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Benson v. Insurance Co.

North Carolina Court of Appeals
Nov 1, 1974
209 S.E.2d 362 (N.C. Ct. App. 1974)

Opinion

No. 7418DC459

Filed 6 November 1974

1. Trial 40 — consent to issue — waiver of objection Defendant cannot complain of an issue which he agreed could be submitted to the jury.

2. Insurance 14 — life insurance — double indemnity — intoxication — causal relation to death — instructions In an action to recover under double indemnity provision of a life insurance policy, the trial court should have charged the jury that a provision excluding such coverage for a death resulting from "injuries sustained by the insured while intoxicated" would preclude liability even though there was no causal relation between the intoxication and death.

APPEAL by defendant from Haworth, District Judge, 12 November 1973 Session of GUILFORD County District Court. Argued in the Court of Appeals on 26 August 1974.

Clark, Tanner Williams, by W. Fred Williams, Jr., for plaintiff appellee.

Battle, Winslow, Scott Wiley, by Robert L. Spencer, for defendant appellant.


Plaintiff brought this action to recover $2,000.00 allegedly owed to plaintiff-beneficiary on the basis of a life insurance contract between the insured, Carrie Benson, and defendant.

The policy provides that defendant will pay the named beneficiary $1000.00 upon proof of the insured's death. Additionally, it provides that in the event of death by accidental means the defendant will pay an amount equal to twice the amount then payable at death. According to the policy, this provision for an additional amount does not cover:

"death (1) occuring (sic) while any premium on this policy is in default beyond the grace period, (2) occuring (sic) before the Insured attains age 1 or after he attains age 70, (3) occuring (sic) more than ninety days after the bodily injuries were sustained, (4) resulting from injury sustained before the date of issue of this policy, (5) resulting from suicide while sane or insane, (6) resulting from participation in an assault, riot or felony, (7) resulting directly or indirectly from, or contributed to by bodily or mental infirmities or disease in any form, or from medical or surgical treatment thereof, (8) resulting from operating or riding in or descending from any kind of aircraft, if the Insured is a pilot, officer, or member of the crew of such aircraft or is giving or receiving any kind of training or instruction or has any duties aboard such aircraft or duties requiring descent therefrom, or (9) resulting from insurrection or war, declared or undeclared, or any act attributable thereto, whether or not the Insured is in military or naval service, (10) injuries sustained by the Insured while intoxicated."

The parties stipulated that the policy was in full force on the date of the insured's death and that defendant had paid $1000.00 with interest to plaintiff without prejudice to plaintiff's claim for an additional $1000.00. Defendant's evidence indicated the following things. On 23 April 1972, a fire occurred at the home of the insured resulting in the death of the insured due to smoke inhalation. A sample of the insured's blood indicated a .19% alcohol content. Defendant's motion for a directed verdict at the close of all the evidence was denied.

The jury answered the questions submitted by the trial judge as follows:

"1. Did the death of Carrie Lee Benson on April 23, 1972, result directly and independently of all other causes from bodily injuries effected solely through external, violent and accidental means?

Answer: Yes.

2. Was Carrie Lee Benson, at the time of her death, on April 23, 1972, intoxicated?

Answer: Yes.

3. If Carrie Lee Benson was intoxicated at the time of her death, did such condition exclude her beneficiary from recovering the accidental death benefits set out in insurance policy #1304876, issued to the deceased by the defendant?

Answer: No.

4. Is the plaintiff entitled to recover $1000.00 or $2000.00 from the defendant?

Answer: $2000.00."

Defendant's motion for judgment notwithstanding the verdict was denied.


Defendant argues the trial court erred in submitting question three to the jury. However, the record shows the trial court merely submitted issues to the jury to which both parties had agreed. An objection and exception to the form of an issue or to its submission to the jury comes too late when taken after the jury has rendered its verdict upon the issue. Yandle v Yandle, 17 N.C. App. 294, 193 S.E.2d 768 (1973). Not only did defendant not object to the issue under consideration, he, in fact, agreed to it. Defendant will not be heard to complain now. Duke v. Insurance Co., 22 N.C. App. 392, 206 S.E.2d 796 (1974).

However, we are of the opinion that the trial court committed prejudicial error in its application of the law to the facts. Even though a party is bound by his consent to the submission of an issue, he is entitled to a correct charge thereon. Duke v. Insurance Co., supra. While the trial court instructed the jury with regard to the interpretation of an insurance contract, there is no mention of the effect of an exclusionary clause upon the liability of an insurer. In Ritchie v. Travelers Protective Association, 203 N.C. 721, 166 S.E. 893 (1932), the Court interpreted language precluding coverage "when or while a member is in any degree under the influence of intoxicating liquor or liquors or of any narcotic or narcotics. . . ." The Court held that such language precluded liability of the insurance company even though intoxication was not causally connected to the injury. "As to whether there must be a causal connection between the insured's injury or death and the intoxication, the courts have held with practical unanimity that wherever the insurer is released from liability in cases of injury or death `while' intoxicated . . . the insurer is exonerated if injury or death occurs while the insured occupies the forbidden status. In other words, no causal relation between the two events need be shown." 44 Am. Jur.2d, Insurance, 1290, p. 138.

Defendant is entitled to a new trial. Since there must be a new trial, we call attention to the following statement. "As a general rule, the construction and effect of a written contract of insurance is a matter of law, to be determined by the court and not by the jury, where there is no occasion to resort to extrinsic evidence for the purpose of resolving an ambiguity." 1 Couch on Insurance 2d 15:3, p. 638-639.

New trial.

Chief Judge BROCK and Judge MORRIS concur.


Summaries of

Benson v. Insurance Co.

North Carolina Court of Appeals
Nov 1, 1974
209 S.E.2d 362 (N.C. Ct. App. 1974)
Case details for

Benson v. Insurance Co.

Case Details

Full title:WILLIAM T. BENSON v. COASTAL PLAIN LIFE INSURANCE COMPANY

Court:North Carolina Court of Appeals

Date published: Nov 1, 1974

Citations

209 S.E.2d 362 (N.C. Ct. App. 1974)
209 S.E.2d 362

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