Standard Accident Ins. v. Heatfield

141 F.2d 648, 1944 U.S. App. LEXIS 3759
CourtCourt of Appeals for the Ninth Circuit
DecidedMarch 23, 1944
DocketNo. 10517
StatusPublished
Cited by1 cases

This text of 141 F.2d 648 (Standard Accident Ins. v. Heatfield) is published on Counsel Stack Legal Research, covering Court of Appeals for the Ninth Circuit primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Standard Accident Ins. v. Heatfield, 141 F.2d 648, 1944 U.S. App. LEXIS 3759 (9th Cir. 1944).

Opinion

STEPHENS, Circuit Judge.

An action was brought in the Superior Court of the State of Washington for $7,-500 by plaintiff as beneficiary of an insurance policy issued by defendant insurance company to plaintiff’s deceased husband. The action was removed to the federal District Court on the ground of diversity of citizenship of the parties, as plaintiff was a citizen of Washington and defendant was a corporation of Michigan, and as the amount in - controversy exceeded $3,000. After a jury trial verdict and judgment were rendered in favor of plaintiff. Defendant appeals.

By the terms of the policy defendant insured plaintiff’s husband in the principal sum of $7,500 against “loss from bodily injuries effected directly, exclusively and independently of all other causes through accidental means except when intentionally self-inflicted.” In case of loss of life the principal sum was payable to the beneficiary specified. Plaintiff bases her right to recovery on the theory that her husband died of heart failure directly resulting from over-exertion experienced when he attempted to put his car on the road after it had skidded into a ditch, and therefore that he lost his life through accidental means. Defendant makes no argument against the proposition that a death by unusual exertion is death by accidental means under the policy.

[649]*649The evidence shows that Heatfield was an insurance agent. He was a normally healthy man of sixty-five and of a somewhat nervous temperament. He was unaccustomed to strenuous physical exercise. On June 30, 1942, he seemed in his usual good health, in the morning when he left his wife and about three o’clock in the afternoon when he talked to a friend. About six o’clock in the evening Ralph Harrington and his wife were driving over a narrow, mountain road when they saw Heatfield signaling for help. His car was in an awkward position with three wheels over the bank at the edge of the road. Heatfield was alone and looked hot and exhausted, both Harringtons noticed.

Harrington observed that there was' a big pole underneath the car and a large rock in front of one rear wheel, that dirt had been shoveled near the car, and that there was a shovel in the turtle-back of the coupé. According to Harrington, “the car was there to stay without help,” and “the only possible way he could get out was to be pulled out.” Harrington towed the car out of the ditch, Heatfield guiding it.

Over objection Mrs. Harrington was allowed to testify to a conversation which occurred while her husband was preparing to tow the car. Heatfield held his hands over his left side, complained of a severe pain in his heart, and declared it was the first time he had been troubled by his heart. He remarked that he had tried to right his car but could not accomplish the feat by himself. He said that he had been stalled for two hours but had had to lie down for an hour because he had become hot and exhausted. The testimony was admitted as part of the res gestae.

Tom Heatfield, the son of deceased, traveled over the road three days later and, at the place where he thought the accident had occurred, saw that a log had been backed by rocks and banked with dirt and had been placed in such a position as to form a track to the shoulder of the road from the ditch.

After his car was pulled back on the road, Heatfield drove about two miles to a forest ranger camp, where he had a drink of water. One ranger- saw him bent over and sick. A little later he called out, the rangers found him lying by the side of his car. As they helped him the short distance to the camp and put him to bed, he was slightly nauseated. The next morning they found him dead. Heatfield’s statement to one ranger, that he had over-exerted himself was admitted over objection as part of the res gestae.

When Heatfield’s clothes were returned to plaintiff after his death, she noticed'that his shirt' was stained with perspiration about the shoulders and collar.

An autopsy showed arterio-sclerosis, or thickening of the walls of the blood vessels, to an extent normal in a man of Heatfield’s age. Two doctors were of the opinion that death resulted from an insufficiency in the supply of blood to the heart muscle through the narrowed coronary blood vessel and that the insufficiency was caused by overexertion or strain. Another doctor was of the opinion that if exercise caused an angina pectoris, that is a cramp-like pain in the chest, severe pain would have continued until death without any interim period of comparative comfort, and that exercise in the instant case had no bearing whatever on the subsequent death. A fourth doctor was indefinite as to the exact cause of death but did not think that exercise was an important factor.

The insurance policy on which recovery is sought' required that “written notice of injury on which claim may be based” be given within twenty days after the accident causing the injury. The notice could be given either to the defendant Company or to an authorized agent and was to include “particulars sufficient to identify the insured.” Provision was made for notice within a reasonable time if the giving of it within the prescribed time was not reasonably possible. The Company undertook to furnish forms for proof of loss within fifteen days after receipt of notice of injury; if it failed to furnish them, “written proof covering the occurrence, character and extent of the loss for which claim is made” would be sufficient. Such proof of loss was to be made within ninety days after the date of loss. Full compliance with the terms of the policy was made a condition precedent to recovery.

On July 8, plaintiff’s attorney wrote the Company’s agent in Seattle referring to the accident policy by number, stating the fact and date of Heatfield’s death, mentioning the probability that a claim would be made under the policy, and discussing a date for an autopsy. On July 30, plaintiff’s attorney-again wrote the Company briefly outlining the facts leading to the death and claiming [650]*650payment of the face value of the policy. The attorney also asked reimbursement for a part of the pathologist’s fee for the autopsy, which was attended by a doctor on behalf of the Company. On August 25; plaintiff sent to the Seattle agent of the Company a sworn statement setting forth the facts of the exertion and death and claiming payment under the policy. The court decided that as a matter of law proper notice had been given and proof of loss furnished under the policy, and the jury was instructed to that effect.

Appellant-Company specifies as error the denial of its motions for dismissal, for directed verdict, and for the entry of judgment in favor of appellant or in the alternative for a new trial. Appellant also questions the admission of evidence offered by appellee. Specifically, appellant urges that notice of injury to the Company, as given herein, was not sufficient as a matter of law and that certain evidence was improperly admitted as part of the res gestae.

There is no question that compliance with the notice provisions of the insurance policy is a condition precedent to recovery herein. Hanley v. Occidental Life Ins. Co., 164 Wash. 320, 2 P.2d 636, 641; Buckley v. Massachusetts Bonding & Ins. Co., 113 Wash. 13, 192 P. 924, 932. The terms of the policy are very simple, requiring merely “written notice of injury on which claim may be based” “with particulars sufficient to identify the insured” within twenty days after the accident.

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Bluebook (online)
141 F.2d 648, 1944 U.S. App. LEXIS 3759, Counsel Stack Legal Research, https://law.counselstack.com/opinion/standard-accident-ins-v-heatfield-ca9-1944.