John Hancock Mutual Life Insurance Co. v. Serio

QUINN, Associate Judge.

Appellee’s decedent 1 brought this action on a group insurance policy, issued by appellant, to recover $421.90 expended on his wife’s hospitalization and treatment for a threatened miscarriage. The controversy in the trial court and on this appeal centers on whether her condition was “a result of” accidental injury, binding appellant to pay full compensation, or “a result of pregnancy (which term includes resulting childbirth or miscarriage),” for which appellant’s obligation was limited to $160, the maximum “Pregnancy Expense Benefit.” 2

The testimony, in brief, was as…