Sims v. Monumental General Ins. Co.

CourtCourt of Appeals for the Fifth Circuit
DecidedJune 23, 1992
Docket91-9529
StatusPublished

This text of Sims v. Monumental General Ins. Co. (Sims v. Monumental General Ins. Co.) is published on Counsel Stack Legal Research, covering Court of Appeals for the Fifth Circuit primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Sims v. Monumental General Ins. Co., (5th Cir. 1992).

Opinion

United States Court of Appeals,

Fifth Circuit.

No. 91–9529

Summary Calendar.

Julia Brumfield SIMS, Plaintiff–Appellant,

v.

MONUMENTAL GENERAL INSURANCE COMPANY, Defendant–Appellee.

May 11, 1992.

Appeal from the United States District Court for the Eastern District of Louisiana.

Before JONES, DUHÉ, and WIENER, Circuit Judges.

DUHÉ, Circuit Judge:

This case requires us to decide whether a man's hanging

himself by the neck in order to restrict the flow of oxygen to his

brain is an intentionally self-inflicted injury within the meaning

of an exclusion to his insurance policy. We hold that he

intentionally injured himself, even though he did not mean to kill

himself, and that his death is not covered by the policy. The

judgment of the district court is affirmed.

I.

The relevant facts are not disputed. William P. Brumfield was

discovered strangled to death in his home. He hanged himself by

the neck so the flow of oxygen to his brain would be restricted;

he enjoyed this practice and its concomitant activities,1 and he

apparently had engaged in it several times before. This time,

1 This practice is known as "autoerotic asphyxiation." however, he died. The parties agree that his death was not the

result of suicide, foul play, or natural causes.

Mr. Brumfield was covered by an insurance policy originally

issued by Monumental Life Insurance Company and later assumed by

Monumental General Insurance Company. The policy covers accidental

death that does not result from intentionally self-inflicted

injury. Julia Brumfield Sims, Mr. Brumfield's sister and the

beneficiary under the policy, claims that $150,000 is due under the

policy, but Monumental denied her claim on the grounds that Mr.

Brumfield's death was not accidental and resulted from an

intentionally self-inflicted injury.

Mrs. Sims sued Monumental. On cross-motions for summary

judgment, the district court rendered judgment for Monumental.

Sims v. Monumental Gen. Life Ins. Co., 778 F.Supp. 325

(E.D.La.1991).2 Mrs. Sims now appeals.

II.

Summary judgment is appropriate if the record discloses "that

there is no genuine issue as to any material fact and that the

moving party is entitled to a judgment as a matter of law."

Fed.R.Civ.P. 56(c). In reviewing the summary judgment, we apply

the same standard of review as did the district court. Waltman v.

International Paper Co., 875 F.2d 468, 474 (5th Cir.1989); Moore

2 The district court was mistaken when it referred to the Defendant as Monumental General Life Insurance Company. See 1 R. 112–13. v. Mississippi Valley State Univ., 871 F.2d 545, 548 (5th

Cir.1989). The pleadings, depositions, admissions, and answers to

interrogatories, together with affidavits, must demonstrate that no

genuine issue of material fact remains. Celotex Corp. v. Catrett,

477 U.S. 317, 106 S.Ct. 2548, 91 L.Ed.2d 265 (1986). To that end

we must "review the facts drawing all inferences most favorable to

the party opposing the motion." Reid v. State Farm Mut. Auto. Ins.

Co., 784 F.2d 577, 578 (5th Cir.1986). If the record taken as a

whole could not lead a rational trier of fact to find for the

nonmoving party, there is no genuine issue for trial. Matsushita

Elec. Indus. Co. v. Zenith Radio Corp., 475 U.S. 574, 587, 106

S.Ct. 1348, 1356, 89 L.Ed.2d 538 (1986). Because we only need

apply the unambiguous policy language to undisputed facts, this

case is well suited to summary judgment.

