95 Minn. 77 | Minn. | 1905
Lead Opinion
Action to recover upon an accident insuiance policy, in which plaintiff had a verdict in the court below, and defendant appealed from an order denying its alternative motion for judgment nothwithstanding the verdict, or for a new trial.
The facts are as follows: Lewis E. Pixley on December 6, 1900, made written application to defendant for an accident insurance policy, in which he appears to. have represented to the company that he was not then suffering from any bodily disease or infirmity. He was in fact afflicted with diabetes, and so expressly informed the agent of defendant who solicited, and to whom the application was delivered. The agent stated to Pixley at the time, the application was made that the fact that he was suffering from diabetes was unimportant, and he (the agent) failed to record the fact in the application. A policy was subsequently issued by the company upon the application so made, for which Pixley paid the. premium demanded. Thereafter, on December 6, 1901, at the expiration of the period covered by the policy, defendant renewed the same, but without requiring a new application; the renewal policy being issued at the instance of Pixley and plaintiff, who was then the local agent of defendant, upon the daily feport of the agent to whom the original application had been made. On October 26, 1902, during the life of the renewal policy, Pixley received an injury to one of his thumbs, as the result of an accident, and died within ten days thereafter. This action was brought by plaintiff, beneficiary in the policy, on the claim and contention that the injury to Pixley was the direct and proximate cause of his death, and that the policy covered a death so caused. At the trial in the court Ijjdow, both parties requested an instructed verdict. Plaintiff's request was granted upon the theory that there were no issues for the jury to pass upon.
It is contended by defendant on this appeal that, on the undisputed evidence shown in the record, plaintiff is not entitled to recover, and that the court below should have directed a verdict in its favor. This, contention is based upon two grounds: (1) False representations, and statements alleged to have been made by Pixley in his application for insurance; and (2) that defendant is not liable under the
The first point was decided adversely to defendant in the case of Whitney v. National Masonic Accident Assn., 57 Minn. 472, 59 N W. 943. It appears in this case, as it appeared in that one, that, though the insured was afflicted with a bodily infirmity and disease at the time his application was made, he expressly informed the agent of the insurance company of the fact,‘and there is no intimation in the record-of any fraud or attempted concealment of the information from the insurance company on the part of the insured. The company is therefore liable if the death of Pixley comes within the terms and conditions of the policy, and we pass to that question without further remark on the subject of alleged false or fraudulent statements.
The policy, among other things, provided as follows:
The Standard Life & Accident Insurance Co. * * * hereby insures Lewis E. Pixley * * * against loss of time resulting from bodily injuries caused solely * * * by external, violent and accidental means * *■ * (5) If death results solely from such injuries as the proximate cause thereof within ninety days, the said company will pay the principal sum of two thousand dollars to Henrietta N. White, his sister, if living * * * (8) This insurance does not cover disappearance * * * nor in event of accident or death * * * resulting wholly or partly, directly or indirectly from bodily or mental infirmity, or disorder, or disease in any form.
While the rule is thoroughly settled that policies of this and like character are to be construed liberally, and that ambiguous provisions or those capable of two constructions should be construed favorably to the insured and most strongly against the insurer, plain, explicit language cannot be disregarded, nor an interpretation given the policy at variance with the clearly disclosed intent of the parties. Taking the policy in the case at bar by its four corners, it will admit of but one construction. It provides, in language quite plain, that the company
But for the express reservation contained in this policy, the injury here complained of would, applying the ordinary rule of proximate cause, very properly be held the direct and primary cause of Pixley’s ■death; but the fact that he was afflicted with diabetes at the time, which was aggravated by the injury and contributed to his death, removes the case from that rule, and brings it within the exceptions of the policy. 1 Cyc. 262; Freeman v. Mercantile Mut. Acc., 156 Mass. 351, 30 N. E. 1013.
The rule is clearly stated by Judge Sanborn in National Masonic Acc. Assn. v. Shryock, 73 Fed. 774, 20 C. C. A. 3, as follows: “The burden of proof was upon the defendant in error to establish the facts that William B. Shryock sustained an accident, and that that accident was the sole cause of his death, independently of all other causes. If Shryock suffered such an accident, and his death was caused by that alone, the association agreed, by 'this certificate, to pay the promised indemnity. But if he was affected with a disease or bodily infirmity which caused his death, the association was not liable under this certificate, whether he also suffered an accident or not. If he sustained an
We do not understand from the reported decision that the Supreme Court of Nebraska, in Modern Woodmen v. Shryock, 54 Neb. 250, 74 N. W. 607, differed from the federal court in National Masonic Acc. Assn. v. Shryock, supra—both cases involving the same accident, though under different policies — respecting the construction of the contract or the rules of law applicable thereto. The Nebraska court declined to follow the federal court'in so far as it held that the death there complained of was not caused solely by the accident, holding that the question was one of fact for the jury to determine. We have found no case at variance with the rule laid down by the foregoing authorities. Where a seeming variance appears, it will be found on examination to be upon the question whether the accident was the sole cause of the death of the insured, or whether that question was one of fact for a jury. Such are the cases relied upon by plaintiff in the case at bar.
