Sims v. Monumental General Ins. Co.

Decision Date11 May 1992
Docket NumberNo. 91-9529,91-9529
Citation960 F.2d 478
PartiesJulia Brumfield SIMS, Plaintiff-Appellant, v. MONUMENTAL GENERAL INSURANCE COMPANY, Defendant-Appellee. Summary Calendar.
CourtU.S. Court of Appeals — Fifth Circuit

Joe Arthur Sims, Hammond, La., Reuben I. Friedman, Sessions & Fishman, New Orleans, La., for plaintiff-appellant.

Covert J. Geary, Virginia W. Gundlach, Jones, Walker, Waechter, Poitevent, Carrere & Denegre, New Orleans, La., for defendant-appellee.

Appeal from the United States District Court for the Eastern District of Louisiana.

Before JONES, DUHE, and WIENER, Circuit Judges.

DUHE, Circuit Judge:

This case requires us to decide whether a man's hanging himself by the neck in order to restrict the flow of oxygen to his brain is an intentionally self-inflicted injury within the meaning of an exclusion to his insurance policy. We hold that he intentionally injured himself, even though he did not mean to kill himself, and that his death is not covered by the policy. The judgment of the district court is affirmed.

I.

The relevant facts are not disputed. William P. Brumfield was discovered strangled to death in his home. He hanged himself by the neck so the flow of oxygen to his brain would be restricted; he enjoyed this practice and its concomitant activities, 1 and he apparently had engaged in it several times before. This time, however, he died. The parties agree that his death was not the result of suicide, foul play, or natural causes.

Mr. Brumfield was covered by an insurance policy originally issued by Monumental Life Insurance Company and later assumed by Monumental General Insurance Company. The policy covers accidental death that does not result from intentionally self-inflicted injury. Julia Brumfield Sims, Mr. Brumfield's sister and the beneficiary under the policy, claims that $150,000 is due under the policy, but Monumental denied her claim on the grounds that Mr. Brumfield's death was not accidental and resulted from an intentionally self-inflicted injury.

Mrs. Sims sued Monumental. On cross-motions for summary judgment, the district court rendered judgment for Monumental. Sims v. Monumental Gen. Life Ins. Co., 778 F.Supp. 325 (E.D.La.1991). 2 Mrs. Sims now appeals.

II.

Summary judgment is appropriate if the record discloses "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." Fed.R.Civ.P. 56(c). In reviewing the summary judgment, we apply the same standard of review as did the district court. Waltman v. International Paper Co., 875 F.2d 468, 474 (5th Cir.1989); Moore v. Mississippi Valley State Univ., 871 F.2d 545, 548 (5th Cir.1989). The pleadings, depositions, admissions, and answers to interrogatories, together with affidavits, must demonstrate that no genuine issue of material fact remains. Celotex Corp. v. Catrett, 477 U.S. 317, 106 S.Ct. 2548, 91 L.Ed.2d 265 (1986). To that end we must "review the facts drawing all inferences most favorable to the party opposing the motion." Reid v. State Farm Mut. Auto. Ins. Co., 784 F.2d 577, 578 (5th Cir.1986). If the record taken as a whole could not lead a rational trier of fact to find for the nonmoving party, there is no genuine issue for trial. Matsushita Elec. Indus. Co. v. Zenith Radio Corp., 475 U.S. 574, 587, 106 S.Ct. 1348, 1356, 89 L.Ed.2d 538 (1986). Because we only need apply the unambiguous policy language to undisputed facts, this case is well suited to summary judgment.

III.

Mr. Brumfield's policy excludes "any loss resulting directly or indirectly, wholly or partly from: 1. Suicide or attempt thereat or intentionally self-inflicted injury occurring while sane or insane." 1 R. 121. The issue is whether Mr. Brumfield's death "result[ed] directly or indirectly, wholly or partly from ... [an] intentionally self-inflicted injury." The parties agree that Louisiana law applies in this diversity case.

In Louisiana, someone is said to have acted intentionally "where the actor entertained a desire to bring about the consequences that followed or where the actor believed that the result was substantially certain to follow." Bazley v. Tortorich, 397 So.2d 475, 481 (La.1981). Mr. Brumfield desired to partially strangle himself. The partial strangulation that he apparently achieved on previous occasions was intentional and self-inflicted. The only question is whether partial strangulation is an injury.

