Thompson v. Prudential Insurance Co. of America

66 S.E.2d 119, 84 Ga. App. 214, 1951 Ga. App. LEXIS 662
Court of Appeals of Georgia·Decided June 28, 1951·No. 33444, 33445·Published·Cited by 42 cases

Opinion

MacIntyre, P. J.

The factor which will be determinative of the question of whether the trial court erred in directing a verdict for the defendant in this case is the interpretation to be placed upon the term “accidental means” as used in the double-indemnity provision of insurance- policies providing for such payment where death results “independently of all other causes, from bodily injuries caused solely by external, violent, and accidental means.”

A consideration of the literally hundreds of cases where the courts have sought to construe such provisions in policies of insurance and interpret “accidental means” brings one to the sharp realization of the great truth in Justice Cardozo’s warning, “The attempted distinction between accidental results and accidental means will plunge this branch of the law into a Serbonian Bog.” The cases are in irreconcilable conflict. For a few of the cases, see 7 A.L.R. 1131; 14 A.L.R. 788, 35 A.L.R. 1191; 42 A.L.R. 243; 45 A.L.R. 1528; 71 A.L.R. 1437; 111 A.L.R. 628; 5 L.R.A. (N.S.) 657; L.R.A. 1915E, 127; L.R.A. 1916B, 1021; Ann. Cas. 1916 C, 579; and Ann. Cas. 1917 A, 88.

*217 In Aetna Life Insurance Co. v. Kent, 73 Fed. 2d, 685, 686, Judge Moorman, in an effort", evidently, to bring some order out of chaos, has this to say: “There can be no doubt that there is much confusion in these decisions. Analyses can be of no assistance in harmonizing them or formulating a body of criteria by which all of them can be justified. Most of them rely upon United States Mutual Accident Ass’n. v. Barry, 131 U. S. 100 (9 S. Ct. 755, 33 L. ed. 60). Some of the courts relying upon this case seem to have construed ‘accidental means’ as including an intentional act effecting an unusual or unexpected consequence or result. Among the earliest of these decisions, often cited, is Western Commercial Traveler’s Ass’n v. Smith (C. C. A.) 85 F. 401, 40 L.R.A. 653. Other courts have drawn a distinction between accidental injury or death and injury or death resulting from accidental means, by looking in the former case to the result, and in the latter to the means. Landress v. Phoenix Ins. Co., 291 U. S. 491, 54 S. Ct. 461, 78 L. ed. 934, 90 A.L.R. 1382; affirming the decision of this court, 65 F. (2d) 232, is an authoritative and conclusive approval of this distinction. The courts áccepting it have generally held that where an injury is the result of a voluntary act, in the performance of which there was a ‘slip or mishap,’ it is to be regarded as having been caused by accidental means. Cf. Maryland Casualty Co. v. Massey, 38 F. (2d) 724 (6 C. C. A.). Many courts have held too, that the means are accidental if the doer of the voluntary act was ignorant of a material fact or circumstance which would have caused him, had he known it, to do the act differently or not do it at all. Cf. Pope v. Prudential Ins. Co., 29 F. (2d) 185 (6 C. C. A.). It has been said, though, that the doer of a voluntary act is chargeable with knowledge of the obvious and that which is usual or to be expected, and although he was ignorant of- a material fact or circumstance, if he might have known of it by the exercise of ordinary care it cannot be relied upon to effect accidental means. . . In their application there will be cases, no doubt, in which the courts will feel that the facts and circumstances require a finding that the unknown elements were so clearly without the realm of reasonable anticipation .as to exclude an hypothesis for accidental means.” . '\i

*218 “An effect which is the natural and probable consequence of an act or course of action is not an accident, nor is it produced by accidental means. It is either the result of actual design, or it falls under the maxim that every man must be held to intend the natural and probable consequence of his deeds.” Western Commercial Traveler’s Ass’n v. Smith, supra. This latter rule, while perhaps not always so cogently expressed, is, in the final analysis, the rule which has been applied in Georgia in that line of cases where it is held: “In order for a plaintiff to recover under a double-indemnity provision of an insurance policy for death resulting, independently of all other causes, from bodily injuries caused solely by external, violent, and accidental means, it is incumbent upon him to show that in the act which preceded the injury alleged to have caused the death of the insured something ‘unforeseen, unexpected, or unusual occurred.’ Fulton v. Metropolitan Insurance Co., 19 Ga. App. 127 (2) (91 S. E. 228); Johnson v. Aetna Life Insurance Co., 24 Ga. App. 431 (101 S. E. 134); Continental Casualty Co. v. Rucker, 50 Ga. App. 694, 695 (179 S. E. 269); American National Insurance Co. v. Chappelear, 51 Ga. App. 826, 829 (181 S. E. 808); Commercial Casualty Insurance Co. v. Mathews, 57 Ga. App. 446, 452 (195 S. E. 887); Atlanta Accident Asso. v. Alexander, 104 Ga. 709 (30 S. E. 939); United States Mutual Accident Asso. v. Barry, 131 U. S. 100 (9 Sup. Ct. 755, 33 L. ed. 60).” Green v. Metropolitan Life Insurance Co., 67 Ga. App. 520, 525 (21 S. E. 2d, 465); Metropolitan Life Insurance Co. v. Anglin, 66 Ga. App. 660 (19 S. E. 2d, 171).

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Thompson v. Prudential Insurance Co. of America, 66 S.E.2d 119, 84 Ga. App. 214, 1951 Ga. App. LEXIS 662 (Ga. Ct. App. 1951).

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