Augustin v. General Accident Fire & Life Assurance Corp.

188 F. Supp. 23, 1959 U.S. Dist. LEXIS 4105
CourtDistrict Court, E.D. Wisconsin
DecidedNovember 24, 1959
DocketCiv. A. No. 5673
StatusPublished
Cited by1 cases

This text of 188 F. Supp. 23 (Augustin v. General Accident Fire & Life Assurance Corp.) is published on Counsel Stack Legal Research, covering District Court, E.D. Wisconsin primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Augustin v. General Accident Fire & Life Assurance Corp., 188 F. Supp. 23, 1959 U.S. Dist. LEXIS 4105 (E.D. Wis. 1959).

Opinion

TEHAN, Chief Judge.

. The above entitled matter was commenced by the plaintiff, Frank Augustin, [25]*25to recover $22,500, the difference between the amount of coverage under a policy of automobile liability insurance issued by the defendant, General Accident Fire & Life Assurance Corporation, Ltd. to the plaintiff, (the amount of coverage being $5,000 as the limits of bodily injury liability for one person) and the recovery made by Lois Augustin, wife of the plaintiff, in a State court action instituted in the Circuit Court of Milwaukee County by her against The Milwaukee Electric Railway & Transport Company and the plaintiff, Frank Augustin (the amount of such recovery being $27,500 against the said plaintiff alone). The Supreme Court of Wisconsin in Augus-tin v. Milwaukee Elec. Ry. & Transp. Co., 1951, 259 Wis. 625, 49 N.W.2d 730, upheld the jury verdict for $27,500 against the plaintiff, Frank Augustin, and ordered a reversal of the trial court’s order granting motions for a new trial, and remanded with directions to enter judgment in accordance with the verdict of the jury. Plaintiff now asks us to allow him an overage recovery against the defendant insurer asserting that the actions and conduct of the defendant insurer clearly evinced bad faith.

A jury was empanelled at the start of the trial, but after some hours of testimony, the parties stipulated to try the case to the court without a jury, and thereupon the jury was dismissed. Upon the basis of the documentary and oral credible evidence introduced at the trial, this court now finds the following facts.

Sometime at approximately 11:00 o’clock on Sunday morning, June 30, 1946, the plaintiff herein, Frank Augus-tin, while driving his automobile, was involved in a collision with a streetcar operated by The Milwaukee Electric Railway and Transport Company, at the intersection of West Kilbourn Avenue and North Plankinton Avenue in the City of Milwaukee. Lois Augustin, plaintiff’s wife, and their two children were passengers in the automobile.

At the time of the collision, Frank Augustin, maintained in full force and effect a policy of automobile liability insurance issued by the defendant, General Accident, which afforded coverage for bodily injury liability up to $5,000 for injuries to one person as a result of a single accident. Said policy also contained the following provisions relative to defense and control of suits brought against the insured, and notices of accident and injury required by the insurer:

“As respects such insurance as is afforded by the other terms of this policy
“(a) under coverages A and B the company shall
“1. defend in his name and behalf any suit against the insured alleging such injury or destruction and seeking damages on account thereof, even if such suit is groundless, false or fraudulent; but the company shall have the right to make such investigation, negotiation and settlement of any claim or suit as may be deemed expedient by the company;
******
“When an accident occurs written notice shall be given by or on behalf of the insured to the company or any of its authorized agents as soon as practicable. Such notice shall contain particulars sufficient to identify the insured and also reasonably obtainable information respecting the time, place and circumstances of the accident, the names and addresses of the injured and of available witnesses.
“If claim is made or suit is brought against the insured, the insured shall immediately forward to the company every demand, notice, summons or other process received by him or his representative.”

Police officers called to the scene of the accident, obtained statements from Frank Augustin and the operator of the streetcar, made an investigation at the scene and obtained the names of several witnesses.

It is undisputed that very prompt notice of the accident was given to General [26]*26Accident. Teléphone notice was given by Frank Augustin to the insurer’s agent, Hohberg, either on that Sunday or a day or so later. Hohberg admitted receiving that call from Frank Augustin and that it was his normal procedure to inquire if there were passengers in the car, and he would not deny that he received that information. He further admitted in answer to the court’s inquiry that the company normally required nothing more than a notice that an accident had taken place, whereupon it was definitely their procedure to interview all passengers. He further admitted, based on his long experience in claims work, that he knew that very frequently accidents which appeared trivial at the time of receiving notice, later produced personal injury claims. Hohberg further stated that, at that time he was handling a large volume of claims, perhaps forty or fifty a day, and in this instance, he/ did not order an investigation, but handled it as a ' property damage claim. Shortly after the immediate telephone notice, written notices to the company and to the State were executed. Such notices were unavailable at the trial because of. the company’s claim that the file must have been lost or destroyed.

It appears clear that the injuries to Lois Augustin were not thought to be severe, and that the discomfort in her back which she suffered that Sunday night and afterwards was thought to be traceable to giving birth in May, 1946 to her second child, a little over a month prior to the time of the accident. Her physical discomfort continued and she consulted the physician who had delivered her child-. When he concluded that the physical discomfort in her back was not due to the pregnancy, he recommended that she go to an orthopedic specialist. She subsequently saw not only the recommended doctor, but a number of others, including Dr. Dramburg, who took complete x-ráys of all of .her teeth in -order to- eliminate this as a possible cause of her difficulties. Finally, Lois Augustin on June 26, 1947, consulted Dr. Chester Schneider, who concluded from his examination and the x-rays taken by him that she was suffering from an unstable lower back, in that-the fifth' lumbar vértebra was hypermobile in relation to the sacrum, necessitating surgery on July 15, 1947, which consisted of a spinal graft of the lower lumbar and sacral bodies accomplished largely by tibial'grafts and removal' of- the third lumbar, 'spinous process. That thereafter a torso cylinder cast was applied, and she was discharged from the hospital on July 31, 1947. That the cast was opened on October 6, 1947, and one month thereafter was discarded' and a medical corset was substituted. ■ The services of Dr. Chester Schneider were concluded at the time he made a final examination of Lois Augustin on. October 29, 1948. Dr. Schneider advised that in his opinion her injuries were due to the accident of June 30, 1946. - . :•

Mrs. Augustin was still in the cast when she retained Attorney Howard Bast to make claim against The Milwaukee Electric Railway & Transport Company, her husband, Frank Augustin, and his insurer. Her attorney, by telephone- and by contemporaneous letter of October 18,. 1947, ’ recited to General Accident’s agent, Mr. Hohberg, the events, from the time of the accident to that date, and • emphasized therein that earlier claim had not been made because Lois Augustin was not certain of the cause of her spinal difficulty until Dr.

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188 F. Supp. 23, 1959 U.S. Dist. LEXIS 4105, Counsel Stack Legal Research, https://law.counselstack.com/opinion/augustin-v-general-accident-fire-life-assurance-corp-wied-1959.