Allen L. Lasiter v. Washington National Insurance Company

412 F.2d 594
CourtCourt of Appeals for the Fifth Circuit
DecidedJune 27, 1969
Docket26488
StatusPublished
Cited by7 cases

This text of 412 F.2d 594 (Allen L. Lasiter v. Washington National Insurance Company) is published on Counsel Stack Legal Research, covering Court of Appeals for the Fifth Circuit primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Allen L. Lasiter v. Washington National Insurance Company, 412 F.2d 594 (5th Cir. 1969).

Opinion

COLEMAN, Circuit Judge:

Pursuant to a jury verdict in response to special interrogatories, Dr. Allen L. Lasiter obtained judgment for the recovery of disability benefits from the Washington National Insurance Company. The jury found that Dr. Lasiter had suffered total disability for sixty months. We affirm.

On August 15, 1964, in a power saw accident, Dr. Lasiter, a practicing dentist, suffered the loss of the thumb and the forefinger of his left hand. At the time, he had a disability insurance policy with the insurance company which provided:

“If injury shall- totally and continuously disable the insured so as to prevent him from performing every duty pertaining to his occupation * * *>>

he would be entitled to payment of total disability benefits for up to sixty months.

Dr. Lasiter was confined to a hospital from August 15, 1964, to August 25, 1964. Surgery was again performed on June 30,1965.

Washington National paid benefits for the period of August 15-November 2, 1964, and June 30-July 12, 1965. It made no other payments, claiming that Dr. Lasiter was no longer totally disabled.

Dr. Lasiter returned to work on November 2, 1964. Because of the loss of his left thumb and forefinger, he experienced difficulty in holding instruments with that hand. He was forced to cease the practice of children’s dentistry, gold inlay work, crown work, gum and bone work, root canal therapy and fixed bridge work. Furthermore, he was unable to do certain extractions and to anesthetize certain segments of the dental arch. He found that the remaining work he could perform took somewhat longer than before the accident. He continued, with these handicaps, to prac *596 tice for more than two years. He then accepted a teaching position at Bee County Junior College, Beeville, Texas. He is still employed at the college.

The defendant was ordered to make the following payments: (1) monthly indemnity payments for sixty months (at $300 a month), including 6% interest per annum to be added to all past due payments; (2) statutory penalty of 12% per annum for all past due payments, including 6% to be added to the statutory penalty, from the date of judgment until paid; and (3) attorney’s fees in the amount of $4,000, plus 6% interest from the date of the judgment.

I

The company complains of the instructions given the jury as to the definition of total disability. The policy obligated the company to pay if the injury sustained by the insured “shall totally and continuously disable the Insured so as to prevent him from performing every duty pertaining to his occupation”.

In explaining the term “total disability” to the jury, the Court instructed as follows:

“Total disability, as that term is used in the policy of insurance, is necessarily a relative matter and must depend chiefly upon the peculiar circumstances of each case and on the nature of the occupation or employment and the capabilities of the person injured. This does not mean absolute physical inability on the part of Allen L. Lasiter to perform any of the duties pertaining to his occupation of dentistry. You are instructed that total disability within the meaning of the policy exists if the injuries sustained by Dr. Lasiter prevent him from substantially performing every essential operation necessary to the performance of his occupation of dentistry.”

Appellant contends that the policy should be construed to read: “if injury shall totally and continuously disable the insured so as to prevent him from substantially performing each one of all the material duties * *

The instruction given the jury was substantially in accordance with the definition placed on the term “total disability” by the Texas courts. See Continental Casualty Company v. King, Tex.Civ.App.1967, 423 S.W.2d 395; Occidental Life Insurance Company of California v. Duncan, Tex.Civ.App.1966, 404 S.W.2d 52; and Commonwealth Bonding and Casualty Insurance Company v. Bryant, 113 Tex. 21, 240 S.W. 893 (1922).

In Duncan, supra, at 56, the Texas Court of Civil Appeals approved the following instruction:

“Disability shall be deemed to be total whenever an individual becomes disabled as the result of injury or disease so as to be wholly unable to engage in any occupation and to perform any work for compensation or profit.
“[/]i does not mean, however, an absolute physical inability to perform any of the duties pertaining to his occupation; but total disability, * * * exists if such disability prevents the individual from substantially performing every essential operation necessary to the performance of his occupation.” [Emphasis added].

The appellant’s real argument, it would seem, is that the facts here do not support a finding of total disability. Yet it nowhere claims that the jury’s verdict is clearly erroneous. Instead, it argues that the legal principles applied to the facts were erroneous. However, in view of the interpretation placed on the term “total disability” by the Texas courts we must hold that the instruction was not erroneous.

II

The company concedes that if it is liable, it must take indemnity payments for all months from the time of the injury until the trial, and must pay the 12% statutory penalty, as provided in Article 3.62 of the Insurance Code of Texas. It claims, however, that the Court erred in ordering it to pay inter *597 est on these amounts. In view of the recent Texas decisions approving the payment of interest tacked on to the penalty interest and past due installments, we disagree. Republic National Life Insurance v. Beard, Tex.Civ.App.1966, 400 S.W.2d 853, 859, (interest tacked on to the statutory penalty); Prudential Insurance Company of America v. Tate, 162 Tex. 369, 347 S.W.2d 556 (1961), (interest on past due disability payments).

Ill

The company insists that the Court erred in the admission into evidence of about eight items of correspondence between the parties as to the nature of the injuries sustained by the appellee and the liability or non-liability of the company.

The letters from the doctor to the company generally concerned the extent of his disability and consisted of inquiries as to the steps the defendant would take to make payments. It is settled in Texas that “communications between parties, germane to the issues pleaded and raised, are always admissible.” Joy v. Peacock, Tex.Civ.App.1939, 131 S.W.2d 1012, 1019; see, also, American Motorists Insurance Company v. Williams, Tex.Civ.App.1965, 395 S.W.2d 392.

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Bluebook (online)
412 F.2d 594, Counsel Stack Legal Research, https://law.counselstack.com/opinion/allen-l-lasiter-v-washington-national-insurance-company-ca5-1969.