PATRICK J. SCHILTZ, District Judge.
Timothy Davidson purchased accidental-death-and-dismemberment coverage under a group insurance policy issued by defendant Hartford Life and Accident Insurance Company ("Hartford"). A few months later, Davidson died after he drank a great deal of alcohol while taking prescription pain medication. Plaintiffs Patricia Bolin (Davidson's mother) and Pamela Miller (Davidson's sister) — the named beneficiaries under Davidson's policy — filed a claim for accidental-death benefits with Hartford. Hartford denied that claim. Bolin and Miller then filed this lawsuit, alleging that they are entitled to the benefits.
This matter is before the Court on the parties' cross-motions for summary judgment. Hartford argues that Bolin and Miller are not entitled to benefits because Davidson's policy does not cover losses "resulting from ... medical ... treatment of a sickness or disease." Asp Aff. Ex. 2(2) at 5 ("Policy") [ECF No. 37-3]. The Court agrees, and thus grants Hartford's motion
The facts of this case are essentially undisputed. Davidson suffered from a number of ailments, including back spasms, degenerative disc disease, post-laminectomy syndrome, multiple-joint arthritis, and tremors. See Kendall Decl. ¶ 2 [ECF No. 38]. These conditions caused Davidson to experience pain, and Davidson was prescribed various drugs — specifically, hydrocodone-acetaminophen, oxycodone, and benzodiazepine — to help alleviate that pain. Id. ¶ 3.
On December 5, 2011, firefighters responded to a report of fire at Davidson's apartment. See Asp Aff. Ex. 8 [ECF No. 37-4 at 26-29]. Davidson's burned body was discovered by the firefighters. Id. An autopsy determined that Davidson did not die from the fire, but instead from "mixed drug toxicity." Asp Aff. Ex. 9 [ECF No. 37-5 at 2-6]. Davidson's blood-alcohol level at the time of his death was .318, or about four times the legal definition of intoxication. Id. at 2. "This, in combination with the elevated hydrocodone [from Davidson's pain medication] in his blood, caused him to stop breathing and resulted in his death." Id.
Before his death, Davidson purchased $100,000 in accidental-death-and-dismemberment insurance from Hartford. See Asp Aff. Ex. 1 [ECF No. 37-1]. The policy under which Davidson was covered was a group insurance policy sponsored by Financial Services Association. See Asp Aff. Ex 2(1) at 2 [ECF No. 37-2]. That policy insures against loss resulting from an "Injury," and defines "Injury" as follows:
Davidson named Bolin and Miller as his beneficiaries under the policy. See Asp Aff. Ex. 1. Bolin filed a claim for accidental-death benefits shortly after Davidson's death. See Asp Aff. Ex. 12 [ECF No. 37-5 at 13-15]. Hartford denied that claim. According to Hartford, the evidence Bolin submitted in support of her claim did "not establish that Mr. Davidson's loss meets the Policy's definition of Injury," and thus Hartford found that "Accidental Death benefits are not payable under the terms of the Policy." Asp Aff. Ex. 13 at 1 [ECF No. 37-5 at 17-19]. Bolin and Miller appealed this denial of benefits to Hartford's Claim Appeal Unit. See Asp Aff. Ex. 14 [ECF No. 37-5 at 21-22]. Again, Hartford determined that Davidson's loss was not covered by the policy and denied the claim.
Bolin and Miller then filed this lawsuit in Minnesota state court, seeking review of Hartford's denial of their claim. See ECF No. 1-1. Hartford removed to federal court on the basis of diversity jurisdiction. See ECF No. 1; 28 U.S.C. § 1332. Each party now moves for summary judgment.
Summary judgment is warranted "if the movant shows that there is no genuine dispute as to any material fact and the movant is entitled to judgment as a matter of law." Fed.R.Civ.P. 56(a). A dispute over a fact is "material" only if its resolution might affect the outcome of the lawsuit under the substantive law. Anderson v. Liberty Lobby, Inc., 477 U.S. 242, 248, 106 S.Ct. 2505, 91 L.Ed.2d 202 (1986). A dispute over a fact is "genuine" only if "the evidence is such that a reasonable jury could return a verdict for the nonmoving party." Id. "The evidence of the nonmovant is to be believed, and all justifiable inferences are to be drawn in [her] favor." Id. at 255, 106 S.Ct. 2505.
