American Nat. Ins. Co. v. Ferguson

209 S.W.2d 797, 1948 Tex. App. LEXIS 1098
CourtCourt of Appeals of Texas
DecidedMarch 12, 1948
DocketNo. 2632.
StatusPublished
Cited by5 cases

This text of 209 S.W.2d 797 (American Nat. Ins. Co. v. Ferguson) 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 Nat. Ins. Co. v. Ferguson, 209 S.W.2d 797, 1948 Tex. App. LEXIS 1098 (Tex. Ct. App. 1948).

Opinion

LONG, Justice.

Mrs. Opal C. Ferguson instituted this suit against American National Insurance Company, upon a life insurance policy issued by defendant upon the life of Albert E. Ferguson, her deceased husband, in *798 which plaintiff was named beneficiary. Plaintiff sued for $2,000.00 (the face of the policy being $1,000.00 with a provision for double indemnity in the sum of $2,-000.00, if insured died before he reached the age of 60 years) and for the statutory 12% penalty and attorneys’ fees in the sum of $500.00. The Insurance Company defended on the ground, among others, that such policy never became effective as a contract of insurance because the insured was not in good ■ health when the policy was delivered and because of fraudulent representations in the application for such insurance. Based upon findings of the jury, adverse to defendant’s contention, the court entered a judgment in favor of plaintiff for $2,000.00 plus the 12% penalty and $250.00 attorneys’ fees, from which judgment defendant has appealed.

At the conclusion of the testimony, defendant filed a motion for an instructed verdict which was overruled. Defendant contends the evidence conclusively established that the insured was not in good health at the time the policy of insurance was delivered .to him, and that he was suffering with a cancer or an ulcer at the time he made the application for such insurance. It is further contended that if the evidence does not conclusively establish these facts, that they are established by the overwhelming weight of the evidence.

Dr. Callan, a witness for the defendant, testified in substance, as follows:

That he was a practicing physician and surgeon at Rotan, Texas, and operated a hospital in connection with his practice. That the first time he saw the insured personally was at his clinic on December 27, 1945. That insured came to him complaining of pain in his abdomen and of diarrhea. He made an examination of the insured, including a blood count and urinalysis, and he came to the conclusion that he had an infection in his bowels, in other words, he had infectious diarrhea ; that he prescribed for him at that time.

The next time he saw him was on March 23, 1946, at which time insured came to him complaining of pain in the upper part of his abdomen. He made an examination of insured, checked his blood count, examined his abdomen, his chest and his heart, and told him to come back and have an X-ray made of his stomach and bowels. He came back on March 26, 1946, at which time an X-ray was made. From his examination, the doctor came to the conclusion that insured had an ulcer in the upper part of the small bowel. He told Mr. Ferguson on that occasion that in his opinion, he had an ulcer.

The next time he saw Mr. Ferguson was on November 15, 1946. That insured at that time had pain 'in the upper part of his stomach which the doctor thought was an ulcer - of the stomach. He came back to the hospital in December, 1946, at which time the doctor performed an operation on him and found that he had a cancer of the stomach. The insured died within a few days after such operation.

The doctor testified in his opinion, the insured had a cancer or ulcer of the stomach in March, 1946, and that insured was not in good health at any time from March, 1946, until the date of his death.

The doctor further testified that on December 27, 1945, when insured first came to him, that many people in the vicinity of Rotan were suffering from diarrhea.

The doctor admitted on cross-examination that after he made the X-ray examination of the insured in March, 1946, that he talked to the wife of insured, and his son-in-law, and told them that Mr. Ferguson had some bad teeth; that he must have them extracted; that he was not properly masticating his food.

The policy of insurance was dated May 20, 1946 and was delivered on May 28, 1946. At that time, insured was 42 years of age. He had never had any serious ailment prior to December 27, 1945. Mrs. Hazel Wallace, J. G. Pryor, Jr., Mrs. W. F. Wicker, W. E. Patton, and the plaintiff, Mrs. Opal Ferguson, all testified that they were closely associated wif.h insured and that he worked every day with heavy machinery from March 26, 1946 to November 15, 1946, and that during that time, he appeared to be a strong, vigorous, healthy man. The witnesses Pryor and Patton testified that they worked with insured and that he was able to do more *799 work than either of them. The evidence further shows that insured’s weekly pay checks from May 11, 1946, to June 1, 1946, amounted to $221.93, and for the following month of June, he earned $317.81.

It is further shown from the testimony of J. G. Pryor, Jr., and the plaintiff, Mrs. Opal Ferguson, that Dr. Callan did not tell the insured at the time and immediately after an X-ray picture was taken of his body at the hospital in Rotan, that he (the insured) had an ulcer. Said witnesses testified that Dr. Callan told the insured that he had some bad teeth; that he was not properly masticating his food, and advised that he have his teeth extracted.

It is well settled in Texas that the delivery of a policy of insurance to an insured, while he is in good health, is a condition precedent to said policy coming into being as a valid contract. American Nat. Ins. Co. v. Lawson, 133 Tex. 146, 127 S.W.2d 294. If the evidence shows conclusively in this case that insured was not in good health when the policy of insurance was delivered, then plaintiff cannot recover. This is true even though insured, in good faith, believed that he was in sound health at the time the policy was delivered. American Nat. Ins. Co. v. Lawson, supra.

However, it is our opinion that the evidence in this case does not conclusively show that the insured was not in good health at the date of the delivery of the policy of insurance. It is true that Dr. Callan expressed the opinion that insured had a cancer on the date of the delivery of the policy, but .under the law, this evidence is not conclusive.

“The opinion testimony of experts, although persuasive, under most circumstances is not conclusive. It is peculiarly within the province of the jury to weight opinion evidence, taking into consideration the intelligence, learning, and experience of the witness and the degree of attention which he gave the matter. The judgments and inferences of experts or skilled witnesses, even when uncontroverted, are not necessarily conclusive on the jury or the trier of facts, unless the subject is one for experts or skilled witnesses alone-where the jury or the court cannot properly be assumed to have, or be able to-form, correct opinions of their own based upon the evidence as a whole and aided, by their own experience and knowledge of the subject of inquiry.” Coxson v. Atlantic Life Ins. Co., 142 Tex. 544, 179 S.W.2d 943, 945.

As said by Judge Grissom of this Court, in the case of Texas Life Ins. Co. v. Hatch et al., Tex.Civ.App., 167 S.W.2d 802, 806:

Free access — add to your briefcase to read the full text and ask questions with AI

Related

Life & Casualty Insurance Co. of Tenn. v. Rivera
420 S.W.2d 788 (Court of Appeals of Texas, 1967)
Great American Reserve Insurance Co. v. Britton
389 S.W.2d 320 (Court of Appeals of Texas, 1965)
Houston Lumber Supply Company v. Wockenfuss
386 S.W.2d 330 (Court of Appeals of Texas, 1965)
Travelers Ins. Co. v. McKain
186 F.2d 273 (Fifth Circuit, 1951)

Cite This Page — Counsel Stack

Bluebook (online)
209 S.W.2d 797, 1948 Tex. App. LEXIS 1098, Counsel Stack Legal Research, https://law.counselstack.com/opinion/american-nat-ins-co-v-ferguson-texapp-1948.