Employers Commercial Union Insurance Co. v. Schmidt

509 S.W.2d 398, 1974 Tex. App. LEXIS 2306
CourtCourt of Appeals of Texas
DecidedMarch 19, 1974
Docket4666
StatusPublished
Cited by6 cases

This text of 509 S.W.2d 398 (Employers Commercial Union Insurance Co. v. Schmidt) 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
Employers Commercial Union Insurance Co. v. Schmidt, 509 S.W.2d 398, 1974 Tex. App. LEXIS 2306 (Tex. Ct. App. 1974).

Opinion

RALEIGH BROWN, Justice.

This is a workmen’s compensation case. Trial before a jury resulted in a judgment awarding Mary Ellen Schmidt total and permanent disability benefits. Employers Commercial Union Insurance Company, the insurance carrier appeals.

The disabling condition of Mary Ellen Schmidt was diagnosed as a chronic myosi-tis or trapezius syndrome. It was the opinion of her doctor that the condition probably resulted from the position in which she worked at her job. Such position was described as sitting in a rather stooped posture while manipulating small watch components with the hands and wrists while the shoulder musculature and upper arms remained in a fixed rigid position.

The record reflects that Mrs. Schmidt developed pain in her neck, shoulder, left arm and hand in May of 1971. Her condition worsened so she took a thirty day sick leave in September of 1971. During this leave, Mrs. Schmidt was hospitalized for two days while tests were administered to determine the cause of her trouble. Following the sick leave, she returned to her job where she worked until February 20, 1972, when she was again hospitalized for a period of time and has never returned to work.

The evidence established that Mrs. Schmidt’s employer in addition to carrying workmen’s compensation insurance provided additional coverage for its employees at the employee’s election. The employer sponsored a plan that paid income replacement benefits to employees while disabled from causes not covered by workmen’s compensation and offered a plan which covered medical expenses not covered by workmen’s compensation. Mrs. Schmidt participated in both plans and drew benefits from both plans following her September 1971 hospitalization. Her testimony was that she understood the two plans were for non-occupational conditions. Further, Mrs. Schmidt testified she was aware of the workmen’s compensation insurance coverage provided by her employer. It was stipulated that she filed her no *400 tice of injury and claim for compensation with the Industrial Accident Board June 27, 1972.

Employers Commercial Union Insurance Company went to trial upon a sworn pleading that Mrs. Schmidt had failed to file her notice of injury and claim for compensation within the time allowed by law and that no good cause existed to excuse such failure. Mrs. Schmidt contended good cause existed to excuse her failure to file her claim within six months from the date of her injury because she did not believe her disabling condition to have arisen out of her employment until immediately before her claim was filed.

The jury answered only the following special issues:

“ISSUE NO. 1
Do you find from a preponderance of the evidence that Plaintiff incurred an occupational disease?
‘Occupational disease’ means any disease arising out of and in the course of employment which causes damage or harm to the physical structure of the body and such other diseases or injuries as naturally result therefrom. An ‘occupational disease’ shall also include damage or harm to the physical structure of the body occurring as the result of repetitious physical traumatic activities extending over a period of time and arising in the course of employment.
Answer ‘We do’ or ‘We do not.’
ANSWER: ‘We do’
If you have answered Issue No. 1 ‘We do’ then answer Issue No. 2, otherwise do not answer Issue No. 2.
ISSUE NO. 2
Do you find from a preponderance of the evidence that Plaintiff incurred such occupational disease in the course of employment with U. S. Time Corporation?
Answer ‘We do’ or ‘We do not.’
ANSWER: ‘We dp’
If you have answered Issue No. 2 ‘We do’ then answer Issue No. 3, otherwise do not answer Issue No. 3.
ISSUE NO. 3
Do you find from a preponderance of the evidence that such occupational disease was a producing cause of any total incapacity ?
Answer ‘We do’ or ‘We do not.’
ANSWER: ‘We do’
If you have answered Issue No. 3 ‘We do’ then answer Issue No. 4, otherwise do not answer Issue No. 4.
ISSUE NO. 4
Find from a preponderance of the evidence the beginning date of such total incapacity.
Answer by giving the Month, Day and Year.
ANSWER: February 20, 1972
If you have answered Issue No. 3 ‘We do’ then answer Issue No. 5, otherwise do not answer Issue No. 5.
ISSUE NO. 5
Do you find from a preponderance of the evidence that such total incapacity is permanent or was, or will be temporary?
Answer ‘Permanent’ or ‘Temporary.’
ANSWER: Permanent
If you have answered Issue No. S ‘Temporary’ then answer Issue No. 6, otherwise do not answer Issue No. 6.
ISSUE NO. 7
Do you find from a preponderance of the evidence that such occupational disease was or will be a producing cause of any partial incapacity ?
Answer ‘We do’ or ‘We do not.’
*401 ANSWER: ‘We do’
If you have answered Issue No. 7 ‘We do’ then answer Issue No. 8, otherwise do not answer Issue No. 8.
ISSUE NO. 12
Do you find from a preponderance of the evidence that within six months from the date of the cumulative injury (or disease), plaintiff had a reasonable doubt as to whether her condition arose out of the course of her employment with U. S. Time Corporation?
Answer ‘We do’ or ‘We do not.’
ANSWER: ‘We do not’
If you have answered Issue No. 12 ‘We do’ then answer Issue No. 13, otherwise do not answer Issue No. 13.”

The workmen’s compensation carrier now contends the trial court erred in awarding total and permanent disability benefits to Mary Ellen Schmidt for the reason that as a matter of law the date of Mrs. Schmidt’s “cumulative injury” was more than six months prior to the filing of her notice of injury and claim for compensation with the Industrial Accident Board.

Employers Commercial Union Insurance Company argues that Mrs. Schmidt’s cumulative injury was on or about September 7, 1971; therefore, the filing of her claim with the Industrial Accident Board on June 27, 1972, was not within the six months provided by statute. The jury having resolved the “good cause” issue against her appellant says she must now be denied any recovery as a matter of law.

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509 S.W.2d 398, 1974 Tex. App. LEXIS 2306, Counsel Stack Legal Research, https://law.counselstack.com/opinion/employers-commercial-union-insurance-co-v-schmidt-texapp-1974.