White v. Standard Life & Accident Insurance

103 N.W. 735, 95 Minn. 77, 1905 Minn. LEXIS 621
CourtSupreme Court of Minnesota
DecidedJune 2, 1905
DocketNos. 14,267—(102)
StatusPublished
Cited by57 cases

This text of 103 N.W. 735 (White v. Standard Life & Accident Insurance) is published on Counsel Stack Legal Research, covering Supreme Court of Minnesota primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
White v. Standard Life & Accident Insurance, 103 N.W. 735, 95 Minn. 77, 1905 Minn. LEXIS 621 (Mich. 1905).

Opinions

BROWN, J.2

Action to recover upon an accident insuiance policy, in which plaintiff had a verdict in the court below, and defendant appealed from an order denying its alternative motion for judgment nothwithstanding the verdict, or for a new trial.

The facts are as follows: Lewis E. Pixley on December 6, 1900, made written application to defendant for an accident insurance policy, in which he appears to. have represented to the company that he was not then suffering from any bodily disease or infirmity. He was in fact afflicted with diabetes, and so expressly informed the agent of defendant who solicited, and to whom the application was delivered. The agent stated to Pixley at the time, the application was made that the fact that he was suffering from diabetes was unimportant, and he (the agent) failed to record the fact in the application. A policy was subsequently issued by the company upon the application so made, for which Pixley paid the. premium demanded. Thereafter, on December 6, 1901, at the expiration of the period covered by the policy, defendant renewed the same, but without requiring a new application; the renewal policy being issued at the instance of Pixley and plaintiff, who was then the local agent of defendant, upon the daily feport of the agent to whom the original application had been made. On October 26, 1902, during the life of the renewal policy, Pixley received an injury to one of his thumbs, as the result of an accident, and died within ten days thereafter. This action was brought by plaintiff, beneficiary in the policy, on the claim and contention that the injury to Pixley was the direct and proximate cause of his death, and that the policy covered a death so caused. At the trial in the court Ijjdow, both parties requested an instructed verdict. Plaintiff's request was granted upon the theory that there were no issues for the jury to pass upon.

It is contended by defendant on this appeal that, on the undisputed evidence shown in the record, plaintiff is not entitled to recover, and that the court below should have directed a verdict in its favor. This, contention is based upon two grounds: (1) False representations, and statements alleged to have been made by Pixley in his application for insurance; and (2) that defendant is not liable under the [79]*79policy because it appears conclusively that the death of Pixley was due in part to diabetes, a bodily infirmity existing when the policy was issued, and at the time of the accident and injury — a condition from which the policy exempts defendant from liability.

The first point was decided adversely to defendant in the case of Whitney v. National Masonic Accident Assn., 57 Minn. 472, 59 N W. 943. It appears in this case, as it appeared in that one, that, though the insured was afflicted with a bodily infirmity and disease at the time his application was made, he expressly informed the agent of the insurance company of the fact,‘and there is no intimation in the record-of any fraud or attempted concealment of the information from the insurance company on the part of the insured. The company is therefore liable if the death of Pixley comes within the terms and conditions of the policy, and we pass to that question without further remark on the subject of alleged false or fraudulent statements.

The policy, among other things, provided as follows:

The Standard Life & Accident Insurance Co. * * * hereby insures Lewis E. Pixley * * * against loss of time resulting from bodily injuries caused solely * * * by external, violent and accidental means * *■ * (5) If death results solely from such injuries as the proximate cause thereof within ninety days, the said company will pay the principal sum of two thousand dollars to Henrietta N. White, his sister, if living * * * (8) This insurance does not cover disappearance * * * nor in event of accident or death * * * resulting wholly or partly, directly or indirectly from bodily or mental infirmity, or disorder, or disease in any form.

While the rule is thoroughly settled that policies of this and like character are to be construed liberally, and that ambiguous provisions or those capable of two constructions should be construed favorably to the insured and most strongly against the insurer, plain, explicit language cannot be disregarded, nor an interpretation given the policy at variance with the clearly disclosed intent of the parties. Taking the policy in the case at bar by its four corners, it will admit of but one construction. It provides, in language quite plain, that the company [80]*80insures against injury or death from accidental causes, except where death results “wholly or partly, directly or indirectly,” from some bodily disease or infirmity. Similar policies have been before both the state and federal courts, and ,the consensus of judicial opinion is that, subject to the exceptions contained in the policy, if the injury be the proximate cause of death, th'e company is liable, but, if an injury .and an existing bodily disease or infirmity concur and co-operaté to that end, no liability exists. If, however, the injury be the cause of the infirmity or disease — if the disease results and springs from the injury —the company is liable, though both co-operate in causing death. The distinction made in this particular is found in that class of cases where the infirmity or disease existed in the insured at the time of the injury, and, on the other hand, that class of cases where the disease was ■caused and brought about by the injury. And even in cases where the Insured is afflicted at the time of the accident with some bodily disease, if the accidental injury be o'f such a nature as to cause death solely and independently of the disease, liability exists. The rule of proximate cause, ás applied to actions of negligence, cannot be applied in its full .scope to contracts of this nature. 1 Cyc. 273.

But for the express reservation contained in this policy, the injury here complained of would, applying the ordinary rule of proximate cause, very properly be held the direct and primary cause of Pixley’s ■death; but the fact that he was afflicted with diabetes at the time, which was aggravated by the injury and contributed to his death, removes the case from that rule, and brings it within the exceptions of the policy. 1 Cyc. 262; Freeman v. Mercantile Mut. Acc., 156 Mass. 351, 30 N. E. 1013.

The rule is clearly stated by Judge Sanborn in National Masonic Acc. Assn. v. Shryock, 73 Fed. 774, 20 C. C. A. 3, as follows: “The burden of proof was upon the defendant in error to establish the facts that William B. Shryock sustained an accident, and that that accident was the sole cause of his death, independently of all other causes. If Shryock suffered such an accident, and his death was caused by that alone, the association agreed, by 'this certificate, to pay the promised indemnity. But if he was affected with a disease or bodily infirmity which caused his death, the association was not liable under this certificate, whether he also suffered an accident or not. If he sustained an [81]*81accident, but at the time it occurred he was suffering from a preexisting disease or bodily infirmity, and if the accident would not have caused his death if he had not been affected with the disease or infirmity, but he died because the accident aggravated the effects of the disease, or the disease aggravated the effects of the accident, the express contract was that the association should not be liable for the amount of this insurance.

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Bluebook (online)
103 N.W. 735, 95 Minn. 77, 1905 Minn. LEXIS 621, Counsel Stack Legal Research, https://law.counselstack.com/opinion/white-v-standard-life-accident-insurance-minn-1905.