Heller v. Bankers Life & Casualty Co.

220 Cal. App. 2d 184, 33 Cal. Rptr. 586
CourtCalifornia Court of Appeal
DecidedSeptember 13, 1963
DocketCiv. 6936
StatusPublished
Cited by4 cases

This text of 220 Cal. App. 2d 184 (Heller v. Bankers Life & Casualty Co.) is published on Counsel Stack Legal Research, covering California Court of Appeal primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Heller v. Bankers Life & Casualty Co., 220 Cal. App. 2d 184, 33 Cal. Rptr. 586 (Cal. Ct. App. 1963).

Opinion

*186 BROWN (Gerald), J.

Plaintiff-appellant, Helen Heller, was the beneficiary of an insurance certificate issued under a group accident policy underwritten by defendant-respondent, Bankers Life & Casualty Company; plaintiffs-appellants, John W. Phillips, George W. Seovil and Gertrude S. Hunt were beneficiaries of a similar policy; both policies insured Homer Heller for principal sums totaling $200,000 at annual premiums aggregating $197.50. Heller and two women accompanying him died November 1, 1959, when his private plane crashed en route from Las Vegas to San Diego.

Two actions were filed on the certificates, consolidated for trial and tried by the court without a jury. The court ordered judgment for defendant in each case, determining as a conclusion of law that Heller did not die under conditions and circumstances covered by the insurance certificates. On appeal plaintiffs assert that this conclusion of law and two of the findings of fact are in error. The questioned findings were that Heller filed a flight plan and that the two women occupants of the airplane were neither experienced in flying nor licensed pilots.

The insurance certificates provided:

“The Company agrees to pay indemnity for loss suffered by the Insured Person resulting from injury; to the extent herein provided.
“ ‘Injury’ . . . means bodily injury . . . effected solely through an accidental bodily injury to the Insured Person.
U
“Part VI Exclusions.
“The policy does not cover any loss caused or contributed to by . . . (7) injury sustained while engaged in or taking part in aeronautics and/or aviation of any description or resulting from being in an aircraft except while a passenger in any previously tried, tested and approved aircraft.”

Plaintiffs ’ complaints alleged that the insured was a passenger in the ill-fated airplane. They contended during the trial that the defendant insurer bears the burden of proving that the exclusion applies, i.e., that the insured was the pilot rather than a passenger. Defendant asserted that the proof of death resulting from the airplane crash proves the policy exclusion, thus defeating recovery unless plaintiffs sustain the burden of proving that the insured was a passenger. Burden of proof is the crucial question on appeal, since there is a dearth of evidence to support a finding that the insured was a passenger.

*187 Bebbington v. California Western etc. Ins. Co., 30 Cal.2d 157, 159 [180 P.2d 673, 1 A.L.R.2d 361], considered burden of proof in an action on a life insurance policy with an attached rider which provided that the insurer’s liability would be limited to the policy reserve if the insured died as a result of airplane travel other than as a fare-paying passenger in a licensed aircraft flying a regularly scheduled passenger flight. The defendant’s answer asserted that plaintiff’s proof of death established that the insured died while flying an airplane, thus limiting recovery to the policy reserve by operation of the exclusion clause of the rider. The court held: “The burden of proof was on defendant to establish this defense and show the circumstances which brought the death within the exclusion clause. [Citations.] Failure of proof on this issue requires affirmance of the judgment for plaintiff. Defendant was able to show that the deceased was killed in an airplane crash, but failed to show that he was not riding as a passenger in a licensed passenger aircraft at the time.”

Zucherman v. Underwriters at Lloyd’s, 42 Cal.2d 460, 467 [267 P.2d 777], considered burden of proof in accident policies containing the following exclusions:

“ ‘Exclusions: This certificate does not cover death, injury or dismemberment:
“ ‘(b) Directly or indirectly caused or contributed to by intentional self injury, disease or natural causes, suicide or attempted suicide. ... ’ ”
The jury was instructed that the burden was on the beneficiaries to establish:
“(1) that death resulted from an accidental bodily injury as defined by the policies, and caused by accident; and (2) that death was not caused ‘by intentional self-injury. . . .’ ” (P. 472.)

The court held that the jury was properly instructed as to burden of proof, since “intentional self-injury” is the antonym of “accidental,” and proof by the beneficiary that death was accidental necessarily negatives “intentional self-injury.” The court then outlined the facts of two cases involving actions on life insurance policies, one of which was Bebbington v. California Western etc. Ins. Co., supra, 30 Cal.2d 157. The court in Zucherman concluded its treatment of these two cases as they related to burden of proof by saying at page 474, “Neither of those decisions states the proper rule applicable to an accident insurance policy. ”

The exclusionary provision of the life insurance contract in *188 Bebbington is virtually the same .as the exclusionary provision contained in the accident insurance policy of the instant case. By repudiating the Bebbington rule insofar as it relates to accident insurance, we conclude that Zuckerman v. Underwriters at Lloyd’s, supra, 42 Cal.2d 460, places the burden of proof on the beneficiaries to establish that the insured was a passenger.

Appellants failed to carry the requisite burden of proof. Moreover, there is ample evidence from which it might be concluded that the insured was piloting the crashed airplane. The airplane in which the insured was flying at the time of his death accommodated four people, and was known in the trade as a four-passenger airplane, including the pilot’s seat. It could be piloted from either of the twin front seats, both of which appear to have been occupied at the time of the crash. It appears that one of the women occupied a rear seat. The operations manager of an aircraft service facility talked with the insured at approximately 5 p.m. on November 1, 1959. The insured said, “Yes, I have checked the weather, and I am filing my flight plan. ... I am going to San Diego, and the weather [is] okay now, it was pretty bad awhile ago.” A flight plan was filed. The women waited by the door while the insured talked to the operations manager and used the direct line weather and flight plan telephones. There, was no evidence concerning the takeoff, or the places each person took on entering the airplane. The insured was a licensed pilot. There was no evidence that either of the women was a licensed pilot. There was testimony that the insured had allowed unlicensed people to operate the airplane, but this was limited to the simplest maneuvers once the airplane was aloft. The insured purchased the airplane new in February 1959.

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Cite This Page — Counsel Stack

Bluebook (online)
220 Cal. App. 2d 184, 33 Cal. Rptr. 586, Counsel Stack Legal Research, https://law.counselstack.com/opinion/heller-v-bankers-life-casualty-co-calctapp-1963.