Bowen v. Inter-State Business Men's Accident Ass'n

196 N.W. 229, 182 Wis. 223, 1923 Wisc. LEXIS 284
CourtWisconsin Supreme Court
DecidedDecember 11, 1923
StatusPublished

This text of 196 N.W. 229 (Bowen v. Inter-State Business Men's Accident Ass'n) is published on Counsel Stack Legal Research, covering Wisconsin Supreme Court primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Bowen v. Inter-State Business Men's Accident Ass'n, 196 N.W. 229, 182 Wis. 223, 1923 Wisc. LEXIS 284 (Wis. 1923).

Opinion

Rosenberry, J.

The questions raised in this case are almost entirely questions of law and relate to the construction of the policy issued by the defendant fe> the decedent, Bowen. The provisions of the policy material here are as follows:

“Inter-State Business Men’s Accident Association of Des Moines, Iowa, . . . does hereby accept Ben Bowen of Sioux City and state of Iowa as a member in this association, and does agree, subject only' to the terms, conditions, and limitations contained in this certificate, ... to pay unto the member, or to- the beneficiary or beneficiaries last nominated in writing by the member, in case of the death of the member, . . . the sums hereinafter specified, for loss of life, ... on account of bodily injuries sustained by the member . . . effected directly and independently of any other contributing, concurring, or intervening cause, by external, violent, and accidental means.”
“Indemnity.
“II. Dismemberment, Loss of sight, Death.
“C. Death — If, as a result of such injury, independently of all other causes, intervening, contributing, or concurring, the death of the member shall occur within ninety days from the date thereof, the association shall pay the sum of five thousand dollars ($5,000), which shall be in full and complete satisfaction of every claim against it, including any claim for disability.
“III. Special Limited Benefits and Indemnities.
“A. Disease or infection — If such injury shall not of itself be efficient at once to produce total disability or death, but solely on account thereof, disease shall occur, either by reason of infection or otherwise, and total disability or death shall be occasioned by the disease alone, or by the disease concurring with the injury, the liability of the association shall be limited to five hundred dollars ($500).”

[227]*227The defendant contends that under the provisions of subdivision III, Special Limited Benefits and Indemnities, the plaintiff is entitled to but $500, for the reason that the injury was not of itself efficient at once to produce total disability or death, and that the evidence clearly establishes that death occurred by reason of infection, and that at least the disease- resulting from the infection concurred with the injury in producing death.

- It is the contention of the plaintiff that the rule of proximate cause applies to this case and that it is therefore ruled by Cary v. Preferred Acc. Ins. Co. 127 Wis. 67, 106 N. W. 1055, and French v. Fidelity & C. Co. 135 Wis. 259, 115 N. W. 869. It is also the contention of the plaintiff that if the policy be construed as it is claimed by the defendant it should be, in no case under the policy could a beneficiary recover more than $500, because there is in all cases of accidental death not immediate, more or less disease which concurs with the injury to produce death.

Under the rule laid down in Cary v. Preferred Acc. Ins. Co. 127 Wis. 67, 106 N. W. 1055, if the policy under consideration did not contain subdivision III, it could not fairly be contended that the loss was not covered by the provisions of subdivision II, for the reason that the proximate cause of death in this case is the injury sustained by the decedent, operating independently of all other causes.

Subdivision III is, however, in the nature of an exception to the more general provisions of subdivision II, and when read together the policy provides that a death resulting from an accidental injury such as is described in the policy shall, if it be efficient to at once produce total disability or death, entitle the beneficiary to compensation in the sum of $5,000. If, however, the accidental injury is not efficient to- at once produce total disability or death and thereafter disease shall occur solely by reason of the injury and death shall be occasioned by the disease alone or by the disease concurring with the injury, the compensation to the beneficiary shall be $500.

[228]*228The plain intent of the parties as expressed in the policy cannot be subverted by a legalistic argument based upon the importation of the meaning of “proximate” and “concurring” cause as those terms are used in negligence law. If such an argument be followed to its logical conclusion, then paragraph C has no meaning whatever. While in cases of ambiguity or doubt insurance policies are, under the general rule of law, to be construed most strongly against the insurer, this cannot be held to' mean that the language employed by the parties in stating the terms of their contract is to be wholly ignored. Under the argument advanced here by plaintiff there can-be no such thing as disease concurring as a cause. It is argued that the disease, in order to concur, must be one already existent at the time the accidental injury occurs, but under the terms of this policy the disease must be one which occurs solely on account of the injury, so there could never upon that basis be a concurring disease if the contention of the plaintiff is to be upheld in its entirety. The language of the insurance policies in Cary v. Preferred Acc. Ins. Co. and French v. Fidelity & C. Co., supra, is quite different than the language of this policy. The language employed here is quite evidently an attempt on the part of the insurer to limit its liability so as to meet the situation created by the decision in Cary v. Preferred Acc. Ins. Co. and other cases. Under the undisputed facts in this case the accidental injury was not efficient at once to produce total disability or death. The disease occurred solely on account of the accidental injury, and it must be conceded that the disease alone, or the disease concurring with the injury, resulted in death. The facts of this case bring it clearly within the exception of subdivision III of the policy and the recovery should therefore have been limited to $500. •

It is contended by the plaintiff that the provisions of subdivision III are not available to the defendant in this action [229]*229for the reason that the policy was not printed in compliance with sub. 2 of sec. 1960, Stats., which provides:

“No such policy shall be so issued or delivered . . . unless the exceptions of the policy be printed with the same prominence as the benefits to which they apply, provided, however, that any portion of such policy which purports, by reason of the circumstances under which a loss is incurred, to reduce any indemnity promised therein to an amount less than that provided for the same loss occurring under ordinary circumstances, shall be printed in bold-face type and with greater prominence than any other portion of the text of the policy.”

It is claimed that the policy in question does not comply with that part of the subdivision underscored. It does not, and there was no attempt made to comply with it. As stated, the defendant is an Iowa corporation, and at the time the policy was issued and delivered the insured was a resident of the state of Iowa. It was therefore an Iowa contract. It is contended, however, that, the policy having been renewed by a continued payment of the premiums since the insured removed to Wisconsin in 1916, it is now a Wisconsin contract and covered by Wisconsin law. The policy contained the following agreement:

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Related

Cary v. Preferred Accident Insurance
106 N.W. 1055 (Wisconsin Supreme Court, 1906)
French v. Fidelity & Casualty Co.
115 N.W. 869 (Wisconsin Supreme Court, 1908)

Cite This Page — Counsel Stack

Bluebook (online)
196 N.W. 229, 182 Wis. 223, 1923 Wisc. LEXIS 284, Counsel Stack Legal Research, https://law.counselstack.com/opinion/bowen-v-inter-state-business-mens-accident-assn-wis-1923.