Lea v. St. Paul Fire and Marine Insurance Co.

306 So. 2d 740
CourtSupreme Court of Louisiana
DecidedJanuary 20, 1975
Docket54989
StatusPublished
Cited by5 cases

This text of 306 So. 2d 740 (Lea v. St. Paul Fire and Marine Insurance Co.) is published on Counsel Stack Legal Research, covering Supreme Court of Louisiana primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Lea v. St. Paul Fire and Marine Insurance Co., 306 So. 2d 740 (La. 1975).

Opinion

306 So.2d 740 (1975)

Mrs. W. K. LEA, Individually and as widow of W. K. Lea and as the Tutrix of her minor children, Robyn Lea and Reid Lea
v.
ST. PAUL FIRE AND MARINE INSURANCE CO.

No. 54989.

Supreme Court of Louisiana.

January 20, 1975.

Neil H. Mixon, Jr., McCollister, Belcher, McCleary & Fazio, Baton Rouge, for plaintiff-applicant.

A. G. Seale, John Swanner, Seale, Smith & Phelps, Baton Rouge, for defendant-respondent.

CALOGERO, Justice.

This case involves a claim for accidental death benefits ($100,000, plus penalties and attorney's fees) under a health and accident group insurance policy issued by the defendant, St. Paul Fire and Marine Insurance Company to the Louisiana Hospital Association.

Both the trial court and the Court of Appeal denied recovery finding that decedent was not afforded coverage at the time of his death under the provisions of the insurance policy. 294 So.2d 293 (La.App. 1st Cir. 1974). We granted writs, 299 So.2d *741 353 (La.1974), and now reverse the findings of the lower courts.

Plaintiff, Mrs. W. K. Lea, sued individually, and in her capacity as widow of W. K. Lea and tutrix of their minor children, Robyn and Reid Lea. Her initial claim as a designated beneficiary is admittedly without merit, the parties acknowledging that the beneficiary under the policy is the estate of the deceased. Thus her claim as widow and as tutrix is properly before us.[1] She claims these accidental death benefits because of Mr. Lea's death in a plane crash at White Castle, Louisiana on August 2, 1972.

The result in this case is dictated by proper construction of the policy provisions coupled with decedent's activity at or about the time of his death. The latter are undisputed. It is the application of the policy provisions to that activity of decedent upon which the result in this case turns.

Those undisputed, in fact, stipulated facts, are set forth as part of the Court of Appeal findings as follows:

"W. K. Lea was a member and chairman of the Credit Union Committee of the Louisiana Hospital Association. By virtue of his being a member of the Credit Union Committee of the Louisiana Hospital Association, on August 2, 1972, W. K. Lea was an insured. The undisputed evidence shows that on August 1, 1972, W. K. Lea left his home in Winnsboro, Louisiana to attend a meeting of the Credit Union Committee in New Orleans the following day. After attending the meeting of the Committee, and while on his way back to Winnsboro, Mr. Lea stopped in Baton Rouge, at Bauman Surgical Supplies, Inc., where he met a personal friend, Robert Clement, a salesman for the firm. From Baton Rouge Mr. Lea flew as a passenger in a private plane piloted by his friend, Robert Clement, to White Castle, Louisiana, where he was killed in an airplane crash. The following material facts in this case have been stipulated by the parties:
"`It is stipulated that on August 1, 1972, on assignment by Louisiana Hospital Association and/or with the authorization of the Louisiana Hospital Association for the purpose of furthering the business of the Louisiana Hospital Association, W. K. Lea left Winnsboro, Louisiana, his home and regular place of business, to attend a meeting of a committee of the Louisiana Hospital Association in New Orleans, Louisiana, which committee meeting was held at the Louisiana Hospital Association office on August 2, 1972. Mr. Lea attended the meeting and had not returned to his home or regular place of business in Winnesboro, Louisiana, when on August 2, 1972, he was killed in an airplane crash near White Castle, Louisiana. It is further stipulated that W. K. Lea stopped at Baumann Surgical Supplies, Inc., in Baton Rouge on August 2, 1972, for reasons totally unrelated to the Louisiana Hospital Association or his connection with that association or any of its committees or functions. It is also stipulated that on August 2, 1972, W. K. Lea flew as a passenger in a private airplane piloted by Robert Clement to White Castle, Louisiana, and the purpose of this flight was completely unrelated to the Louisiana Hospital Association or W. K. Lea's connection with that association or any of its committees or functions. It is further stipulated that the airplane in which W. K. Lea flew as passenger on *742 August 2, 1972 was a powered aircraft having a valid and current N Standard Worthiness Certificate issued by the Civil Aeronautics Administration of the United States or its successor and said airplane was piloted at the time by Robert Clement, which pilot was a person holding a valid and current certificate of competency of a rating authorizing him to pilot such aircraft.'" 294 So.2d at 295.

The controverted question is whether decedent's death arose out of an insured hazard.

The health and accident policy issued, under which decedent was admittedly a Class II rather than Class I insured,[2] contained one sheet which incorporated the various provisions relied upon by the respective parties to this litigation. (See footnote 3[3] for a reproduction of that entire *743 coverage sheet with the pertinent provisions underscored and with four portions thereof noted by the author by the letters A through D for convenience in following the succeeding discussion.)

Plaintiff argues that since his travel and sojourn (see A and B of Footnote 3 below) away from his home in Winnsboro (to New Orleans and return) was admittedly a business trip (C), coverage began at "the start of such business trip" and would terminate only "upon return to his place of regular employment or home..." (C). In effect, it is plaintiff's position that 24 hour coverage (A) is afforded with respect to such travel even though he should not during this entire period be furthering the business of the Louisiana Hospital Association.

Defendant would have us interpret these provisions differently. They contend that only "business travel" and (business) "sojourn" (A) is covered, that only "travel and sojourn while `on the business of the policyholder' ..." (B) is contemplated, and that thus the time when an insured is covered is limited to those instances when the insured is "on assignment by or with the authorization of the policyholder for the purpose of furthering the business of the policyholder," (D), i. e., that he was insured during his Winnsboro-New Orleans-Winnsboro travel only at those precise instances when he was on the business of the policyholder as defined in the policy. Accordingly, they argue that the decedent was not covered when he "deviated" and flew from Baton Rouge to White Castle with his friend, Robert Clement, for reasons "completely unrelated to the Louisiana Hospital Association or (his) connection with that Association or any of its employees or functions."

We believe that based upon an interpretation of the policy provisions, plaintiff has the better argument, where, as here, he admittedly left his home in Winnsboro, Louisiana to attend a New Orleans meeting of the Louisiana Hospital Association and had not returned to Winnsboro at the time of his unfortunate accident. These provisions, "twenty-four hour business, travel and sojourn outside City limits ...", "injuries occurring... anywhere in the world, during travel and sojourn `on the business of the policyholder' ...", and "coverage begins at the actual start of such business trip ... coverage terminates

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306 So. 2d 740, Counsel Stack Legal Research, https://law.counselstack.com/opinion/lea-v-st-paul-fire-and-marine-insurance-co-la-1975.