American Casualty & Life Co. v. Hale

198 S.W.2d 759, 1946 Tex. App. LEXIS 611
CourtCourt of Appeals of Texas
DecidedDecember 13, 1946
DocketNo. 4394.
StatusPublished
Cited by6 cases

This text of 198 S.W.2d 759 (American Casualty & Life Co. v. Hale) 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. Hale, 198 S.W.2d 759, 1946 Tex. App. LEXIS 611 (Tex. Ct. App. 1946).

Opinion

WALKER, Justice.

Matt Hale brought this action in the County Court of San Augustine County against American Casualty and Life Company upon the insurance policy described below, insuring his wife, Ada Hale. He prayed recovery of $103, yvith interest, the cost paid by him of various items of care and treatment received by his wife while under treatment for illness in a hospital during December, 1944, as well as for 12% of that sum as penalty and for an attorneys’ fee of $100. The cause was tried before *761 the Court without a jury, and on April 5, 1946, the trial court rendered judgment as prayed for in plaintiff’s behalf.

The policy is before us, as an exhibit sent up with the record. The copy of the application attached thereto refers to it as a “whole life family group policy.” It insures not only plaintiff’s wife, Ada Hale, but also plaintiff and four (originally five) of his children, that is, each of six (originally seven) different people against death, against various accidental injuries, and against “loss due to Hospital residence” resulting from various matters, of which we need only specify illness. Plaintiff’s suit is founded upon this indemnity against hospital expense. The provisions insuring against loss due to hospital residence list several items of hospital care and treatment within the coverage of the policy, and limit defendant’s liability therefor to certain sums.

The policy is not dated. Under its provisions, it took effect at noon of the day on which the official .premium receipt for the first premium, “is .properly dated and countersigned by a duly commissioned authority of the company.” This receipt is not in evidence and the date when the policy took effect is not clearly shown. Plaintiff alleges in effect that the policy was issued on October 22, 1942, and that is the date of the application ' for the policy. Nevertheless, plaintiff testified that he “took out” this policy'on October 22, 194. The instrument recites, however (under the heading “Name of Insureds”) that insurance upon Bob Hale, plaintiff’s son, was “cancelled March 20, 1943” ; and it seems that plaintiff erred in his testimony and that this policy became effective on October 22, 1942. Neither of the briefs before us undertakes to state the date of this contract.

The policy was in force at all relevant times. It provides for a level premium of $3 per month, but various other provisions are such as would be expected in a policy issued by a mutual assessment association operating under Article 4859f and Article 5068 — 1, Vernon’s Ann.Civ.St.

The trial court made no findings of fact. The testimony shows that plaintiff’s wife was ill in December, 1944, and was placed in Hotel Dieu, a hospital in Beaumont, Texas, where she remained under treatment for 12 days. Included in the cost of her care and treatment were items of expense for which, with the hire of the ambulance conveying her to this place, defendant was liable under the indemnity against hospital expense; and this liability amounted to $103. Matt Hale paid this sum and demanded payment thereof from defendant. The only defense to his recovery of this item insisted on in this court is the release evidenced by the documents discussed below. We are not satisfied that the parties have correctly determined plaintiff’s rights under the policy to this $103 bill, but the sufficiency of the evidence to support his recovery of this item, except as affected by the release, has not been made the subject matter of any Point of Error; and our discussion of his rights is necessarily limited to considering the effect of this release.

Plaintiff’s wife died on January 29, 1945, and under the policy defendant insured her life for $200. Plaintiff, as beneficiary, made claim within thirty days after his wife’s death for payment of this life insurance.

No action prior to March 7, 1945, by defendants respecting these claims of plaintiff (for $103 hospital expense and for $200 life insurance) was proven. On March 7, 1945, plaintiff and an agent of defendant’s entered into a transaction whereunder that agent delivered defendant’s draft for $190 to plaintiff, payable to plaintiff and his attorneys, and plaintiff delivered to the agent a formal release of his claim against defendant. Another such release, of the same effect, was on the back of the draft, operating upon the endorsement of that instrument; and on the same day plaintiff and his attorneys endorsed this draft and deposited it in the First National Bank of San Augustine.

The record reveals no explanation for defendant’s paying less than the face amount of either of plaintiff’s claims. Defendant alleged in general terms that a bona fide dispute existed between the parties respecting these claims, and the formal release of March 7, 1945, refers generally to a denial of liability by defendant; but *762 the source and nature of this dispute were not proved. One is left with an impression that the denial of liability was arbitrary.

The trial court’s judgment in plaintiff’s behalf represents fact findings in plaintiff’s favor on all issues, and Matt Hale’s version of his transaction with defendant’s agent therefor constitutes the facts of that matter.

According to plaintiff, the releases did not represent his agreement with defendant, and defendant’s agent procured a release of his claim for hospital expense by fraudulently misrepresenting to him the contents of the two documents he executed, namely, the formal release and the release on the draft, which plaintiff called a receipt. He testified that he settled nothing except his $200 claim for life insurance; that defendant’s agent first offered him $160, and finally, $190, for this claim, and he agreed to accept $190 in payment of that claim; that defendant’s agent “fixed up the papers and told me that the papers only covered the death claim and did not cover the claim for hospitalization. I told him that I was only settling for the death claim and not for both claims. When he told me that the papers only covered the death claim 1 had confidence in him, relied upon what he said, and believed that the papers only covered the death claim, and so believing, I signed the papers. If I had known that the papers covered the death claim and the hospital claim I would not have signed them. I am totally blind in one eye and my other eye is so weak that I can hardly read. T do not know anything about the terms and phrases in an insurance policy, and because of my lack of education and eyesight I could not and did not read the release and receipt that Mr. McDonald fixed up. At the time I signed the release and receipt the company owed me $200 for the death claim and $103 for the hospital bill. There was no misunderstanding or dispute about the $200 death claim.”

Defendant’s fraud effectively imposed upon plaintiff’s attorney as well as plaintiff. Defendant’s agent first called on said attorneys, one of whom directed him to plaintiff, to make such settlement of the claims as plaintiff would accept. Defendant’s agent went in search of plaintiff, and he and plaintiff had the transaction previously described. He left the draft with plaintiff, and then returned to plaintiff’s attorney who wrote his signature upon the foot of the formal release as an accommodation to said agent, without reading the document, and that same day plaintiff presented the draft to him, which he was required to endorse as a payee.

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Bluebook (online)
198 S.W.2d 759, 1946 Tex. App. LEXIS 611, Counsel Stack Legal Research, https://law.counselstack.com/opinion/american-casualty-life-co-v-hale-texapp-1946.