American Nat. Ins. Co. v. Points

131 S.W.2d 983, 1939 Tex. App. LEXIS 814
CourtCourt of Appeals of Texas
DecidedJuly 29, 1939
DocketNo. 12753.
StatusPublished
Cited by15 cases

This text of 131 S.W.2d 983 (American Nat. Ins. Co. v. Points) 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. Points, 131 S.W.2d 983, 1939 Tex. App. LEXIS 814 (Tex. Ct. App. 1939).

Opinions

William Clyde Points, appellee, sued American National Insurance Company, the appellant, on its policy insuring the life of appellee in the sum of $2,000, payable on death to his wife, and providing that, in the event of insured's total permanent disability, appellant would waive payment of premiums during the continuance of the disability and also pay appellee $20, six months after receipt of due proof of such disability, "and a like sum monthly thereafter during the life of the insured and the continuance of his disability".

Appellee alleged that, on January 6, 1933, his left arm was crushed between the flanges of two locomotive drivers, resulting in the complete loss of the use of that member, and so affected other parts of his body as to produce a total and permanent disability within the meaning of the policy; also alleged that he made due proof of such disability, as provided by the policy, and, in all respects, complied with its terms and demanded that he be granted the benefits provided for total permanent disability, to wit: Waiver of payment of premiums accruing during the continuance of such disability and the payment of $20 per month during life and continuance of disability; alleging that the appellant, denying that appellee had suffered a total permanent disability, refused to pay the monthly indemnities, or waive payment of premiums thereafter maturing during the continuance of such disability — in other words, appellant denied appellee's contention that he had suffered a total permanent disability, and refused to recognize its liability to grant the benefits claimed. Appellee prayed that, on final hearing, he have judgment establishing the fact of his total, permanent disability, within the meaning of the policy, entitling him to the benefits provided in such a situation, that is, a paid-up policy, twenty years from and after its date, without payment of further premiums; judgment for the amount of the accrued monthly indemnities, with 6% interest thereon, aggregating $1,474.12, without prejudicing his right to sue for installments accruing thereafter; a reasonable attorney's fee (alleged to be $500) and 12% penalty as provided by statute.

Appellant's answer contained a general denial and special defenses, among others, *Page 985 that the injury received by appellee resulted simply in a partial, temporary disability, for which appellant was in no way liable; but if it should appear that appellee is totally and permanently disabled, as contended, such condition resulted from and was brought about by his own negligence in failing and refusing to undergo proper medical and surgical treatment; appellant also alleged an indebtedness due it by appellee, being a loan of $272 on the policy, evidenced by a certificate and an assignment of the policy to secure its payment; alleging that it is not indebted to appellee in any amount whatsoever, but, in the event it is judicially so determined, prayed that the indebtedness be credited as an offset against any judgment that may be obtained against it.

The case was submitted to a jury on special issues; answering same, the jury found that, on January 6, 1933, appellee sustained an injury resulting in total permanent disability while in the course of his employment with the Frisco Railroad; that his disability was not partial or temporary; that he did not fail or refuse to undergo proper medical and surgical treatment, such as an ordinarily prudent person would have undergone to recover from his injuries; that appellee furnished and appellant received, proof of such disability on or about March 14, 1933, and that prior to July 29, 1933, appellee demanded of appellant payment of the monthly indemnities claimed, which was refused; also found that $500 was a reasonable attorney's fee.

After overruling appellant's motion to set aside the verdict, the court entered judgment in favor of appellee for $1,010.44, the amount of accrued monthly indemnities and interest, less the amount of appellee's indebtedness to appellant; also $500 attorney's fee, to be taxed as cost, adjudged that the policy "is in all things established as fully binding and in effect"; also adjudged that appellee had become totally and permanently disabled by bodily injury or disease, so that he is and presumably will be permanently, continuously and wholly prevented thereby for life, from performing any work for compensation, gain or profit, or from following any gainful occupation; that such disability began on the 6th day of January, 1933, and has continuously existed to the date of judgment, and will continue in the future throughout appellee's life. After its motion for a new trial was overruled, appellant excepted, gave notice of and perfected this appeal.

The findings of the jury, in our opinion, being amply supported by evidence, are adopted as our conclusions of fact on the respective issues. It follows from what has just been said, that we are of opinion the court below did not err in overruling appellant's motion for an instructed verdict, as contended in its fourth proposition and relating assignment.

That it was the imperative duty of the court to submit the case to the jury and that their findings are fully sustained by evidence, we think, become apparent from the short summary of appellee's testimony and that of Dr. Henschen, which will be given. Appellee testified, in substance, that, after being injured on January 6, 1933, he was treated and operated upon twice in a hospital at Sherman and, on March 15, was sent to the Frisco Hospital at St. Louis by Dr. Stout, one of his local physicians; that between March 15 and November 22, he made nine trips for treatment, to the St. Louis Hospital, was operated upon altogether five times, in one of which a bone was removed from his arm; testified that he is unable to lift anything with his injured arm; that any attempt to use same causes pain and a feeling of sickness, is sick most of the time, nervous, sleepless, frequently has fever, suffers pain not only in his arm, but in his shoulder and neck, severe at times, and frequent, standing upon his feet any length of time causes a feeling of weakness; that he is not trained for any occupation other than that of a laborer, and that any effort to labor causes suffering; tried to do farm work, to run a cultivator, but was never able to do anything like a day's work, and during the time that he was on the farm, didn't drive the binder altogether half a day, couldn't drive without pain, and operated the cultivator very little, and made no hand at all around the thrasher.

Dr. Henschen, as will hereafter be shown, testified fully as to the nature and extent of appellee's injuries, and that the same are permanent and calculated to cause pain and fever on the performance of any kind of labor.

The case has heretofore been twice tried, twice appealed, and twice reversed, and on one of the appeals, reported in Tex. Civ. App.81 S.W.2d 762, at page 767, the following language in point *Page 986 was used; the court said: "The question of whether or not the injury to appellee's arm constituted total and permanent disability was for the jury to determine, and the court could not say as a matter of law that the injury to the arm did not, as a matter of law, totally and permanently disable appellee." In Hassell v. Brotherhood of Locomotive Firemen and Enginemen, 126 Tex. 256, 87 S.W.2d 468

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Bluebook (online)
131 S.W.2d 983, 1939 Tex. App. LEXIS 814, Counsel Stack Legal Research, https://law.counselstack.com/opinion/american-nat-ins-co-v-points-texapp-1939.