General American Life Ins. Co. v. Martinez

149 S.W.2d 637, 1941 Tex. App. LEXIS 193
CourtCourt of Appeals of Texas
DecidedFebruary 13, 1941
DocketNo. 4045.
StatusPublished
Cited by24 cases

This text of 149 S.W.2d 637 (General American Life Ins. Co. v. Martinez) 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 American Life Ins. Co. v. Martinez, 149 S.W.2d 637, 1941 Tex. App. LEXIS 193 (Tex. Ct. App. 1941).

Opinion

*638 PRICE, Chief Justice.

This is an appeal from a judgment of one of the District Courts exercising jurisdiction in Bexar County, wherein Celedonio Martinez, as plaintiff, recovered a judgment against General American Life Insurance Company, defendant, in the sum of $1,000, together with 12 per cent, penalty thereon and $300 attorney’s fees. Defendant perfected an appeal from the judgment rendered, and the case is here for review.

The statement of the nature and result of the suit as made in appellant’s brief is, we think, correct, and we shall substantially adopt same.

This action was brought in the District Court of Bexar County, Texas, 45th Judicial District, by the appellee, Celedonio Martinez, against the appellant, General American Life Insurance Company, to recover on a certificate of insurance issued to the said Celedonio Martinez under a group policy issued by appellant to Martinez’ employer, the San Antonio Machine & Supply Company. The certificate provided for the payment of $1,000 in the event the insured, before having attained the age of sixty years, became totally and permanently disabled by bodily injury or disease. In addition to the principal amount of insurance, plaintiff sued for penalty and attorney’s fees.

The defendant filed a general demurrer and general denial to plaintiffs’ original petition and in addition a cross-action and counterclaim against plaintiffs, Celedonio Martinez and Horeta P. Martinez, the wife of the plaintiff, and G. Woodson Morris, plaintiffs’ attorney. It was alleged in the cross-action that the plaintiff Celedo'nio Martinez, in September, 1938, applied for a certificate of insurance under the group policy; that in the application for insurance and also in a statement made to Dr. E. W. Coyle, medical examiner for the insurance company, plaintiff Celedonio Martinez made material misrepresentations, stating that he had not consulted a physician within the past five years, when in truth he had been in the hospital and under the care of a physician a few months before the certificate was applied for. The company sought to cancel the certificate by virtue of the fraud practiced by plaintiff in procuring same.

The case was transferred to and tried in the 57th Judicial District Court.

The court submitted the case to the jury upon special issues, and the jury returned into court their verdict finding, (1) that Celedonio Martinez, plaintiff, was asked the question in the application for insurance: “Have you had any disease or injury or have you received any medical or surgical advice or attention within the last five years ?” (2) that he answered the question in the negative; (3) that his answer was untrue; (4) but that plaintiff did not make such false answer intentionally to induce defendant to issue the certificate of insurance. The jury further found (6) that Martinez was not asked, in the medical examiner’s report, the question, “Have you had any disease or injury or have you received any medical or surgical advice or attention within the past ten years?” (7) but that plaintiff answered the question in the negative and (8) that the answer was not untrue.

The jury further found that the plaintiff Celedonio Martinez was totally disabled; that the total disability is permanent; and that $300 would be a reasonable attorney’s fee.

The defendant filed motion for judgment based on the jury’s verdict, which was overruled. Judgment was entered in favor of plaintiff Celedonio Martinez for $1,000 principal, $120 as penalty and $300 as attorney’s fees, with interest at 6 per cent, per annum from January 11, 1940, and it was further ordered that the appellant, General American Life Insurance Company, take nothing by reason of its cross-action and counterclaim against plaintiffs, Celedonio Martinez and , Horeta P. Martinez, and it was ordered that G. Woodson Morris be dismissed as a party defendant.

The parties will be’ designated throughout as they were in the trial court.

The first two propositions briefed by defendant assert error on the-part of the trial court in refusing, at the close of all of the evidence, to instruct a verdict for defendant; (2) in refusing to grant defendant’s motion for judgment after the verdict of the jury was received.

The theory is that the undisputed evidence was that the plaintiff, in his application for insurance and in his statement to the physician of the defendant company, falsely represented that he had not been treated by a physician within five years before such . date; that such statements were false as a matter of law, were known to be false; that such statements were relied upon by defendant company, and *639 such statements were, as a matter of law, material to the risk.

Special issues one to five submitted by the court to the jury and the answers of the jury thereto were as follows:

“(1) Do you find from .a preponderance of the evidence that the following- question was asked the plaintiff, Celedonio Martinez, in the application for insurance herein: 'Have you had any disease or injury or have you received any medical or surgical advice or attention within the last five years?’ Answer ‘Yes’ or ‘No.’”
Answer: “Yes.”
“(2) Do you find from a preponderance of the evidence that the answer of the plaintiff, Celedonio Martinez, to said question, was in the negative? Answer ‘Yes’ or ‘No.’ ”
Answer: “Yes.”
“(3) Do you find from a preponderance of the evidence that the answer of the plaintiff, Celedonio Martinez, to said question was untrue? Answer ‘Yes’ or ‘No.’”
Answer: “Yes.”
“(4) Do you find from a preponderance of the evidence that Celedonio Martinez intentionally made such false answer to induce the defendant to issue said certificate of insurance? Answer ‘Yes’ or ‘No.’”
Answer: “No.”
“(5) Do you find from a preponderance of the evidence that the answer of the plaintiff, Celedonio Martinez, to said question was material to the risk or actually contributed to the contingency or event upon which said policy of insurance became due and payable? Answer ‘Yes’ or ‘No.’ ”

Unanswered. (No. 5 was to be answered only if No. 4 was answered in the affirmative.)

The following may be taken as the undisputed facts, part of which, however, are comprehended in unassailed findings of the jury:

On the 8th day of September, 1938, plaintiff made application for the insurance in question herein; on the 17th day of September, 1938, plaintiff appeared before Dr. E. W. Coyle, - medical examiner for defendant, and purported to answer certain questions propounded by such examiner, signing such application; that upon receipt of such medical report on the 1st day of October, 1938, the defendant issued to plaintiff a certificate attesting that he came under the group policy theretofore issued to his employer, San Antonio Machinery & Supply Company; on or about the 6th day of October, 1938, plaintiff became totally disabled by bodily disease or accident, and was and will be at ajl times thereafter wholly prevented thereby from engaging in any gainful occupation.

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Bluebook (online)
149 S.W.2d 637, 1941 Tex. App. LEXIS 193, Counsel Stack Legal Research, https://law.counselstack.com/opinion/general-american-life-ins-co-v-martinez-texapp-1941.