Kennedy v. Washington National Insurance

401 N.W.2d 842, 136 Wis. 2d 425, 62 A.L.R. 4th 815, 1987 Wisc. App. LEXIS 3399
CourtCourt of Appeals of Wisconsin
DecidedJanuary 13, 1987
Docket86-0795
StatusPublished
Cited by26 cases

This text of 401 N.W.2d 842 (Kennedy v. Washington National Insurance) is published on Counsel Stack Legal Research, covering Court of Appeals of Wisconsin primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Kennedy v. Washington National Insurance, 401 N.W.2d 842, 136 Wis. 2d 425, 62 A.L.R. 4th 815, 1987 Wisc. App. LEXIS 3399 (Wis. Ct. App. 1987).

Opinion

CANE, P.J.

The sole issue on appeal is whether the term "accidental death” in Washington National Insurance Company’s life insurance policy includes death by autoerotic asphyxiation. The trial court concluded in its summary judgment that the death by autoerotic asphyxiation was accidental. We agree.

The parties stipulated to the facts. On the afternoon of October 24,1984, Richard Kennedy, a practicing orthopedic surgeon, engaged in an autoerotic sexual act in the basement bathroom shower of his home. Before engaging in this act, he place a rope around his neck to reduce the supply of oxygen to his *427 brain, short of reaching unconsciousness, to heighten the sexual pleasure during masturbation. As a result of his actions, Kennedy died from strangulation. He was found without clothes, except for a pair of socks, hanging by a rope from the shower head. Various pictures of the lower portion of animals and nude males were displayed on a wall near the shower. The investigating authorities initially suspected suicide, but after further examination they concluded that Kennedy’s death was accidental. Washington National concedes that Kennedy did not intentionally kill himself.

Washington National insured Kennedy under a group life insurance policy that provided a life insurance benefit of $50,000 and an additional accidental death benefit of $50,000. It paid the first $50,000 to his surviving wife, but argues that the death was not accidental because it was foreseeable by a person with Kennedy’s training that death could follow from strangulation if anything went wrong. It also argues that the term accidental death does not include death resulting from an act when the insured voluntarily exposed himself to a known and unnecessary risk of death.

The word "accidental” is not defined in the insurance policy. 1 The policy’s accidental death en *428 dorsement contains four limitations or exclusions, none of which is applicable in this case. 2

Applying a given rule of law to stipulated facts is a question of law. Kramer v. Horton, 128 Wis. 2d 404, 414, 383 N.W.2d 54, 58 (1986). We owe no deference to a trial court’s resolution of issues of law. Id. The construction of words and clauses in an insurance policy is a question of law that is properly decided on motion for summary judgment. Jones v. Sears Roebuck & Co., 80 Wis. 2d 321, 327, 259 N.W.2d 70, 72 (1977).

In Caporali v. Washington National Insurance Co., 102 Wis. 2d 669, 765-76, 307 N.W.2d 218, 221 (1981) (quoting Garriguenc v. Love, 67 Wis. 2d 130, 134-35, 226 N.W.2d 414, 417 (1975)), our supreme court restated the standards for construction of terms in insurance policies:

Contracts of insurance are controlled by the same principles of law that are applicable to other contracts. A policy of insurance like any other contract is to be construed so as to give effect to the intention of the parties. In the case of an insurance contract, the words are to be construed in accordance with the principle that the test is not what the insurer intended the words to mean but what a *429 reasonable person in the position of an insured would have understood the words to mean. Whatever ambiguity exists in a contract of insurance is resolved in favor of the insured. This is a restatement of the general rule that ambiguous contracts are to be construed most strongly against the maker or drafter. Words or phrases in a contract are ambiguous when they are reasonably or fairly susceptible to more than one construction.

Public policy favors finding coverage where the insurance policy terms permit it. Western Casualty & Surety Co. v. Budrus, 112 Wis. 2d 348, 351, 332 N.W.2d 837, 839 (Ct. App. 1983).

Initially, Washington National argues that Kennedy should have foreseen his death when he participated in this autoerotic act. Consequently, it concludes the death cannot be accidental. We disagree.

