American General Ins. Co. v. Amerson

187 S.W.2d 912, 1945 Tex. App. LEXIS 710
CourtCourt of Appeals of Texas
DecidedMay 9, 1945
DocketNo. 11704.
StatusPublished
Cited by6 cases

This text of 187 S.W.2d 912 (American General Ins. Co. v. Amerson) 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 General Ins. Co. v. Amerson, 187 S.W.2d 912, 1945 Tex. App. LEXIS 710 (Tex. Ct. App. 1945).

Opinion

CODY, Justice.

This is a compensation suit, brought by appellee on two separate and distinct in *914 juries suffered at different times in the course of his employment by Brown Shipbuilding Company, against appellant, the compensation insurance carrier of said company.

One of the injuries was to the lungs, alleged to have been caused by inhaling smoke and gas fumes on May 26, 1943; the other an inguinal hernia, alleged to have occurred on November 1, 1943, while appellee was lifting or aiding in lifting a large cable. Appellee did not give notice of his injuries within thirty days, and did not file his claim , with the Industrial Accident Board until June 1, 1944, which was not within six months; though he notified such Board by mail of his claim based on the hernia on May 16, 1944. This was the date a physician notified him that he had a hernia. The appellee raised the contention for an operation before the Industrial Accident Board, and in his pleadings below. Appellant denied any liability under its policy.

The case was tried without the aid of a jury, and judgment was rendered for ap-pellee. The court found that the lung injury had caused six weeks’ total, and fifteen • weeks’ partial disability from and after May 26, 1943. The' court found that no good cause was shown for appellee’s failure to file his claim on said injury with the Board within six months. The court awarded appellee 52 weeks’ compensation for total disability from November 1, 1943, at the rate of $20 a week on account of the hernia condition, and found that good cause had been shown for failure to file claim therefor within six months from said date.

Both parties excepted and objected to the judgment, but only appellant gave notice of and perfected his appeal. No conclusion of fact and law have been filed.

Appellant predicates its appeal on six points. The first five such points relate to appellee’s delay in giving notice of the hernia injury and filing claim therefor. Such five points complain that judgment was rendered affirming that appellee had good cause for delaying more than six months in filing his claim without any pleadings, and without sufficient proof to sustain same.

The sixth point complains of the judgment awarding total temporary incapacity because the undisputed proof shows ap-pellee was regularly employed discharging duties during that period.

Appellee has urged certain cross-points which are hereafter referred to.

In the absence of any findings by the court it is our duty to take the facts most strongly in support of the judgment. So taken, the material facts of the case, except as appears later in the body of the opinion, are as follows:

Appellee was at all material times acting in the course of his employment, as an electrician. He had to fit pipes, drill holes, put in conduits, connect fixtures, go down into holes, handle cables, etc. On November 1, 1943, he lifted or was aiding in the lifting of a large cable, weighing about 150 pounds. While doing so he felt a burning sensation just above his groin. It was a sharp stinging pain, and felt as though a muscle was strained or pulled loose. He told the man aiding him that he may have ruptured himself. But he could see no signs of any rupture and decided that he was not ruptured. He remained very sore in the region where he felt the pain for three or four days. However, the soreness wore off. But he found if he did any heavy lifting he would have a sharp or shooting pain, so he avoided lifting anything heavy. When there was any heavy work for him to do he was assigned someone to help him. He f^rnnd he must lay off for several days each month, and so was not able to earn any overtime. He knew that he had a painful, but thought it was not a serious, injury. It was proved that hernia, without an. operation, never gets better, and continues to grow worse.

On March 11, 1944, during the noon hour, appellee was discharged, apparently for being asleep. He told the company representative that he wanted a medical examination. He was thereupon sent to appellant’s doctor who examined him on March 20, 1944. The doctor discovered the hernia and reported it to appellant, but made no report to appellee. Appellee applied for employment to another prospective employer and was examined by such prospective employer’s doctor, ■ with what result does not appear beyond the fact that he did not report finding the hernia to ap-pellee. This examination was about the 15th of April, which was still within six months of November 1, 1943. On May 16th, it seems, this second doctor reexamined appellee and then notified him that he had a hernia, and for that reason would not be employed. Appellee at once wrote the Industrial Accident Board, and, *915 as is stated above, filed his claim on June 1, 1944.

Appellee makes no contention that the compensation awarded for the lung injury was not adequate, so no statement of facts with reference to it is given.

Opinion.

There is no question but that the parties did in fact try out the issue as to whether appellee had good cause for delaying giving notice and filing claim on his hernia condition. Under Rule 67, T.R.C.P., such issue must be treated in all respects as having been raised by the pleadings. No purpose would be served, in view of the rule referred to, in scrutinizing the pleadings to see if they do in fact raise such issue.

It is well settled that if a claim for compensation is not filed with the Industrial Accident Board within six months after the injury is received (here November 1, 1943) as required by statute, the claimant must then allege and prove good cause excusing delay until the claim is filed. Johnson v. Employers Liability Assurance Corporation, 131 Tex. 357, 112 S.W.2d 449. So far is such requirement from being a mere technicality that it is held to be jurisdictional. Id.

“The test of good cause for delay is that of ordinary prudence, that is such a course of conduct as would be pursued by an ordinarily prudent person acting under the same or similar circumstances, in the transaction of his own business.” Texas Indemnity Ins. Co. v. Cook, Tex.Civ.App., 87 S.W.2d 830, 832, writ refused. Thus good cause for delay is a fact question except where the evidence taken most strongly in favor of the claimant admits of but one reasonable construction negativing good cause. Id.; see also Texas Employers’Ins. Co. v. Roberts, 135 Tex. 123, 139 S.W.2d 80.

While the court was careful to restrict its’ holding to the facts before it, in the case last cited, such holding comes within the rule that: Though an injury prove to be painful yet, if an ordinarily prudent person under the same or similar circumstances would have considered the injury trivial, that would be good cause for delay in giving notice and filing a claim. Having been examined by two physicians within six months of the date of the injury and not being notified by either that he had a hernia might well confirm an ordinarily prudent person in the belief that such injury as he suffered from was, if painful, trivial.

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Bluebook (online)
187 S.W.2d 912, 1945 Tex. App. LEXIS 710, Counsel Stack Legal Research, https://law.counselstack.com/opinion/american-general-ins-co-v-amerson-texapp-1945.