Jones v. Liberty Nat. Life Ins. Co.

Decision Date21 April 1978
Citation357 So.2d 976
PartiesJohn C. JONES v. LIBERTY NATIONAL LIFE INSURANCE COMPANY. 77-135.
CourtAlabama Supreme Court

Wayne Johnson of Faulk & Johnson, Phenix City, for appellant.

Sydney S. Smith of Smith & Smith, Phenix City, for appellee.

EMBRY, Justice.

This appeal is by John C. Jones from judgment entered on a directed verdict in favor of Liberty National Life Insurance Company in Jones' action seeking additional indemnity under a Life insurance policy on account of the death of his wife allegedly resulting, directly and independently of all other causes, from bodily injury effected solely through external, violent and accidental means as evidenced by a visible wound or contusion on the exterior of the body.

The issue is whether death from cerebral anoxia and edema secondary to total airway obstruction due to aspirated vomitus as opposed to this condition resulting from food in the process of being eaten was the cause of death through external rather than internal means.

The policy under which Mrs. Jones was insured for additional indemnity provided for the payment of that additional indemnity for death resulting from accidental means in the event:

" * * * death * * * resulted, directly and independently from all other causes, from bodily injury effected solely through external, violent and accidental means as evidenced by a visible wound or contusion on the exterior of the body * * * "

A fair summary of the evidence pertinent to this appeal establishes that decedent was found alone and dead in a motel room in a supine position with the chain lock on the inside of the door engaged. An autopsy revealed that death resulted from total obstruction of the airway (trachea) from aspirated vomitus or food matter. The matter regurgitated was gastric contents. There was no evidence that death resulted from choking on or aspiration of food as it was being eaten or ingested.

The crucial question of law under the evidence is whether death occurring in the manner shown by the evidence resulted from external means. If not, then whether it was accidental, violent, and evidenced by a visible wound or contusion on the exterior of body is immaterial. O'Bar v. Southern Life & Health Ins. Co., 232 Ala. 459, 168 So. 580 (1936). The precise question of law posed by the facts in this case has not been considered by the appellate courts of Alabama so far as we can determine.

Where, as here, the language of the restrictive coverage is clear and unambiguous the rule of construction that favors the insured has no application and the policy will be enforced according to its terms as written. Green v. Merrill, 293 Ala. 628, 308 So.2d 702 (1975).

Undisputed medical evidence established the following:

"Q. Now, in your report, sir, you said that the examination of her stomach, you compared the contents of her stomach and the contents of the material that was blocking the trachea and that they seemed identical.

"A. Correct.

"Q. So I am asking you, does that mean that the contents that were in the trachea came from the stomach?

"A. That is my assumption.

"Q. So it was going out instead of coming in?

"A. Yes. This is why I felt reasonably confident in making the statement that this was vomitus aspirated rather than aspirated food. If I thought she had aspirated food that had been accidentally sucked into the airway during the process of eating, then I would have said 'food accidentally aspirated during eating,' or something like that.

"A. The thing that differentiates between gastric contents and food is that in the stomach there is a great deal of mucus and mucin that is produced, mixed with the food; and it goes on through the digestive absorptive process the food in the process of being chewed at the mouth only has saliva mixed with it. Saliva is usually very watery and has very little mucus with it. This did have a great deal of mucus and was similar in every respect to the material in the...

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4 cases
  • Spaid v. Cal-Western States Life Ins. Co.
    • United States
    • California Court of Appeals Court of Appeals
    • 23 Marzo 1982
    ...Life Ins. Company of New York (E.D.Va.1959) 175 F.Supp. 3, aff'd. per curiam 274 F.2d 431 (4th Cir. 1960); Jones v. Liberty National Life Insurance Co. (Ala.1978) 357 So.2d 976; Weaver v. Home Security Life Insurance Company (1973) 20 N.C.App. 135, 201 S.E.2d 63, 65; contra: Peoples Life In......
  • Wommack v. Shenandoah Life Ins. Co.
    • United States
    • U.S. District Court — District of South Dakota
    • 24 Julio 1979
    ...v. Mutual Life Insurance Co., 175 F.Supp. 3 (E.D.Va.1959), aff'd per curiam 274 F.2d 431 (4th Cir. 1960); Jones v. Liberty National Life Insurance Co., Ala., 357 So.2d 976 (1978); Stowmatt v. Volunteer State Life Insurance Co., Fla.App., 176 So.2d 563 (1965); Spott v. Equitable Life Insuran......
  • Century Companies of America v. Krahling
    • United States
    • Iowa Supreme Court
    • 13 Mayo 1992
    ...reason is that the body has internalized the substance that has, by then, lost its previous character. See, e.g., Jones v. Liberty Nat'l Life Ins. Co., 357 So.2d 976 (Ala.1978); Spott v. Equitable Life Ins. Co., 209 Cal.App.2d 229, 25 Cal.Rptr. 782 (1962); Weaver v. Home Sec. Life Ins. Co.,......
  • Liberty Nat. Life Ins. Co. v. Windham
    • United States
    • Alabama Supreme Court
    • 8 Julio 1988
    ...there was vomit on David's face and in his mouth. We addressed this precise issue for the first time in Jones v. Liberty National Life Insurance Co., 357 So.2d 976 (Ala.1978), a case almost identical to the present case. In Jones, the insured died from total obstruction of the trachea due t......
1 books & journal articles
  • Determining an Insurer's Duty to Defend
    • United States
    • Alabama State Bar Alabama Lawyer No. 74-4, July 2013
    • Invalid date
    ...as narrowly as possible, those rules have no application if the policy is unambiguous. See Jones v. Liberty Nat'l Life Ins. Co., 357 So. 2d 976, 977 (Ala. 1978); St. Paul Mercury Ins. Co. v. Chilton-Shelby Mental Health Ctr., 595 So. 2d 1375, 1377 (Ala. 1992). Policy language that is "reaso......

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