Alamo Health & Accident Ins. Co. v. Cardwell

67 S.W.2d 337
CourtCourt of Appeals of Texas
DecidedJanuary 11, 1934
DocketNo. 2912.
StatusPublished
Cited by14 cases

This text of 67 S.W.2d 337 (Alamo Health & Accident Ins. Co. v. Cardwell) 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
Alamo Health & Accident Ins. Co. v. Cardwell, 67 S.W.2d 337 (Tex. Ct. App. 1934).

Opinion

PELPHREY, Chief Justice.

On July 10, 1930, appellant issued a health and accident insurance policy insuring William T. Cardwell, among other things, against loss of life. Among others, the policy contained a provision that, in the event of the loss of life through accidental means, after fifteen days from the date of the policy and within ninety days from the date of accident, appellant would pay to appellee, the brother of William T. Cardwell and the beneficiary named in the policy, the sum of $2,000. On September 14, 1930, William T. Cardwell, while riding in an automobile owned and being driven by George Gosnell on South Har-wood street in the city of Dallas, Tex., was thrown from the automobile and injured. His fall was occasioned by a collision between the automobile and a street car, the door of the automobile coming open, allowing him to be thrown out. He was unconscious from the time of his injury until his death, which occurred on the 17th.

Appellee duly made demand, and, upon a denial of liability by appellant, this suit was filed by him seeking to recover the $2,090 and 33½ per cent, as attorney’s fees. The cause was submitted to a jury on special issues, which, together with the jury’s answers thereto, were:

“Special Issue No. 1: Do you find from a preponderance of the evidence that $12.50 represented by check, was given to W. E. Dean in payment of policy fee and monthly assessment? Answer: Yes.
“Special Issue No. 2: Do you find from a preponderance of the evidence that the insured, William T. Cardwell, was not in any degree under the influence of intoxicating liquors at the time of the accident? Answer: Yes.
“Defendant’s Requested Special Issue No. O: If immediately before the collision in *338 Question George Gosnell was under the influence of intoxicating liquors, did he and William T. Cardwell act together in driving or causing to be driven the automobile in which they were riding on Harwood Street immediately before the collision in question? Answer: No.
“Defendant’s Requested Special Issue No. G: Did the injuries received Iby William T. Cardwell in the collision in question result directly through accidental means independently and exclusively of all other causes? Answer: Yes.
“Defendant’s Requested Special Issue No. F: Was the failure, if any, of William T. Cardwell (immediately before the collision in question) to use such care for his own safety as an reasonably prudent person would have used under the same or similar circumstances, a proximate cause of the injuries which resulted in his death? Answer: No.
“Defendant’s Requested Special Issue No. E: Did William T. Cardwell immediately before the time of the collision in question failed to use such care as an ordinarily prudent person under the same circumstances would have used for his own safety? Answer: No.”

Upon the above findings, the trial court awarded appellee judgment for $2,000, together with interest thereon from September 17, 1930.

Appellant filed its motion for a new trial, and, upon it being overruled, this appeal followed.

Opinion.

Appellant’s first complaint is that the trial court refused to' instruct a verdict in its favor; its contention being that appellee failed to furnish to it proof of loss or proof of death; failed to show a waiver of the provisions of the policy in such respect; and failed to prove that the policy was still in force at the time the accident and death of the insured occurred. Section 3 of the general provisions of the policy reads: “Written notice of injury or sicknéss on which any claim under this policy shall be based must be given to the company within ninety-one days after date of accident, or commencement of sickness, and said notice may be given direct to the Home Office, or to the nearest and most convenient authorized local agent of the Company. * * * ”

Section 5 reads: “No action at law or equity shall be brought to recover on this policy prior to the expiration of ninety,days after proof of loss has' been filed in accordance with the requirements of this policy nor shall such action be brought at all unless brought within two years and one day from the expiration of the time within which proof of loss is required by the policy.”

