Lemay v. Life Ins. Co. of the Southwest

Decision Date16 June 1988
Docket NumberCiv. A. No. 87-0389-A.
Citation688 F. Supp. 1118
PartiesRuth LEMAY, et al. v. LIFE INSURANCE COMPANY OF THE SOUTHWEST.
CourtU.S. District Court — Western District of Louisiana

Gaharan & Wilson, Donald R. Wilson, Jena, La., for plaintiffs.

Provosty, Sadler & Delaunay, David P. Spence, David R. Sobel, Alexandria, La., for defendant.

RULING

NAUMAN S. SCOTT, District Judge.

Before us are Motions for Summary Judgment filed by defendant Life Insurance Company of the Southwest and by plaintiffs Ruth Lemay, Katherine Rene Lemay Morrison and Terrance Lane Lemay.

Plaintiffs filed this action against defendant for the proceeds of an accidental death policy issued by defendant to the insured, Samuel Alan Lemay, who died as the result of gunshot wounds. The fatal shots were fired by plaintiff Ruth Lemay, the decedent's wife and named beneficiary.

Defendant has declined to pay accidental death benefits and contends that because the insured's death resulted from his own aggressive attack, his death was not an "accident" for purposes of the policy. Plaintiffs challenge the applicability of defendant's asserted defense.1

Fed.R.Civ.P. 56(c) authorizes summary judgment when "the pleadings, depositions, answers to interrogatories, and admissions on file, together with the affidavits, if any, show that there is no genuine issue as to any material fact and that the moving party is entitled to a judgment as a matter of law." When a properly supported Motion for Summary Judgment has been made, the adverse party "must set forth specific facts showing that there is a genuine issue for trial." Fed.R.Civ.P. 56(e). The less plausible the plaintiff's claim, the "more persuasive" must be the evidence in the plaintiff's response. Matsushita Electronic Industrial Co. v. Zenith Radio Corp., 475 U.S. 574, 587, 106 S.Ct. 1348, 1356, 89 L.Ed.2d 538, 552 (1986). Accordingly, "the question whether summary judgment is appropriate in any case is one to be decided upon the particular facts of that case." First Nat'l Bank of Arizona v. Cities Service Co., 391 U.S. 253, 259, 88 S.Ct. 1575, 1577, 20 L.Ed.2d 569, 575 (1968).

Regardless, "the mere existence of some alleged factual dispute between the parties will not defeat an otherwise properly supported motion for summary judgment; the requirement is that there be no genuine issue of material fact." Anderson v. Liberty Lobby, Inc., 477 U.S. 242, 247-48, 106 S.Ct. 2505, 2510, 91 L.Ed.2d 202, 211 (1986). Thus, "where the record taken as a whole could not lead a rational trier of fact to find for the non-moving party, there is no `genuine issue for trial.'" Matsushita, 475 U.S. at 587, 106 S.Ct. at 1356, 89 L.Ed.2d at 552. Factual disputes that are "irrelevant or unnecessary" to the outcome of the action "will not be counted." Anderson, 477 U.S. at 247, 106 S.Ct. at 2509, 91 L.Ed.2d at 211. Inferences arising from the facts must be "reasonable in light of the competing inferences." Matsushita, 475 U.S. at 588, 106 S.Ct. at 1357, 89 L.Ed.2d at 553. Evidence which is "merely colorable" will not preclude a grant of summary judgment. Anderson, 477 U.S. at 249, 106 S.Ct. at 2510, 91 L.Ed. 2d at 212. To survive the motion, the plaintiff "must do more than simply show that there is some metaphysical doubt as to the material facts." Matsushita, 475 U.S. at 587, 106 S.Ct. at 1356, 89 L.Ed.2d at 552.

Under Louisiana law, "if the insured was the aggressor, and by his own act precipitated the difficulty which resulted in his death, then it cannot be said that it was effected through accidental means." Bernard v. First Nat'l Life Ins. Co., 248 So.2d 913 (La.App.1971) (citations omitted). See also Dugas v. Travelers Ins., 785 F.2d 550 (5th Cir.1986); Willis v. Willis, 287 So.2d 642 (La.App.1973). Thus, when the insured is the aggressor, there can be no recovery under his accidental death policy.

But, if the insured is a victim, his death may be deemed "accidental" and within the meaning of an accident policy. And an aggressor can become a victim: "Under certain circumstances an aggressor can lose that designation and become the victim, just as the initial victim can become the aggressor. This results whenever the original victim resorts to excessive violence and unnecessary force in repelling the assault of the original aggressor.... This is also the case when the original aggressor withdraws from the altercation and is thereafter killed by his adversary." Willis, supra at 646.

In order to assert the insured's aggressor-status as a bar to coverage, the insurer need not rely on an explicit exclusionary clause in the policy. Dugas, supra at 551. However, the insurer does bear the burden of proving by a preponderance of the evidence that its insured was the aggressor. Id. See Federal Rule of Evidence 302.

Both parties rely in their memoranda upon the depositions of Mrs. Lemay and Terrance Lane Lemay, the couple's son who also witnessed the insured's death. Plaintiffs and defendant do not so much dispute the evidence, but rather urge upon us "conflicting ultimate facts or conclusions." Fontenot v. Upjohn Co., 780 F.2d 1190, 1197 (5th Cir.1986).

The depositions establish unequivocally that the insured was the aggressor in the family altercation which led to his death. Deposition of Ruth Lemay, p. 34-5; Deposition of Terrence Lane Lemay, p. 25-6.2 However, plaintiffs insist that the testimony before us is "at best, inconclusive" in failing to prove whether the insured, although the initial aggressor, had become the victim at his death.3

Plaintiffs' insistence is wholly unconvincing. The testimony of the only two eye-witnesses indicates without doubt that the insured remained an aggressor, armed with a deadly weapon, as he pursued Mrs. Lemay down the hallway. Nor do we doubt that the insured contemplated a fatal ending to his pursuit. The eyewitnesses testify to no attempted withdrawal by the insured. Mrs. Lemay fired twice, but that alone did not transform the insured into a victim. See, e.g., Thom v. Metropolitan Life Ins. Co., 2 So.2d 269 (La.App.1941) (son shoots father three times). Mrs. Lemay testified that she "was still scared" and in fear for her life when she shot the second time. Deposition, p. 38. Plaintiffs cannot avoid summary judgment by raising uncertainties which the testimony belies. Plaintiffs cannot recover accidental death benefits in this matter.

Summary judgment for plaintiffs is DENIED. Summary judgment for defendant is GRANTED. An appropriate Judgment will issue.

DONE AND SIGNED at Alexandria, Louisiana, this 16th day of June, 1988.

1 Defendant also argues the applicability of an exclusionary clause in the policy which precludes payment if the "loss shall be contributed to directly or indirectly, by: ... any commission or attempted commission or sic felony by the insured." We need not reach this argument but note that the evidence before us amply supports a finding of specific intent to commit murder.

2 RUTH LEMAY:

Q: Where was Alan at that point? Was he still in the living room?

A: No. He was on his way towards me when Terry started screaming.

Q: How could you tell he was on his way towards you?

A: Because he was...

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    ...and his actions precipitate his death there can be no recovery under the policy." Id. at 580 ; see also Lemay v. Life Ins. Co. of Sw. , 688 F. Supp. 1118, 1119 (W.D. La. 1988) (accord). The insurer must prove by a preponderance of the evidence that the insured was the aggressor. Lemay , 688......
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