Olinsky v. Railway Mail Assn.

189 P. 835, 182 Cal. 669, 14 A.L.R. 784, 1920 Cal. LEXIS 560
CourtCalifornia Supreme Court
DecidedApril 16, 1920
DocketS. F. No. 8719.
StatusPublished
Cited by29 cases

This text of 189 P. 835 (Olinsky v. Railway Mail Assn.) is published on Counsel Stack Legal Research, covering California Supreme Court primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Olinsky v. Railway Mail Assn., 189 P. 835, 182 Cal. 669, 14 A.L.R. 784, 1920 Cal. LEXIS 560 (Cal. 1920).

Opinion

WILBUR, J.

—This is an action brought by the plaintiff, a beneficiary, to recover for death under an accident insurance certificate issued July 27, 1908, to Nathan Olinsky, by the defendant, a fraternal beneficial order. In 1913 certain by-laws were enacted by the association which were in force at the time of the death of the insured, which plaintiff claims modified the certificate. On June 19, 1915, while at a summer resort on the Russian River, the insured, who was then apparently in perfect health, entered the river for a swim. The only witness to the incident testified that he attempted to swim up-stream against a very strong current, and after swimming eight or ten strokes returned to the shore, bleeding from the mouth. The water was not more than four and a half feet deep and the deceased was five feet eight inches in height. There was no evidence of slipping or other similar accident. *671 The hemorrhage continued for some time and was followed by others. The insured was brought to San Francisco, placed in a hospital, and died on July 9, 1915. The cause of his death was the violent and successive 'hemorrhages which, so far as the evidence shows, began at the time mentioned.

The deceased had been suffering for some time with tuberculosis. From June 18, 1914, to July 28, 1914, he was an inmate of a sanitarium for tubercular patients, but had apparently fully recovered. However, the autopsy showed that he was suffering from tuberculosis at the time of his death.

There is no evidence of over-exertion other than the natural inference from the testimony that the deceased swam eight or ten strokes in the face of a very strong current in the river and immediately came ashore with a hemorrhage from the lungs, which in his condition might result from sudden and violent over-exertion. Under the evidence the verdict of the jury must be held to have established the inference that the death was the result of sudden and violent over-exertion at the time in question. It remains to be determined, in the absence of any other evidence as to accidental means of injury, whether this conclusion is sufficient to justify the verdict. It may be conceded that the evidence was sufficient to justify the verdict of the jury under the instruction of the court defining an accident or casualty as follows: “A casualty, something out of the usual course of events, and which happens suddenly and unexpectedly, and without any design on the part of the person injured.” This language being taken from Richards v. Travelers’ Ins. Co., 89 Cal. 170, 175, [23. Am. St. Rep. 455, 26 Pac. 762, 763], and covering what is known in accident insurance law as an accidental death, as differentiated from a death by accidental means. The jury was justified in finding that the first hemorrhage was accidental in the sense that it was “something out of the usual course of events, and which happens suddenly and unexpectedly and without any design on the part of the person injured,” but the insured was doing exactly what he intended to do, and if the contract of insurance is the same as there considered it brings the case within the principle of Rock v. Travelers’ Ins. Co., 172 Cal. 462, [156 Pac. 1029, L. R. A. *672 1916E, 1196], where a pall-hearer in lifting a heavy casket down a narrow stairway collapsed and almost immediately died from acute dilatation of the heart due to over-exertion. The court there said: “Rock undertook to carry a heavy casket down a flight of stairs. In carrying it down he did not slip or stumble, nor did the casket fall against him. The entire operation was carried out in precisely the manner intended and designed by Rock. The exertion which he thus assumed was, however, beyond his strength and imposed upon his vital organs a burden which, as it turned out, they could not bear. The result of this exertion was a dilatation of the heart and death. On these facts, which appear in the record without substantial conflict, it cannot be said that the plaintiff sustained the burden which was- on her of proving that the death of the insured was caused by bodily injuries effected through accidental means.” [1] In other words, over-exertion is not an accidental means of death. It has been so held in the following cases: Pervangher v. Union Casualty & Surety Co., 85 Miss. 31, [37 South. 461]; Niskern v. United Brotherhood etc., 93 App. Div. 364, [87 N. Y. Supp. 640]; Appel v. Aetna Life Ins. Co., 180 N. Y. 514, [72 N. E. 1139]; affirming 86 App. Div. 83, [83 N. Y. Supp. 238]; Shanberg v. Fidelity & Casualty Co., 158 Fed. 1, [85 C. C. A. 343; S. C., 19 L. R. A. (N. S.) 1206], (lifting heavy weight); see note to latter case, 19 L. R. A. (N. S.) 1206. The rule is thus stated in 1 C. J. 429, section 73: “An effect which is the natural and probable consequence of an act or course of action cannot be said to be produced by accidental means. This rule has been applied to death or injuries caused by or resulting from ordinary exertions, carrying heavy baggage, lifting heavy weights, contact with a poisonous substance, jumping from a railroad car, reaching out to close a window, resisting arrest, riding a bicycle, stooping, or sunstroke. ’ ’ The distinction between accidental death and death by accidental means is carefully pointed out in Pledgor v. Business Men’s Assn. of Texas (Tex. Civ. App.), 197 S. W. 889, where it is held that death "resulting from the lifting of heavy cotton bales was an accidental death, but not a death resulting from accidental means. The uniform rule on the subject is thus well stated in that case: [2] “Where the death is the result of some act, but was not designed and not anticipated by the de *673 ceased, though it be in consequence of some act voluntarily done by him, it is accidental death. Where death is caused by some act of the deceased not designed by him, or not intentionally done by him, it is death by accidental means. In other words, accidental death is an unintended and undesigned result, arising from acts done; death by accidental means is where the result arises from acts unintentionally done.” The importance of this distinction in this case arises from the fact that the certificate covers injuries received “through external violent and accidental means which shall wholly and continuously disable the insured. . . .

“3. If death result from such injuries alone within one hundred and twenty days,” or, to put it in the language of the authorities, the insurance is against death resulting from “accidental means” and not accidental death. (See Postler v. Travelers’ Ins. Co., 173 Cal. 1, [158 Pac. 1022].) But it is contended by respondent that by-law XVII, added in 1913, amended the contract of insurance so as to cover “accidental death,” as defined by the above cases. This section reads as follows: “Accidental death defined.

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Bluebook (online)
189 P. 835, 182 Cal. 669, 14 A.L.R. 784, 1920 Cal. LEXIS 560, Counsel Stack Legal Research, https://law.counselstack.com/opinion/olinsky-v-railway-mail-assn-cal-1920.