Atteberry v. Allstate Insurance Company

461 S.W.2d 219, 1970 Tex. App. LEXIS 2505
CourtCourt of Appeals of Texas
DecidedNovember 25, 1970
Docket6110
StatusPublished
Cited by5 cases

This text of 461 S.W.2d 219 (Atteberry v. Allstate Insurance Company) 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
Atteberry v. Allstate Insurance Company, 461 S.W.2d 219, 1970 Tex. App. LEXIS 2505 (Tex. Ct. App. 1970).

Opinion

OPINION

PRESLAR, Justice.

This is a suit for recovery of medical expenses alleged to be due under an insur- *220 anee policy covering the plaintiff-appellants’ automobile. At the conclusion of the presentation of evidence by both parties, the trial court directed a verdict for the defendant-appellee, Allstate Insurance Company. We are of the opinion that a verdict should not have been directed, for the reason that a fact question existed for the jury to determine on the question of whether notice was given by the insured within the time required by the policy. Specifically, we sustain appellants’ Point of Error number Five and remand the cause to the trial court for another trial.

Following their purchase of a car, appellants J. C. Atteberry and wife, Ella O. At-teberry, journeyed from their home in Andrews, Texas, to the Sears store in Odessa and went to the Allstate Insurance booth in that store and made application for a policy of insurance on their car. The Allstate agent, one Riley Cross, received their money for six months’ premiums and issued to them a Binder of Coverage. Some two weeks later they received through the mail what is described as a “Dec Sheet”, being declarations in summary form of their coverage, and it is their testimony that they never received the policy itself, while the insurance company’s witnesses testified that such declarations sheet was attached to the policy prior to mailing. The application was made on June 5th, and on July 13th Mrs. Atteberry was involved in an accident with another car. It is the Atteberry’s testimony that on July 15th they again journeyed to the Sears store in Odessa to report the accident; that they again went to the Allstate booth, did not find Riley Cross there, but another man was behind the counter in the booth and he made a notation of such information as. they gave him and told them he would give it to Riley Cross. Several days later, Mrs. Atteberry tried to call Riley Cross, but never reached him. On November 7th they took the declaration sheet to their attorney, whom they had previously engaged to bring suit against the other driver, and on that same date he wrote Allstate that Mrs. Atteberry was injured on July 13th, and requested claim forms. Response from Allstate was a disclaimer of liability under the policy “because of your failure to comply with policy conditions entitled ‘Notice of Accident’ * * This suit was then brought seeking recovery under the medical benefits provisions of the policy. As indicated, the court withdrew the case from the jury and granted Allstate’s motion for judgment on the asserted defense of failure of the insured to comply with the notice provisions.

The policy provided:

“Notice.
In the event of an accident, occurrence or loss, written notice containing particulars sufficient to identify the insured and also reasonably obtainable information with respect to the time, place and circumstances thereof, and the names and addresses of the injured and of available witnesses, shall be given by or for the insured to the company or any of its authorized agents as soon as practicable.”

By other provisions of the policy, the giving of notice was made a condition precedent to the bringing of action against the insurer.

The question before us is whether the facts of this case establish as a matter of law that notice was not given as soon as practicable. The phrase, “as soon as practicable”, not being a time certain, its determination naturally rests in the surrounding facts of the particular occasion. Such an evaluation of the detailed evidence, to reach a conclusion as to what is the ultimate fact, is ordinarily a jury function, and courts have said in numerous cases that ordinarily it is a fact question as to *221 whether notice was given as soon as practicable. Ordinarily it is a fact question, but cases abound in which it was held, as in this case, that the facts were such that no question exists. Cases so holding are reviewed in Central Surety & Insurance Corp. v. Anderson, Tex.Civ.App., 439 S. W.2d 372, reversed by the Supreme Court on a point not involved here, 445 S.W.2d 514 (1969), and repeated in the substituted opinion following remand in 446 S.W.2d 897 (Tex.Civ.App., Ft. Worth). Such cases involved notice delays of 32 days, to two years and four months, respectively, while the Anderson case held that a delay of two years and ten months was timely under the facts and circumstances of the case with the policy requirement being “as soon as practicable.” That holding was expressly affirmed by the Supreme Court. The point is, the number of days, months or years is not the criteria, but, as said by the Court in Anderson, such cases “make clear that an unexcused delay or delay because of a flimsy excuse entitles the insurance company to judgment as a matter of law since delays of that type violate the ‘soon as practicable’ provisions and are deemed as not having been reasonably given, and reasonable time depends on the facts and circumstances of each particular case.” Cases were also noted which held that what would be reasonable time in one case might be wholly inadequate to shut off the rights of parties in a different case or under different circumstances. Continental Casualty Co. v. King, Tex.Civ.App., 423 S.W.2d 395 (n. r. e.); American Guardian Ins. Co. v. Rutledge, Tex.Civ.App., 404 S.W.2d 847 (n. w. h.). We further agree with the Anderson holding that, in determining whether an insured has given notice within reasonable time, all the circumstances are considered including, but not confined to, age, experience, capacity for understanding, and knowledge that coverage exists in one’s favor. In Allstate Insurance Company v. Darter, Tex.Civ.App., 361 S.W.2d 254 (n. w. h.), approval was given to a jury instruction that “as soon as practical” meant as soon as notice would have been given by an ordinary prudent person in the exercise of ordinary care in the same or similar circumstances.

In reviewing the evidence in this case we must view it in the light most favorable to the plaintiffs, disregarding all conflicts and indulging in every intendment reasonably deducible from the evidence in favor of the plaintiffs, since this is an appeal from a directed verdict for the defendant. Jones v. Nafco Oil and Gas, Inc., 380 S.W.2d 570 (Tex.1964).

We agree with appellee that appellants must recover on the policy of insurance, if they are to recover at all, and not on the Binder or declarations sheet, alone or together; also, that they must be bound by the obligations of the policy along with accepting its benefits. But they are not seeking to avoid the notice provision; rather, the question is the timeliness of the notice.

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Cite This Page — Counsel Stack

Bluebook (online)
461 S.W.2d 219, 1970 Tex. App. LEXIS 2505, Counsel Stack Legal Research, https://law.counselstack.com/opinion/atteberry-v-allstate-insurance-company-texapp-1970.