Connecticut General Life Ins. v. Allen

64 F.2d 840, 1933 U.S. App. LEXIS 4233
CourtCourt of Appeals for the Eighth Circuit
DecidedApril 26, 1933
DocketNo. 9614
StatusPublished
Cited by6 cases

This text of 64 F.2d 840 (Connecticut General Life Ins. v. Allen) is published on Counsel Stack Legal Research, covering Court of Appeals for the Eighth Circuit primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Connecticut General Life Ins. v. Allen, 64 F.2d 840, 1933 U.S. App. LEXIS 4233 (8th Cir. 1933).

Opinion

GARDNER, Circuit Judge.

Appellee as plaintiff brought this action against appellant to recover on a policy of accident insurance issued by appellant. For convenience the parties will be referred to as they appeared in the lower court.

Insured was the husband of plaintiff, and plaintiff was named as the beneficiary in the policy. The loss or disability against which defendant insured is described in the following pertinent provisions of the policy:

“Loss or disability resulting direetly, independently and exclusively of all other causes from bodily injuries effected solely through accidental means * * *.
“This insurance shall not cover accident, injury, disability, death or other loss caused directly or indirectly, wholly or partly, by bodily or mental infirmity, ptomaines, bacterial infections (except pyogenic infections which shall occur simultaneously with and through accidental cut or wound), or by any other kind of disease.”

The” petition alleged that plaintiff was designated as the beneficiary in the policy; that by the poliey defendant contracted for and undertook to pay to the beneficiary therein named the sum of $12,400 in the event of the death of the insured due to “pyogenic infections which shall oceur simultaneously with and through accidental cut or wound”; that on or about the 1st day of February, 1927, the insured died of pyogenic infection which occurred simultaneously with and through accidental cuts or wounds inflicted on said insured on the 10 th day of January, 1927, while undergoing the extraction of an impacted molar tooth; that said extraction was attended with extreme difficulty, and that the gum tissues were cut and wounded, and that the instrument broke through the jaw bone inner [841]*841layer or the mandible and opened passages into the tissues of the neck, resulting in the infection of the neck, which infection thereafter extended down the neck tissues into the chest cavity, then into the base of the heart and then into the right pleural cavity and the pericardial sac, resulting in pleurisy with effusion and pericarditis ' with effusion, terminating in the death of said insured; that said cuts and wounds and infection were not intended, not usual, not expected, not foreseen, and were accidental, and were bodily injuries effected solely through accidental means and were the proximate cause of the death of said insured.

By its answer defendant preserved its special appearance theretofore filed and objected to the jurisdiction of the court, for the reason that it had not been served as by law required, and for the further reason that at the time of the commencement of the action, and at the time of the original service of process upon it, it was not conducting any business in the state of Nebraska and had not theretofore been doing business in said state, and that it was not doing business in the state of Nebraska at the time of the execution of the policy sued upon, but that the poliey was executed in the state of New York; that when the poliey sued upon was issued defendant maintained and still maintains its homo office at Hartford, Conn., but that the poliey was entered into and executed in the city of New York, state of New York, and was governed by the laws of that state; that the policy provided that no action should be brought to recover on it prior to the expiration of sixty days after proof of loss had been properly made and filed, “nor shall such action be brought at all, unless brought within two years from the expiration of the time within which proof of loss is required by the policy”; that these provisions of the poliey were valid and binding under the laws of the states of New York and Connecticut, and that the action was not brought within the period provided for in the poliey, nor was the proof of loss made within the required time, and hence the action was barred. The answer in addition to pleading the bar of limitation provided in the poliey, also pleads that the action was barred by the statute of limitations, and also contains denial that the insured came to his death as the result of pyogenic infections occurring simultaneously with and through accidental cut or wound, and in effect denied all the material allegations of the petition, except certain formal allegations.

On the trial, at the close of all the testimony, defendant moved for a directed verdiet on the grounds: (1) That the court was without jurisdiction of the person of the defendant; (2) that the action was not brought within two years from the- expiration of the time within which proof of loss was required by the terms of the policy, and hence the action was barred by the provisions of the policy; and (3) that the evidence did not establish that the insured came to his death as the result of pyogenic infection occurring simultaneously with and through accidental cut or wound. The motion was denied, and the case submitted to the jury, and a verdiet returned in favor o£ plaintiff. From the judgment entered thereon defendant has perfected this appeal, urging: (1) That the policy provisions limiting suit to two years were binding, and barred the right to maintain this action; (2) that the court was without jurisdiction of the person of defendant, and its special appearance and objection should have been sustained; (3) that the evidence was insufficient to support the verdict and judgment; and (4) errors in the rulings upon evidence.

In the briefs filed by counsel on either side the question of the jurisdiction of the court and the contractual limitation of the time within which action could he brought upon the policy have been very elaborately briefed, but in our view of the case the controlling issue is whether or not there was substantial evidence tending to show that the insured’s death resulted, directly, independently, and exclusively of all other causes, from bodily injuries effected solely through accidental means, and whether his death was caused by pyogenic infection, which occurred simultaneously with and through accidental cut or wound. The evidence tended to show the following facts: Insured was forty-eight years old, weighed between 190 and 200 pounds, was over six feet tall, was rugged, and had led an unusually energetic outdoor life. On January 22, 1927, he went to the office of a dentist in Omaha, Nob., for the purpose of having an impacted tooth extracted, or treated. An impacted tooth, it seems, is one which has not come through the gum, and is out of position with reference to the other teeth. An X-ray was taken, which disclosed a necrotic area around the crown of the tooth, indicating an infected condition of some standing. The tooth pointed inward, and the root stuck out into the bone. The dentist undertook to remove the tooth surgically, and because of its peculiar formation it was necessary to remove it from the lingual side of the jaw. The details of the operation need not be recited, but the ease proved to be an unusual one» [842]*842The tooth was many times broken in attempting to extract it, and the operation consumed about four hours’ time. Serious infection followed, which spread into the throat and tissues of the neck, causing an abscess in the deep tissues of the neck and an inflammation in the muscles of the neck. Physicians who were later called, testified that there were several. cuts and bruises about the gum, any one of which might have acted as a portal of entry for infection into the neck; that there was a large jagged cavity from which the truth had been extracted, and that the floor of toe mouth was swollen, as was also the floor 01 the throat. Dr.

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Bluebook (online)
64 F.2d 840, 1933 U.S. App. LEXIS 4233, Counsel Stack Legal Research, https://law.counselstack.com/opinion/connecticut-general-life-ins-v-allen-ca8-1933.