Nielsen v. Provident Life & Accident Insurance

596 P.2d 95, 100 Idaho 223, 1979 Ida. LEXIS 425
CourtIdaho Supreme Court
DecidedJune 8, 1979
Docket12725
StatusPublished
Cited by13 cases

This text of 596 P.2d 95 (Nielsen v. Provident Life & Accident Insurance) is published on Counsel Stack Legal Research, covering Idaho Supreme Court primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Nielsen v. Provident Life & Accident Insurance, 596 P.2d 95, 100 Idaho 223, 1979 Ida. LEXIS 425 (Idaho 1979).

Opinion

SHEPARD, Chief Justice.

This is an appeal from' a summary judgment in favor of defendant-respondent Provident Life and Accident Insurance Company in an action brought by plaintiff-appellant Mary Nielsen seeking to recover death benefits under an insurance policy on the life of her husband William Nielsen, who died as a result of a self-inflicted gunshot wound. We are required for the first time in Idaho to construe an insurance policy excluding benefits where death results from “suicide, while sane or insane.” We affirm the judgment of the trial court.

William Nielsen, on January 14, 1976, purchased a Provident 20-year decreasing term life insurance policy with death benefits of $150,000.00. The primary beneficiary was Mary Nielsen. William Nielsen died on December 25, 1976, as a result of a self-inflicted gunshot wound to the head. The policy was at that time in full force and effect. It contained the following provision:

“SUICIDE. If the insured should commit suicide, while sane or insane, within two years from the date of issue of this policy, the amount payable by the company, in place of all other benefits, will be the premiums paid without interest. This amount will be paid in one sum to the beneficiary.”

Following the death of William Nielsen, Provident denied the policy death benefits and, rather, tendered the total premiums paid on the policy. Mary Nielsen brought this action for the recovery of the death benefits under the policy and Provident filed alternative motions to dismiss under I.R.C.P. 12(b)(6) and/or for summary judgment under I.R.C.P. 56. The trial court granted Provident’s motion for summary judgment.

There appear to be no issues of fact presented to the trial court. Provident filed the affidavit of the Chief Deputy Coroner for Ada County, which stated that “the death of William Nielsen was not an accident but was suicide and that the cause of death was due to a deliberate and self-inflicted gunshot wound to the head.” Nielsen admits decedent died as a result of a self-inflicted gunshot wound, but she filed an affidavit in opposition to summary judgment; stating:

* * * * * 2. That William S. Nielsen, affiant’s deceased husband, was involved in an automobile accident on or about the 7th day of November, 1975.
*225 3. That, as a result of the aforementioned automobile accident, William S. Nielsen suffered serious mental and physical injuries.
4. That, as a result of said injuries William S. Nielsen was, until the date of his death, under constant care of several doctors.
5. That said injuries caused William S. Nielsen, until the date of his death, to behave in an irrational manner. That said irrationality was markedly distinct from his behavior before said automobile accident.”

Nielsen argues on appeal that the proximate cause of the death was the automobile accident' and that the fatal self-inflicted gunshot wound was the result of an irresistible impulse of the decedent which was proximately caused by certain mental injuries received in the automobile accident 13 months prior to his death. There is no contention that the insured accidently shot himself.

When a motion to dismiss under I.R.C.P. 12(b)(6) is supported by affidavits and other materials, the motion may then properly be considered as one for summary judgment. I.R.C.P. 12(b); Cook v. Soltman, 96 Idaho 187, 525 P.2d 969 (1974). Upon motion for summary judgment, it is axiomatic that all facts and inferences arising are construed most favorably towards the party against whom summary judgment is sought. Southern v. Southern, 92 Idaho 180, 438 P.2d 925 (1968). If any genuine issue of material fact remains unresolved, summary judgment is improper. I.R.C.P. 56(c). See also Joyner v. Jones, 97 Idaho 647, 551 P.2d 602 (1976); Gardner v. Hollifield, 97 Idaho 607, 549 P.2d 266 (1976).

