Capone v. Aetna Life Insurance
Court of Appeals for the Eleventh Circuit
1Opinion of the Court
FAY, Circuit Judge:
Plaintiff-Appellant James Capone struck his head on the bottom of the ocean while diving in the Bahamas, paralyzing himself from the neck down. Capone sought benefits under the Accidental Death and Personal Loss provision of his employee health insurance policy administered by Aetna Life Insurance Company (Aetna). Aetna denied Capone’s claim for benefits twice, prompting this civil action. The district court granted Aetna’s motion for summary judgment, holding that Aetna properly applied the plan’s accidental means and alcohol exclusion provisions barring recovery. We…
2Cases cited20 opinions
- Firestone Tire & Rubber Co. v. BruchSupreme Court of the United States · 1989
- Metropolitan Life Insurance v. GlennSupreme Court of the United States · 2008
- United States Mutual Accident Ass'n v. BarrySupreme Court of the United States · 1889
- Fred Brown v. Blue Cross and Blue Shield of Alabama, Inc.Court of Appeals for the Eleventh Circuit · 1990
- Olan Jett v. Blue Cross and Blue Shield of Alabama, Inc., Medical Expense PlanCourt of Appeals for the Eleventh Circuit · 1989
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