Shields v. Prudential Insurance Co. of America

79 A.2d 297, 6 N.J. 517, 26 A.L.R. 2d 392, 1951 N.J. LEXIS 288
CourtSupreme Court of New Jersey
DecidedMarch 19, 1951
StatusPublished
Cited by12 cases

This text of 79 A.2d 297 (Shields v. Prudential Insurance Co. of America) is published on Counsel Stack Legal Research, covering Supreme Court of New Jersey primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Shields v. Prudential Insurance Co. of America, 79 A.2d 297, 6 N.J. 517, 26 A.L.R. 2d 392, 1951 N.J. LEXIS 288 (N.J. 1951).

Opinion

The opinion of the court was delivered by

Wachenfeld, J.

This is a Superior Court case certified here. It involves the question as to whether or not double indemnity is to be paid on a life insurance policy under its terms.

The pertinent clause provides for payment of double the face amount of the policy “upon receipt of due proof that the death of the Insured occurred * * * directly and independently of all other causes, of bodily injuries, effected solely through external, violent and accidental means.”

The policy was in the face amount of $5,000 and named the insured’s wife, the plaintiff herein, as the beneficiary. If the *519 death of the insured was accidental within the terms of the policy, the plaintiff is entitled to recover the additional $5,000 which she seeks.

The evidence is not controverted and consists mainly of the plaintiff’s testimony as to what transpired, supplemented by one of her children.

The deceased was a mechanic, 46 years old, weighing 207 pounds, while his wife weighed only 100 pounds. He had been accustomed, over the years, to coming home intoxicated and would then become violently quarrelsome and abusive, on occasions requiring the calling of the police in order to bring the desired tranquility and calm to the domestic scene. Often, in addition to being drunk and aggressive, he beat his wife, and it was no novelty for him to threaten to kill her.

The altercation which resulted in his death was patterned closely after this general picture. He argued with his wife, used violent and indecent language, left the house, returned in a worsened condition, became more abusive, indulged in obscene expostulations and then beat his wife about the face with his fists. The, flare-up continued for an hour and the wife was cut, bruised and bleeding. Their five-year-old son remonstrated with his father and was struck. An older son, Howard, endeavoring to protect his mother, was knocked unconscious.

Meanwhile, the wife had run into the living room and was seated on the sofa, holding her one-year-old baby, when the insured entered with a rifle in his hand. He pointed the gun at her. It was an old 22-rifle which had been around the house for years and with which the children had often played. She became apprehensive, not about her own safety but about possible harm to the child. She sprang at the insured, attempting to take the gun away from him, and during the struggle for possession it went off. The insured slumped to the floor and died.

The court below denied a motion for a direction of a verdict for the defendant and submitted the case to the jury, leaving it to them to determine from the evidence whether or not the death occurred within the meaning of the accidental clause *520 of the policy and also whether the death of the insured was the natural and probable consequence of his own act.

The jury returned a verdict in favor of the plaintiff and the insurance company now appeals, contending the motion made by it for a direction should have been granted.

It asserts that where the insured deliberately and criminally battered and assaulted his wife and threatened her life with a loaded rifle, his death following the discharge of the rifle iu the struggle for its possession was the natural and probable consequence of his own course of criminal conduct and was therefore not caused by accidental means, and contends that “the test, abundantly supported by text writers and authorities in and out of New Jersey, is that a result which is the natural and probable consequence of a person’s act or of his course of conduct is not an accident, nor is it the product of accidental means. Such a result is either the deliberate, intentional design of the actor or it falls under the legal maxim that every person must be held to intend the natural and probable consequence of his acts.”

There is much authority in accord with the appellant’s view. Am. Jur., vol. 29, p. 733, recites:

“Clearly, injuries or death sustained by an insured in an encounter brought about by an assault committed by him upon another with a deadly weapon or upon one who he knew had such a weapon are not sustained by accident or accidental means within the meaning of an accident policy since under such circumstances the injury or death is the natural and probable consequence of his act.”

The same legal principle, in almost verbatim language, is supported in Couch on Insurance, vol. 5, p. 4068, § 1158, and in Cooley’s Briefs on Insurance (2d ed.), vol. 6, p. 5249, while in 1 Appleman, Insurance Law and Practice (1941), § 391, a somewhat different concept is vouched for:

“And even though the chain of circumstances leading to the injury was set in paotion by the insured’s voluntary act, if the result was not the normal result of his actions, or was reasonably unforseeable, the insured has been permitted to recover under the doctrine of ‘accidental means.’ ”

*521 The conflict of authority was noted in Korfin v. Continental Casualty Co., 5 N. J. 154 (1950) :

“We recognize that there is considerable division of authority upon the construction of policies using the term ‘accidental means.’ Some adhere to the view that if the means which cause an injury are voluntarily employed, the resulting injury although entirely unusual, unexpected and unforeseen is not produced through accidental means.
In this jurisdiction, however, our courts, following the rule laid down in the ease of United States Mutual Accident Association v. Barry, 131 U. S. 100, 9 S. Ct. 755, 33 L. Ed. 60 (U. S. 1889), have held that it is sufficient to render the means accidental, if in the-act which precedes the injury, something unforeseen, unexpected, unusual occurs, which produces the injury. Lower v. Metropolitan Life Insurance Co., 111 N. J. L. 426 (E. & A. 1933); Riker v. John Hancock Mutual Life Ins. Co., 129 N. J. L. 508 (Sup. Ct. 1943). in the latter case, 129 N. J. L. at pages 510-511, it was stated that ‘The term “accidental means” was employed in the policy in its usual and popular sense, i. e., as signifying a “happening by chance; unexpectedly'taking place; not according to the usual course of things; or not as expected.” ’ Any ambiguity in the terms of the policy is to be resolved in favor of the insured. Caruso v. John Hancock Mutual Life Insurance Co., 136 N. J. L. 597, 598 (E. & A. 1947).
It may be generally stated therefore that where something unforeseen, unusual and unexpected occurs in the act preceding an injury or death, although the act be voluntary and intentional, the injury is one which arises through accidental means.”

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Bluebook (online)
79 A.2d 297, 6 N.J. 517, 26 A.L.R. 2d 392, 1951 N.J. LEXIS 288, Counsel Stack Legal Research, https://law.counselstack.com/opinion/shields-v-prudential-insurance-co-of-america-nj-1951.