The U.S. Court of Appeals for the 7th Circuit in Chicago has overturned a summary judgment order that was entered by a U.S. District Court judge over whether an insurance company, Sun Life & Health Insurance Co. (U.S.), should pay death benefits to the husband of the plaintiff when he died after tearing his left Achilles tendon.
Sun Life had moved for summary judgment claiming it was not responsible for paying the $92,000 death benefit to Lee Ann Prather, the wife of the decedent, Jeremy Prather. Prather injured his Achilles tendon while playing basketball. About two weeks after his surgery to repair the tendon, he died at age 31. A blood clot, or deep vein thrombosis (DVT) developed in his injured leg and had broken loose and traveled to his lung. The clot or pulmonary embolism caused cardiac arrest and his subsequent death.
Sun Life declined to pay the $92,000 benefit on the ground that Prather’s injury on the basketball court was not the sole cause of his death. Instead, Sun Life argued that the surgery that Prather underwent following the injury was a contributing factor to his death.
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