III.

Mr. Brumfield's policy excludes "any loss resulting directly

or indirectly, wholly or partly from: 1. Suicide or attempt

thereat or intentionally self-inflicted injury occurring while sane

or insane." 1 R. 121. The issue is whether Mr. Brumfield's death

"result[ed] directly or indirectly, wholly or partly from ... [an]

intentionally self-inflicted injury." The parties agree that

Louisiana law applies in this diversity case.

In Louisiana, someone is said to have acted intentionally

"where the actor entertained a desire to bring about the

consequences that followed or where the actor believed that the result was substantially certain to follow." Bazley v. Tortorich,

397 So.2d 475, 481 (La.1981). Mr. Brumfield desired to partially

strangle himself. The partial strangulation that he apparently

achieved on previous occasions was intentional and self-inflicted.

The only question is whether partial strangulation is an injury.

According to the undisputed opinion of Monumental's expert,

the type of strangulation desired by Mr. Brumfield damages tissues

in the neck and deprives the brain of valuable oxygen. 2 R. 242.

If Mr. Brumfield came before this Court and proved that a robber

had partially strangled him, we would have no trouble holding that

Mr. Brumfield had been injured and that the robber should be held

criminally liable. Two state supreme courts have so held. See

State v. Schad, 470 P.2d 246, 250 (Utah 1970) (affirming second

degree murder conviction because the victim's life was greatly

endangered even though only partial strangulation was intended);

State v. Schad, 163 Ariz. 411, 418, 788 P.2d 1162, 1169 (1989)

(affirming death sentence partly based on same), aff'd sub nom.

Schad v. Arizona, ––– U.S. ––––, 111 S.Ct. 2491, 115 L.Ed.2d 555

(1991). In the words of a court facing an issue identical to ours,

"it continues to be an injury even when it is self-inflicted."

Sigler v. Mutual Benefit Life Ins. Co., 506 F.Supp. 542, 545

(S.D.Iowa), aff'd, 663 F.2d 49 (8th Cir.1981).

That Mr. Brumfield only intended partial strangulation and did

not intentionally kill himself does not avail Mrs. Sims. The

policy in this case not only excludes suicide, but also any loss (including death) "resulting directly or indirectly, wholly or

partly from ... [an] intentionally self-inflicted injury." Partial

strangulation is an injury in and of itself. His death "result[ed]

directly or indirectly, wholly or partly from" that intentionally

self-inflicted injury.

An analogy is helpful. If Mr. Brumfield had been a member of

a fraternal organization that required him to brand his forearm,

and he did so, any loss arising from the branding would be

excluded. For instance, although he only intended to burn the

insignia of the organization onto his skin, he might

unintentionally burn into his muscle and do serious damage to his

arm.

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Related

Schad v. Arizona
501 U.S. 624 (Supreme Court, 1991)
Rachel Moore v. Mississippi Valley State University
871 F.2d 545 (Fifth Circuit, 1989)
Susan Waltman v. International Paper Co.
875 F.2d 468 (Fifth Circuit, 1989)
State v. Schad
788 P.2d 1162 (Arizona Supreme Court, 1989)
Connecticut General Life Insurance Co. v. Tommie
619 S.W.2d 199 (Court of Appeals of Texas, 1981)
Sims v. Monumental General Life Insurance
778 F. Supp. 325 (E.D. Louisiana, 1991)
Sigler v. Mutual Benefit Life Insurance
506 F. Supp. 542 (S.D. Iowa, 1981)
Bazley v. Tortorich
397 So. 2d 475 (Supreme Court of Louisiana, 1981)
Kennedy v. Washington National Insurance
401 N.W.2d 842 (Court of Appeals of Wisconsin, 1987)
State v. Schad
470 P.2d 246 (Utah Supreme Court, 1970)
Floyd v. Browne
1 Rawle 121 (Supreme Court of Pennsylvania, 1829)

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