In Fetter v. Fidelity, 174 Mo. 256, 73 S. W. 592, the court held that the fact that an accident ruptured a kidney because of its cancerous condition did not prevent the accident from being the sole cause of the ensuing death of the insured, “independent of all other causes,” within the meaning of the policy. It did not appear in that case that the diseased condition of the kidney contributed in any degree to cause death. The trial court instructed the jury in that case that a verdict for plaintiff could not be returned unless' they found that the accident “was
In Freeman v. Mercantile Mut. Acc. Assn., supra, it appeared that the insured died from peritonitis, and the question presented was whether an accidental injury was the proximate cause of his death. The terms of the policy were similar to those in the case at bar-exempting the company from liability where death resulted partly from disease or bodily infirmity. The trial court charged the jury that the question whether peritonitis, if that caused the death of the insured, was the proximate cause thereof, within the meaning of the policy, such as to prevent a recovery, depended upon the question whether or not before and at the time of the accident he was suffering from that disease; that, if he was, then, within the meaning of the policy, although aggravated and made fatal by the accident, no recovery could be had, but if, owing to' existing lesions caused by the disease, but not having the disease at the time, the same kind of “malady was started up,” and resulted fatally, the company was liable. The Supreme Court sustained the instructions, saying that the trial court thereby interpreted the policy in accordance with the intent of the parties. The case was disposed of adversely to the insurance companj' on the theory that the injury caused the disease which terminated in the death of the insured; expressly holding that if the disease existed at the time the injury was received, and co-operated to cause death, no recovery could be hgd.
The case of Continental v. Lloyd (Ind. Sup.) 73 N. E. 824, do.es not sustain plaintiff’s contention. In that case it appeared that the insured died from cerebral hemorrhages, an'd the pivotal issue of fact was whether the condition was brought on and caused by the injury complained of, or by the previous physical condition of the insured. The court held that on the evidence the question was one for the jury to determine. The court did not hold that, if the injury and the previous physical condition of the insured co-operated to cause death, the company was liable, but simply that the question whether the injury was the efficient and direct cause of death was one of fact, and that the verdict of the jury that it was so caused was sustained. The case of Whitney v. National Masonic Accident Assn., 57 Minn. 472, 59 N. W. 943, is not in point. The question here under consider
The rule laid down by the authorities referred to is unquestionably in full accord with the terms of the policy here involved, and must be followed and applied. No other view can be taken, consistently with the language of the policy, and the clear intention of the parties as there expressed. Nor is the rule in any way affected or changed by the fact that the insurer was informed at the time the policy was issued of the existence of the bodily infirmity. In such case the insurer contracts to indemnify the insured from accidental injury, knowing the existence of his bodily infirmity, but with the reservation and exception that the insurer will not be liable if such infirmity directly or indirectly co-operate with an accidental injury in causing death. It follows that if the diabetes with which Pixley was afflicted at the time of the accident contributed, with the injury, to cause his death, defendant is not liable on the policy. That it did, the evidence leaves no room for reasonable doubt. The physician called by plaintiff to testify concerning the cause of death made an effort to attribute it to the injury; but his whole testimony makes it clear from his own point of view that diabetes co-operated with the injury, and not only indirectly, but directly, contributed to the fatal result. The accident complained of resulted in a broken thumb — clearly not such an injury as would “solely and independently of all other causes” result in death; and this physician testified to the effect that the diabetes with which Pixley was afflicted was aggravated, and co-operated with the injury to cause his death. The physician attending Pixley after the accident testified pointedly that Pixley’s death resulted from diabetes, and the only fair inference from the testimony of the physician called by plaintiff, who did not examine the injury, but based his opinion upon information given him concerning it, is that the injury aggravated the diabetic condition, and induced and brought on what he termed “diabetic coma.”
In view of the conceded facts in the case, it is clear that no new evidence can be produced to change the situation respecting the cause of Pixley’s death, and judgment must be ordered for defendant. If a new trial were granted, and the case returned here on the same, or
It is therefore ordered that the order appealed from be, and it is hereby, reversed, and the court below ordered to enter judgment for. defendant.
Jaggard, J., having tried the case in the court below, took no part.
Rehearing
On
the following opinion was filed:
Further reflection on application for a rehearing, satisfies us that this is not, perhaps, a case where final judgment should be ordered, within the rule laid down in Cruikshank v. St. Paul F. & M. Ins. Co., 75 Minn. 266, 77 N. W. 958; and the order heretofore made will be,, and is hereby, modified by directing a new trial of the action.