According to the undisputed opinion of Monumental's expert, the type of strangulation desired by Mr. Brumfield damages tissues in the neck and deprives the brain of valuable oxygen. 2 R. 242. If Mr. Brumfield came before this Court and proved that a robber had partially strangled him, we would have no trouble holding that Mr. Brumfield had been injured and that the robber should be held criminally liable. Two state supreme courts have so held. See State v. Schad, 470 P.2d 246, 250 (Utah 1970) (affirming second degree murder conviction because the victim's life was greatly endangered even though only partial strangulation was intended); State v. Schad, 163 Ariz. 411, 418, 788 P.2d 1162, 1169 (1989) (affirming death sentence partly based on same), aff'd sub nom. Schad v. Arizona, --- U.S. ----, 111 S.Ct. 2491, 115 L.Ed.2d 555 (1991). In the words of a court facing an issue identical to ours, "it continues to be an injury even when it is self-inflicted." Sigler v. Mutual Benefit Life Ins. Co., 506 F.Supp. 542, 545 (S.D.Iowa), aff'd, 663 F.2d 49 (8th Cir.1981).

That Mr. Brumfield only intended partial strangulation and did not intentionally kill himself does not avail Mrs. Sims. The policy in this case not only excludes suicide, but also any loss (including death) "resulting directly or indirectly, wholly or partly from ... [an] intentionally self-inflicted injury." Partial strangulation is an injury in and of itself. His death "result[ed] directly or indirectly, wholly or partly from" that intentionally self-inflicted injury.

An analogy is helpful. If Mr. Brumfield had been a member of a fraternal organization that required him to brand his forearm, and he did so, any loss arising from the branding would be excluded. For instance, although he only intended to burn the insignia of the organization onto his skin, he might unintentionally burn into his muscle and do serious damage to his arm. He intended some injury, but another, unintended injury resulted. The loss would not be covered by the policy at issue here.

Our decision is in accord with the Eighth Circuit's application of Iowa law to an identical case. Sigler, 663 F.2d 49 (affirming summary judgment for defendant). The Fourth Circuit has reached the same result in two cases decided under Virginia law, although that court held that the deaths were not accidental (an issue we do not...

To continue reading

Request your trial
30 cases
  • Matagorda County v. Russell Law
    • United States
    • U.S. Court of Appeals — Fifth Circuit
    • April 21, 1994
    ...that the moving party is entitled to judgment as a matter of law." Federal Rules of Civil Procedure 56(c). Sims v. Monumental General Ins. Co., 960 F.2d 478, 479 (5th Cir.1992). The pleadings, depositions, admissions, and answers to interrogatories, together with affidavits, must demonstrat......
  • Callaway v. MAMSI Life and Health Ins. Co.
    • United States
    • Court of Special Appeals of Maryland
    • June 26, 2002
    ...decrease in the oxygen level of the brain" is not a bodily injury "in the ordinary sense of the term"); Sims v. Monumental Gen. Ins. Co., 960 F.2d 478, 480 (5th Cir.1992) (applying Louisiana law and concluding that "partial strangulation" during autoerotic asphyxiation is an injury; recover......
  • Jefferson v. City of Hazlehurst
    • United States
    • U.S. District Court — Southern District of Mississippi
    • December 29, 1995
    ...could not find for the non-movant, there is no genuine issue for trial and summary judgment is appropriate. Sims v. Monumental General Insurance, 960 F.2d 478 (5th Cir. 1992); Celotex Corporation v. Catrett, 477 U.S. 317, 106 S.Ct. 2548, 91 L.Ed.2d 265 IV. DISCUSSION A. SECTION 1983 CLAIM T......
  • McLain v. Metropolitan Life Ins. Co., Civ. A. No. 92-4615 (AJL).
    • United States
    • U.S. District Court — District of New Jersey
    • March 26, 1993
    ...ingestion caused his death. Accordingly, the court granted summary judgment in favor of the plan. Id. See also Sims v. Monumental General Ins. Co., 960 F.2d 478 (5th Cir.1992) (unintentional death from autoerotic asphyxiation constituted "intentional self-inflicted injury" even though deced......
  • Request a trial to view additional results

VLEX uses login cookies to provide you with a better browsing experience. If you click on 'Accept' or continue browsing this site we consider that you accept our cookie policy. ACCEPT