Charter Oak Fire Insurance Company v. Dewett

460 S.W.2d 468, 1970 Tex. App. LEXIS 2595
CourtCourt of Appeals of Texas
DecidedNovember 18, 1970
Docket397
StatusPublished
Cited by9 cases

This text of 460 S.W.2d 468 (Charter Oak Fire Insurance Company v. Dewett) 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
Charter Oak Fire Insurance Company v. Dewett, 460 S.W.2d 468, 1970 Tex. App. LEXIS 2595 (Tex. Ct. App. 1970).

Opinion

SAM D. JOHNSON, Justice.

Workmen’s compensation case brought by the appellee, F. T. Dewett, to set aside the decision of the Texas Industrial Accident Board. The appellee was injured while working as a welder at Reed Roller Bit Corporation on August 16, 1966. Ap-pellee’s claim for compensation was not filed with the Industrial Accident Board until June 21, 1967. The jury found that “good cause” existed which would excuse the appellee’s delay in filing his claim within six months as required by Texas statute. Judgment was rendered in favor of appellee for $9,539.45, representing 300 weeks of permanent partial disability and 20 weeks of total temporary disability. The judgment reflects a 35% reduction based upon a jury finding that a prior injury contributed to the present disability. The insurance company’s contentions in this appeal are limited to the question of the existence of “good cause” for late filing of appellee’s claim and the manner in which the question “good cause” was submitted to the jury. Dewett as cross-appellant appeals the 35% reduction of the recovery.

The record indicates that the appellee had been an employee of Reed Roller Bit for an extended number of years. While in such employ he had sustained a back injury some years before, in 1957. This prior injury was not the subject of a workmen’s compensation claim, however. The instant suit is predicated on a back injury suffered by the appellee on August 16, 1966 while lifting a heavy tool hoist. Ap-pellee was still an employee of Reed Roller Bit Corporation when he sustained these injuries in the course and scope of his employment.

The appellee was hospitalized for back surgery as a result of his second injury and a lumbar laminectomy and fusion was performed on him on September 6, 1966. While appellee was still in the hospital recovering from this operation, Newt Williams, the safety director for Reed Roller Bit Corporation visited the appellee. It was during this visit, according to Dewett’s testimony, that he and Williams discussed his financial circumstances occasioned by his injury and hospitalization. The matter discussed included the possibility of finding employment for Dewett’s wife, the company’s group health and accident insurance policy and the workmen’s compensation claim. Williams advised the appellee, “not to worry, that everything is going to be taken care of.” Dewett testified that he knew Reed Roller Bit had workmen’s compensation insurance and that Williams told him that the claim was filed. On cross-examination Dewett was asked “He (Williams) told you it was filed with the Industrial Accident Board ?” and he responded, “That’s right. He had filed it. He would take care of it.” Dewett stated that he relied upon Williams’ representations that the claim was filed. Williams testified that although he could not remember what representations he had made to Dewett, he did not at any time tell Dewett *470 that he would file Dewett’s claim with the Industrial Accident Board.

Dewett further testified that after he returned to work on limited duty in January of 1967, he started receiving bills from the hospital. He turned these bills over to Williams and Williams told him that he would take care of them. It later became apparent that the hospital bills were not being paid. Dewett discussed the situation with another employee and learned that two fellow employees had been laid off following operations and that their claims had not been reported. On May 11, 1967, Dewett wrote the following letter to the Industrial Accident Board:

“I am writing this letter in regard to the accident I had at work. I haven’t received any papers to that effect. I was told the accident was not reported, so I’m writing this letter to check out that report.
“I received the back trouble in 1957-58 and I had my opra. in Sept, of 1965. I’m working for Reed Roller Bit Co. It might be the wrong thing to do by writing this letter, but I heard that two men have been laid off because their opra. was not reported.”

The Board sent official claim forms to Dewett on May 26, 1967 and Dewett’s attorney filed his claim with the Industrial Accident Board on June 21, 1967.

The appellant insurance company contends that there is no evidence or insufficient evidence to support the jury’s finding that good cause existed which would excuse Dewett’s delay in filing his claim within six months after the date of the injury. In the alternative the appellant asserts that such finding is contrary to the overwhelming weight and preponderance of the evidence.

Article 8307, Sec. 4a, p. 29, Vernon’s Ann.Civ.St, provides that a claim for compensation shall be filed within six months after the occurrence of the injury, except: “For good cause the Board may, in meritorious cases, waive the strict compliance with the foregoing limitations as to notice, and the filing of the claim before the Board.” The burden of proof is on the claimant to establish good cause and that it continued to the date it was actually filed. Texas Employers’ Insurance Association v. Brantley, 402 S.W.2d 140 (Tex.Sup.1966).

The standard for determining good cause was announced by the Supreme Court in Hawkins v. Safety Casualty Co., 146 Tex. 381, 207 S.W.2d 370, at p. 372, 1948:

“The term ‘good cause’ for not filing a claim for compensation is not defined in the statute, but it has been uniformly held by the courts of this state that the test for its existence is that of ordinary prudence, that is, whether the claimant prosecuted his claim with that degree of diligence that an ordinarily prudent person would have exercised under the same or similar circumstances. Consequently, whether he has used the degree of diligence required is ordinarily a question of fact to be determined by the jury or the trier of facts. It may be determined against the claimant as a matter of law only when the evidence, construed most favorably for the claimant, admits no other reasonable conclusion.”

Evidence of a claimant’s reliance upon representations that his claim for compensation would be filed by another has been held to raise a fact question concerning the existence of good cause for failure to file a claim within the statutory period. In Consolidated Mutual Insurance Company v. Moronko, 425 S.W.2d 838 (Tex.Civ.App.), rev’d on other grounds, 435 S.W.2d 846 (Tex.Sup.1968), the Court held that clairm ant’s reliance upon the insurer’s agent’s statement that she “ ‘ * * * [shouldn’t] worry, everything is taken care of’ ” constituted good cause when found by the jury to amount to such. In Allstate Insurance Company v. Godwin, 426 S.W.2d 652 (Tex.Civ.App.), no writ hist., 1968, evidence that an employee in employer’s per *471 sonnel office told claimant, “ * * * Everything has been filled out and taken care of sufficiently, and you don’t have to worry” was held sufficient to raise a fact issue as to good cause. The Court in Travelers Insurance Company v.

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Bluebook (online)
460 S.W.2d 468, 1970 Tex. App. LEXIS 2595, Counsel Stack Legal Research, https://law.counselstack.com/opinion/charter-oak-fire-insurance-company-v-dewett-texapp-1970.