Smith v. AMERICAN FAMILY LIFE ASSUR. CO., COLUMBUS

584 F.3d 212, 2009 WL 3066660
CourtCourt of Appeals for the Fifth Circuit
DecidedOctober 16, 2009
Docket08-31032
StatusPublished
Cited by20 cases

This text of 584 F.3d 212 (Smith v. AMERICAN FAMILY LIFE ASSUR. CO., COLUMBUS) 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
Smith v. AMERICAN FAMILY LIFE ASSUR. CO., COLUMBUS, 584 F.3d 212, 2009 WL 3066660 (5th Cir. 2009).

Opinion

584 F.3d 212 (2009)

Angela SMITH, in Her Own Right, and as Representative of her husband's estate and on behalf of her minor child, on behalf of D'Angela Noel Smith, Plaintiff-Appellee,
v.
AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS, Defendant-Appellant.

No. 08-31032.

United States Court of Appeals, Fifth Circuit.

September 28, 2009.
As Revised October 16, 2009.

*213 Conrad S.P. Williams, III (argued), Melanie G. Lagarde, St. Martin, Williams & Bourque, Houma, LA, for Plaintiff-Appellee.

Corinne Ann Morrison (argued), Douglas L. Grundmeyer, Gregory Joseph Walsh, Chaffe, McCall, Phillips, Toler & Sarpy, New Orleans, LA, Thomas S. Carlock (argued), Atlanta, GA, for Defendant-Appellant.

Before GARWOOD, OWEN and SOUTHWICK, Circuit Judges.

GARWOOD, Circuit Judge:

After her husband's death in a helicopter crash, plaintiff-appellee, Angela Smith (Mrs. Smith), in her own right and as representative of her husband's estate and on behalf of her minor child, sued defendant-appellant, the American Family Life Assurance Company of Columbus (Aflac), seeking to recover sums allegedly owed under the terms of an accident insurance policy issued by Aflac. Both parties moved for summary judgment. The district court granted Mrs. Smith's motion, denied Aflac's motion, and entered judgment in favor of Mrs. Smith. Aflac now appeals both the judgment in favor of Mrs. Smith and the denial of its motion for summary judgment. For the following reasons, we reverse.

FACTS AND PROCEEDINGS BELOW

Mrs. Smith's husband, Darrel Smith (Mr. Smith), was an employee of Island Operating Company, Inc. (Island). The Apache Corporation (Apache) provided oilfield services to Island. On March 14, 2006, Mr. Smith boarded a helicopter in Patterson, Louisiana, that had been chartered by Apache to transport him and several other employees to an offshore platform in the Gulf of Mexico. The helicopter crashed shortly after takeoff, and he was burned to death when the wreckage caught fire.

At the time of her husband's death, Mrs. Smith was the insured under an accident insurance policy that she had purchased from Aflac. The policy's effective date was May 20, 2004. It provided for a twotiered lump sum benefit in the event of the accidental death of the insured's spouse. If the insured's spouse died in a "Common-Carrier Accident," the insured was entitled to a benefit of $150,000. But if the insured's spouse died in an "Other Accident," then the insured was only entitled to a benefit of $40,000. "Common-Carrier Accidents" were defined as:

"accidents that occur on or after the Effective Date of coverage and while coverage is in force directly involving a vehicle in which a covered person is a passenger at the time of the accident and which is duly licensed by a proper authority to transport passengers for a fee. Common-carrier vehicles are limited to airplanes, trains, buses, trolleys, and boats that operate on a regularly scheduled basis between predetermined points or cities. A taxi is not a common-carrier *214 vehicle." (Emphasis in original.)

"Other Accidents" were defined as:

"accidents that occur on or after the Effective Date of coverage and while coverage is in force that are not classified as Common-Carrier Accidents and that are not specifically excluded in the Limitations and Exclusions section."

The "Limitations and Exclusions" section of the policy provided that:

"[Aflac] will not pay benefits for an accident or Sickness that is caused by or occurs as a result of a covered person's:
. . .
9. Participating in any form of flight aviation other than as a fare-paying passenger in a fully licensed, passenger-carrying aircraft."

The helicopter that crashed with Mr. Smith on board was owned and operated by Rotorcraft Leasing Company, LLC (Rotorcraft). Rotorcraft had conducted the flight pursuant to a contract between it and Apache that provided for Apache, from time to time at Apache's discretion, to request of Rotocraft chartered helicopter transport for workers to offshore platforms in the Gulf as needed. These chartered helicopter flights were operated under an "FAR 135" certification from the Federal Aviation Administration (FAA). "FAR 135" stands for "Federal Aviation Regulations Part 135," which governs "commuter or on-demand operations." See 14 C.F.R. § 135.1(a) (2009). According to a report concerning the accident made by the National Transportation Safety Board (NTSB), the flight was operated under an "On-demand Air Taxi" certificate. The NTSB report also described the type of flight as "Non-scheduled."

On April 10, 2006, Mrs. Smith signed a "PROOF OF DEATH—BENEFICIARY'S STATEMENT" verifying her husband's death and submitted it to Aflac. On May 23, 2006, Aflac paid Mrs. Smith $40,000 after determining that the accident was an "Other Accident" under the terms of the policy. Aflac refused to classify the accident as a "Common-Carrier Accident," because it stated that the helicopter had not been an airplane, train, bus, trolley, or boat that operated on a regularly scheduled basis between predetermined points or cities.

Mrs. Smith sued Aflac, seeking $110,000 in additional benefits, as well as attorneys' fees and penalties under LA.REV.STAT. ANN. § 22:1821(B)[1] on the ground that Aflac had acted in bad faith by refusing to classify her husband's accident as a "Common-Carrier Accident." Mrs. Smith initiated her action against Aflac by amending the petition of her suit against Rotorcraft and several other defendants that was already underway in Louisiana state court. Aflac removed the suit to federal court based on diversity jurisdiction and then successfully moved to sever all claims against Rotorcraft and the other defendants.[2]

Aflac then moved for summary judgment to dismiss Mrs. Smith's claims on the ground that the helicopter crash could not qualify as a "Common-Carrier Accident" under the terms of the policy, because a helicopter was not an airplane. Aflac also moved for partial summary judgment to dismiss Mrs. Smith's claims for penalties and attorneys' fees on the ground that there was no evidence that Aflac had acted *215 in bad faith by denying her request for additional benefits. Mrs. Smith opposed both of Aflac's motions and filed a cross-motion for summary judgment, arguing that the language of the policy was ambiguous and therefore had to be interpreted in favor of the policyholder under established principles of Louisiana law. Aflac filed a response to this motion in which it reasserted that a helicopter was not an airplane and added that, even if "airplane" were interpreted to include helicopters, Mr. Smith's helicopter could not have been a "common-carrier vehicle," under the policy because its flight had not been "regularly scheduled . . . between predetermined points or cities." Aflac had not previously raised this not "regularly scheduled" argument, so Mrs. Smith requested a continuance to conduct additional discovery on the issue. The district court granted her request, but there is no indication that Mrs. Smith ever conducted any discovery on this issue. Aflac asserts that she did not, and Mrs. Smith does not deny that assertion.

On September 29, 2008, the district court issued a memorandum ruling granting Mrs.

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Cite This Page — Counsel Stack

Bluebook (online)
584 F.3d 212, 2009 WL 3066660, Counsel Stack Legal Research, https://law.counselstack.com/opinion/smith-v-american-family-life-assur-co-columbus-ca5-2009.