Douglas v. Southwestern Life Insurance Co.

374 S.W.2d 788, 1964 Tex. App. LEXIS 2235
CourtCourt of Appeals of Texas
DecidedJanuary 23, 1964
Docket8
StatusPublished
Cited by10 cases

This text of 374 S.W.2d 788 (Douglas v. Southwestern Life Insurance 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
Douglas v. Southwestern Life Insurance Co., 374 S.W.2d 788, 1964 Tex. App. LEXIS 2235 (Tex. Ct. App. 1964).

Opinion

*790 MOORE, Justice.

This suit was brought by appellant against appellee to recover accidental death benefits under supplementary contracts attached to and made a part of two policies of insurance issued by appellee, Southwestern Life Insurance Company, upon the life of appellant’s husband, Sterling B. Douglas.

The two policies, one in the amount of $50,000.00 and the other in the amount of $40,000.00, were issued to Sterling B. Douglas in December, 1958 and May, 1960, respectively. To each of these policies was attached what is denominated as a supplementary contract captioned “Benefit for Death by Accidental Means”. Among other provisions under this caption the supplementary contract contains this provision:

“BENEFIT. The Company hereby agrees, subject to the terms and conditions of this contract, that it will pay to the beneficiary designated in the policy Fifty Thousand Dollars in addition to the amount payable under the terms of the policy if it receives due written proof that while this contract was in force the death of the Insured resulted directly from bodily injuries effected exclusively and independently of all other causes through external, violent and accidental means and within 90 days from the date of accident which caused such injuries, of which, other than in the case of drowning or internal injuries revealed by an autopsy, there is a visible contusion or wound on the exterior of the body, provided such death did not result from any of the risks which are expressly excluded herefrom.”

The language is identical in both contracts sued upon except in one the amount is $50,000 and in the other $40,000.

The facts, about which there is no dispute, show that the named insured, Sterling B. Douglas, was involved in an automobile accident bn June 4, 1961, in which he received serious and fatal injuries. Immediately upon being admitted to the hospital, he underwent surgery and was operated upon again twice in June, and once in August and September. He was in critical condition down to the date of his death. His physician, during most of the course of his hospitalization, considered it unlikely that he could survive. It was only because of the extraordinary medical measures taken by the medical staff that caused him to live as long as he did and had these measures not been taken he would have probably died within 90 days after the date of the accident. He died on October 2, 1961. This was 120 days after the accident in which he received fatal injuries causing his death. Within 90 days of the date of the accident the agent of the Company was notified and was told by the doctor and Mrs. _ Douglas that the insured would not and could not survive his injuries.

Appellee paid appellant as beneficiary the ordinary death benefits provided by the insurance policies but denied liability for accidental death benefits under the supplementary contracts on the ground that the death of the insured within 90 days from the date of the accident was a condition precedent to any liability of appellee under the supplementary contracts. This suit followed, and both parties moved for a summary judgment. The court below denied appellant’s motion and sustained appellee’s motion, and it is from this action that the appellant makes this appeal.

In her first point, appellant contends that the Trial Court was in error in construing the above-quoted portion of the supplementary contract to require, as a condition precedent to recovery, that death of the insured occurred within 90 days of the accident. By her second point, she contends that the Trial Court was in error in failing to construe the provision in the supplementary contract to require only that proof of loss be filed within 90 days of the date of the injury.

In construing the terms and conditions of the supplementary contract, and *791 particularly the above-quoted provision, we have concluded that as a condition precedent to recovery, appellant had the burden of showing that the death of the insured occurred within 90 days from the date of the accident. The contention that the meaning of the above provision requires only that due written proof of loss be filed within 90 days of the date of the accident is untenable and cannot be sustained.

This is a suit upon a written con-tract of insurance and in order for the appellant to recover she must bring herself within the coverage provided for in the contract. To construe the contract as not re■quiring death to occur within 90 days after -the date of the accident would be to ignore the plain words of the policy. Until the ■conditions prescribed by the terms of the policy had been met there was no obligation on the part of the appellee. Burns v. American National Ins. Co., Tex.Com.App., 280 S.W. 762.

