Aetna Casualty & Surety Company v. Depoister

393 S.W.2d 822, 1965 Tex. App. LEXIS 2209
CourtCourt of Appeals of Texas
DecidedAugust 26, 1965
Docket90
StatusPublished
Cited by31 cases

This text of 393 S.W.2d 822 (Aetna Casualty & Surety Company v. Depoister) is published on Counsel Stack Legal Research, covering Court of Appeals of Texas primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Aetna Casualty & Surety Company v. Depoister, 393 S.W.2d 822, 1965 Tex. App. LEXIS 2209 (Tex. Ct. App. 1965).

Opinion

GREEN, Chief Justice.

This is a workmen’s conpensation case tried to a jury, resulting in a judgment for appellee, Frank J. Depoister, against appellant The Aetna Casualty & Surety Company, for total and permanent incapacity.

The parties stipulated below that appellee sustained accidental bodily injuries on or about August 5, 1961, while working in the course of his employment for T. E. Mercer Trucking Co., and that all jurisdictional prerequisites to the maintenance of this suit had been complied with. Appellee claimed total and permanent disability as a result of a back injury, and a left, direct, inguinal hernia. In answer to special issues, the jury'found that the accidental injury was the producing cause of (1) total incapacity, (2) beginning August 5, 1961, which was (3) permanent; (4) no partial incapacity; (8) another employee of the same class worked at least 210 days of the year prior to August 5, 1961; (9) his average daily wage rate was $22.00; (10) $80.00 per week *824 is just and fair to the parties as an average weekly wage of Depoister.

The undisputed evidence showed that ap-pellee had been subjected to two operations prior to the accident, as follows: a double hernia operation in 1955, and a cervical operation on his neck by reason of a neck injury occurring February 21, 1959, both being compensable. The jury found (12) that his incapacity was not solely caused by his previous injuries, but (13-14) that they had contributed 12% to his incapacity; that (15-16) the incapacity was not solely caused by nor contributed to by his ulcer condition.

Appellee’s motion to disregard the answers to Issues 13 and 14, that the prior injuries had contributed 12% to his incapacity, was granted, and judgment was rendered for appellee in accordance with the remainder of the verdict, payable in a lump sum as stipulated.

In its First Point, appellant contends that the trial court erred in granting appellee’s motion in limine, and instructing appellant’s counsel that they would not be permitted to show the beneficial effects of surgery, in instructing the jury not to consider the beneficial effects of surgery, and precluding counsel for appellant to argue such effects before the jury.

In this connection, it is the position of appellant that it admitted liability for ap-pellee’s claim of injury before the Industrial Accident Board and tendered an operation to appellee, in compliance with the requirements as stated by the Supreme Court in Texas Employers Insurance Association v. Shelton, 161 Tex. 259, 339 S.W.2d 519, and Truck Insurance Exchange v. Seelbach, 161 Tex. 250, 339 S.W.2d 521, and that although the Board failed to order either a medical examination or an operation, evidence of the beneficial effects of surgery on appellee was admissible. Appellee contends (1) that appellant did not make either an unequivocal admission of liability or an unequivocal tender of operation for either of the alleged injuries while the matter was before the Bogrd; (2) that no such offer was timely made in accordance with Board’s rules; and (3) that appellant, while the matter was before the Board, expressly refused to provide an operation for the inguinal hernia, and (4) that appellee was not put to a choice of having or refusing an operation, since the Board refused to order one.

Appellee’s claim before the Industrial Accident Board was set for hearing on November 14, 1961. On November 6, 1961, counsel for appellee made written demand to the Board for surgical operation on ap-pellee for hernia, accompanying same with written report of Dr. James Albert Brown recommending such operation. Thereafter, on November 14, 1961, the date of the hearing, appellant delivered to the Board its letter, listing the style and number of appel-lee’s claim there, and reading in part as follows:

“STATUS OF CASE: Compensation has been paid in the amount of $350.00 covering period from 8-6-61 to 10 — 15— 61 comprising 10 weeks. NATURE AND EXTENT OF DISABILITY is one of the issues involved in this claim.
“EVIDENCE: Kindly allow us to submit the following to the Honorable Board:
“1. Your carrier herein admits liability.
“2. In line with Article 8306 Section E and the Shelton and Seelbach cases, carrier herewith tenders any and every surgical procedure which is calculated or could be calculated to effect a cure for any and all conditions which claimant might or could have which surgery will aid or cure.
“3. Your carrier further demands any and all indicated surgical procedures be performed on claimant herein which are calculated to aid, be beneficial and/or effect a cure.
*825 “4. Your carrier herein further requests the Board to have claimant examined by Dr. of their choice to determine what surgery is indicated and required and make all orders and findings necessary as per the statute and the law to necessarily complete this transaction and record.”

Attached was a medical report of Dr. William H. Hagan, applicable only to ap-pellee’s claimed back injury, and being entirely negative as to any operation.

Appellee’s attorney, Mr. McDermott, testified that while the matter was pending before the Board, he requested of appellant’s duly authorized agent an operation to remedy appellee’s hernia, and that such operation was refused by appellant, and that thereafter appellant continued in its refusal. This testimony was not controverted.

On November 27, 1961, the Board entered its award, which included the provision “that demand for surgery is denied.”

Appellee’s motion in limine was to preclude any reference to benefits appellee might obtain from surgery upon appellee for a ruptured disc, and also for the hernia condition. The motion was sustained, and appellant’s offered evidence thereon was excluded by the trial court. The bill of exceptions taken out of the presence of the jury discloses that appellee’s doctor, Brown, if permitted would have testified that in his opinion appellee would have been benefited by surgery.

The offer or demand of appellant for an operation was not timely made. Rule 5.20 of the Industrial Accident Board, and before us in connection with appellee’s written demand for an operation for hernia, provides that written demand for surgical operation must be filed with the Board at least seven calendar days immediately prior to the hearing. Appellant’s letter was received by the Board on the day of the hearing.

In Texas Employers’ Insurance Association v. Curry, Tex.Civ.App., 347 S.W.2d 334, writ ref., the letter from insurer demanding an operation was received by the Board on the date set for the hearing. The Court held Rule 5.20 to be reasonable and valid, and said:

“We therefore hold that since appellant’s written demand for surgery was not timely filed with the Industrial Accident Board under its Rule 5.20, the Board had ample authority to refuse appellant’s demand for surgical operation upon appellee. * * *

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Bluebook (online)
393 S.W.2d 822, 1965 Tex. App. LEXIS 2209, Counsel Stack Legal Research, https://law.counselstack.com/opinion/aetna-casualty-surety-company-v-depoister-texapp-1965.