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    Mullen v. Pacific Mut. Life Ins. Co, 179 F.2d 556, 3rd Cir. (1950)

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    This case involves an appeal regarding an income insurance policy with an exception clause relating to military service. The plaintiff, Dr. Edward Mullen, became disabled after contracting scarlet fever and myocarditis while serving active duty in the U.S. Naval Reserve during World War II. The insurance company denied his claim based on the policy exception for disabilities resulting from sickness contracted during military service. The court examined Pennsylvania law and prior cases, finding that Pennsylvania courts generally apply exemption clauses as written when the language is clear. Therefore, the court affirmed the lower court's judgment for the insurance company, finding the policy exception applied based on the plain language.

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    Mullen v. Pacific Mut. Life Ins. Co, 179 F.2d 556, 3rd Cir. (1950)

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    This case involves an appeal regarding an income insurance policy with an exception clause relating to military service. The plaintiff, Dr. Edward Mullen, became disabled after contracting scarlet fever and myocarditis while serving active duty in the U.S. Naval Reserve during World War II. The insurance company denied his claim based on the policy exception for disabilities resulting from sickness contracted during military service. The court examined Pennsylvania law and prior cases, finding that Pennsylvania courts generally apply exemption clauses as written when the language is clear. Therefore, the court affirmed the lower court's judgment for the insurance company, finding the policy exception applied based on the plain language.

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    Filed: 1950-01-18 Precedential Status: Precedential Citations: 179 F.2d 556 Docket: 9933_1

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    This case involves an appeal regarding an income insurance policy with an exception clause relating to military service. The plaintiff, Dr. Edward Mullen, became disabled after contracting scarlet fever and myocarditis while serving active duty in the U.S. Naval Reserve during World War II. The insurance company denied his claim based on the policy exception for disabilities resulting from sickness contracted during military service. The court examined Pennsylvania law and prior cases, finding that Pennsylvania courts generally apply exemption clauses as written when the language is clear. Therefore, the court affirmed the lower court's judgment for the insurance company, finding the policy exception applied based on the plain language.

    Copyright:

    Public Domain
    Download as PDF or read online from Scribd
    Download as pdf
    12 views5 pages

    Mullen v. Pacific Mut. Life Ins. Co, 179 F.2d 556, 3rd Cir. (1950)

    Uploaded by

    Scribd Government Docs
    This case involves an appeal regarding an income insurance policy with an exception clause relating to military service. The plaintiff, Dr. Edward Mullen, became disabled after contracting scarlet fever and myocarditis while serving active duty in the U.S. Naval Reserve during World War II. The insurance company denied his claim based on the policy exception for disabilities resulting from sickness contracted during military service. The court examined Pennsylvania law and prior cases, finding that Pennsylvania courts generally apply exemption clauses as written when the language is clear. Therefore, the court affirmed the lower court's judgment for the insurance company, finding the policy exception applied based on the plain language.

    Copyright:

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    of 5

    179 F.

    2d 556

    MULLEN
    v.
    PACIFIC MUT. LIFE INS. CO.
    No. 9933.

    United States Court of Appeals Third Circuit.


    Argued November 10, 1949.
    Decided January 18, 1950.

    Leon Rosenfield, Philadelphia, Pa., for appellant.


    George T. Steeley, Philadelphia, Pa., for appellee.
    Before MARIS, GOODRICH and O'CONNELL, Circuit Judges.
    GOODRICH, Circuit Judge.

    This appeal presents a question of the effect, in an income insurance policy, of


    an exception clause having to do with service by the insured in the armed
    forces. Both sides moved for summary judgment in the court below. The trial
    judge rendered judgment for the defendant.

    In 1928, defendant insurance company issued a "non-cancellable income


    policy" to the plaintiff, Dr. Edward A. Mullen. The policy was delivered in
    Pennsylvania and the parties are agreed that the question in this case is one of
    Pennsylvania law.

