State Ex Rel. Prudential Insurance Co. of America v. Shain

127 S.W.2d 675, 344 Mo. 623, 1939 Mo. LEXIS 622
CourtSupreme Court of Missouri
DecidedMay 2, 1939
StatusPublished
Cited by31 cases

This text of 127 S.W.2d 675 (State Ex Rel. Prudential Insurance Co. of America v. Shain) is published on Counsel Stack Legal Research, covering Supreme Court of Missouri primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
State Ex Rel. Prudential Insurance Co. of America v. Shain, 127 S.W.2d 675, 344 Mo. 623, 1939 Mo. LEXIS 622 (Mo. 1939).

Opinion

*626 DOUGLAS, J.

This is an original proceeding in certiorari to review for conflict the respondents’ decision in the case of Mary Gasperino, Appellant, v. The Prudential Insurance Company of America, a Corporation, Respondent, 107 S. W. (2d) 819.

The plaintiff is the beneficiary in an insurance policy which contains a provision for “double indemnity” in case the insured’s death was the result of an accident. The insured died of typhoid fever. Plaintiff has sued for the additional indemnity claiming the death was the result of accidental means and therefore covered by the policy. The facts are undisputed and judgment on the pleadings was rendered for the defendant.' On appeal, the Kansas City Court of Appeals reversed the judgment of the trial court.

During the hot weather in July the insured found the tap water, which was piped to his home from the city waterworks in Lexington, warm and unpalatable so he drank the cool and refreshing water from an old, unused well in his backyard. Unknown to him there were typhoid germs in the well water. Pie soon took to his bed with typhoid fever. He suffered the usual effects of the disease such as diarrhea, passing blood, swollen mouth, lips and tongue, cracked and blackened lips, swelling in his abdomen and finally delirium. He died. The parties admit that he died solely of typhoid fever and that it is a specific, infectious disease and cannot be,contracted through a bruise or wound, but can only be contracted by being taken into the alimentary canal with food or drink containing typhoid germs.

Plaintiff claims under the following provisions of, the policy:

‘ ‘ The, amount of Accidental Death Benefit specified . . . shall be payable . . . immediately upon receipt of due proof that the death .of the Insured occurred .. . ,. as a result, directly and independently .of all other causes, of bodily injuries, effected solely through external, violent and accidental means, of which . . . there, is a yisible contusion or wound on the exterior of the body, . . . provided, however, that no Accidental Death Benefit shall be payable if the death of the Insured- resulted . , . . directly or indirectly from . . . disease in any form. ’ ’

In sustaining her claim under such provisions the respondents held that the taking of the germs was accidental,, the germs were an external means producing violent injury resulting in death; the *627 cracked lips constituted the visible contusion or, wound on the exterior of the body; and that the provision excluding death from disease must be construed not to apply in this .ease because the disease followed or was incidental to accidental bodily injuries caused by the germs. Relator contends.in so construing the policy the respondents gave to plain and unambiguous language an unusual and unnatural meaning.

On certiorari the- question whether the decision of the Court of Appeals is correct on the merits is, of course, no proper concern of this Court. This Court has not previously considered the particular question decided by respondents. Therefore, the sole issue in this proceeding is whether, in construing the language of the policy, the Court of Appeals’, opinion conflicts with the controlling decisions of .this Court which hold that unambiguous language in an insurance policy is not open to construction, but must be given its plain meaning and be enforced as written. In deciding this issue we have' the right to, and we must, determine whether the language of the policy is ambiguous. [State ex rel. Metropolitan Life Insurance Co. v. Allen, 337 Mo. 525, 85 S. W. (2d) 469.] Where there is no ambiguity, there is no room for construction. Unequivocal language is to be given its plain meaning though found in an insurance contract. [State ex rel. New York Life Insurance Co. v. Trimble, 306 Mo. 295, 267 S. W. 876.] This is so even when considering a restrictive provision of a policy. [Wendorff v. Missouri State Life Insurance Co., 318 Mo. 363, 1 S. W. (2d) 99.] Needless to say, we are confined to our own decisions in reviewing for conflict, but in determining whether the language of a policy is ambiguous, since we have not previously considered the same or similar language, we may look to the decisions of other states. This is for the reason that the rule is settled throughout the nation as well as in this State that the terms of. a contract of insurance; like other contracts, ought to be taken, understood and given effect in their plain, ordinary and popular sense.

In deciding if the “double indemnity” provision of the policy covered this case, the respondents had two questions to determine. The first: Was the death of the insured from typhoid fever contracted by drinking water, which ■ contained without his knowledge typhoid germs, the result, directly and independently .of .all other causes, of bodily injuries effected solely through external, violent and accidental means of which there Was a visible contusion- or wpund on the exterior of the body? It would be impossible to reconcile all the cases which have considered whether death was. the result of-external, violent and accidental means. Taking each word separately, so many interpretations and so varied applications of them can be found in our various state jurisdictions and in England that one may piece together an interpretation of the whole so as to present almost any desired result. As applied to typhoid fever, where policies did not expressly exclude death from disease, we find cases holding that death from such cause *628 was covered under a policy indemnifying for accidental death. One of them, strongly relied on by respondents, is Christ v. Pacific Mutual Life Insurance Company, 312 Ill. 525, 144 N. E. 161. Other cases have held death from typhoid to be an accident under Workmen’s Compensation Acts. [John Rissman & Sons v. Industrial Commission, 323 Ill. 459, 154 N. E. 203; Wasmuth-Endicott Co. v. Karst, 77 Ind. App. 279, 133 N. E. 609; Ames v. Lake Independence Lumber Company, 226 Mich. 83, 197 N. W. 499; Vennen v. New Dells Lumber Company, 161 Wis. 370, 154 N. W. 640.] Some cases have held death from typhoid or other disease to be accidental under - policies - whose purpose was to protect an employer from all tort liability because of accidents to his employees. [Hood & Sons v. Maryland Casualty Company, 206 Mass. 223, 92 N. E. 329, 30 L. R. A. (N. S.) 1192; Aetna Life Insurance Co. v. Portland Gas & Coke Co., 229 Fed. 552, L. R. A. 1916D, 1027.] Death caused by poison in food or drink has been widely held to be an accident. [O’Connor v. National Life Insurance Co., 208 Mo. App. 46, 232 S. W. 218; Zurich General Accident & Liability Insurance Co. Ltd. of Zurich, Switzerland, v. Flicklinger, 33 Fed. (2d) 853.] Under such conditions we cannot consider this first question because in certiorari we may not substitute our judgment for that of respondents. Therefore, we expressly do not pass on the conclusion that in the- ordinary sense of the words contracting an infectious disease through the normal consumption of water (or food or air) infected with bacilli which cause a disease, is the suffering of bodily injuries from accidental-means.

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127 S.W.2d 675, 344 Mo. 623, 1939 Mo. LEXIS 622, Counsel Stack Legal Research, https://law.counselstack.com/opinion/state-ex-rel-prudential-insurance-co-of-america-v-shain-mo-1939.