American Casualty & Life Co. v. Gueringer

205 S.W.2d 423, 1947 Tex. App. LEXIS 800
CourtCourt of Appeals of Texas
DecidedJune 11, 1947
DocketNo. 11718
StatusPublished
Cited by18 cases

This text of 205 S.W.2d 423 (American Casualty & Life Co. v. Gueringer) 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
American Casualty & Life Co. v. Gueringer, 205 S.W.2d 423, 1947 Tex. App. LEXIS 800 (Tex. Ct. App. 1947).

Opinion

NORVELL, Justice.

This is a suit upon a hospital insurance policy which contained the following insuring clause:

“The Insurance hereunder is against loss due to Hospital Residence * * * (b) resulting from siqjcness the cause of which had its beginning after this policy had been maintained in force for not less than thirty days from the date of issue hereof * *

The insurance company also contracted to return all premiums paid in the event of the death of the insured.

The policy sued upon was issued to Mrs. Olivia Gueringer by American Casualty and Life Company on January 21, 1944. Mrs. Gueringer died on December 20, 1945, at the Santa Rosa Hospital in San Antonio, Texas.

The trial court rendered judgment for ap-pellees, the heirs, at law of the insured, for the sum of $312, of which $29 was for premiums paid and the balance was for hospitalization under the provisions of the policy. In answer to one special issue the jury found from a preponderance of the evidence that “the cause of the hospitalization of Olivia Gueringer did not have its origin prior to February 20, 1944.”

The controlling point upon this appeal is raised by appellant’s motion for judgment non obstante veredicto, wherein it is asserted that the evidence shows as a matter of law that Mrs. Gueringer’s hospitalization “resulted from sickness the cause of which had its beginning not less than thirty days from the date of the policy,” January 21, 1944.

The cause of death was carcinoma, a form of cancer. In April of 1943 Mrs. Gueringer submitted to a radical surgical operation for the removal of a cancerous breast. From the time Mrs. Gueringer recovered from this operation until May of 1945, she was apparently in good health, according to lay witnesses. On May 17, 1945, Mrs. Gueringer consulted Dr. S. W. Allen and remained under his professional care until her death. The deposition of Dr. Allen was taken and appellant’s contention that its motion for judgment non obstante veredicto should have been granted is based upon Doctor Allen’s testimony. As the details of the nature and progress of the disease of cancer are not subjects of either common or judicial knowledge and Doctor Allen was the only medical expert to testify in the case, we are restricted to his testimony in regard to these matters, although Doctor Allen did not claim to be a specialist upon the disease of cancer. His specialty was surgery and he stated that he did not “know much about cancer, except that they are dangerous things.”

As to the nature and causes of cancer, Doctor Allen testified: “You see they are [425]*425little cell rests made up of little cells, there are some in my body, in your body, every one of us have them, and some of them never grow and some of them do start growing, could start growing in you, me, one of us, today. What starts them I don’t know, * * *. I couldn’t say that we all have it, but are all likely to have. * * * It is there, I am getting into deep water when I say it, but in cancer there are little cell rests in our body, little nests of cells, and something stimulates those to grow and they grow and it is cancer. Now, we may all have them, or one of us may have them, but then the incident of cancer increases as you grow older and if we live long enough, in time we will develop one of these, that is the opinion. * * * Two hundred years, or something, and I think nature puts that there in case something else dos-en’t kill us, that will.”

The doctor refused to state that Mrs. Gueringer had cancer in January of 1944. He did say that “she had the cell nests, which originated from the original cancer of the breast, but I don’t think they were growing at that time, in 1944, because having seen her in May, 1945, and not even being able to detect them, and she dying that same year with it all over her body. I don’t think that could have spread that fast if they had been active at the time you mention, the date you mention in ’44.”

According to Dr. Allen, the medical profession does not regard the disease of cancer as being present because of the existence in the body of cell' rests or “seeds” which may become cancerous. In regard to this matter, particularly as regards Mrs. Gueringer, the testimony is as follows:

"Q. So that at the time this policy was taken out, actually she didn’t have cancer, is that right? A. She didn’t have any active cancer, if it isn’t active then you don’t call it cancer, until it goes to growing and you are able to identify it as that, and then it is cancer.

“Q. In other words then, you don’t attempt to say that she had'cancer on January 14th, at the time that this policy of insurance was taken out? A. That is correct.

“Q. And you don’t attempt to say that she had any cancerous condition until the time that it was diagnosed up in the hospital, in 1945, isn’t that correct ? A. That is the first time that we were sure, but I was sure that that was what it was.

“Q. Now, what I mean, you were sure, but— A. That anybody could be sure that it was cancer.

“Q. You say there isn’t any cancer until it is active, is that correct? A. Until it starts growing, the cells may be there.

“Q. So then your testimony has been merely to distinguish, so to speak, between a seed that might exist in anybody, and the active growth of that seed, when it becomes active, begins to grow, then you call it cancer ? A. That is right.

“Q. And until it is active, until that date, it is not cancer? A. That is right.”

“In considering the sufficiency of the evidence to sustain the findings we are required to disregard all evidence adverse thereto and consider only evidence favorable to the findings, indulging every legitimate conclusion which tends to uphold such findings.” Barrick v. Gillette, Tex.Civ.App., 187 S.W.2d 683, 686; Texas Prudential Ins. Co. v. Knighten, Tex.Civ.App., 186 S.W.2d 843; Owens v. Row, Tex.Civ.App., 178 S.W.2d 144.

Applying the rule above slated, we hold that the jury could have legitimately concluded from the evidence, that from the date of the surgical operation (1943) until shortly before May of 1945, Mrs. Gueringer was not suffering from the disease of cancer, although she may have had “cell rests” present in her body which might result in cancer.

The insuring clause of the contract must be given a common sense construction. We must assume the parties intended to enter into an enforcible insurance contract. As the seeds of death are sown when the first breath of life is drawn, and flesh is subject to corruption, we can not say that the parties intended to exclude all diseases which might develop by reason of the presence in the insured’s body of malignant bacteria, disease germs, or “cell rests” which may at some later date develop [426]*426into a lethal force and cause serious illness and death. We therefore conclude that the word “beginning” as used in the phrase, “which (sickness) had its beginning,” has reference to an illness or medically recognized disease and not merely to a condition which might in the future give rise to a disease.

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Bluebook (online)
205 S.W.2d 423, 1947 Tex. App. LEXIS 800, Counsel Stack Legal Research, https://law.counselstack.com/opinion/american-casualty-life-co-v-gueringer-texapp-1947.