Olinsky v. Railway Mail Assn.
Olinsky v. Railway Mail Assn.
Opinion of the Court
—This is an action brought by the plaintiff, a beneficiary, to recover for death under an accident insurance certificate issued July 27, 1908, to Nathan Olinsky, by the defendant, a fraternal beneficial order. In 1913 certain by-laws were enacted by the association which were in force at the time of the death of the insured, which plaintiff claims modified the certificate. On June 19, 1915, while at a summer resort on the Russian River, the insured, who was then apparently in perfect health, entered the river for a swim. The only witness to the incident testified that he attempted to swim up-stream against a very strong current, and after swimming eight or ten strokes returned to the shore, bleeding from the mouth. The water was not more than four and a half feet deep and the deceased was five feet eight inches in height. There was no evidence of slipping or other similar accident. *671 The hemorrhage continued for some time and was followed by others. The insured was brought to San Francisco, placed in a hospital, and died on July 9, 1915. The cause of his death was the violent and successive 'hemorrhages which, so far as the evidence shows, began at the time mentioned.
The deceased had been suffering for some time with tuberculosis. From June 18, 1914, to July 28, 1914, he was an inmate of a sanitarium for tubercular patients, but had apparently fully recovered. However, the autopsy showed that he was suffering from tuberculosis at the time of his death.
There is no evidence of over-exertion other than the natural inference from the testimony that the deceased swam eight or ten strokes in the face of a very strong current in the river and immediately came ashore with a hemorrhage from the lungs, which in his condition might result from sudden and violent over-exertion. Under the evidence the verdict of the jury must be held to have established the inference that the death was the result of sudden and violent over-exertion at the time in question. It remains to be determined, in the absence of any other evidence as to accidental means of injury, whether this conclusion is sufficient to justify the verdict. It may be conceded that the evidence was sufficient to justify the verdict of the jury under the instruction of the court defining an accident or casualty as follows:
“A
casualty, something out of the usual course of events, and which happens suddenly and unexpectedly, and without any design on the part of the person injured.” This language being taken from
Richards
v.
Travelers’ Ins. Co.,
89 Cal. 170, 175, [23. Am. St. Rep. 455, 26 Pac. 762, 763], and covering what is known in accident insurance law as an accidental death, as differentiated from a death by accidental means. The jury was justified in finding that the first hemorrhage was accidental in the sense that it was “something out of the usual course of events, and which happens suddenly and unexpectedly and without any design on the part of the person injured,” but the insured was doing exactly what he intended to do, and if the contract of insurance is the same as there considered it brings the case within the principle of
Rock
v.
Travelers’ Ins. Co.,
172 Cal. 462, [156 Pac. 1029, L. R. A.
*672
1916E, 1196], where a pall-hearer in lifting a heavy casket down a narrow stairway collapsed and almost immediately died from acute dilatation of the heart due to over-exertion. The court there said: “Rock undertook to carry a heavy casket down a flight of stairs. In carrying it down he did not slip or stumble, nor did the casket fall against him. The entire operation was carried out in precisely the manner intended and designed by Rock. The exertion which he thus assumed was, however, beyond his strength and imposed upon his vital organs a burden which, as it turned out, they could not bear. The result of this exertion was a dilatation of the heart and death. On these facts, which appear in the record without substantial conflict, it cannot be said that the plaintiff sustained the burden which was- on her of proving that the death of the insured was caused by bodily injuries effected through accidental means.”
“3. If death result from such injuries alone within one hundred and twenty days,” or, to put it in the language of the authorities, the insurance is against death resulting from “accidental means” and not accidental death. (See
Postler
v.
Travelers’ Ins. Co.,
173 Cal. 1, [158 Pac. 1022].) But it is contended by respondent that by-law XVII, added in 1913, amended the contract of insurance so as to cover “accidental death,” as defined by the above cases. This section reads as follows: “Accidental death defined. Accidental death shall be construed to be either sudden violent death from external causes, not the result of the member’s own vicious conduct, or death within one hundred and eighty days from injuries received by accident alone.” The other provisions of the by-laws added after the certificate was issued to the insured, and relied upon by the respondent as a basis of recovery, and as a part of the contract of insurance, is as follows: “Upon suitable proof of the death by accident alone within one hundred and eighty days after the occurrence of such accident of any member of the beneficiary department of this association, the beneficiary named in the certificate of said member shall receive from the benefit fund the sum of four thousand dollars.” The pleadings admit that the by-laws were amended as alleged by the plaintiff, but deny that such by-laws were applicable to the decedent. No evidence was introduced to show such applicability, nor were the other by-laws offered in evidence. We are therefore under the necessity of determining the applicability of these by-laws without reference to such other-provisions or other evidence which might clarify their meaning. Article XVII defines the term “accidental death.” In the certificate of insurance issued to decedent we look in
*674
vain for the phrase ‘‘accidental death.” This hy-law, therefore, defining the term “accidental death” has no application either to the language or to the substantial effect of the certificate issued to the decedent. It may be that at the time of the amendment to the by-laws the appellant was issuing certificates in which the phrase “accidental death” was used, or article XVIII may have been adopted to interpret such phrase used elsewhere in the by-laws or in the constitution.
Judgment reversed.
Shaw, J., Olney, J., Angellotti, C. J., Lawlor, J., and Lennon, J., concurred.
Rehearing denied.
All the Justices concurred.
Reference
- Full Case Name
- WILLIAM OLINSKY, Respondent, v. RAILWAY MAIL ASSOCIATION, Appellant
- Cited By
- 29 cases
- Status
- Published