Ingram v. Continental Casualty Co.

451 S.W.2d 177, 248 Ark. 276, 1970 Ark. LEXIS 1212
CourtSupreme Court of Arkansas
DecidedMarch 16, 1970
Docket5-5186
StatusPublished
Cited by1 cases

This text of 451 S.W.2d 177 (Ingram v. Continental Casualty Co.) is published on Counsel Stack Legal Research, covering Supreme Court of Arkansas primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Ingram v. Continental Casualty Co., 451 S.W.2d 177, 248 Ark. 276, 1970 Ark. LEXIS 1212 (Ark. 1970).

Opinion

J. Fred Jones, Justice.

Bobby Joe Ingram sued Continental Casualty Company in the Lawrence County Circuit Court to recover on a health and accident insurance policy issued to Ingram by Continental. Continental denied liability because of a military exclusion clause in the policy and its motion for summary judgment was granted. On appeal to this court Ingram relies on the following points for reversal:

“The trial court erred as a matter of law in granting summary judgment to the defendant.
The trial court erred in finding that an exclusion of loss ‘caused by or resulting from * * * service in the armed forces of any country’ stated in the policy precludes recovery by the plaintiff in this case.
The trial court erred in granting the defendant a summary judgment for the reason that there is' a question of material fact which is in dispute as to whether the risk of an accident such as tripping and falling as in this case is a risk peculiar to military service.”

Ingram was a railroad employee when he purchased the policy and he was also a member of the Arkansas National Guard. Two months after he purchased the policy he was called to National Guard duty and while performing his assigned duties as a cook, he was injured. Ingram had supervised the setting up of a cook tent, and as he was carrying crates of milk from a truck to the tent, he stepped back to allow another soldier to pass in front of him, and sustained his injury when he tripped over the tent ropes and fell to the ground on his back. Ingram sustained fractures to the vertebrae in his spine as a result of the fall and he required hospitalization and surgery in connection with his injury.

The clause in the policy under which Continental denied coverage reads as follows:

“This policy does not cover any loss, fatal, or non-fatal, caused by or resulting from * * * service in the armed forces of any country.”

The parties agree that the exclusionary clause in the policy is a “result” clause as distinguished from a “status” clause. In other words, they agree that the exclusion is effective when the injury occurs as a result of the insured’s service in the armed forces, and that the exclusion is not effective merely because the insured is. a member of the armed forces. To exclude the coverage the insured must sustain the loss not merely while he is a member of the armed forces, but because he is a member of the' armed forces. The loss must be service connected before it is excluded from the coverage under the policy. The appellant’s status as a member of the armed forces at the time of his injury does not appear to be questioned, nor is it questioned that the injury occurred while the appellant was in the course of his duties as a member of the armed forces. The question then, on all three points relied on by the appellant, is whether appellant’s loss was caused by, or resulted from, his service in the armed forces.

The appellant contends that his injury and resulting loss were not caused by, and did not result from, his service in the armed forces. The appellee, of course, makes the opposite contention. Both the appellant and the appellee have cited several cases in support of their respective contentions, but most of the cases cited are distinguishable from each other and from the case at bar on the facts as to how the loss occurred' and the policy coverage or exclusion. In some of the cases cited by the appellant the courts had no difficulty in ' determining that coverage was not excluded. In Benham v. American Central Life Ins. Co., 140 Ark. 612, 217 S. W. 462, the insured died from influenza while in the armed forces and the exclusion being a “result” rather than a “status” clause, it was held that the exclusion did not apply. The same decision was reached in Gorder v. Lincoln National Life Ins. Co., 180 N. W. 514, where the insured died from pneumonia contracted on a troop ship en route to England. In Nutt v. Security Life Ins. Co., 142 Ark. 29, 218 S. W. 675, the insured also died from influenza while stationed at Camp Pike during World War I. In Nutt as in Benham, supra this court, in effect, held that the word “engaged” as used in the exclusionary clause denotes action and not disease.

The appellee cites cases in which the courts had no difficulty in holding the exclusions applicable under the facts and policy provisions of the particular cases. In the 1945 case of Bologna v. New York Life Ins. Co., 40 So. 2d 48, the Louisiana Court denied payment under a clause which provided that double indemnity should not be payable,

“if the insured’s death resulted, directly or indirectly, from * * * war or any act incident thereto * *

In that case the insured was lost at sea when he dived overboard during a fire, following a collision between a merchant ship on which he was a seaman, and another merchant vessel loaded with gasoline. The two vessels were traveling in convoy under naval escort in time of war.

In Selenack v. Prudential Ins. Co. of America, 50 A. 2d 736, a double indemnity insurance policy contained a provision as follows:

“No accidental Death Benefit will be paid if the death of the Insured resulted * * * from having been engaged in military or naval service in time of war.”

The insured was killed while commanding an M-4 tank returning to the post from maneuvers. The tank turned over when it ran off the road to avoid an approaching s.chool bus it was meeting. In affirming the trial court’s judgment in favor of Prudential, the appellate court said:

“There is nothing in the clear language of the clause which will permit a construction limiting the exclusion to actual combat service. Death resulting from military service in time of war comprehends death in actual combat but is not so restricted as to exclude death under other circumstances, if actually resulting from military service, in time of war.”

The same result was reached on very similar facts in Eggena v. New York Life Ins. Co., 18 N. W. 2d 530. In Goodrich v. John Hancock Mut. Life Ins. Co. of Boston, 234 N. Y. S. 2d 587, the insured, while a soldier in Korea, was killed when a member of his company accidentally discharged a carbine while cleaning it. The exclusionary clause was held applicable.

In Couch on Insurance, 2d, § 41:725, is found the following:

“In a number of cases a distinction has been suggested, either expressly or by inference, between injuries not peculiar to the military service but equally likely to occur in civilian life, and those which are the result of military service or war. * * * If the clause is considered a result clause, the insurance company is excused from paying the face value of the policy or double indemnity, as the case may be, only if the insured died from causes peculiar to military service.”

This same rule is stated in 36 A. L. R. 2d 1018.

We now examine some of the cases which we consider nearest in point with the case at bar as to cause of loss and policy exclusion. The appellant cites, and seems to rely heavily on, Johnson v. Mutual Life Ins.

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Bluebook (online)
451 S.W.2d 177, 248 Ark. 276, 1970 Ark. LEXIS 1212, Counsel Stack Legal Research, https://law.counselstack.com/opinion/ingram-v-continental-casualty-co-ark-1970.