Wiecking v. Phœnix Mut. Life Ins.

116 F.2d 90, 1940 U.S. App. LEXIS 2566
CourtCourt of Appeals for the Seventh Circuit
DecidedNovember 30, 1940
DocketNo. 7343
StatusPublished
Cited by5 cases

This text of 116 F.2d 90 (Wiecking v. Phœnix Mut. Life Ins.) is published on Counsel Stack Legal Research, covering Court of Appeals for the Seventh Circuit primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Wiecking v. Phœnix Mut. Life Ins., 116 F.2d 90, 1940 U.S. App. LEXIS 2566 (7th Cir. 1940).

Opinion

SPARKS, Circuit Judge.

This action was brought to recover double indemnity benefits under two policies of insurance issued to Frederick A. Wiecking, now deceased. Appellee is the widow and beneficiary under those policies, and she claims that her husband’s death was caused solely by external, violent and accidental means.

The cause was tried to a jury upon a stipulation of facts, and oral testimony. Appellant moved for a directed verdict at the conclusion of appellee’s evidence, and also at the conclusion of all the evidence. These motions were overruled and a verdict was rendered for appellee. A motion for a new trial was overruled; judgment followed the verdict; and from that judgment this appeal is prosecuted.

Appellant had issued two policies of insurance to the decedent, one in 1933 and the other in 1935. Each was in the amount of $5,000, and each contained provisions calling for double the face amount upon satisfactory proof that the death of the insured resulted, directly and independently of all other causes, from bodily injury effected solely through external, violent and accidental means; and provided further that such injury was evidenced by a visible contusion or wound on the exterior of the body, except in case of drowning or of internal injury revealed by an autopsy. The double indemnity clause further provided that the company should have the right and opportunity" to make an autopsy where it was not forbidden by law, and that the double indemnity benefit should not be payable if the death of the insured resulted directly or indirectly from, or was contributed to by, physical or mental infirmity or disease. Both policies were in force when the insured died.

The death occurred on a hot, sultry afternoon in July, 1936, when the temperature was 93°, the humidity 42, and the wind velocity averaged six to seven miles an hour. The insured, after playing nine holes of golf in company with three other gentlemen, collapsed on the golf course and died there within a short time. The body was taken to the clubhouse and was there examined by a physician who merely determined that he was dead. He took no history of the case, and stated that he could not have determined the cause of his death. Later he stated to the undertaker that he did not know the cause of the death, but it must have been a heart attack. Later the defendant procured a statement from this doctor that the cause of the death was coronary occlusion. This was the cause of death inserted in the proof of death which plaintiff signed. She had no direct knowledge of the cause of her husband’s death, and signed the proofs [92]*92on the assurance of the defendant that in so doing she would not jeopardize her claim for double indemnity benefits for death by sunstroke. No doctor saw the deceased on the day of his death until after his death, no autopsy was performed, and his body was embalmed under a pressure system.

The proof of death was dated August 2, 1936, and demand was made only for the principal liability of $5,000 under each policy. Settlement was therefore made on August 6, 1936, of the single liability under both policies. At that time the defendant would not have paid double indemnity benefits if the proofs had shown death by sunstroke, because of the ruling in, Landress v. Phoenix Insurance Co., 291 U.S. 491, 54 S.Ct. 461, 78 L.Ed. 934, 90 A.L.R. 1382, which held that death by sunstroke while, playing golf was not caused by accidental means. Nor, under such circumstances, would it have asked for an autopsy. Plaintiff was advised of that ruling and did not, institute her claim for double indemnity until .after the decision of the United States Supreme Court in Erie R. R. Co. v. Tompkins, 304 U.S. 64, 58 S.Ct. 817, 82 L.Ed. 1188, 114 A.L.R. 1487, on April 25, 1938. Subsequently she demanded double indemnity of the company, and at its request furnished further proofs, showing death by sunstroke. The payment of double indemnity was refused, and this suit followed.

Up until the time of his fatal attack the insured had been in excellent health. There was substantial evidence to support the conclusion that the deceased died from sunstroke, and that his symptoms were not typical of either a heart attack or apoplexy. The principal question before us is whether, under the Indiana law, decedent’s death, under the circumstances set forth, can be said to have resulted, directly or independently of all other causes, from bodily injury effected solely through external, violent and accidental means; and that such injury was evidenced by a visible contusion or wound on the exterior of the body.

The courts of the United States differ in the decision of this question: See Annotations in 17 A.L.R. 1197; 61 A.L.R. 1197; and 90 A.L.R. 1387. However, under the ruling in Erie Ry. Co. v. Tompkins, supra, we are only concerned with the decision of the question by the courts of Indiana. The Indiana case having the most direct bearing on the question is that of Elsey v. Fidelity & Casualty Co., 187 Ind. 447, 120 N.E. 42, L.R.A.1918F, 646, which involved a claim arising out of a sunstroke. Claimant was insured under a policy which provided that a “sunstroke * *. * suffered through accidental means * * * shall be deemed a bodily injury within the meaning of the policy.” It contained no provision requiring that the injury be sustained through' external and violent means, and it limited its liability for sunstroke to one suffered through accidental means. The court in passing on the question of liability recognized these limitations. The facts there presented were that the insured, while going from the postoffice in Indianapolis to his place of employment, was riding in an open streetcar which- left the shady portion of the street, subjecting the insured, by reason of his position in the car, to the direct and indirect rays of the sun. It appeared that as he was about to-alight from the car at a place where there' was no shade, he suffered a sunstroke.. The court held that this particular sunstroke was caused by accidental means, but did not hold that all sunstrokes were accidents.

A few'years later, the same court’ elaborately analyzed and discussed the question of accidental death in a case presenting somewhat different facts, death resulting from rupture' of a blood vessel caused by over violent exertion in shaking down a furnace. Husbands v. Indiana Ass’n, 194 Ind. 586, 133 N.E. 130, 132, 35 A.L.R. 1184. In holding that accidental means and accidental result must concur in producing injury such as to bring it within the scope of a policy providing for liability for accidental injury, the court held that “death resulting from voluntary physical exertion or from intentional acts on the part of the insured is not accidental and not within the meaning of a contract like the one under consideration. * * * If the result is such as follows from ordinary means, voluntarily employed, in a not unusual or unexpected way, it cannot be called a result effected by accidental means. * * * But the courts of Indiana are committed, we think, to the doctrine that, so far as death is concerned, such a policy covers only cases where death resulted from bodily injury caused by the ‘accidental’ application of external violence, and not cases where an accustomed and habitual act, intentionally done in the [93]

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Bluebook (online)
116 F.2d 90, 1940 U.S. App. LEXIS 2566, Counsel Stack Legal Research, https://law.counselstack.com/opinion/wiecking-v-phnix-mut-life-ins-ca7-1940.