    Paragraph 21 of the policy begins "This insurance does not cover * * *." 1 The
    clause with which we are immediately concerned is (3). It has to do with
    "disability resulting wholly or partly, directly or indirectly from (a) bodily
    injury sustained or sickness contracted while the Insured is engaged in military
    or naval service in time of war, (b) bodily injury or sickness caused by war or
    by any act of war. * *"

    Dr. Mullen was a medical officer in the United States Naval Reserve for

    several years prior to December 2, 1940. On that day he entered on active duty
    and was stationed, first, in Philadelphia, second, on the U.S.S. William P.
    Biddle, an assault transport, and third, at the United States Naval Training
    Station, Bainbridge, Maryland. While on duty at that station he contracted
    scarlet fever on March 16, 1945. On July 6, 1945, while still on duty at
    Bainbridge, he suffered what was diagnosed as an attack of acute myocarditis.
    As a result of this disease he is disabled. There is no doubt, we take it, that the
    Company is liable unless it is relieved of liability by the exception clause
    quoted above. The defendant says that this provision in the contract relieves the
    insurer from liability, while the plaintiff contends that the exclusion relates
    only to infirmities which result from military or naval service.
    5

    If this clause were looked at by a layman who could read intelligently we think
    there would not be the slightest doubt as to what result he would reach. The
    company promised to make certain payments if certain things happened to the
    insured. Then it is provided in the contract that the company is to be relieved if
    the disability insured against comes from a sickness contracted "while the
    insured is engaged in military or naval service in time of war." The language
    does not say anything about sickness resulting from service in the armed forces.
    Dr. Mullen was certainly engaged in the naval service. His illness certainy
    came at a time when the nation was at war. It may well be that if the Doctor,
    though a member of the reserves, had not been called into active duty he would
    not have been "engaged" in naval service. But his duties as a naval surgeon
    were just as much a part of war service as those of a gun crew on a fighting
    ship. As a matter of original impression, if the question were simply that of
    concluding what the parties contracted for in the language found in the policy,
    we would find it impossible to see any problem of semantics presented.

    If the question were as simple as that just stated we would have no lawsuit, or
    at least no appeal. But with regard to clauses like this, as well as nearly any
    other question involving the effect of an insurance contract, we find evidences
    of a great amount of litigation, with courts aligning themselves on the insured's
    or the insurer's side of the controversy. We think that the form the insurance
    contract has taken is responsible for much of this litigation. The policy in suit
    here has three pages of printed material, some of it in type smaller than eight
    point. Attached to the policy, and made a part of it, are four additional sheets.
    All of this, of course, is on a form supplied by the insurer. We think that what
    has happened in the course of the development of insurance law is that the
    insurers in their quantity of fine print have inserted provisions relieving
    themselves from obligations which premium payers not unreasonably think
    they are entitled to have performed, and feel as Macbeth felt about the
    representations of the weird sisters, that they

    "* * * keep the word of promise to our ear, and break it to our hope. * *"

    The policy as a legal document becomes something different from a protective


    plan of insurance which an insurance salesman sells to a policyholder.

    The consequence of this over-protection which the insurers give themselves is


    that courts are moved to find problems in interpretation of policies to overcome
    what would otherwise be the plain meaning of carefully selected language. That
    we think is illustrated in the divergence of view with regard to the legal effect
    of language as clear as that to be found in the insurance policy in the case
    before us.2

    10

    It is not our function in this litigation to rewrite the law of insurance. It is,
    rather, a much more modest one, namely, to find out as best we can what the
    Pennsylvania courts would say if confronted with the exact problem of this
    case. It is agreed by both sides that there is no Pennsylvania decision precisely
    upon the point. As Judge Arnold points out in a footnote to one of the
    Pennsylvania opinions, "decisions in other states are not of too much use" in
    interpreting clauses like this one.3 We think there is a good deal of importance
    to be found in the Pennsylvania Supreme Court decision in Urian v. Scranton
    Life Insurance Company, 1933, 310 Pa. 144, 165 A. 21. That was a case where
    an insurer had protected itself from double indemnity liability by stipulating
    that if the accidental death came from "poisoning" it was not to be responsible.
    Here, too, the court found contradictory decisions, with attempted distinctions
    between "poisoned" and "poisoning." Mr. Justice Simpson said that the court
    adhered to the rule that in case of doubt language should be resolved in favor of
    the assured. But he pointed out that in a number of cases elsewhere the court
    had created the doubt by a species of argument which would not be tolerated in
    any other kind of contract and then, having found the doubt, resolved it in favor
    of the insured. Speaking for the court, he said that the paramount rule is that
    where language is clear and unambiguous it cannot be construed to mean
    otherwise than what it says. And, he said, "we shall continue to adhere to it, so
    long as our judicial system provides for an interpretation of contracts made by
    the litigants, and not to the making of contracts for them."

