Summary
The Nevada Supreme Court affirmed summary judgment for Sierra Health and Life Insurance Company in a dispute over accidental death benefits. The court held that the policy's felony exclusion was unambiguous and applied to the insured's death resulting from felonious drunk driving that injured a passenger. The court adopted a broader causation approach, concluding that the death was indirectly or directly the result of the insured's felony.
Holdings
- The felony exclusion is not ambiguous; its plain language excludes coverage for a loss that is directly or indirectly a result of the insured's commission of a felony.
- The exclusion applies to all felonies regardless of criminal intent, and felonious drunk driving is a felony under California law that triggers the exclusion.
- The court adopted the majority totality-of-the-circumstances approach; Dawson's death, viewed as a whole, resulted from his felonious drunk driving, so the exclusion bars recovery.
Questions Presented
- Whether the felony exclusion in the accidental death benefit policy is ambiguous and must be construed in favor of the insured.
- Whether the felony exclusion applies to felonious drunk driving, which is not an intentional crime.
- Whether the felony exclusion is triggered when the insured's death was not proximately caused by his felonious drunk driving.
Disposition
affirmed
Cases Cited (15)
- National Union Fire Ins. v. Reno's Exec. Air, 100 Nev. 360, 682 P.2d 1380 (1984)(relied on)
- Farmers Ins. Exchange v. Young, 108 Nev. 328, 832 P.2d 376 (1992)(relied on)
- LDS Hospital v. Capitol Life Ins. Co., 765 P.2d 857 (Utah 1988)(distinguished)
- Harbeintner v. Crown Life Insurance Co., 46 Or.App. 579, 612 P.2d 334 (1980)(distinguished)
- Baker v. Provident Life & Acc. Ins. Co., 171 F.3d 939 (4th Cir. 1999)(followed)
- Cozzie v. Metropolitan Life Ins. Co., 140 F.3d 1104 (7th Cir. 1998)(followed)
- Barnes v. Greater Georgia Life Ins. Co., 243 Ga.App. 149, 530 S.E.2d 748 (2000)(followed)
- Romero v. Volunteer State Life Insurance Company, 10 Cal. App. 3d 571, 88 Cal. Rptr. 820 (1970)(followed)
- Metropolitan Life Ins. Co. v. Goodwin, 166 Va. 119, 184 S.E. 208 (1936)(followed)
- Murdock v. Monumental Life Ins. Co., 2 P.3d 963 (Utah Ct. App. 2000)(discussed)
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Court Document
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