American Employers Insurance Co. v. El Paso Valley Cotton Ass'n

392 S.W.2d 569, 1965 Tex. App. LEXIS 2947
CourtCourt of Appeals of Texas
DecidedJune 23, 1965
Docket5715
StatusPublished
Cited by3 cases

This text of 392 S.W.2d 569 (American Employers Insurance Co. v. El Paso Valley Cotton Ass'n) 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 Employers Insurance Co. v. El Paso Valley Cotton Ass'n, 392 S.W.2d 569, 1965 Tex. App. LEXIS 2947 (Tex. Ct. App. 1965).

Opinion

CLAYTON, Justice.

This is an appeal from a judgment of the trial court, sitting without a jury, in the amount of $10,000.00 in favor of the appellees, plaintiffs in the trial court. The appellee corporation is a farming association, the appellee Talley is a user-member thereof, and the other appellees are officers and directors and user-members of the association. The association contracts, for the benefit of its user-members, Mexican National farm laborers under the terms of the Migrant Labor Agreement of 1951, as amended, between the United States and Mexico. Included among those contracted was one Juan Romero Estrada, who was injured while working for Talley, the user-member. Appellant had insured appellees against certain liability in connection with the employment of such laborers, in accordance with the provisions of the Migrant La *571 bor Agreement, Standard Work Contract. Section 3(a) of the contract provides for the payment of not less than certain benefits for death, permanent and total disability (in the amount of $1,000.00) and certain specified losses as contained in a table of benefits, and “expenses for hospital, medicines, medical and surgical attention and other similar services and benefits relative to occupational risks”. The latter proviso was unlimited as to amount of liability. A Joint Interpretation of this contract of August, 1954 by the parties to the Agreement, contained the following clause: “A worker may, consistent with the provisions of Article 3, assert his common law right to seek damages for personal injuries or diseases in excess of the amounts guaranteed in said Article”. The appellant paid medical expenses for the injured employee, Estrada, in the amount of $5,000.00, and $1,000.00 for total, permanent disability. Estrada sued appellees in Federal court, claiming liability of appellees as employers in the total amount of $115,-000.00, being $60,000.00 for present and future medical expenses, $40,000.00 for loss of earnings and $15,000.00 for pain and suffering. The insurance policy issued by appellant to appellees contained several endorsements. Endorsement No. 1 contained the following language: “Insurance is afforded subject to limits of liability stated below against loss resulting from the obligations assumed by the insured under Article ‘3A’ of Standard Work Contracts (Migrant Labor Agreement of 1951, as amended) * * *

“Limits of Liability: $5,000.00 each person”.

Under Endorsement No. 2 the “following insuring agreement” was added to the policy:

“EMPLOYER’S LIABILITY: To pay on behalf of the insured all sums which the insured shall become obligated to pay by reason of the liability imposed upon him by law for damages, including damages for care and loss of services, because of bodily injury, sickness or disease, including death at any time resulting therefrom, sustained by any legally contracted Mexican National Farm Laborer of the insured while engaged in the employment of the insured and caused by accident during the period of this policy and within the United States of America. * * *
“The limit of the Company’s Liability under this endorsement shall be:
“$50,000.00 each person * * * ”

Endorsement No. 42a increased the limits of Employer’s Liability coverage to $100,000.00-per person.

Appellant’s attorney filed answers for the appellees in Estrada’s suit in Federal court and appellant’s Superintendent, Frank Kirby-Smith, sent each of the appellees an explanatory letter dated April 12, 1961, reciting:

“Our attorneys are defending this suit for you gentlemen, and the El Paso Valley Cotton Association, as we wrote an insurance policy to the El Paso Valley Cotton Association covering braceros which it employs. We have paid out $5,000.00 for medical and hospital expenses, which is the maximum under our policy. We have also paid out $1,000 to the Plaintiff, Juan Romero Estrada, for damages, under the provisions of our policy * * * It is our opinion that the policy which we wrote to the El Paso Valley Cotton Association does not cover the damages asserted by Plaintiff in this suit for medical or hospital expense, as we have heretofore paid out the full amount which we are obligated to pay for medical and hospital under the terms of the policy.
“However, under the employer’s liability coverage section of the policy we are obligated to defend that portion of the suit seeking to recover a judgment against you for $40,000 for loss of *572 wages and $15,000 for pain and suffering. We are also bound to satisfy any judgment which may be rendered against you for loss of wages and pain and suffering, which in this case combined amount to $55,000 * * *
“We wish to advise you that by filing Answer to this suit, we do not waive any of the provisions of the policy, and do not extend its coverage. Our attorneys are capable, and will give this matter their careful attention, but if any of you gentlemen desire to have attorneys of your choice assist in the defense of this suit at your expense, it will, of course, be agreeable to us for you to employ such attorneys * * * ”

Subsequently appellant wrote appellees three further letters relative to coverage of the injured employee. Excerpts from these letters are as follows:

“This is to advise that this Company has paid medical expenses approaching $4000 on this case. The limit of our liability for such expense is $5000 5|í íjí í¡{ t>
“I make reference to my letter of 11-25-60 on the referenced case. At that time I advised you that the limit of our liability in this case was $5000 * * *
“This is to advise you that this Company has now paid $5000., in medical expenses for the treatment of this worker.”
******
“This is to advise that the policy of insurance from which this worker’s expenses have been paid has a limit of $5000 * * *
“This Company will not be responsible for medical care for Romero Estrada in excess of our $5000 policy limit.”

No other grounds for denying liability were asserted by appellant until its answer was filed in this cause.

After receipt of the appellant’s letter of April 12, 1961, appellees arranged for the services of their present attorney, Frank Owen III, to represent them.

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Related

Schreiner v. Schreiner
502 S.W.2d 840 (Court of Appeals of Texas, 1973)
Lancon v. Employers National Life Insurance Co.
424 S.W.2d 321 (Court of Appeals of Texas, 1968)

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Bluebook (online)
392 S.W.2d 569, 1965 Tex. App. LEXIS 2947, Counsel Stack Legal Research, https://law.counselstack.com/opinion/american-employers-insurance-co-v-el-paso-valley-cotton-assn-texapp-1965.