Provident Life Accident Ins. Co. v. Peace

1935 OK 952, 52 P.2d 769, 175 Okla. 266, 1935 Okla. LEXIS 866
CourtSupreme Court of Oklahoma
DecidedOctober 8, 1935
DocketNo. 23141.
StatusPublished
Cited by3 cases

This text of 1935 OK 952 (Provident Life Accident Ins. Co. v. Peace) is published on Counsel Stack Legal Research, covering Supreme Court of Oklahoma primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Provident Life Accident Ins. Co. v. Peace, 1935 OK 952, 52 P.2d 769, 175 Okla. 266, 1935 Okla. LEXIS 866 (Okla. 1935).

Opinion

PER CURIAM.

This action was brought in the district court of Craig county, by Ethel Miller against plaintiff in error, as defendant, to recover on a policy of accident insurance issued by plaintiff in error to one Bill Miller, in which policy Ethel Miller was named as beneficiary. On the death of Ethel Miller the action was revived in the defendant in error, A. C. Peace, as administrator for her estate. The cause was tried by a jury. The court, instead of giving instructions and submitting the usual general form of verdict, submitted two interrogatories to the jury, said interrogatories and their answers being as follows :

“Question No. 1. IVhat caused the death of Bill Miller? Answer. Gunshot wound in right breast.
“Question No. 2. Was the shooting of Bill Miller by Lizzie Miller accidental or intentional? Answer. It was accidental.”

Upon these answers of the jury to the interrogatories submitted, the court rendered judgment in favor of plaintiff for $1,000, and interest thereon at 6 per cent, from September 4, 1929. Plaintiff in error filed its motion for a new trial and perfected its appeal in the usual manner. The parties herein will be referred to as they stood in the trial court.

The policy of insurance is an ordinary accident and health policy, and provides for payment to the beneficiary in ease of death of the insured resulting from bodily injuries sustained solely through external, violent and accidental means, and said policy contains the following clause:

“This policy does not cover injuries, fatal or nonfatal, sustained by the insured: * * * (4) If said fatal or nonfatal injury results from the intentional act of the insured or of any other person, except assault committed on the insured for the sole purpose of burglary or robbery; and assaults incurred by the insured while engaged in the proper-performance of the duties of his occupation and provoked solely thereby.”

The evidence discloses that the insured was intentionally killed and murdered by his estranged wife, Lizzie Miller. They had quarreled several hours. She requested that they go back together as husband and wife. He refused to consent and she informed him that if he left the house, the undertaker would carry him away. They had been separated several months. He told her he was going to leave and not go back any more and she told him that she was going to ki 1 him. She went to an adjoining room, procured a shotgun and shot him, being within a few feet of him at the time the shot was fired. The insured died a few minutes after he was shot.

At the end of plaintiff’s testimony in chief, defendant demurred to plaintiff’s evidence, which demurrer was overruled by the court, and at the close of all the testimony defendant requested a directed verdict in its favor, which request was overruled and exception saved. The overruling of the demurrer to the evidence and the refusal of the court to direct a verdict for defendant are assigned as error. There are other-assignments which it will not be necessary to consider in view of the conclusions reached on these particular assignments.

The real issue involved in this ease has to do with the force and effect of the limitation clause in the policy as above set forth.

The allegation of plaintiff’s amended petition with reference to the cause of insured’s death is as follows:

“That on the 9th day of -Tune, 1929, the said Bill Miller was killed at Muskogee, Okla., by external, violent and accidental means, to wit: By the discharge of bullets from a shotgun held in the hands of one Lizzie Miller; that the firing of the shots into the body of the deceased was without any provocation on his part, and without his foreknowledge or intentional connivance, and therefore accidental as to the deceased.”

*268 The answer to this petition in part alleges :

“Further answering the defendant alleges and states that if the said Bill Miller died or was killed on the Oth day of June, 1929, or on any other date, that such fatal injury and death of the insured resulted from tlio intentional act of another person and was not such injury as was covered by the provisions of the policy of the insurance issued by the defendant and sued on herein, and such fatal injury was specifically excepted from the terms of said policy by section (d) of Part IV thereof.”

In his opening statement to the jury counsel for plaintiff, as a part of said statement, said:

“The beneficiary of that policy was Ethel Miller, and on the 9th day of June, 1929, at a time when this policy was in full force and effect, and when the insurance company was liable to his beneficiary in case of accidental death, or by violent, external and accidental means, Bill Miller’s wife, after some argument with him which lasted throughout the night and until about two o’clock in the morning, picked up a single barrel shotgun ,and killed Bill Miller, and Bill Miller died from this shotgun wound either on the way to the hospital or sometime after he got to the hospital.
“And I think the court will instruct you that such killing by a gunshot wound is, within the meaning of the law, an accidental death, or by means of violent external and accidental means. The death certainly was ■not intentional on the part of Bill Miller.”

It is contended by plaintiff in error that the limitation clause above referred to is binding and enforceable and precludes recovery where the evidence discloses that the injury was sustained from the intentional act of another person and not within the exceptions enumerated in said limitation clause. It is contended by defendant in error that the limitation clause is ambiguous, and that applying the general rule that where the policy is ambiguous it should be construed against the insurer and in favor of the insured, the above limitation clause should therefore not be given force and effect.

Defendant in error cites numerous authorities, particularly Kascoutas v. Federal Life Insurance Co. (Iowa) 185 N. W. 125, 22 A. L. R. 294, and General Accident, Fire & Life Assurance Corp., Ltd., v. Hymes, 77 Okla. 20, 185 P. 1085, 8 A. L. R. 318; in the Kaseoutas Case, supra, the limitation clause merely referred to disability and did not refer to. fatal injuries or death, and the court construed the clause to be ambiguous as used in that particular policy and not to apply to death loss. In the case of General Accident, Fire & Life Assur. Corp., Ltd., v. Hymes, supra, the assailant killed the insured, intending to kill another party, and the court held that there was no such intentional injury to the assured as to bring the ease within the limitation clause of the policy.

This provision of the policy is a usual provision in policies of that nature. The introductory clause provides that the company insures the insured “subject to all conditions, and limitations hereinafter contained.” The limitation clause is set forth in bold type and is couched in simple straightforward language, the meaning of which is clear. It is susceptible of only one meaning and is not ambiguous.

The general rule with reference to such clauses is stated in 1 Corpus Juris, 442, as follows:

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Bluebook (online)
1935 OK 952, 52 P.2d 769, 175 Okla. 266, 1935 Okla. LEXIS 866, Counsel Stack Legal Research, https://law.counselstack.com/opinion/provident-life-accident-ins-co-v-peace-okla-1935.