In the absence of a waiver iby the insurer, where a policy requires the insured to furnish- notice and proofs of loss within a specified or reasonable time, compliance with the requirement is a condition precedent to recovery. 24 Tex. Jur. § 279, p. 1090, and authorities cited, but it has also been held that a denial of liability or a refusal to pay not predicated on the failure to furnish proofs is a waiver of any objection on that ground, irrespective of whether the denial precedes or follows the time within which proofs should have been furnished. 26 C. J. § 522, pp. 407, 408; Oklahoma Fire Ins. Co. v. McKey (Tex. Civ. App.) 152 S. W. 440; Connecticut Fire Ins. Co. v. Hilbrant (Tex. Civ. App.) 73 S. W. 558.

In the case at bar appellant denied liability on the ground that the policy was not in force at the time of the accident, thereby, under the above authorities, waiving the requirements of the policy as to proof of loss.

There is a further reason also why appellant’s contention should be overruled. Article 5546, Revised Statutes, provides that, in cases where notice of claim for damages is required, it shall be presumed that such notice has been given, unless want of notice is especially pleaded under oath. Francis v. International Travelers’ Ass’n (Tex. Civ. App.) 260 S. W. 938, affirmed 119 Tex. 1, 23 S.W.(2d) 282.

Here we find no such pleading.

As to whether or not the policy was in force at the time of the accident and death, there appears to be a conflict in the testimony.

There appears in the record a check for $12.50, signed by W. T. Cardwell, and which, after being indorsed Iby W. E. Dean, was paid by the Bank on June 24, 1930. It is not disputed that this cheek was given, at least partly, to cover the cost of the policy issued by appellant to W. T. Cardwell on July 10, 1930. It is true that there appears in the record an affidavit to the effect that $3.50 of that sum was owing to Dean by Cardwell as a personal debt, but it is also clear from the record that Cardwell, before he was injured, was claiming credit from appellant for the whole amount. From these facts there arose a jury question as to whether the whole amount of the check was in payment of insurance or only $9 thereof. This question was answered adversely to appellant.

While Appellant’s Exhibit No. 3 shows that the policy lapsed on August 10. 1930, yet we find in the record the following correspondence:

“Receipt is acknowledged of your letter of the 22nd stating that you paid the agent for three months. The agent in this case was Mr. W. E. D.mm and he did not indicate that you paid up for a period of three months, but to the contrary stated that you wanted to pay your premium monthly.
“We are today communicating with Mr. Dunn with reference to this transaction and *339 as soon as we

Free access — add to your briefcase to read the full text and ask questions with AI

Related

Douglas v. Southwestern Life Insurance Co.
374 S.W.2d 788 (Court of Appeals of Texas, 1964)
Untitled Texas Attorney General Opinion
Texas Attorney General Reports, 1959
Sjoberg v. State Automobile Insurance
48 N.W.2d 452 (North Dakota Supreme Court, 1951)
Sjoberg v. STATE AUTO. INS. ASS'N OF DES MOINES, IOWA.
48 N.W.2d 452 (North Dakota Supreme Court, 1951)
American Nat. Ins. Co. v. O'Dell
232 S.W.2d 238 (Court of Appeals of Texas, 1950)
Galveston County v. Hartford Fire Ins. Co.
231 S.W.2d 684 (Court of Appeals of Texas, 1950)
Collins v. American Casualty & Life Co.
227 S.W.2d 246 (Court of Appeals of Texas, 1950)
Commonwealth Casualty & Insurance Co. v. Bales
151 S.W.2d 844 (Court of Appeals of Texas, 1941)
Empire Ins. Co. of Texas v. Cooper
138 S.W.2d 159 (Court of Appeals of Texas, 1940)
Mullins v. National Casualty Co.
117 S.W.2d 928 (Court of Appeals of Kentucky (pre-1976), 1938)
American Nat. Ins. Co. v. Vasquez
103 S.W.2d 817 (Court of Appeals of Texas, 1937)
Richmond v. Provident Ins. Co.
91 S.W.2d 1180 (Court of Appeals of Texas, 1936)
Travelers Ins. Co. v. Cadena
91 S.W.2d 1112 (Court of Appeals of Texas, 1936)

Cite This Page — Counsel Stack

Bluebook (online)
67 S.W.2d 337, Counsel Stack Legal Research, https://law.counselstack.com/opinion/alamo-health-accident-ins-co-v-cardwell-texapp-1934.