Lederer v. Metropolitan Life Insurance

4 A.2d 608, 135 Pa. Super. 61, 1939 Pa. Super. LEXIS 267
Superior Court of Pennsylvania·Decided October 4, 1938·No. Appeal, 83·Published·Cited by 17 cases

Opinion

Opinion by

Cunningham, J.,

In its broad outlines, the question of law involved upon this appeal is whether the plaintiff below, appellant herein, would have been entitled to go to the jury even if a certified copy of a death certificate, issued under Section 21 of the Act of June 7, 1915, P. L. 900, as amended May 24, 1933, 35 PS §471, had been admitted in evidence at her instance.

The action below was upon a policy of insurance issued August 26, 1929, by the defendant company, in the sum of $500, upon the life of Judith Segal and naming her sister, Emma Lederer, the plaintiff, as the beneficiary. Upon proof of the death of the insured on March 25, 1934, the company paid the beneficiary the face of the policy. One of the features of the insurance contract was an “Accidental Death Benefit, payable in the event of death from accident as [therein] limited and provided,” in the additional sum of $500. *63 It was out of this supplementary contract that the present controversy and action arose. By reason of the marriage of the plaintiff subsequent to the institution of her suit, the caption was amended as indicated.

By the provisions of the supplementary contract, now material, the company agreed to pay the beneficiary of record $500, upon receipt of “due proof of the death of the insured, as the result, directly and independently of all other causes, of bodily injuries sustained through external violent and accidental means, provided...... that death shall ...... not have been caused by or contributed to, directly or indirectly, or wholly, or partially, by disease, or by bodily or mental infirmity.”

Plaintiff in her statement of claim averred, in substance, that the insured’s death was a “death from accident,” within the meaning of the contract. The defense interposed by the company in its affidavit was “that the insured was suffering from high blood pressure and fainting spells and her death was caused or contributed to by disease or by bodily or mental infirmity.”

At the trial before Knowles, J., the only oral testimony presented by plaintiff was her own; the defendant company offered no evidence but submitted a point for binding instructions; the trial judge directed a verdict for defendant and the court, in banc, denied plaintiff’s motion for a new trial; this appeal by her from the judgment entered upon the verdict followed.

The extent of the burden of proof imposed upon appellant, under her averments and the answer of the appellee insurance company, has been definitely indicated in prior decisions. In construing a substantially similar provision in Lubowicki v. Metro. Life Ins. Co., 114 Pa. Superior Ct. 596, 599, 174 A. 649, we said: “Under firmly established principles of law applicable to the issues framed by the pleadings, appellant had the burden of proving, by competent evidence, (a) that the insured’s death was caused by external, violent *64 and accidental, means, and (b) that it resulted solely from such means, i. e. was not 'caused, or contributed to, directly or indirectly or wholly or partially, by disease, or by bodily or mental infirmity.’ ” To the same effect see Cockcroft v. Metro. Life Ins. Co., 125 Pa. Superior Ct. 293, 297, 189 A. 687.

The material portions of the evidence by which appellant endeavored to sustain her suit will be quoted as delivered by her.

Appellant and the insured lived together at 809 South 59th Street, Philadelphia. On Sunday, March 25, 1934, about four o’clock in the afternoon, she left her sister alone in their home and went to visit relatives and friends elsewhere in the city and vicinity, promising to return at eight o’clock for dinner. Her description of the tragedy reads: "Q. When you got home, what happened, if anything? A. Well, I opened the door — Q. On what floor did you live — on the ground floor? A. Yes, we lived in a, house, it was an enclosed porch, and I went in and I opened the living room door, I walked in, and as I got into the room, it seemed to me I smelt the odor of gas, and I walked into the dining room, and it was very bad, and when I got into the kitchen, it was very strong, and I looked around, and I rushed toward the gas range, and my sister was on the floor, and I saw the burner open on the gas range and everything had boiled over in the pot.......Q. What did you see open on the gas range? A. Why one jet, there was one jet open. Q. You say there was a pot there? A. Yes, there was a pot there on the stove. Q. With relation to the pot and the stove, were they close together? I do not want to lead you. A. The pot was on the burner, but there was no fire— Q. There was no flame? A. There was no flame, and I shut the jet off and hurriedly opened the windows and picked my sister up and pulled her over to the window and shook her, trying to revive her, and when I saw that I couldn’t I called for help, and......they rushed my *65 sister to the Misc.icordia Hospital, and I went along, and they tried to revive her, but they couldn’t. That was all.......Q. Now we will go back to the stove. You said something about the pot and the stove. Tell us what you saw when you looked after you had the patient off your hands. A. There was a piece of meat in the pot, and there was very little of the fluid left. Q. Where? A. In the pot, and outside of the pot was all greasy, run over, and the catch pan under the gas range, it was full of the grease that had run over. That’s all.”

The evidence relative to a “bodily infirmity” with which the insured had been afflicted for a number of months was thus developed upon appellant’s cross-examination: “Q. Actually your sister had been ill for some time, hadn’t she? A. Not in bed. She had had high blood pressure for a long time. Q. And she had suffered from fainting spells? A. Well, she had — she had a fainting spell in September, the latter part of September. That was the first fainting spell she had ever had to my knowledge. Then the day before Thanksgiving Day, the afternoon before Thanksgiving Day, she felt very faint again — it didn’t last very long, but she just seemed to be overcome. So Thanksgiving Day, in the morning, she woke and she didn’t feel very well, and I took her down to our physician, Dr. Michael Sussman, at 6th and Pine. Q. And she had been treated by Dr. Sussman for some period of time for this high blood pressure and fainting spells? A. Well, off and on —no, she was never treated for fainting spells, because she had only had that one before, and, then she had this one on the afternoon before Thanksgiving Day, and I took her down to Dr. Sussman, and he took her blood pressure and he told her to go home. He gave her some pills and told her to go home and go to bed, which she did. In the afternoon she got up and she cooked and felt fine again that very day. Then she had a fainting spell the latter part of February. Now, those were the *66 only three instances where she had these fainting spells. They were of very short duration. It so happened that I was with her at each time.”

Appellant admitted that in an affidavit given by her to the coroner the day following the death of the insured she stated, inter alia, her sister “had high blood pressure for the last two years,” and “was subject to fainting and weak spells for the last six months.”

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Lederer v. Metropolitan Life Insurance, 4 A.2d 608, 135 Pa. Super. 61, 1939 Pa. Super. LEXIS 267 (Pa. Ct. App. 1938).

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