Insurance Company of North America v. Edna Talley English

395 F.2d 854
CourtCourt of Appeals for the Fifth Circuit
DecidedMay 31, 1968
Docket25187
StatusPublished
Cited by20 cases

This text of 395 F.2d 854 (Insurance Company of North America v. Edna Talley English) is published on Counsel Stack Legal Research, covering Court of Appeals for the Fifth Circuit primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Insurance Company of North America v. Edna Talley English, 395 F.2d 854 (5th Cir. 1968).

Opinion

HUGHES, District Judge:

In this case Mrs. Edna Talley English, beneficiary of an insurance policy on the life of Elbert W. English recovered judgment in the district court against Insurance Company of North America, hereinafter called INA. We affirm.

The insurance contract in question was a group policy executed in Tennessee be *856 tween Tennessee Valley Authority and INA and issued for employees of T.V.A. Premiums were paid by the employees through salary deductions.

Mr. English was employed by T.V.A. as a transmission substation operator in West Point, Mississippi, where he resided continuously from the date of his employment until his death. His duty was to control the flow of electric current at the substation by operating switches. In the performance of his work he was directed by a dispatcher in Alabama.

On the morning of October 23, 1962, English, while operating the switches failed to follow the proper switching sequence and erroneously opened a loaded circuit. Four hundred and sixty kilo-volts of power arced into the air and grounded, producing a loud noise and a tremendous flash of light seen a distance of three miles. A substantial amount of equipment in the substation was damaged and pieces of insulation were thrown as far as fifty feet.

The dispatcher in Alabama, noticing the irregular surge of power, attempted to reach English by telephone. After approximately seven minutes English answered, appearing dazed but coherent. He was able to relay information, some, however, incorrect, and to follow additional instructions given by the dispatcher. A co-worker, alerted by telephone, arrived at the substation a few minutes later and checked the switches. English spoke to him and again, by telephone, to the dispatcher at which time he appeared coherent. While English was on the telephone the other operator heard a noise, and on returning he found English lying on the floor motionless except for a quiver of his lips. English was dead upon, the arrival of the doctor and ambulance. The district judge found that “the only outward mark on his body was that his eyebrows were singed.”

An autopsy resulted in the diagnosis that the cause of death was “acute coronary occlusion.” The pathologist’s .report indicated “severe coronary atherosclerosis” in the right coronary artery and other parts of the heart.

Four medical experts testified. The pathologist was of the opinion that the stress caused by the switching incident combined with the advanced atherosclerosis to precipitate formation of the blood clot in the coronary artery (thrombosis) and to cause the death of English. He characterized English’s heart and artery condition as a “progressive disease,” an “active disease, which was a constant threat to his life” and testified that “the amazing thing is that he' lived as long as he did with his arteries in this condition.” His conclusion was that “the severe pre-existing coronary disease as well as this emotional experience were both contributing causes of the man’s death.”

A cardiologist and internist testified that English died of a heart attack which was precipitated by emotional stress accompanying the incident of his switching error. He believed that English developed ventricular fibrillation, a condition of the heart in which the various muscles of the heart contract without co-ordination and, consequently, the heart becomes ineffective in doing its normal job of pushing the blood around in the system, causing the patient to die as a result of lack of circulation. On cross-examination, he testified that the blood clot found at the autopsy might have formed after English’s death, “because when the heart stops and the blood stops flowing then often one finds clots in the arteries of the system.” He conceded that English’s arteries were afflicted with “a progressive disease which is a constant threat to his life and from which he could have died at any time, and that this disease was a contributing cause of his death.”

The general practitioner who attended English at the substation testified that English was “scared to death,” that he died of a heart attack precipitated by fright and that “if there had been no event to precipitate the heart attack the patient might well be living today.” He *857 characterized the atherosclerosis as ‘latent and dormant”, meaning “not having symptoms for it.”

Dr. Rosenblatt, a cardiologist, testified that, in his opinion, English’s death was not caused by fright, that the atherosclerosis was extensive and progressive and not latent, and that it created a constant danger of thrombosis from which “he was prone to die suddenly at any time.” He expressed amazement “that the man lived as long as he did, not why he died.” It was his view that death was coincidentally related to his experience rather than causally related.

It is undisputed that English was unaware of his heart disease, that he had undergone two complete medical examinations during his TVA employment and that on both occasions his cardiovascular system was certified as normal. English was 55 years of age when he died.

The policy issued to English insured “against loss resulting directly and independently of all other causes from bodily injuries caused by accident.”

On this appeal IN A makes four contentions: (1) the policy is a Tennessee contract and must be construed in accordance with established Tennessee law, (2) death did not result directly and independently of all other causes from accident, (3) the policy requirement of bodily injury was not satisfied, (4) the court’s charge was prejudicial to IN A.

With reference to the first point, whether the contract should be construed in accordance with Tennessee law, it should be pointed out that the following two clauses of the contract refer to the law of the state of residence of the insured:

Any provision of this policy which, on its effective date, is in conflict with the statutes of the state in which the insured resides on such date, is hereby amended to conform to the minimum requirements of such statutes. No action shall be brought after the expiration of three years (or the minimum time, if more than three years, permitted by the law of the state where the insured resides) after the time written proof of loss is required to be furnished.

As has been stated. English was continuously a resident of Mississippi from the effective date of the policy until his death.

The trial judge determined that Mississippi state law governed the construction of the policy and we adopt the portion of his opinion dealing with that question reported at 270 F.Supp. 713 at 715, 716.

As to the question of whether deáth was caused by accident “directly and independently of all other causes” the trial judge’s opinion contains a well-documented review of Mississippi cases involving this question and we adopt the applicable portion of his opinion reported at 270 F.Supp. 713, 719, 728. We refer briefly to only two of the cited cases. The landmark decision is United States Fidelity and Guaranty Company v. Hood, 124 Miss. 548, 87 So. 115, 15 A.L.R. 605 (1921). The policy involved in Hood

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Bluebook (online)
395 F.2d 854, Counsel Stack Legal Research, https://law.counselstack.com/opinion/insurance-company-of-north-america-v-edna-talley-english-ca5-1968.