Westmoreland v. Preferred Acc. Ins.

75 F. 244, 1896 U.S. App. LEXIS 2773
U.S. Circuit Court for the Northern District of Georgia·Decided June 5, 1896·Published·Cited by 15 cases

Opinion

NEWMAN, District Judge.

The plaintiff brings her suit on an accident insurance policy issued to her husband by the defendant company. The insured died on the 12th day of July, 181)5. The case is now' heard on a demurrer which is interposed on the ground that the declaration sets forth no cause of action. The case, as made by ¡he declaration and the amendments thereto, is this: A policy of insurance, issued to (he insured in his lifetime, and which was in force at. the tune of Ms death, granted Mm insurance, in the sum of $5,000, in consideration of certain annual premiums, against death from bodily injury caused solely by external, violent, and accidental means. ' By the terms of the policy it was stipulated ¡hat títere should bo no liability on the part of the company in case of death from certain enumerated causes, — among them, “injury, fatal or nonfatal. resulting from * * anything accidentally or otherwise taken, administered, absorbed, or inhaled”; also, “death * resulting, either directly or indirectly, wholly or in part, from * ':t' * medical or surgical treatment.” The death of the insured occurred in this way: He was suffering from protruding piles, and it was necessary to replace the same. To relieve him from the pain this would cause, a competent physician proceeded, in a proper way, to administer chloroform in a proper quantity. Before tin1 insured was under the influence of the chloroform, but from it and an unknown cause combined, lie suffocated, became black in the face, gasped, and died. It is alleged that death would not have resulted from the action of the chloroform alone, but it was from the co-operation of the known cause — chloroform acting in an unusual and unexpected way — and an unknown cause that death resulted.

in the first place, waiving for the moment the exceptions in the policy, was the death the result of “bodily injury caused solely b,v external, violent, and accidental means”? While it is true that the policy will be given a construction favorable to the insured, so far as is consistent with the ordinary and usual meaning of the Í erms employed, still it is incumbent on the beneficiary bringing suit on the policy to show (hat the cause of death was such as would bring it within the language of the policy, so construed. Insurance Co. v. McConkey, 127 U. S. 661, 8 Sup. Ct. 1360. Conceding that the external violence need not necessarily be force from with[246] out, such as a fall or a blow, but would embrace death from suck causes — If not expressly excepted in the policy — as the accidental inhalation of illuminating gas (Bayless v. Insurance Co., Fed. Cas. No. 1,138), or from a piece of beefsteak passing accidentally into the windpipe (Accident Co. v. Reigart [Ky.] 23 S. W. 191), still it would require quite a broad and liberal construction of this expression to extend it to the.cause of death in his case. The language of the policy is, “Caused solely by external, violent, and accidental means”; and-the statement in the declaration here is that death did not result solely from the known cause, — that is, thé administration of chloroform, — but that “death was not caused by its. administration, nor by said disease, but was caused by something to petitioner unknown, in conjunction with the unusual and unforeseen action of chloroform; and that said chloroform would not have produced death, except for the intervention and co-operation of said unknown cause.” So that if even the action of the chloroform, operating in an unusual, unexpected, and unforeseen way, could be said to be external, violent, and accidental means, it was not the sole cause-of death. But does the co-operation of an unknown cause with a known cause strengthen the plaintiff’s case? Certainly it will not be contended that under a policy like this there can be a recovery where the case stands entirely on death from an unknown cause. It is incumbent on the plaintiff in such a suit to show that death resulted from “external, violent, and accidental means,” and, in order to do this, show death in a particular way which comes within this language. The unknown cause might be one of the very things against which the company did not intend to insure. The policy is limited in its scope, and the cause of death must come within the limitation. It seems, therefore, that the combination of an unknown cause of' death with a known cause, which was not the sole cause- of death, and which of itself would not have had such result, could not make any stronger case of liability than either of the two considered separately.

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Westmoreland v. Preferred Acc. Ins., 75 F. 244, 1896 U.S. App. LEXIS 2773 (circtndga 1896).

75 F. 244 (Westmoreland v. Preferred Acc. Ins.) — published by Counsel Stack Legal Research, free access to 12M+ legal documents.

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