General Accident Fire & Life Assurance Corporation v. Hames

416 S.W.2d 894, 1967 Tex. App. LEXIS 2132
CourtCourt of Appeals of Texas
DecidedMay 19, 1967
Docket16917
StatusPublished
Cited by7 cases

This text of 416 S.W.2d 894 (General Accident Fire & Life Assurance Corporation v. Hames) 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
General Accident Fire & Life Assurance Corporation v. Hames, 416 S.W.2d 894, 1967 Tex. App. LEXIS 2132 (Tex. Ct. App. 1967).

Opinion

BATEMAN, Justice.

The appellees D. L. Hames and wife filed this suit under Section 5a of Article 8307 * to enforce an award of the Industrial Accident Board of Texas ordering the appellant to pay accrued compensation benefits in the sum of $420 and “medical, hospital and doctor bills incurred as a result of the occupational disease sustained on or about 4-1-64, 4-20-64, and 5-2-64.” At the end of a nonjury trial judgment was rendered against appellant for $1,898.45, of which $420 was for the compensation benefits, $605.40 was for medical expenses, $123.05 was penalty and $750 was attorneys’ fees. Appellant concedes its liability for the $420 compensation benefits, but appeals from that part of the judgment awarding medical expenses, penalty and attorneys’ fees.

Appellant’s first twelve and seventeenth points of error on appeal challenge the validity of that part of the judgment.awarding $605.40 to appellees for hospital and doctor bills. Appellant argues that the award of the Board was too vague, general and indefinite as to such charges to be enforceable, that since itemized bills of hospital and doctor fees were not before the Board at the time of the award, and therefore could not have been considered by the Board in making the award, the Board was unauthorized to include such charges in its award and the trial court had no jurisdiction to make fact findings on the reasonableness and the necessity of those charges; also that the court erred in rendering judgment for medical expenses in the absence of a finding that they were incurred as a result of occupational disease. We find no merit in any of these points.

The award of the Industrial Accident Board was of weekly benefits of $35 each for twelve weeks, which were found to have matured in the sum of $420, followed by the sentence: “Named insurer is ordered to pay medical, hospital and doctor bills incurred as a result of the occupational *896 disease sustained on or about 4-1-64, 4-20-64 & 5-2-64.” Both parties gave notice of intention to appeal from this award, but neither of them filed suit within the time provided by Sec. 5, Art. 8307, to perfect the appeal.

Sec. 5, of Art. 8307, gives to “[a]ny interested party who is not willing and does not consent to abide by the final ruling and decision” of the Board the right to appeal by giving notice within twenty days of his intention not to abide by said final ruling and decision, and by then bringing suit, within twenty days after giving such notice, to set aside the final ruling and decision.

This is followed by Section 5a, the first paragraph of which provides that if the insurer shall fail and refuse to obey or comply with “a final order, ruling or decision as provided in the preceding section,” the claimant shall have the right to bring suit “upon said order, ruling or decision. If he secures a judgment sustaining such order, ruling or decision in whole or in part, he shall also be entitled to recover the further sum of twelve per cent as damages upon the amount of compensation so recovered in said judgment, together with a reasonable attorney’s fee for the prosecution and collection of such claim.”

The second paragraph of Section 5a gives an injured employee or his beneficiaries the right to sue to mature an award of periodic payments upon failure of the insurer to pay them promptly as they mature.

Let us first consider the complaint that the award of the Board was too vague and indefinite to be enforceable. This court held, in Middlebrook v. Texas Indemnity Ins. Co., 112 S.W.2d 311 (Tex.Civ.App.1937, w'rit dism’d w. o. j., 131 Tex. 163, 114 S.W.2d 226), that the phrase “final order, ruling or decision” in Section 5a means the same as the phrase “final ruling and decision” as used in Section 5, and that an award which is final, so far as taking an appeal therefrom is concerned, is also sufficiently final to be the basis of a suit to mature the same. It has been repeatedly held that a contingent award, or one for an indefinite period of time, not to exceed a certain maximum, is not rendered unappealable for being too vague or indefinite. Southern Surety Co. v. Hendley, 226 S.W. 454 (Tex.Civ.App., Galveston 1920, writ ref’d); Traders & Gen. Ins. Co. v. Chancellor, 105 S.W.2d 720 (Tex.Civ.App., El Paso 1937, writ dism’d); Lumbermen’s Reciprocal Ass’n v. Warren, 272 S.W. 826 (Tex.Civ.App., Beaumont 1925, writ ref’d). In Middlebrook the award of the Board was for weekly benefits of $9 per week for an indefinite period, not exceeding 125 consecutive weeks “unless changed by subsequent award of the Board.” We held that this order was sufficiently final to support a judgment in the suit to mature the claim and recover the entire amount upon failure of the insurer to make the payments ordered. In that case we followed the opinion of the Commission of Appeals in Vestal v. Texas Employers’ Ins. Ass’n, 285 S.W. 1041 (Tex.Comm’n App. 1926, jdgmt adopted), in which a similar holding had been made. In dismissing the application for writ of error in Middle-brook, the Supreme Court specifically held that we were not in error in following Vestal in that respect. Texas Indemnity Ins. Co. v. Middlebrook, 131 Tex. 163, 114 S.W.2d 226; see also Travelers Ins. Co. v. Dickson, 160 F.2d 167 (5th Cir. 1947).

In our opinion, appellant’s points of error which complain of the lack and insufficiency of the evidence filed with the Industrial Accident Board, and of the failure or inability of the Board to give proper consideration to the evidence it had before it, and of the failure of the trial court to find as a fact that the medical expenses were incurred because of the occupational disease, all constitute collateral attacks upon the award of the Board, which is not permissible in a suit to enforce the award. In Keller v. Texas Employers’ Ins. Ass’n, *897 279 S.W. 1113 (Tex.Civ.App., Beaumont 1926, no writ), it was said:

“A proceeding to enforce a judgment (as is here attempted) is collateral to the judgment, and therefore no inquiry into its regularity or validity can be permitted in such proceeding, though in such proceedings it may be shown that the judgment is absolutely void for want of jurisdiction.”

In the same year, Vestal v. Texas Employers’ Ins. Ass’n, supra, was decided, wherein it was held, inter alia, that in a suit to enforce the award of the Board the insurer did not have the right to re-open the case and try the issues anew, thus in effect obtaining the benefit of a review or trial de novo in the courts without complying with the statutes with respect to appeal; that the insurer cannot thus convert an action for enforcement into one for compensation ; that while the Board is not, strictly speaking, a court, nevertheless its functions are quasi-judicial, and its orders are given the force, after a time, of finality, “and they cannot be collaterally attacked.”

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416 S.W.2d 894, 1967 Tex. App. LEXIS 2132, Counsel Stack Legal Research, https://law.counselstack.com/opinion/general-accident-fire-life-assurance-corporation-v-hames-texapp-1967.