Paul v. Travelers' Insurance

52 N.Y. Sup. Ct. 313, 10 N.Y. St. Rep. 306
New York Supreme Court·Decided July 15, 1887·Published

Opinion

Boardman, J.:

This is an appeal from a judgment rendered upon a decision of the justice upon an agreed state of facts, a jury having been waived. Th$. action was upon a policy of insurance issued by the defendant to the intestate indemnifying to the amount of fifteen dollars per week for loss of time from accidental injuries suffered, and in the case of death occasioned by injuries of a certain character agreeing to pay his legal representatives $3,000. While said policy was in force the intestate died accidentally at a hotel in New York city from breathing, in his sleep, illuminating gas, which in some way escaped in his room. He was found dead in his bed and it was evident that his death was caused by his unconscious breathing of such gas in his sleep.

To sustain this judgment dismissing the complaint with costs the defendant relies upon two conditions of the policy, each of which is urged as fatal to plaintiff’s action. The policy provides as follows: The defendant indemnifies “ against loss of time * * * from the happening of such accident and injury as shall independently of all other causes, immediately and wholly disable and pi-event him from the prosecution of any and every kind of business by reason of bodily injuries effected * * * through external, violent and accidental means; or in the event of death, occasioned by bodily injuries received as aforesaid,” etc. By such policy it is further provided, that the “ insurance shall not extend to any [315] bodily injury of which there shall be no external and visible sign upon the body of the insured ; , * * * nor by the taking of poison, contact with poisonous substances, or inhaling of gas, or by any surgical operation or medical treatment; nor to any case except where the injury is the proximate and sole cause of the disability or death.”

Was the death of intestate caused by or through “ external, violent and accidental means” within the language of the policy? That it was accidental is found by the judge. But for the case of Hill v. Hartford Accident Insurance Company (22 Hun, 187) we should say the death was due to external and violent means, as clearly as drowning or poison introduced into the system. The cause of the death came from the outside as surely as would a fatal rifle ball or water in case of drowning. The escape of gas into the room was violent in the same sense that would be the flow of water into a wrecked vessel. In either case the external means constitute the cause which produces death. It is a violent death, produced by an external power, not natural. Some poisons, such as opium or chloral, produce no violent action upon the human system. The man who descends into a well of carbonic acid gas is killed with no greater violence perhaps than was the intestate. Yet in all these cases the result would be called a violent death.

Was there no external and visible sign upon the body of the insured of any bodily injury, and if so is that language in the policy applicable in case of death or only to injuries through which weekly allowances are asked ? It would seem as though the dead body was an external and visible sign of an injury which must have caused the death. The injury may have been due to accident or disease but the visible and recognized evidence is present in the corpse.

But waiving that view, we think the external and visible signs of bodily injury need exist only in cases of injuries which do not result in death. Where the insured claims loss of time by reason of injuries, there must be some external and visible sign upon his bbdy for the purpose of avoiding the' false and fraudulent claims which might otherwise readily be imposed on the company by dishonest men. But no such protection is required in case of death. That cannot be successfully feigned to accomplish a dishonest pur[316] pose. Tlie reading of the policy shows two grounds upon which claims may be founded, the one injuries not resulting in death, for which there is a weekly allowance by way of compensation, if upon the body there are external and visible signs of the injury, and the other is the case of death, “ occasioned by bodily injuries received as aforesaid;” that is, “through external, violent and accidental means.” This language is not qualified by the proviso afterwards contained in the policy, that this insurance shall not extend to any bodily injury of which there shall be no external and visible sign upon the body of the insured.” That proviso relates to injuries not producing death, and not to death from injuries. (Mallory v. The Travelers' Ins. Co., 47 N. Y., 52.)

Ye also think the words “inhaling of gas,” among the various provisions exempting defendant from liability, were used to designate those common uses of gas in dentistry, surgery, etc. The eon-nection in which the words are used gives the same impression. The insurance shall not extend to a death caused by the taking of poison, contact with poisonous substances, or inhaling of gas, or by any surgical operation or medical treatment,” etc. Evidently an exemption from death caused by a surgical operation, was not broad enough to include the use of anasthetics preparatory to the operation. It contemplated a voluntary and intelligent act by the assured, not an involuntary and unconscious act.

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Paul v. Travelers' Insurance, 52 N.Y. Sup. Ct. 313, 10 N.Y. St. Rep. 306 (N.Y. Super. Ct. 1887).

52 N.Y. Sup. Ct. 313 (Paul v. Travelers' Insurance) — published by Counsel Stack Legal Research, free access to 12M+ legal documents.

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