    11

    There are several other Pennsylvania decisions from the Superior Court and the
    Courts of Common Pleas which deal with clauses exempting the insurer from
    liability under certain circumstances. The language in them varies as, of course,
    it must when opinions are written by judges with differing vocabularies and
    varying abilities to say precisely what they mean. But we find no trend in the
    Pennsylvania decisions which indicates that Pennsylvania courts do not apply
    the exemptions as they are written.

    12

    We do find conflicting Common Pleas decisions on whether the phrase


    "engaged in military or naval service" looks to the insured's status or to a causal
    connection,4 and the use of that phrase by the Superior Court to illustrate a
    status-type exemption.5 Another Superior Court decision holds that "engage"
    means "enter into," but the ruling is expressly limited to termination clauses. 6

    13

    There are a few Pennsylvania decisions construing exemption clauses liberally


    in favor of the insured,7 but in another line of decisions, many of them more
    recent, the state courts have taken exemption clauses as they found them and
    applied them in favor of the insurer when their plain language leaned toward
    that result. Conspicuous among the latter are Urian v. Scranton Life Insurance
    Company, 1933, 310 Pa. 144, 165 A. 21; Janco v. John Hancock Mutual Life
    Ins. Co., 1949, 164 Pa. Super. 128, 63 A.2d 138; Quigley v. Western &
    Southern Life Ins. Co., 1939, 136 Pa. Super. 27, 7 A.2d 70; Westbrook v.
    Continental Life Ins. Co., 1934, 111 Pa.Super. 563, 170 A. 395; cf. McCowley
    v. North American Accident Ins. Co., 1942, 150 Pa. Super. 540, 29 A.2d 215.

    14

    So here, too, the insurer gets the benefit of its clause 21. The fact that if the
    insured had an Iowa contract he might have better luck does not change our
    responsibility to apply Pennsylvania law.

    15

    The judgment will be affirmed.

    16

    Judge O'CONNELL participated in the hearing and consideration of this case


    but died before it was decided.

    Notes:
    1

    "21. This insurance does not cover, (1) any disability for which the Insured is
    not necessarily and regularly attended by a legally qualified physician other
    than the Insured; provided, however, that this requirement shall be waived in
    the event such attendance is declared by medical authority satisfactory to the
    Company to be unnecessary; (2) any attempt at suicide, sane or insane; (3)
    disability resulting wholly or partly, directly or indirectly from (a) bodily injury
    sustained or sickness contracted while the Insured is engaged in military or
    naval service in time of war, (b) bodily injury or sickness caused by war or by
    any act of war, (c) bodily injury, fatal or non-fatal, sustained, or sickness
    contracted by the Insured while in or on any vehicle or mechanical device for
    aerial navigation, or in falling therefrom or therewith, or while operating or
    handling any such vehicle or device, (d) bodily injury sustained or sickness

    contracted except while the Insured is within Canada or Europe or the United
    States (not including Alaska, Panama Canal Zone or the insular possessions of
    the United States), or while traveling between them by regular lines of
    passenger conveyance (not including aerial conveyance)."
    2

    See Notes, 1947, 168 A.L.R. 685, 689-692; 1942, 137 A.L.R. 1263, 1268-1276,
    and especially the discussion of whether the word "engaged" looks to a status
    or result exclusion. See also Day, The Applicability of War Risk Exclusion
    Clauses to Deaths from Ordinary Causes, 19 Rocky Mt. L.Rev. 242 (1947)

    Wolford v. Equitable Life Ins. Co., 1948, 162 Pa.Super. 259, 57 A.2d 581, 582

    Compare the dicta of Badanjak v. Metropolitan Life Ins. Co., 50 Pa.Dist. & Co.
    559 (C.P. Beaver 1944), with Throne v. Pennsylvania Mut. Life Ins. Co., 58
    Pa.Dist. & Co. 109 (C.P. Luzerne 1945), and Kieninger v. The Home Life Ins.
    Co., 3 Pa.Dist. & Co. 111 (C.P. Phila. 1923)

    Selenack v. Prudential Ins. Co., 1947, 160 Pa.Super. 242, 50 A.2d 736, 738

    Wolford v. Equitable Life Ins. Co., 1948, 162 Pa.Super. 259, 57 A.2d 581

    Arnstein v. Metropolitan Life Ins. Co., 1938, 329 Pa. 158, 196 A. 491;
    Andrzejewski v. Prudential Life Ins. Co., 1936, 321 Pa. 543, 184 A. 51;
    Provident Trust Co. v. Equitable Life Assurance Society, 1934, 316 Pa. 121,
    172 A. 701

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