Atlanta Life Ins. Co. v. Coxson

177 S.W.2d 114
CourtCourt of Appeals of Texas
DecidedDecember 10, 1943
DocketNo. 13470.
StatusPublished
Cited by4 cases

This text of 177 S.W.2d 114 (Atlanta Life Ins. Co. v. Coxson) 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
Atlanta Life Ins. Co. v. Coxson, 177 S.W.2d 114 (Tex. Ct. App. 1943).

Opinion

BOND, Chief Justice.

This suit involves a policy of life insurance issued by appellant on March 3, 1941, on the life of Rustine Fredrick. Appellee’s wife, Ida Bell Coxson, sister of the deceased, was the named beneficiary in the policy, and on her behalf, appellee instituted this suit for $156, face of the policy, with statutory 12% penalty and $150 attorney’s fee. The only issue involved on this appeal, raised only by appellant’s answer, is that deceased was not an insurable risk at the time of the issuance of the policy, but was suffering from tuberculosis, from which he subsequently died; thus, under express terms of the policy, the insurance never took effect and the only liability assumed by the insurer was a return of premiums paid thereon.

The plaintiff (appellee) alleged in his petition that the policy was in full force and effect on July 25, 1942 (date of insured’s death) ; that thereafter, the beneficiary submitted full and complete proof of death on blanks furnished by defendant company, in all other respects complied with the conditions of the policy for payment of benefits expressed therein, and made due and timely demand for such payment, which was refused. The defendant (appellant), answering, denied plaintiff’s *115 general allegations of liability and effectiveness of the policy, and specially alleged that at the time of issuance and delivery of the policy, the insured was not in good health but was suffering from tuberculosis in an advanced stage, which continued and ultimately caused his death; that tinder the provisions of the policy: “3. Effective. This policy shall not take effect, if the insured die before the date hereof; or if on such date the insured be not in sound health; but in either event, the premiums paid hereon, if any, shall be returned”— the defendant’s liability is expressly limited to return of the premiums paid, which amount the company tenders in full satisfaction of such liability; and further, defendant specially alleged that on or about September 11, 1942, proof of death was executed and presented to defendant by the beneficiary, supported by her oath and a physician’s certificate showing that the insured had been afflicted with pulmonary tuberculosis for more than two years prior to the issuance and delivery of the policy; and relying upon such proof, the defendant denied liability. These special defenses were not controverted by plaintiff and no attempt was made to rebut, explain, correct, or repudiate them. The recital in the proof of death that deceased was afflicted with pulmonary tuberculosis before the issuance of the policy, stood unchallenged by any plea of plaintiff’s.

On trial to a jury, the verdict was, (1) that the insured was in sound health; that is, as defined by the trial judge, “being without any important or serious disease and free from any ailment that seriously affects the general soundness of the physical system”; and (2) as to fee for services of plaintiff’s attorney in the prosecution of the suit, the jury found “None.” Responding to the verdict, the court entered judgment in favor of plaintiff on behalf of his wife for $156, with 6% interest from April 19, 1943 (date of - judgment) until paid, $18.72, representing 12% damages, and all costs of suit; allowing no attorney’s fee. Defendant alone filed motion for new trial, assigning error on the verdict of the jury, and the action of the trial court in overruling its motion for judgment on the state of the pleadings and evidence, which motion was overruled.

On trial, plaintiff offered in evidence the policy of insurance with the correlative provision that same did not take effect if the insured was not in sound health at the date thereof, and offered the proof of death submitted by claimant to show compliance with the terms of the policy. In rebuttal, defendant also offered the policy showing the limitation of its liability, and the proof of death as admission against interest of claimant. The proof of death (relevant here) shows, in response to questions: “(11) What was the cause of death? Doctor says tuberculosis. (12) When was health of deceased first affected? About June 1, 1941. (13) How long was deceased confined to house by last illness? About fourteen months. (14) State name and address of each physician who has attended deceased during the last two years? Roy Goggans, Dallas, Texas. Date 25 Aug. 1942. Signature of claimant. Ida Bell Cox.” The proof of death further shows that it was sworn to by the claimant before John Jasper, Notary Public, Dallas County, and on the reverse side thereof, the attending physician’s certificate, which is as follows: “(8) Date of death. 7-25-1942. (9) Date of your first visit or prescription in last illness. 5-22-1941. (10) Date of your last visit. 7-25-1942. * * * (13) State the disease causing death (avoid indefinite terms). (1) Primary Pulmonary Tuberculosis. (14) State the duration of illness, (a) From personal knowledge 14 months; (b) From history of the case, 3½ years. (15) Did deceased have consumption? Yes. Signature Roy Goggans, M. D.”

Substantiating the facts related in the proof of death, Ida Bell Coxson, beneficiary, testified that in May, 1941, two months after the insurance policy was issued, the deceased was taken to Parkland Hospital, a county and city institution, for treatment of tuberculosis; that he was admitted on application as an emergency patient and transferred, within about two weeks, to Woodlawn Hospital, another tubercular institution, where he died in July, 1942. The beneficiary further testified that after the death of the insured, she took the blank proof of death and doctor’s certificate to Dr. Goggans, who typed in the answers, and knew he recited therein that her brother had had consumption and pulmonary tuberculosis since 1939, or three and a half years prior to his death; that she dictated the answers to the doctor at Woodlawn Hospital, and that the information therein is correctly writ *116 ten. Dr. Roy Goggans testified that he is resident physician at Woodlawn Hospital, specializing in the treatment of tuberculosis ; that he examined Rustine Fredrick at the time he was admitted to the institution and treated him while there; that he was admitted on May 22, 1941, suffering from pulmonary tuberculosis of both lungs in a very advanced stage, and died in the Hospital of tuberculosis some fourteen months later. From the history given by the patient, X-Ray examinations, and treatment, Dr. Goggans further testified that the patient had been afflicted with the disease for two and a half years prior to his admission to the institution, that he was in a serious stage when admitted, and the patient’s signed application for admission verified his condition, relating that he had been “sick for past 2½ yrs.” Such proof of death, substantiated by the uncontroverted testimony, relieves the insurer of liability under the express terms of the policy. Such disclosures make a complete defense in absence of some explanation, pleading, or proof that the insured’s death was other than stated by claimant in the preliminary proofs furnished the insurer, or that he was free from such disease when the policy was executed.

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Related

National Casualty Co. v. Hampton
216 S.W.2d 614 (Court of Appeals of Texas, 1948)
Southern States Life Ins. Co. v. Watkins
180 S.W.2d 977 (Court of Appeals of Texas, 1944)
Coxson v. Atlanta Life Insurance
179 S.W.2d 943 (Texas Supreme Court, 1944)

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Bluebook (online)
177 S.W.2d 114, Counsel Stack Legal Research, https://law.counselstack.com/opinion/atlanta-life-ins-co-v-coxson-texapp-1943.