Wisconsin has eliminated foreseeability as determinative of whether the injury or death was accidental. In Wiger v. Mutual Life Insurance Co., 205 Wis. 95, 105-06, 236 N.W. 534, 538-39 (1931), a case also involving double indemnity, the court adopted the "average man” test in interpreting the term "accidental means.” It held that:

To eliminate from the definition of "accidental means” all cases where the injury happened as the natural or foreseeable result of a force or event voluntarily set in motion by the insured may have some scientific justification, but is contrary to the common understanding of the term and tends unfairly to limit such policies to cases wherp the insured is guilty of no negligence.

Wiger had died of carbon monoxide poisoning while he was in an enclosed garage with the car motor *430 running. The court acknowledged that Wiger knew the effects and properties of carbon monoxide gas and could have foreseen that running the car’s engine in the enclosed garage might result in carbon monoxide poisoning. It concluded that his death was accidental.

Our supreme court reaffirmed the average man test in Stoffel v. American Family Life Insurance Co., 41 Wis. 2d 565, 570, 164 N.W.2d 484, 487 (1969), when it stated that

Wisconsin has elected to follow the "average man test” in defining the word "accident” rejecting the narrower definition that requires an unforeseen event as well as an unanticipated result to constitute an accidental happening.

In Stoffel, the insured died from a massive hemorrhage caused by the strain of lifting a heavy wagon. The court applied the average man test and held that the insured’s death was accidental within the meaning of the policy, it being the direct and unexpected result of the act or incident involved.

Next, we consider Washington National’s argument that Kennedy’s death was not "accidental” because he voluntarily exposed himself to a known high risk of death. Words used in an insurance contract should be given their common, everyday meaning. Schmidt v. Luchterhand, 62 Wis. 2d 125, 133, 214 N.W.2d 393, 396 (1974). The American Heritage Dictionary of the English Language at 8 (1976), défines accident as an "unexpected and undesirable event; a mishap” and accidental as "[occurring unexpectedly and unintentionally; by chance.” The Webster’s New Collegiate Dictionary at 7 (1977), defines accident as: "an event occurring by

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

Related

Hejsak v. Great-West Life & Annuity Insurance
331 F. Supp. 2d 756 (W.D. Wisconsin, 2004)
Bancinsure, Inc. v. the Park Bank
318 F. Supp. 2d 746 (W.D. Wisconsin, 2004)
Trumpeter Developments, LLC v. Pierce County
2004 WI App 107 (Court of Appeals of Wisconsin, 2004)
Aasen-Robles v. Lac Courte Oreilles Band of Lake Superior Chippewa Indians
2003 WI App 224 (Court of Appeals of Wisconsin, 2003)
MAMSI Life & Health Insurance v. Callaway
825 A.2d 995 (Court of Appeals of Maryland, 2003)
Callaway v. MAMSI Life and Health Ins. Co.
806 A.2d 274 (Court of Special Appeals of Maryland, 2002)
Ledman v. State Farm Mutual Automobile Ins.
601 N.W.2d 312 (Court of Appeals of Wisconsin, 1999)
Meyer v. United States Fire Insurance
582 N.W.2d 40 (Court of Appeals of Wisconsin, 1998)
Schultz v. Metropolitan Life Insurance
994 F. Supp. 1419 (M.D. Florida, 1997)
Todd v. AIG Life Ins. Co.
47 F.3d 1448 (Fifth Circuit, 1995)
Todd v. AIG Life Insurance
47 F.3d 1448 (Fifth Circuit, 1995)
Curran Composites, Inc. v. Liberty Mutual Insurance Co.
874 F. Supp. 261 (W.D. Missouri, 1994)
Weil v. Federal Kemper Life Assurance Co.
866 P.2d 774 (California Supreme Court, 1994)
Sims v. Monumental General Life Insurance
778 F. Supp. 325 (E.D. Louisiana, 1991)
Wagner v. Milwaukee Mutual Insurance
427 N.W.2d 854 (Court of Appeals of Wisconsin, 1988)

Cite This Page — Counsel Stack

Bluebook (online)
401 N.W.2d 842, 136 Wis. 2d 425, 62 A.L.R. 4th 815, 1987 Wisc. App. LEXIS 3399, Counsel Stack Legal Research, https://law.counselstack.com/opinion/kennedy-v-washington-national-insurance-wisctapp-1987.