The policy did not, as contended by appellant, provide for payment by reason of ac- • cidental death regardless of the date of • death. Rather, the policy limited the payment of accidental death benefits to those that occurred within a 90-day period after -the injury that caused death. As we construe the contract, appellee promised payment of accidental death benefits if and ■only if the death of the insured resulted within 90 days of the accidental injury.

What was said in Crowe v. North American Accident Ins. Co., Tex.Civ.App., 96 S.W.2d 670, writ dismissed, applies with •equal force here.

“The doctrine announced in 1 C.J. 469, § 179, which seems to be well supported by the authorities, is that: ‘The standard accident policies, in addition to the provision for indemnifying the insured, against the results of accidental injuries, generally provide for the payment of a certain sum in the event ■of his death being caused by accident, ■provided death occurs within a specified time (usually 90 days) after the occurrence of the accident; and provisions so limiting the time within which death must occur to render the insurer liable, have been held to be valid and binding, and there can be no recovery for the death of the insured if it occurs more than the prescribed time after the accident, although within the terms of the policy.’ To the same effect see: Cooley’s Briefs on Insurance (2d Ed.) vol. 6, p. 5272; Brown v. United States Cas. Co. (C.C.9) 95 F. 935; Kerns v. Aetna Life Ins. Co. (C.C.A.8) 291 F. 289; Buford v. North American Acc. Ins. Co. (C.C.A.5) 3 F.(2d) 263; Barnett v. Travelers’ Ins. Co. (C.C.A.8) 32 F.(2d) 479; Walters v. Western & So. Life Ins. Co., 318 Pa. 382, 178 A. 499; Thompson v. Iowa State Trav. Men’s Ass’n, 179 Iowa, 603, 161 N.W. 655; Drinan v. Clover Leaf Casualty Co., 207 Mich. 677, 175 N.W. 176; Tuttle v. Pacific Mutual Life Ins. Co., 58 Mont. 121, 190 P. 993, 16 A.L.R. 601.”

Accord: Mullins v. National Casualty Company, 273 Ky. 686, 117 S.W.2d 928, 118 A.L.R. 331; 118 A.L.R. 334; 29A American Jurisprudence, para. 1163, at p. 308.

The uncontroverted facts show that the accidental injury causing the death of the insured occurred on June 4, 1961, but that the insured did not die until October 2, 1961, approximately 120 days after the accidental injury.

Appellant’s points one and two are accordingly overruled.

Free access — add to your briefcase to read the full text and ask questions with AI

Related

Evergreen National Indemnity Co v. Tan It All, Inc.
111 S.W.3d 669 (Court of Appeals of Texas, 2003)
Hawes v. Kansas Farm Bureau
710 P.2d 1312 (Supreme Court of Kansas, 1985)
In re Eichner
73 A.D.2d 431 (Appellate Division of the Supreme Court of New York, 1980)
Kirk v. Financial Security Life Insurance
389 N.E.2d 144 (Illinois Supreme Court, 1978)
Fontenot v. New York Life Ins. Co.
357 So. 2d 1185 (Louisiana Court of Appeal, 1978)
Pendleton Green Associates v. Anchor Savings Bank
520 S.W.2d 579 (Court of Appeals of Texas, 1975)
Bunnell v. Republic Bankers Life Insurance Co.
497 S.W.2d 338 (Court of Appeals of Texas, 1973)
American Bankers Insurance Co. v. Lovell
415 S.W.2d 705 (Court of Appeals of Texas, 1967)

Cite This Page — Counsel Stack

Bluebook (online)
374 S.W.2d 788, 1964 Tex. App. LEXIS 2235, Counsel Stack Legal Research, https://law.counselstack.com/opinion/douglas-v-southwestern-life-insurance-co-texapp-1964.