Provisions in insurance policies excluding or limiting the insurer’s liability where injury or death results from suicide have usually been held valid. Annot., 9 A.L.R.3d 1015 (1966); Appleman, Insurance Law and Practice § 363 (1965). Such provisions are statutorily authorized in Idaho. I.C. § 41-1925(l)(b)(v).

Early cases interpreting suicide exclusions in insurance policies held that self-destruction while insane was not suicide because there could be no suicide unless the insured could form a conscious intention to kill himself and carry out the act, realizing its moral and physical conditions and consequences. Thereafter, and as a result of those cases, the suicide exclusion clauses were expanded so as to include the words “suicide, sane or insane,” or words having substantially the same meaning. Annot., 9 A.L.R.3d 1015 (1966); 9 Couch on Insurance 2d §§ 40:39, 40:40 (R. Anderson ed. 1962). The effect of that change in policy language is demonstrated by the case of Bigelow v. Berkshire L. Ins. Co., 93 U.S. 284, 23 L.Ed. 918 (1876), in contrast with the earlier case of Mutual Life Ins. Co. v. Terry, 15 Wall. 580, 21 L.Ed. 236 (1873). In Bigelow the court concluded that the proviso “suicide, sane or insane” effectively removed the necessity of grappling with the “shadowy and difficult to define” line between sanity and insanity, stating:

“Nothing can be clearer than that the words, ‘sane or insane,’ were introduced for the purpose of excepting from the operation of the policy any intended self-destruction, whether the insured was of sound mind or in a state of insanity. These words have a precise, definite, well-understood meaning. No one could be misled by them; nor could an expansion of this language more clearly express the intention of the parties. In the popular, as well as in the legal, sense, suicide means, as we have seen, the death of a party by his own voluntary act; and this condition, based, as it is, on the construction of this language, informed the holder of the policy, that, if he purposely destroyed his own life, the company would be relieved from liability.”

93 U.S. at 287.

The numerical weight of authority states that in order for an insurer to avoid liability on the basis of a suicide clause with the words “sane or insane,” it is not necessary for the insured to realize the physical nature or consequence of his act or to form a conscious purpose to take his life. If the act of self-destruction would be regarded as *226 suicide in the case of a sane person, it would be so treated as to an insane insured, regardless of whether the insured realized or was capable of realizing that such an act would cause his death or whether he could form an intent to kill himself. See Atkinson v. Life Ins. Co. of Virginia, 217 Va. 208,

Related

v. New York Life Insurance Company
2018 CO 49 (Supreme Court of Colorado, 2018)
Weinstein v. Prudential Property & Casualty Insurance
233 P.3d 1221 (Idaho Supreme Court, 2010)
Nedrow v. Unigard Security Insurance
974 P.2d 67 (Idaho Supreme Court, 1998)
Intermountain Gas Co. v. Industrial Indemnity Co.
868 P.2d 510 (Idaho Court of Appeals, 1994)
Mirza v. MACCABEES LIFE AND ANNUITY CO.
466 N.W.2d 340 (Michigan Court of Appeals, 1991)
Searle v. Allstate Life Insurance
696 P.2d 1308 (California Supreme Court, 1985)
Jones v. Mountain States Telephone & Telegraph Co.
670 P.2d 1305 (Idaho Court of Appeals, 1983)
Hogan v. Hermann
623 P.2d 900 (Idaho Supreme Court, 1980)
Bonner County v. Panhandle Rodeo Ass'n, Inc.
620 P.2d 1102 (Idaho Supreme Court, 1980)

Cite This Page — Counsel Stack

Bluebook (online)
596 P.2d 95, 100 Idaho 223, 1979 Ida. LEXIS 425, Counsel Stack Legal Research, https://law.counselstack.com/opinion/nielsen-v-provident-life-accident-insurance-idaho-1979.