Employers Reinsurance Corp. v. Wagner

250 S.W.2d 420, 1952 Tex. LEXIS 454
CourtCourt of Appeals of Texas
DecidedJune 26, 1952
Docket12437
StatusPublished
Cited by16 cases

This text of 250 S.W.2d 420 (Employers Reinsurance Corp. v. Wagner) 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 Reinsurance Corp. v. Wagner, 250 S.W.2d 420, 1952 Tex. LEXIS 454 (Tex. Ct. App. 1952).

Opinion

MONTEITH, Chief Justice.

This is an appeal in a workmen’s compensation case brought by appellee, W. E. Wagner, to set aside an award of the Industrial Accident Board in favor of appellant, Employers Reinsurance Corporation, and to recover compensation for permanent partial incapacity alleged to have been the result of an injury sustained by him on June 30, 1950, in the course of his employment with the Houston refinery of Shell Oil Company, who carried compensation insurance with appellant, Employers Reinsurance Corporation. Appellant answered by a general denial. By special plea it alleged that appellee’s disability, if any, was a heart attack suffered by him on July 2, 1950, and was not caused or contributed to by his alleged injuries while in the employ of the Shell Oil Company,, and that appellee’s injuries were temporary and that he had recovered therefrom.

Appellant alleged that immediately after his injury, appellee had applied for insurance benefits under a group insurance policy, known as Income Protection Insurance, for disability arising from non-occupational accident and sickness, and that with full knowledge of the fact that he was not entitled to collect workmen’s compensation benefits and benefits from non-occupational accidents, he had collected benefits under said income protection insurance policy in the amount of $948.91 for the *421 period ending February 20, 1951. Appellant contends that, as a matter of law, ap-pellee, by filing his claim for benefits under said I. P. I. policy, he had elected to treat his heart condition as a non-occupational accident, not contributed to by any occupational injuries and that he is es-topped to claim in this suit that 'his heart condition was caused in whole or in part by an accident suffered in the course of his employment with the Shell Oil Company.

In response to special issues submitted, a jury found that appellee had sustained permanent partial incapacity from an injury sustained by him on June 30, 1950, and that his average weekly wage earning capacity during the existence of the partial incapacity was $27.20 per week.

Judgment was rendered under said verdict that appellee was estopped to collect workmen’s compensation benefits for the period from June 30, 1950, to March 23, 1951, during which period he had collected insurance benefits under his income protection insurance policy. The trial court rendered judgment for appellee for workmen’s compensation benefits at the rate of $24.48 per week for a period of 224 weeks, beginning with December 14, 1951, and for medical expenses in the amount of $937.60, a total of $6,421.12.

It is undisputed in the record that appel-lee carried at his own expense an income protection insurance policy with the Travelers Insurance Company, with coverage for sickness and accident outside of the scope of his employment; that on June 30, 1950, he was employed as an instrument helper first class, at the Houston refinery of Shell Oil Company at an average weekly wage of $68. On July 2, 1950, while at his home he suffered two heart attacks. On the following day he reported at the refinery for work but shortly after reporting for work he had a third attack and was taken to Dr. Reece, the Company doctor, who sent him to a hospital. Dr. Reece informed appellee that his “heart disease” was not an occupational disease. On February 5, 1951, appellee was pronounced ready to do. light work. He returned to his old job on March 23, 1951, at a higher rate of pay than he had received in his prior employment. He continued at his old job until August 20, 1951, when he was promoted to a more responsible job, for which he received a substantial increase in pay, $82.80 per week. Appellee is still working at the Houston refinery of Shell Oil Company as an instrument man, at an average weekly wage of $82.80.

Appellee returned to work at his old job at the Shell refinery on March 23, 1951, and has worked at that job or a better one since that time. During the period of 8 months and 23 days from June 30, 1950, to March 23, 1951, appellee collected insurance benefits as an employee of the Shell Oil Company under a group insurance policy, known as I. P. I. insurance. It is stipulated by the parties that appellee had collected from I. P. I. insurance benefits for the period of 8 months and 23 days in the sum of $1,110.75.

In order to collect I. P. I. benefits appel-lee filed claim forms in which he represented that the cause of his disability was a heart ailment and that it was non-occupational in origin and that it was not due to an accident.

On June 30, 1950, appellee was employed as an instrument helper at the rate of $1.70 per hour, or $68 per week. On April 12, 1951, he was raised to $1.87 per hour and on August 20, 1951, he was promoted to the position of instrument man No. 2 at the hourly rate of $2.07 per hour, or $82.80 per week.

Appellee filed his claim with the Industrial Accident Board on October 2, 1950.

Appellant relies for reversal on five points of assigned error. It contends that appellee is estopped to seek workmen’s compensation benefits by virtue of his alleged election to claim and collect I. P. I. insurance benefits, and that the jury’s finding that appellee’s average weekly wage earning capacity after June 30, 1950, was only $27.20, is contrary to the undisputed evidence that appellee has been working continuously since March 23, 1951, and that he has been and is now permanently employed at harder work, requiring great *422 er physical effort, and at a weekly wage of $82.80.

Appellant contends that under the undisputed evidence in the case appellee is es-topped from collecting any workmen’s compensation benefits arising from his claimed injury for the reason that the undisputed evidence in the case reflects that he had filed his claim for income protection insurance and collected these benefits in the sum of $1,110.75, knowing that he was not legally entitled to collect for income protection insurance and workmen’s .compensation insurance from appellant, and that under these facts appellee has clearly brought himself within the rule that, having made an election and accepted benefits under the I. P. I. policy, he is estopped to repudiate the I. P. I. claims filed by him that his heart trouble is non-occupational in origin.

Appellant relies on the rule announced in the case of Nye v. Bradford, 144 Tex. 618, 193 S.W.2d 165, 169 A.L.R. 1. In that case Mrs. Nye sought by parol evidence to change the character of the estate conveyed. The Supreme Court held that since she was the grantee in the deed and claimed under it, she was bound by its contractual recitals and was estopped to deny them. Citing authorities.

The rule announced in the Nye case is followed in the following authorities: Simmons v. Clampitt Paper Co., Tex.Civ.App., 223 S.W.2d 792 (writ of error refused, n. r. e.); Reed v. Skelly Oil Co., Tex.Civ.App., 227 S.W.2d 360 (error refused, n. r. e.); and in the case of Van Sickle v. Locke, Tex.Civ.App., 220 S.W.2d 919 (writ of error refused, n. r. e.).

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250 S.W.2d 420, 1952 Tex. LEXIS 454, Counsel Stack Legal Research, https://law.counselstack.com/opinion/employers-reinsurance-corp-v-wagner-texapp-1952.