections clause, nor does he mention a single infection that the infections clause would exclude under his interpretation of "injury.” See
McLean,
. Because the Court has accepted Plaintiff's allegations as true, including Plaintiff's theory of how Decedent contracted pneumonia, and otherwise has not relied on materials outside the Complaint that it should not have in deciding the motion to dismiss, the Court finds it unnecessary to convert Defendant’s motion to one for summary judgment.