The parties dispute which state's law applies to this litigation. Bolin and Miller contend that Minnesota law applies, as Davidson was a resident of Minnesota, purchased coverage in Minnesota, and died in Minnesota. Hartford contends that Tennessee law applies, as the master policy was a group policy issued and delivered to Financial Services Association in Franklin, Tennessee. See Asp Aff. Ex. 2(1).
In a diversity case, a federal court applies the choice-of-law principles of the forum state. Klaxon Co. v. Stentor Elec. Mfg. Co., 313 U.S. 487, 496, 61 S.Ct. 1020, 85 L.Ed. 1477 (1941); Highwoods Props., Inc. v. Exec. Risk Indem., Inc., 407 F.3d 917, 920 (8th Cir.2005). "Applying Minnesota's choice of law rules, it is unnecessary
As explained above, the policy covers loss that results from "Injury." The policy provides, however, that "[l]oss resulting from: a) sickness or disease ... or b) medical ... treatment of a sickness or disease; is not considered as resulting from injury." Policy at 5.
Hartford contends that Davidson's death "result[ed] from ... medical ... treatment of a sickness or disease," id., as Davidson's use of prescribed pain medication substantially contributed to the mixed drug toxicity that caused his death. Thus, says Hartford, Davidson's death did not result from an "Injury" as that term is defined by the policy, and Bolin and Miller are not entitled to benefits. Conversely, Bolin and Miller contend that Davidson's death "result[ed] from" drinking alcohol, as Davidson would not have died if he had not consumed alcohol. And because drinking alcohol was not related in any way to Davidson's medical treatment, Bolin and Miller argue that Davidson's death did indeed result from an "Injury" under the policy.
Both parties are correct, in the sense that Davidson's death resulted both from prescription-drug use and from alcohol consumption. There is no evidence in the record to suggest that Davidson would have died only from taking his pain medication. Likewise, there is no evidence in the record to suggest that Davidson would have died only from his consumption of alcohol. What killed him was his taking pain medication while consuming alcohol — or, put differently, his consumption of alcohol while taking pain medication.
Bolin and Miller interpret the phrase "resulting from ... medical ... treatment" to mean "resulting solely from medical treatment." In their view, if anything other than medical treatment contributes to a death, then that death did not "result[] from ... medical ... treatment." But this is an unreasonably narrow reading of "resulting from" — a reading that is at odds with countless Minnesota cases that interpret the phrase "resulting from" (or very similar phrases) in an insurance policy to require "`only a causal connection....'" Eng'g & Constr. Innovations, Inc. v. W. Nat. Mut. Ins. Co., No. A12-1785,
Without question, there was "a causal connection" between Davidson's medical treatment and his death; "but for" Davidson's use of prescription medication, he would not have died. See Asp Aff. Ex. 9. Indeed, Bolin and Miller acknowledge that prescription-drug use played a substantial role in Davidson's death. See ECF No. 42 at 28 ("In this case, the cause of the death of Timothy Davidson was his attempt to obtain some relief from pain by consuming his prescribed medications with alcohol."). Because there was a causal connection between Davidson's medical treatment and his death, Davidson's death "result[ed] from" medical treatment, and therefore did not result from an "Injury" as defined by the policy. Cf. SECURA Supreme Ins. Co. v. M.S.M., 755 N.W.2d 320, 327-28 (Minn.Ct.App.2008) (finding insurance policy's exclusion of coverage for loss "result[ing] from" the criminal conduct of the insured applied when both a criminal act and non-criminal negligence contributed to the loss).
Indeed, the connection between Davidson's death and his medical treatment is much closer than "but for" causation. The phrase "resulting from" in an insurance policy does not require proximate causation. See Eng'g & Constr. Innovations, Inc., 2013 WL 2460400, at *6. But if a death is proximately caused by an event, the death indisputably "results from" that event. Davidson's use of prescription medication to treat his pain was clearly a proximate — that is, a substantial, direct, and immediate — cause of his death. See Peterson v. Fulton, 192 Minn. 360, 256 N.W. 901, 903 (1934) (defining "proximate cause of a given result" in the negligence context as "a material element or a substantial factor in the happening of that result.").
In sum, because Davidson's death resulted from medical treatment, his death did not result from an "Injury" as that term is defined by the policy, and Bolin and Miller are not entitled to benefits. Accordingly, plaintiffs' motion for summary judgment is denied, and Hartford's motion for summary judgment is granted.
Based on the foregoing, and on all of the files, records, and proceedings herein, IT IS HEREBY ORDERED THAT:
LET JUDGMENT BE ENTERED ACCORDINGLY.