British American Insurance Company v. Claudette Lewis

CourtCourt of Appeals of Texas
DecidedJanuary 10, 1996
Docket10-94-00325-CV
StatusPublished

This text of British American Insurance Company v. Claudette Lewis (British American Insurance Company v. Claudette Lewis) 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
British American Insurance Company v. Claudette Lewis, (Tex. Ct. App. 1996).

Opinion

British American Ins. v. Lewis


IN THE

TENTH COURT OF APPEALS


No. 10-94-325-CV


     BRITISH AMERICAN INSURANCE COMPANY,

                                                                                              Appellant

     v.


     CLAUDETTE LEWIS,

                                                                                              Appellee


From the 66th District Court

Hill County, Texas

Trial Court # 32831


O P I N I O N


      Charles Lewis sustained a hand injury on April 16, 1992, while employed by Austin Bridge & Road. His employer's workers' compensation carrier, British American Insurance Company, began paying him benefits for the injury. Following his hand injury, Charles was hospitalized twice under psychiatric care as a precaution against suicide. Nevertheless, he killed himself on July 25 by a self-inflicted gunshot. Claudette Lewis, his wife, sued British American after it denied her claim for death benefits under the Workers' Compensation Act. She alleged that British American had violated its common-law duty of good faith and fair dealing as well as article 21.21 of the Texas Insurance Code. The jury found an intentional breach of the duty of good faith and fair dealing, a knowing violation of article 21.21, and awarded Claudette $250,000 for past and future mental anguish, plus reasonable attorney's fees equal to twenty percent of her recovery. After Claudette elected to recover based on a knowing violation of article 21.21, the court entered a judgment against British American for $964,520.55, which included $250,000 actual damages, $500,000 additional damages, $150,000 attorney's fees, and $64,520.55 in prejudgment interest. British American's principal points attack the legal and factual sufficiency of the evidence supporting the liability and damage findings. We will affirm.

SOME SUICIDES ARE COMPENSABLE

      On April 16, 1992, the date of Charles' hand injury, and at the time of his death on July 25, section 3.02 of article 3808 provided:

            An insurance carrier is not liable for compensation if:

. . .

      (2)  the injury was caused by the employee's wilful intention and attempt to injure himself or to unlawfully injure another person; . . . .

Act of December 12, 1989, 71st Leg., 2d C.S., ch. 1, § 2.51, 1989 Tex. Gen. Laws 1, 14, repealed by Act of May 12, 1993, 73rd Leg., R.S., ch. 269, § 5(2), 1993 Tex. Gen. Laws 987, 1273 (current version at Tex. Labor Code Ann. § 406.032(1)(B) (Vernon Pamph. 1996)) [hereinafter section 3.02].

      In 1943, the Texas Supreme Court adopted the following legal test to determine whether a suicide was compensable under the workers' compensation statutes:

[W]here there follows as a direct result of the accident an insanity of such violence as to cause the victim to take his own life through an uncontrollable impulse or in a delirium of frenzy without conscious volition to produce death, there is a direct and unbroken causal connection between the physical injury and the death; however, where the suicide is the result of voluntary and willful choice determined by a moderately intelligent mental power with knowledge of the purpose and effect of the act, even though dominated by a disordered mind, a new and independent agency breaks the chain of causation.

Jones v. Traders & General Ins. Co., 140 Tex. 599, 169 S.W.2d 160, 162 (1943). In 1975, however, the Texas Supreme Court rejected the Jones test in favor of the following:

[W]here the effects of injuries suffered by the deceased result in his becoming dominated by a derangement of the mind which impairs the ability to resist the impulse to take his own life to the extent that the decedent was in fact unable to control it, the suicide cannot be termed as willful under [the Act].

Saunders v. Texas Employers' Ins. Ass'n, 526 S.W.2d 515, 517-18 (Tex. 1975). Thus, under the Saunders test, "if the effects of an injury or its treatment so acts upon the will of the injured workman so that [his will] is not operating independently at the time of the suicide, then the chain of causation would appear to be unbroken and the fact that the decedent knew of the physical consequences of his act would be irrelevant." Id. at 517. The Texas Supreme Court has neither altered nor abolished the Saunders test since adopting it.

THE INJURY AND ITS AFTERMATH

      Charles Lewis, a thirty-three-year employee of Austin Bridge & Road, sustained a serious hand injury on April 16, 1992, when his hand was caught in a compressor belt and crushed. At the time of the injury, Lewis was working in the company shop while he awaited a decision on his request for a driver's license waiver, which would allow him to continue to drive a truck even though he suffered from an impairment of his eyesight. When Claudette Lewis arrived at the hospital in Fort Worth, she found that her husband—who usually worked from fifty to ninety hours a week and had missed only three days of work in thirty-three years—was "agitated and nervous" and "flat scared to death." Dr. Sorokolit, an orthopedic surgeon, performed surgery on Charles' hand on April 16 and released him from the hospital the next day.

      When the Lewises returned to their home in Whitney, Charles immediately began a pattern of behavior that was most unusual for him, according to his wife. Claudette, who described her husband as someone who enjoyed being outdoors, gardening, yard work, caring for his cats, and a man with a hearty appetite, said that Charles had difficulty sleeping, was morose and lethargic, stayed inside the house and walked a lot, lacked an appetite, and showed no interest in his usual activities. On May 3, Claudette found him in bed on his hands and knees, "thrashing around," "rocking from side to side," and "just staring right through you." He had either removed or attempted to remove the metal pin from his middle finger, which had been inserted during surgery, and he and the bed linens were covered in blood. Claudette immediately took him to the emergency room at the Whitney hospital, where he was seen by Dr. Gipson and Dr. Hartman and admitted. At admission, Charles' blood pressure was extremely high, and Dr. Hartman began a course of treatment to lower it.

      

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British American Insurance Company v. Claudette Lewis, Counsel Stack Legal Research, https://law.counselstack.com/opinion/british-american-insurance-company-v-claudette-lew-texapp-1996.