Lafield v. New York Life Ins. Co.

9 So. 2d 248, 1942 La. App. LEXIS 187
CourtLouisiana Court of Appeal
DecidedJune 23, 1942
DocketNo. 6509.
StatusPublished
Cited by9 cases

This text of 9 So. 2d 248 (Lafield v. New York Life Ins. Co.) is published on Counsel Stack Legal Research, covering Louisiana Court of Appeal primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Lafield v. New York Life Ins. Co., 9 So. 2d 248, 1942 La. App. LEXIS 187 (La. Ct. App. 1942).

Opinion

The lower court has set forth the issues, analyzed the testimony and determined the case in the following well-prepared opinion:

"The plaintiff, Mrs. Florence Helen Lafield, is the beneficiary named in a policy of insurance issued by the defendant company on the life of her husband, Joseph H. Lafield, with a face value of $1,000. The insured died on December 30, 1939, as a result of a bullet wound inflicted by one Milton Brown on December 23, 1939.

"The defendant promptly paid the face value of the policy but denied liability under the double indemnity provisions thereof. This suit is brought to recover the additional sum of $1,000, together with interest at the rate of 6% from January 5, 1940.

"The provisions of the policy with reference to the question of double indemnity are as follows:

"`Upon receipt of due proof that the death of the Insured resulted directly and independently of all other causes from bodily injury effected solely through external, violent and accidental cause, and that such death occurred within sixty days after sustaining such injury.

"`This Double Indemnity benefit will not apply if the Insured's death resulted from self-destruction, whether sane or insane; From Any Violation of Law By the Insured; from Military or Naval Service in time of War; from a state of war or insurrection; from engaging in submarine or aeronautic operations; from physical or mental infirmity; or directly or indirectly from illness or disease of any kind. The Company shall have the right and opportunity to examine the body, *Page 249 and to make an autopsy unless prohibited by law.'

"The tragedy in this case occurred on the principal street of Coushatta, Louisiana, on the afternoon of December 23, 1939. There is no testimony in the record which would even indicate the cause of the trouble between Messrs. Lafield and Brown. They were seen wrestling in a vacant lot between McFerrin's Store and the Brown Motor Company. During this struggle Lafield cut Brown on the arm and side with a pocket knife. At the conclusion of this struggle or fight, Lafield started walking toward his car which was parked in front of McFerrin's Store. He was followed by Brown, who was shown to have been some eight or ten feet back of Mr. Lafield. As Lafield reached a point about midways of his car, Brown reached the curb and fired one shot into Lafield's back. As the shot was fired Brown made the following statement: `Damn you, you cannot cut me!'

"Henry Hanks, a witness for the defendant, testified that just prior to the shooting he heard Mr. Lafield say: `If I can't cut you down, I will shoot you down'. This statement was not supported by any other witness. Several reputable and reliable citizens were within a few feet of the parties at the time of the shooting and while they heard the statement of Mr. Brown, no other witness heard the purported statement as testified to by the witness Hanks. We were not impressed by this witness and, without some corroboration, we must reject his testimony as to the alleged statement of Mr. Lafield. Mr. Brown, who was summoned by the defendant and who was present in court, was not placed on the stand and no reason was given for not calling this witness.

"Counsel for plaintiff and defendant each take the position that the other has the burden of proof. The question, obviously, is very important in deciding this case for the reason that many factors are unexplained and left to conjecture.

"The correct rule, we think, is that the plaintiff must sustain the burden of proof in establishing that the death was the result of an accident or accidental means. When this fact is established under the first paragraph of the double indemnity provisions of the policy, then the burden shifts and it becomes necessary for the insurance company to show by a preponderance of the evidence that the loss arose from a cause for which it is not liable or from a cause which limits its liability.

"In Beco v. Peoples Industrial Life Insurance Company, 9 La.App. 371, 119 So. 281, [282], the court said: `The contention that the deceased was engaged in a violation of law at the time he met his death, and that therefore the beneficiary should not recover * * * is a special defense, and the burden of proving it plainly rests upon the defendant.'

"The above quotation was cited with approval by the Supreme Court of Louisiana in the case of Cutitto v. Metropolitan Life Insurance Company, 185 La. 161, 168 So. 761, [762]. In the Cutitto case the widow was seeking to recover under the double indemnity clauses of the policy providing for such payment in the event of death from accidental means within sixty days after injury. The policy provided that: `The indemnity provided for herein shall be payable only if the death of the Insured result in consequence of bodily injury effected solely through external, violent and accidental means, within sixty days after such injury, independently and exclusively of all other causes.'

"The defense offered by the Insurance Company was that the insured was killed by a Mrs. Ella Simoneaux, who was acting in self-defense. After reviewing the facts in this case and the jurisprudence on the question of the burden of proof, the court said in conclusion: `The burden of proving the special defense in this case then rested upon the defendant company which, in our opinion, has failed to sustain the special defense. Our conclusion is that Petta met his death by accidental means in accordance with the terms of the policies, and that his lawful widow, the beneficiary, should recover the double indemnity sued for by her in this case.'

"The rule adopted by our Supreme Court is also that followed in practically all states. The rule is stated in Couch on Insurance, as follows: `The apparent weight of authority is to the effect that where the undertaking is to pay in case of the death of or injury to the insured effected through external, violent and accidental means, etc., provided the death or injury shall not have produced by any of the various acts or causes specifically enumerated in the policy, the burden of proof that the death or the injury was caused by one of the excepted causes must be assumed and borne *Page 250 by the insurer after the plaintiff has established the fact that the death or injury was the result of accident or accidental means.' Couch on Insurance, Vol. 8, Sec. 2217, p. 7173.

"The plaintiff has clearly established the fact that the death of the insured resulted directly and independently of all other causes from bodily injury effected solely through external, violent and accidental cause and that the death occurred within sixty days after sustaining the injury. It is admitted that the death resulted from a bullet wound inflicted by Milton Brown. The death was therefore not natural or self-inflicted.

"In Konrad v. Union Casualty Surety Company, 49 La.Ann. 636, 21 So. 721, [723], the court said: `If it be manifest that death was neither occasioned by natural causes nor by the deceased himself, it at once becomes evident that the "violent and accidental" must be considered as cause. * * * It may be logically inferred — indeed, it must be inferred, as it was not a natural death or a suicide — that the death was caused by external violence and accidental means.'

"For other authorities on this same question see cases cited by the court in the case of Cutitto v. Metropolitan Life Insurance Company, supra.

"The question then presented is whether the defendant has sustained the burden imposed upon it to establish that the death was due to a violation of the law and its liability limited thereby to the face value of the policy.

"In the case of Gilman v.

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Bluebook (online)
9 So. 2d 248, 1942 La. App. LEXIS 187, Counsel Stack Legal Research, https://law.counselstack.com/opinion/lafield-v-new-york-life-ins-co-lactapp-1942.