Kimbro v. Metropolitan Life Insurance Co.

112 So. 2d 274, 1959 Fla. App. LEXIS 2923
CourtDistrict Court of Appeal of Florida
DecidedMay 21, 1959
DocketNo. 58-269
StatusPublished
Cited by8 cases

This text of 112 So. 2d 274 (Kimbro v. Metropolitan Life Insurance Co.) is published on Counsel Stack Legal Research, covering District Court of Appeal of Florida primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Kimbro v. Metropolitan Life Insurance Co., 112 So. 2d 274, 1959 Fla. App. LEXIS 2923 (Fla. Ct. App. 1959).

Opinion

PEARSON, Judge.

The plaintiff in an action appeals from a final judgment based upon an adverse jury verdict and assigns as error certain charges given by the court. The defendant-appellee is an insurance company and was defending an action by the plaintiff as beneficiary under one of its policies. The plaintiff claimed double indemnity benefits on the policy issued upon her husband’s life, which provided as follows:

[275]*275“Accidental Means Death Benefit— The Company promises to pay to the Beneficiary under this Policy, in addition to the amount otherwise payable according to the terms of this Policy, an additional sum equal to the Amount of Insurance shown on page 1, upon receipt at the Home Office of due proof of the death of the Insured, while this provision is in effect, as the result, directly and independently of all other causes, of bodily injuries caused solely by external, violent, and accidental means, and that such death shall not have occurred (a) more than 90 days after the date of such injuries, or (b) as the result of or by the contribution of disease or bodily or mental infirmity or medical or surgical treatment therefor or infection of any nature unless such infection is incurred through an external visible wound sustained through violent and accidental means, or (c) as the result of self-destruction, whether sane or insane, or (d) as the result of travel or flight on any species of aircraft except as a fare-paying passenger on a regularly scheduled passenger flight of a commercial aircraft, or (e) as a result of participating in or attempting to commit an assault, or (f) while the Insured is in the military, naval, or air forces of any country at war.”

The decedent was found dead in a room where he lived alone. He was clothed only in his shorts and lying on his back in a large pool of blood. There was a small cut at the base of his skull. Also there were several liquor bottles in the room and some broken glass on the floor.

The doctor who performed an autopsy on the body of the deceased, prepared a report showing “cause of death” as “Laceration of the scalp and skin with hemorrhage and shock. Contributory alcoholism.” He first issued a death certificate wherein the disease or condition directly leading to death was listed as “Heart Failure”. Subsequently after the widow talked with the doctor, another death certificate was issued, which listed the disease or condition directly leading to death as “hemorrhage” due to “laceration of the scalp”. He explained the difference in the first and second death certificates by the fact that when the autopsy was finished there was no information about how much blood was lost. A doctor attached to the Criminal Bureau of Investigation of Dade County, who washed the body at the hospital, testified that the only indication of bodily injury was a small laceration at the back of the head and the amount of blood lost.

It is not the function of this court to determine the cause of death. Such a determination is for the jury under proper instructions from the trial judge. See Potts v. Mulligan, 141 Fla. 685, 193 So. 767; 25 C.J.S. Death § 89 b. A review of the record reveals that it contained sufficient evidence to sustain a finding for either the plaintiff or the defendant. The determinative question is whether the trial judge erred in giving, over the timely objection of the plaintiff, the following instructions requested by the defendant:

“Gentlemen of the jury, you are instructed that the plaintiff in this case alleges in her complaint that the defendant, Metropolitan Life Insurance Company, issued one policy of insurance in the amount of $1,000.00, face value, which policy contains provisions for the payment of an additional $1,000.00 in the event that Willis E. Kimbro met his death as the result, directly and independently of all other causes of bodily injury caused solely by external, violent, and accidental means, provided, among other things, that death shall not have been the result of self-destruction whether sane or insane or as the result of or by the contribution of disease or bodily or mental infirmity.
“The plaintiff further alleges that Willis E. Kimbro’s death was the proximate result óf a hemorrhage from á laceration of the scalp suffered in a fall [276]*276and that he died as the result of bodily injuries sustained solely through external, violent and accidental means as defined in the policy.
“The defendant, Metropolitan Life Insurance Company, has denied this allegation. It is admitted by the plaintiff that the face amount of the policy has been paid, and the claim in this case is confined to what is commonly known as the double indemnity claim.
“Under the policy involved in this case, no liability for double indemnity is imposed upon the defendant for a death resulting from external, accidental means unless it is shown that the death comes within all the provisions of the policy, that is to say, unless it is also shown that the injuries were not caused or contributed to by bodily or mental infirmity or disease, nor by suicide nor by the other causes excepted in the policy.
“The law does not require the defendant insurance company to show that injuries resulting in death did not occur by violent, external and accidental means exclusive of all other causes, nor does the law require the insurance company to show that death was caused or contributed to by disease or that it was suicidal or that it resulted from any of the other causes excluded or excepted by the policy provisions; rather, the burden of proof is upon the plaintiff to show by a preponderance of the evidence, that is to say, the greater weight of the evidence, that the death of the insured was caused by external and accidental means, and that it was not caused or contributed to by infirmity or disease, that is, the plaintiff has the duty of proving by a preponderance of the evidence that disease or infirmity or suicide or the other causes enumerated in the policy were not a contributing factor or factors.
“The burden which the law imposes upon the plaintiff cannot be met by speculation or conjecture. Mere guesses do not take the place of proof.
“If the plaintiff relies upon circumstantial evidence, the evidence of facts and circumstances on which she relies must so preponderate in favor of the proposition she is seeking to establish, as to exclude any equally well supported belief in any inconsistent proposition. ‡ % sK
“You are also instructed that the defendant insurance company and the insured, Willis E. Kimbro, had the right to limit the company’s liability under the double indemnity clauses, as was done in this case, and neither the court nor the jury has the right to change the contracts, but must give effect to them as they are written. * * *
“Unless you find by a preponderance of the evidence that Willis E. Kimbro died as the result of bodily injuries effected solely through external, violent and accidental means, and that it was not caused or contributed to by disease or infirmity, and that it did not result from suicide, nor from the other causes contained in the double indemnity provisions, your verdict must be for the defendant insurance company, * * *
“The Court further instructs you that, if you believe from the evidence, that the injury sustained by Willis E.

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Bluebook (online)
112 So. 2d 274, 1959 Fla. App. LEXIS 2923, Counsel Stack Legal Research, https://law.counselstack.com/opinion/kimbro-v-metropolitan-life-insurance-co-fladistctapp-1959.