Hayes v. Home Life Ins. Co.

168 F.2d 152, 83 U.S. App. D.C. 110, 1948 U.S. App. LEXIS 2022
CourtCourt of Appeals for the D.C. Circuit
DecidedMarch 8, 1948
Docket9585
StatusPublished
Cited by18 cases

This text of 168 F.2d 152 (Hayes v. Home Life Ins. Co.) is published on Counsel Stack Legal Research, covering Court of Appeals for the D.C. Circuit primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Hayes v. Home Life Ins. Co., 168 F.2d 152, 83 U.S. App. D.C. 110, 1948 U.S. App. LEXIS 2022 (D.C. Cir. 1948).

Opinion

PRETTYMAN, Associate Justice.

Appellant is the beneficiary named in certain policies of insurance issued by the appellee. The appellee having declined to pay the total face amount of the policies, appellant brought a civil action in the District Court to recover that amount. That court granted the company’s motion for summary judgment.

The controversy concerns the following provisions of the policies:

“War, Aviation and Travel Provisions. Anything herein to the contrary notwithstanding, this policy is issued subject to the condition that the amount of insurance hereunder shall be limited to the sum of the *153 premiums paid hereon, or the reserve for the face amount of this policy, whichever is greater, increased by the reserve on any outstanding paid-up additions and less any indebtedness, but in no event shall the amount payable under this policy be more than if this endorsement had not been made hereon, if
“(a) The death of the insured results, directly or indirectly, from military or naval service outside the geographical boundaries of the Continental United States of America in time of war, whether declared or undeclared;
"(c) The death of the insured results within two years from the date of issue of this policy, directly or indirectly, from war, whether declared or undeclared, while the insured is outside the geographical boundaries of the Continental United States of America.”

The policies were issued on June 1, 1942. The record does not show whether at that time the insured was or was not in the military service. In any event, in July, 1945, he was an officer in the United States Navy on duty on the cruiser Indianapolis in the Pacific Ocean and met his death when that ship was sunk as a result of enemy action.

It is agreed that the death of the insured occurred outside the geographical boundaries of the United States in time of war and more than two years after the date of the policies. It is also clear that his death resulted from naval service and also resulted from war. The literal terms of both clause (a) and clause (c) apply. But if (a) alone be applied, the company is not liable for the face amount of the policies, whereas if (c) alone be applied, the company is so liable. Thus, the problem is: Where both of two clauses, one of liability and one of non-liability, apply, which should be given effect? It seems to us that this is the sort of problem to which the rule as to ambiguity must apply. There is no ambiguity in the language of either clause; both apply. But since the clauses are conflicting, an ambiguity in the contract is created.

Appellee avoids the conclusion just indicated by contending that the clauses are in the alternative and that if either one applies, liability is defeated; liability need be defeated only once. The difficulty with the argument is that the clauses are not alternative negations of liability. While the expression of clause (c) is that liability is limited if death results within two years from war, it clearly also means that if death results from war after two years from the date of the policy, the company will pay the full face amount. The clause is not only a bar for two years, but in common, plain and natural understanding it is an affirmation of full liability after two-years, so far as war might be the cause of death. The two-year provision in clause (c) makes the two clauses opposites in result after the two years have expired, and not alternative bars to liability. If clause (a) had referred to death resulting from naval service and clause (c) had referred simply to death resulting from war, without the two-year limitation, there would have been two separate bars to liability and the existence of either cause would have been sufficient to defeat liability. But in the case at bar, where the two years had expired, the two clauses were in direct conflict, one denying and the other asserting liability.

Appellee buttresses the foregoing argument by reference to clause (b) of the endorsement, which limits liability if death results from travel or flight in any species of aircraft, except as a fare-paying passenger. It treats that clause as a direct limitation upon liability, with no affirmative implications of liability. But the clause does have such an implication in respect to fare-paying passengers. To get an analogy from clause (b) to the present case, we would have to imagine a person in the naval service and on a _ naval mission but for some reason a fare-paying passenger in an aircraft. If death resulted, there would be a conflict between clause (a) and clause (b) as to liability, although that conflict might not be as striking as that between clause? (a) and (c) in the case at bar.

Appellee relies upon a line of cases, of which it cites Caruso v. John Hancock Mu *154 tual Life Insurance Co. 1 *as “on all fours” with the present case, and Jorgenson v. Metropolitan Life Insurance Co., 2 decided by the same court to the same effect. But those cases dealt with so-called “status” clauses, and the courts held that a “status” clause governs over a “result” clause. Thus, in the Caruso case [25 N.J.Misc. 318, 53 A.2d 223], one clause limited liability on account of “Death while the Insured is serving * * * in the military or naval or air forces”, while the other limited liability on account of “Death within two years from the date of the Policy, as a result of war * * *.” The court said, ■“Clause (a) is a ‘military status clause’, as distinguished from a ‘cause of death clause’ and in such cases the status of the insured and not the cause of death is the ground upon which the exoneration of the insurer from liability stands.” The court cited Coit v. Jefferson Standard Life Ins. Co., 3 which in turn referred to a large number of cases which arose after World War I and which involved so-called “status” clauses where the death occurred as the result of influenza, which was common alike to civilians and military personnel, and from accidents not in the course of military duty. We need not analyze or discuss at length these authorities. They are collected and amply considered in the Coit case, supra, and in Boatwright v. American Life Ins. Co., 4 Gorder v. Lincoln Nat. Life Ins. Co., 5 Life & Casualty Ins. Co. v. McLeod, 6 and Bending v. Metropolitan Life Ins. Co. 7 The rationale of those cases is that where a policy excludes all persons of a given status, the cause of death is immaterial in case of the death of such persons; and that a further exclusion in the policy of liability for death from specified causes has meaning only in relation to persons not in the status otherwise wholly excluded. But we need not now determine for this jurisdiction whether a status clause prevails over a result clause, because we have no status clause before us. Our case involves two contradictory result clauses.

Free access — add to your briefcase to read the full text and ask questions with AI

Related

Abdelrhman v. Ackerman
76 A.3d 883 (District of Columbia Court of Appeals, 2013)
Frey v. United Services Automobile Ass'n
743 N.W.2d 337 (Court of Appeals of Minnesota, 2008)
Richardson v. Nationwide Mutual Insurance
826 A.2d 310 (District of Columbia Court of Appeals, 2003)
Nationwide Mutual Insurance v. Richardson
270 F.3d 948 (D.C. Circuit, 2001)
Cameron v. USAA Property & Casualty Insurance
733 A.2d 965 (District of Columbia Court of Appeals, 1999)
Aetna Casualty & Surety Co. v. DeBruicker
838 F. Supp. 215 (E.D. Pennsylvania, 1993)
Ross Langdon v. Maryland Casualty Company
357 F.2d 819 (D.C. Circuit, 1966)
Raley v. Life & Casualty Insurance Co. of Tennessee
117 A.2d 110 (District of Columbia Court of Appeals, 1955)
Concordia Lutheran Evangelical Church v. United States Casualty Co.
115 A.2d 307 (District of Columbia Court of Appeals, 1955)
Gerrity v. Charter Oak Fire Ins.
82 F. Supp. 631 (District of Columbia, 1949)
Walker v. Superior Life Ins.
62 A.2d 192 (District of Columbia Court of Appeals, 1948)

Cite This Page — Counsel Stack

Bluebook (online)
168 F.2d 152, 83 U.S. App. D.C. 110, 1948 U.S. App. LEXIS 2022, Counsel Stack Legal Research, https://law.counselstack.com/opinion/hayes-v-home-life-ins-co-cadc-1948.