Allen v. Western Alliance Insurance Co.

349 S.W.2d 590, 162 Tex. 572, 4 Tex. Sup. Ct. J. 605, 1961 Tex. LEXIS 595
CourtTexas Supreme Court
DecidedJuly 19, 1961
DocketA-8368
StatusPublished
Cited by58 cases

This text of 349 S.W.2d 590 (Allen v. Western Alliance Insurance Co.) is published on Counsel Stack Legal Research, covering Texas Supreme Court primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Allen v. Western Alliance Insurance Co., 349 S.W.2d 590, 162 Tex. 572, 4 Tex. Sup. Ct. J. 605, 1961 Tex. LEXIS 595 (Tex. 1961).

Opinion

MR. JUSTICE GREENHILL

delivered the opinion of the Court.

This is a suit by the Reverend E. 0. Allen for reimbursement of medical expenses alleged to be due under a policy of insurance. The question is whether Allen gave notice to the insurance company “as soon as practicable” after the accident as required by the policy. The trial court entered a summary judgment denying Allen a recovery. That judgment was affirmed by the Eastland Court of Civil Appeals. 343 S.W. 2d 765. It held that under the circumstances, failure to give notice for 107 days did not, as a matter of law, constitute the giving of notice “as soon as practicable.” The opinion of the Eastland Court is based on this Court’s opinion in Klein v. Century Lloyds, 154 Tex. 160, 275 S.W. 2d 95 (1955). The Klein case involved an asserted liability under automobile coverage of public liability. We granted a writ of error upon the assertion by Allen that there is, or should be, a different basis for the requirement of notice under public liability coverage and the requirement of notice for reimbursement for medical expenses. Under the provisions of the policy and the circumstances in question, however, we are of the opinion that the trial court correctly granted the respondent’s motion for summary judgment. The judgments of the courts below will, therefore, be affirmed.

The facts were developed by depositions introduced on the hearing. The deposition of petitioner Allen revealed the following:

*574 Allen purchased a policy of public liability, property damage, and medical reimbursement from Western Alliance Insurance Company through its agent in San Antonio, W. A. Rogers. The limits of the public liability were $5,000 and $10,000, the property damage $5,000. The medical reimbursement limits were $1,000 for each person injured. A separate premium was shown for each coverage, all in the same policy.

The policy had one paragraph under “Conditions” calling for the giving of notice. It applied to all coverages: public liability, property damage, and medical reimbursement.

It reads:

“Notice. In the event of an accident, occurrence or loss, written notice containing particulars sufficient to identify the insured and also reasonably obtainable information with respect to the time, place and circumstances thereof, and the names and addresses of the insured and of available witnesses, shall be given by or for the insured to the company or any of its authorized agents as soon as practicable” (Emphasis ours.)

The policy also provided that “no action shall lie against the company unless, as a condition precedent hereto, the insured [Allen] shall have complied with all the terms of this policy * * * »

Allen also had purchased an automobile policy of fire, theft and collision from a different company (National Lloyds) through the Pat J. Morris Insurance Agency of San Antonio.

About 15 minutes before the policy with Western Alliance expired, i.e., at 11:45 p.m. on December 1, 1958, Allen and his wife were in a two-car collision. He and his wife were severely injured and hospitalized. Within three days, however, members of Allen’s family employed counsel to represent Allen and his wife in claims arising out of the collision. Allen ratified the employment. Three days after the collision, i.e., on December 4, 1958, the company carrying the collision insurance (the Pat Morris Agency) was notified of the collision.

Allen remained in the hospital 11 days. After his original unconsciousness and shock, there was nothing wrong with his hands, feet, ears or voice. There was a telephone in the hospital *575 which he used. Upon leaving the hospital, he stayed at his daughter’s house about a week. There was a telephone by his bed there. Thereafter he was at home and could walk. He had a telephone there. About a month after the accident, Allen had a conversation with Pat Morris about the collision coverage.

Allen said his attorney, Mr. Joe Saunders, “got on the ball” and instituted proceedings right away against Ben Maddox, the driver of the other car. Allen had a conference with his attorney and the attorney for Maddox looking to a settlement of Allen’s claim against Maddox. On that same day, February 3, 1959, a settlement was reached with Maddox whereby the insurance company for Maddox (the International Service Insurance Company) paid Allen $16,500 for injuries to himself and to his wife and for medical and other expenses. In making the settlement, Allen furnished Maddox’s insurance carrier a full, itemized statement of all his medical, nursing, hospital, X-ray, ambulance, drug, and other expenses incurred up to that time. Allen and his wife executed a released to Maddox. [It was not until some six weeks later, on March 17, 1959, that written notice was received by respondent, Western Alliance, of the collision.]

Allen could not remember when he gave notice to the Western Alliance Insurance Company. He said he gave notice by calling his attorney. “I found that my family had not reported this insurance that I had to Mr. Saunders, and I reported it to him * * *.” Allen made a written report, a proof of loss, to Western Alliance on April 1, 1959. It was the first such report he had made. He never did report the matter to Mr. Rogers, the agent from whom he had purchased the policy.

The respondent Western Alliance also introduced the deposition of its vice president for claims, G. C. Boddeker. He testified that on March 17, 1959, he received a letter dated March 16 from Saunders & Saunders, attorneys, regarding Allen’s collision. The company, Boddeker said, had received no previous notice. The very first notice the company had received was that on March 17, 1959.

The letter from Saunders to Boddeker recites also that “Mr. Bob McKenzie requested that we send you a narrative report on Rev. and Mrs. Allen, which reports are enclosed herewith.” [The claim follows.] Then the attorney said in the letter that he would appreciate the company’s sending its check “as we have been consulting with Mr. McKenzie for several weeks on *576 this matter and our client is becoming very impatient.” Bob McKenzie is not identified or discussed in any of the depositions. In its sworn answer, the Western Alliance denied that McKenzie or the McKenzie Claims Service was its agent or had authority to bind the company; it had only limited authority to investigate and make reports to the company.

Western Alliance also introduced the deposition of its assistant secretary, T. W. George, Jr., who furnished a copy of the policy which had been written for Allen. It is attached to his deposition.

The depositions of Allen, Boddeker, and George were introduced along with the insurance policy in the hearing on the Western Alliance motion for summary judgment. The insurance company’s answer, which sets out the facts substantially as set out above, was sworn to by its counsel and was also before the court. The plaintiff Allen introduced no other exhibits, no depositions, and no affidavits. His pleadings are not sworn to.

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Bluebook (online)
349 S.W.2d 590, 162 Tex. 572, 4 Tex. Sup. Ct. J. 605, 1961 Tex. LEXIS 595, Counsel Stack Legal Research, https://law.counselstack.com/opinion/allen-v-western-alliance-insurance-co-tex-1961.