Kascoutas v. Federal Life Insurance

193 Iowa 343
CourtSupreme Court of Iowa
DecidedNovember 22, 1921
StatusPublished
Cited by24 cases

This text of 193 Iowa 343 (Kascoutas v. Federal Life Insurance) is published on Counsel Stack Legal Research, covering Supreme Court of Iowa primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Kascoutas v. Federal Life Insurance, 193 Iowa 343 (iowa 1921).

Opinion

Weaver, J.

— I. The petition avers the issuance of a policy by the' defendant company to Sam G. Kascoutas against loss resulting from bodily injuries effected, directly and independently of all other causes, ■ through external, violent, and accidental means, and prbviding, among other things, that, if injuries so received shall result, independently of all other causes, in the loss of the life of said insured person, the company will pay to Gus Kascoutas, beneficiary named in the policy, the sum [344]*344of $1,000. It is further alleged that, while said policy was still in full force and effect, the said Sam G. Kascoutas sustained bodily injuries by gunshot wounds, from which he died within three hours; that such injuries were effected, directly and independently of all other causes, through external, violent, and accidental means; and that such injuries did result in the death of said insured, independently and exclusively of all other causes. It is still further alleged that said bodily injuries upon the insured were inflicted by Gus Kascoutas, beneficiary named in the policy; that because of such act said beneficiary became disqualified to take said benefits; and that the plaintiff, as administrator of the estate of the deceased, succeeded thereto. The sufficiency of the petition was not challenged by motion or demurrer.

For answer to the claim so stated, defendant admitted the issuance of the policy as alleged, and admitted the death of the insured, but denied that the plaintiff, as administrator of the estate of the deceased, became entitled to demand or recover the promised benefits. The answer further pleads that the policy issued to deceased contained a clause reading as follows:

“This policy does not cover disability resulting from intentional injury of the insured inflicted by himself or any other person — assaults for the purpose of robbery or burglary excepted — whether fatal or nonfatal. ”

It is then finally alleged that deceased “met his death by reason of injuries intentionally inflicted by another person, which was not an assault for the purpose of robbery or burglary,” and that for such injury and such death defendant is in no manner liable upon the policy. .

The issues joined were twice tried in the court below. On each trial it was stipulated or otherwise made to appear in evidence that the policy was issued as alleged, and that, while it was in full force and effect, the insured was intentionally shot and killed by Gus Kascoutas, the named beneficiary, and that plaintiff is the duly appointed administrator of the estate of the deceased. The first trial resulted in a directed verdict and judgment for- the defendant, and plaintiff appealed therefrom. In this court, the ruling appealed from was affirmed, on grounds held to effect an abatement only, and the cause was remanded, [345]*345without prejudice to the right of plaintiff to amend. "When remand was made, an amendment was filed to the petition, curing the alleged defect in the original pleading. See 189 Iowa 889. At the conclusion of the evidence offered on the second trial, the court overruled the defendant’s motion for a directed verdict in its favor, and directed, a verdict'in favor of the plaintiff.

In disposing of the case on the first appeal, we had occasion to construe and pass upon the legal effect of the clause in the policy on which defendant chiefly relies. It reads as follows:

1 accident msuiconstruction in favor of insured. “This policy does not cover disability re-suiting from intentional injury of the insured, inflicted by himself or any other person (as- . „ ,. „ , , , , sauLts for the purpose of robbery or burglary excepted), whether fatal or nonfatal.”

We there held that, as the policy undertook to insure the policyholder against both accidental death and disability, and as the exception or exemption clause had reference to “disability” only, such exception was not available as a defense to the plaintiff’s action to recover indemnity for a death loss. Directly upon this point, the opinion says:'

‘ ‘ True, the policy does purport to deal with both loss of life and with disability. But it does not follow that, therefore, the exempting clause deals with anything more than disability. And if the only contract exemption is confined to cUsability caused by intentional injuries, then no contract relieves as to death from such injuries. And, as said, no law stands in the way of collecting insurance on the death of a murdered insured, except that, if the murderer be the beneficiary, he cannot be the recipient of the payment. We must, then, settle whether the exempting proviso is not limited to disability caused by the murder — to what is suffered from the crime during the time in which the victim survives the attack.”

Following' this statement of the question, we discussed the application and effect of various precedents, and, pointing out the distinction which the policy itself makes between indemnity for death losses and indemnity for disabilities, we said:

“With this distinction recognized by the insurer, it still, and in terms, limited the proviso to disability. ’ It may, therefore, weíl be said that no exemption from payment of death loss [346]*346was intended. This is strict construction, but is demanded by the law.”

As we shall later see, the" amendment to the petition, made upon remand to the trial court, in no manner changes the issue between the parties, m so far as it relates to the construction of this policy provision; and, under the well established rule in this state, that the law as settled upon the first appeal becomes and must be observed as the law of the case in its subsequent progress through the courts, we could well forego further discussion at this point. It may, however, not be out of place to add that wherever, in an insurance contract, the general terms of obligation to pay indemnities or benefits are sought to be limited or circumscribed by special exceptions, such provisions are universally construed most strictly against the insurer, and are not to be extended or enlarged by mere inference or uncertain implication. The construction given to this contract of insurance on the former appeal finds substantial support in another case decided at the same term of court (Breen v. Great Western Acc. Ins. Co., 190 Iowa 1172), where the policy of insurance was quite like the one here in suit. The opinion, prepared by our present chief justice, distinctly recognizes the distinction to be made between indemnity for disabilities and indemnity for death loss, and sustains a recovery as for a death loss, against the defendant’s contention that it should be held included within the term “disability.” The most which can be said for defendant’s construction of the contract is that it renders the agreement ambiguous, and, as we said in the Breen case, supra, “ambiguity in any part of the policy must operate in favor of the holder.” To the same effect is Cook v. Benefit League, 76 Minn. 382 (79 N. W. 320). It follows that, both under the rule which requires us to adhere to the law of the case and upon the established rules governing the construction of insurance contracts, it must be held that the exception clause in the policy is not available to the appellant as a defense to the plaintiff’s action.

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Bluebook (online)
193 Iowa 343, Counsel Stack Legal Research, https://law.counselstack.com/opinion/kascoutas-v-federal-life-insurance-iowa-1921.