Connell v. Provident Life & Accident Ins. Co.

219 S.W.2d 835, 1949 Tex. App. LEXIS 1708
CourtCourt of Appeals of Texas
DecidedMarch 18, 1949
DocketNo. 15030
StatusPublished
Cited by4 cases

This text of 219 S.W.2d 835 (Connell v. Provident Life & Accident Ins. Co.) 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
Connell v. Provident Life & Accident Ins. Co., 219 S.W.2d 835, 1949 Tex. App. LEXIS 1708 (Tex. Ct. App. 1949).

Opinions

McDONALD, Chief Justice.

Connell, plaintiff in. the trial court and appellant here, sued Provident Life & Accident Insurance Company to recover monthly accident indemnity benefits of $100 per month for 19 months alleged to have accrued under a policy of insurance issued to. him. Plaintiff also sued for interest, the statutory penalty of twelve per cent, and an attorney’s fee. The parties dispute whether the verdict of the jury was favorable to plaintiff or defendant. It is not entirely clear whether the court rendered judgment on. the verdict or notwithstanding the verdict. It was ordered that plaintiff take nothing by his suit, and he has appealed, presenting three points of error. Appellee presents several cross-points, which become material if it is held that the verdict supported a judgment for plaintiff. The points and cross-points raise the issues that are.discussed in this opinion.

Recovery is sought under the terms of Part III, Sec. (a) of the policy, which provides, to quote in part from it, that acci[837]*837dent benefits of $100 per month shall be paid “ * * * for the total loss of time commencing on or within ten days from the date of the accident, during which such injury alone shall wholly and continuously disable and actually prevent the Insured from performing each and every duty pertaining to any business or occupation. * ⅜ * »

The jury findings establish such type of disability, and the fact that it is permanent.

The verdict in part is that appellant (1) sustained an accidental injury on May 31, 1946, (2) through external, violent and accidental means, (3) that appellant as a direct result of such injuries has become wholly and continuously disabled and actually prevented from performing each and every duty pertaining to any business or occupation, (4) that such disability is permanent, and (7) that such disability began within ten days from the date of the accident. It is seen that the verdict in this respect is favorable to appellant and would have supported a judgment in his favor. We have for consideration the general question of whether or not the court erred in rendering judgment for defendant either on or in spite of the verdict, and also certain questions raised by cross-assignments which would have been raised by appellee as grounds for reversal if the judgment had been for appellant.

The general question first mentioned can perhaps best be considered -by' discussing the reasons advanced in appellee’s brief for affirming the judgment.

Appellee first says that appellant had fully released and discharged appellee from liability. Most if not all of the facts pertinent to the issue of release are not disputed. The alleged accident happened on May 31, 1946. Appellant served appellee with no .notice of any claim under the policy until during the month of February, 1947. After an exchange of correspondence between the parties, appellee began paying monthly benefits covering a period beginning February 18, 1947. In response to a letter from appellee, appellant sent appellee proof of disability, on which appellee paid appellant $87.60 on April 1. On proof of disability dated April 18, appellee sent appellant its check for $93.80 dated April 24. This purported to be a monthly benefit of $100 less a deduction of $6.20 to cover a premium. Under similar circumstances appellee' sent appellant a draft for $93.80 dated May 23. The letter transmitting the draft recited that it represented benefits for another mbnth, and also enclosed a form for appellant’s use in filing further proof on June 18. The policy required in such cases that proof of continuing disability be' furnished by the insured each month. In the letter just mentioned appellee also requested appellant to make a trip to- Fort Worth to be examined by appellee’s doctor, Dr. Charles F. Clayton. Appellant sent in' another monthly proof of disability, dated June 23.

Appellant was .examined by Dr. Clayton on June 9. Dr. Clayton’s report to appellee, after reciting in detail the nature of the examination given appellant and Dr. Clayton’s findings, stated the conclusio'n that appellant, had no disability at the time of the examination. - On June 27 appellee wrote appellant, referring to Dr. Clayton’s report, and said: •

“In view of this, the only thing that we can' d.o is make payment up tó and including June 9, the date that the examination was completed. This involves benefits for 22 additional days for which we are glad to enclose draft for $73.33.”

• The draft for $73.33 was different in form and printed on paper different in color from the previous drafts which. appellant had received. The earlier drafts had printed thereon a receipt of “partial payment” of claim. In the face -of the $73.33 draft there was a recital that it was “in full settlement of any and all claims which payee has or may have by reason of sickness injuries death- occurring or beginning on or about the 18th day of Feb. 1947,” and also printed on the draft, above the place designated for appellant’s signature of endorsement, was the following, “For and in consideration of the amount shown on the face hereof, receipt of which is hereby acknowledged, I hereby release and forever [838]*838discharge the Provident Life and Accident Insurance Company from any and all liability arising from the claim thereon referred to.”

Appellant testified .that he did not read the release, nor pay apy attention to the fact that the form of the draft was different from those theretofore received, but it must be said that the evidence fails to show, any reason why he. could not have done so.

The grounds pleaded by appellant in avoidance of the effect of the release were want of consideration ther.efor and fraud in its procurement.

It seems clear to us that there was no consideration for the release of any claim for benefits except those covering the 22 days expressly mentioned in the letter of June 27 transmitting the draft to appellant. The jury found that the $73.33 w.as in payment of benefits for 22 days, that the letter from appellee to appellant was a representation that such check was a payment for benefits for bodily injuries, and that appellee intended to cause and did cause appellant to believe that such check was in páyment for benefits for 22 days. While we think that such facts are- shown without dispute, it is clear in any event that the findings of the jury compel a conclusion of law that the release of future benefits, if such was intended, was without consideration. Not only that, but the clear import of the jury findings is that neither party intended that the $73.33 should be payment of anything but the benefits for 22 days. There was nothing in appellee’s letter to indicate that there was any dispute as to liability for' the 22 days for which payment was being made. The facts are in some respects like those in American Casualty & Life Co. v. McCuistion, Tex.Civ.App., 202 S.W.2d 474, writ ref. n. r. e.

Appellant also attacked the release on the ground of fraud, the contention being that it was obtained on the fraudulent representation that the $73.33 was only in payment of benefits for 22 days. The jury found that such representation was made and that appellant relied on it, but found that the representation was not false. We are not able to see how appellee is aided by the finding that such representation was not false. The jury were consistent in their findings.

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Related

Aetna Life Insurance Co. v. Luman
456 S.W.2d 484 (Court of Appeals of Texas, 1970)
Kirk v. Beard
334 S.W.2d 531 (Court of Appeals of Texas, 1960)
Connell v. Provident Life & Accident Insurance
224 S.W.2d 194 (Texas Supreme Court, 1949)
Nye v. Bradford
193 S.W.2d 165 (Texas Supreme Court, 1946)

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Bluebook (online)
219 S.W.2d 835, 1949 Tex. App. LEXIS 1708, Counsel Stack Legal Research, https://law.counselstack.com/opinion/connell-v-provident-life-accident-ins-co-texapp-1949.