Garrison v. Great Southern Life Ins. Co.

72 S.W.2d 692, 1934 Tex. App. LEXIS 624
Court of Appeals of Texas·Decided May 12, 1934·No. No. 11622.·Published·Cited by 9 cases

Opinion

BOND, Justice.

The Great Southern Life Insurance Company, assignee of the Southern Union Life Insurance Company of Fort Worth, Tex., instituted this suit against John Furman Garrison, in a district court of Dallas county, to enjoin the prosecution of three suits, pending in the justice and county courts of said county, brought by Garrison on a policy of accidental insurance, providing for the payment of an indemnity of $20 per month, con■ditioned upon insured becoming totally and permanently disabled through external and violent accidental means; and for a mandatory order to compel the respondent to im-plead his cause of action by way of a cross-bill for all installments due, and for such other subsequent installments as the respondent may thereafter be entitled. •

The court granted the restraining order .and mandatory injunction, and, in obedience thereto, appellant, as plaintiff ih cross-action, filed his petition, setting out in detail the issuance of the policy of insurance by the Southern Union Life Insurance Company, the assumption by appellee of all liabilities thereunder, his compliance with all of the terms and conditions of the policy, payment of the annual premiums of October 18, 1929, and his subsequent disability.

Appellee, as defendant in cross-action, filed a responding petition, reciting a general denial of liability, a forfeiture of the indemnity, because of insured’s failure to furnish notice and proof of injury, as required by the terms of the policy. Its defense centered mainly on the issues that notice and proof of disability were conditions precedent to appellant’s recovery, and he, not having furnished such information, forfeited the indemnity, as well as all rights to the waiver of payment of premiums, as per the terms of the policy.

Appellant met the issues of his failure to give notice and proof of disability by supplemental pleadings, quoting: “That within a reasonable time after the date of injuries, resulting in total and permanent disability, the insured, John Furman Garrison, did, on or about February 1, 1930, and again on or about February 8, 1930, and again on or about March 1, 1930, give the insurer, Southern Union Life Insurance Company, due notice of insured’s total and permanent disability, and did then and there offer to make due, proper and positive' proof of insured’s total and permanent disability, as aforesaid, but the said insurer, Southern Union Life Insurance Company, refused to consider the insured’s claim to any extent, and to any amount whatsoever, and stated that it would be useless and needless, and a waste of time to furnish the said insurer with due proof of the insured’s disability, in that, they refused to pay any part or portion of the indemnity.”

The case was presented to a jury on special issues, submitting only the facts as to appellant’s injuries, the extent and duration of his disability, all of which were found favorable to appellant; and, by agreement of the parties, the court, without the aid of the jury, found the amount due and to become due, according to the terms of the policy, and the amount of statutory attorney fees, for appellee’s breach. No issue was submitted to the jury as to appellant’s failure to give notice to appellee of his injuries, or the filing of proof of disability, or as to appellee waiving such conditions, and no *694 agreement was made by the parties in reference thereto.

On motion, judgment was rendered in favor of appellee, notwithstanding the findings of the court and jury; thus this appeal.

■ Appellant requested the court to submit to the jury the following issues, which were refused, and to the action of the court assignments of error are predicated:

“Special Issue No. 1: Do you find and believe from a preponderance of the evidence that the Southern Union Life Insurance Company received a letter mailed in the rural mail box, as testified to by plaintiff, John Eurman Garrison? Answer this special issue ‘yes’ or ‘no,’ as you find the facts to be.
“Special Issue No. 2: Do you find and believe from a preponderance of the evidence that plaintiff, John Furman Garrison, called in person upon the Southern Union Life Insurance Company at their Port Worth office, as testified to by plaintiff? Answer this special issue ‘yes’ or ‘ho,’ as you find the facts to be.
“Special Issue No. 3: Do you find and believe from a preponderance of the evidence that plaintiff, John Furman Garrison, offered to make proof of his disability at the Fort Worth, Texas, office of the Southern Union Life Insurance Company? Answer this special issue ‘yes’ or ‘no,’ as you find the facts to be.
“Special Issue No. 4: Do you find and believe from a preponderance of the evidence that the Southern Union Life Insurance Company refused to accept proof of loss, as offered, if you have so found that John Fur-man Garrison did offer to make proof of loss at the Fort Worth, Texas, office of the Southern Union Life Insurance Company? Answer this special issue ‘yes’ or ‘no,’ as you find the facts to be.”

The policy sued on provides that: “The Southern Union Life Insurance Company will, upon receipt of proof satisfactory to the company, that the insured has ⅜ * * become totally and permanently disabled, through external and violent-accidental means ⅜ * ⅞ pay to the insured an annuity for life in monthly installments, each installment to equal one per cent, of the face amount of the policy.” The proof of -disability, as required, is evidently a condition precedent to recovery on the policy, and no right in appellant to indemnity exists unless and until the provision as to proof be complied with.

The decisions of this state recognize that, when a policy makes the furnishing of proof of injury or loss a condition precedent to its enforcement, and the proof has been neither furnished nor waived, the insured fails to establish his right to recover on the policy. Scottish Union & National Insurance Co. v. Chaney, 83 Tex. 115, 18 S. W. 439; Delaware Underwriters & Westchester Fire Insurance Co. v. Brock, 109 Tex. 431, 211 S. W. 779; Commercial Union Assur. Co. Ltd. v. Preston (Tex. Civ. App.) 238 S. W. 326. We believe that, under the decisions above quoted, it is firmly established in the jurisprudence of this state that, under a policy containing the terms as this one does, the filing of proof of total and permanent disability is a condition precedent to recovery, and, in the event the same is not made or waived, that recovery by the insured should be denied.

The facts in this case, however, are not such as a court can determine, as a matter of law, that proof of total and permanent disability were made or waived, and, in fact, we are inclined to hold that the testimony shows that no proof was actually filed; thus leaving for the consideration of a court or jury as to whether the testimony raises the issue of waiver.

Manifestly, these requested charges carried to the attention of the trial court vital issues in this suit to establish the waiver; that is, the notice to the insurer of the insured’s disability, offer of the insured to make the proof, and the refusal of the insurer to accept any proof which might be offered. These issues were directly on the question of whether the conditions were waived.

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Garrison v. Great Southern Life Ins. Co., 72 S.W.2d 692, 1934 Tex. App. LEXIS 624 (Tex. Ct. App. 1934).

72 S.W.2d 692 (Garrison v. Great Southern Life Ins. Co.) — published by Counsel Stack Legal Research, free access to 12M+ legal documents.

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