Great American Reserve Insurance Co. v. Laney

488 S.W.2d 481, 1972 Tex. App. LEXIS 2121
CourtCourt of Appeals of Texas
DecidedDecember 1, 1972
DocketNo. 17352
StatusPublished
Cited by4 cases

This text of 488 S.W.2d 481 (Great American Reserve Insurance Co. v. Laney) 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
Great American Reserve Insurance Co. v. Laney, 488 S.W.2d 481, 1972 Tex. App. LEXIS 2121 (Tex. Ct. App. 1972).

Opinion

OPINION

LANGDON, Justice.

This was a suit by appellee on a policy of disability insurance issued by appellant. Trial was to the court without a jury. Judgment was entered in favor of appellee for $37,925.60, plus 12% statutory penalty and attorney’s fees. Appellant excepted to the judgment and the findings of the court included therein and gave notice of its appeal which is based upon eight points of error, five of which are insufficient evidence points.

We affirm.

In order to resolve the questions presented on this appeal we have carefully examined the entire record in this cause. We are also required on this appeal to consider only such evidence, if any, which viewed in the most favorable light supports the court’s findings and its judgment based thereon. It was the court’s province to judge the credibility of the witnesses and the weight to be given their testimony. The court was within its province to resolve conflicts and inconsistencies in the testimony of any one witness as well as the testimony of different witnesses. The trial court, as the fact finder, is not only the judge of the facts and circumstances proven but may also draw reasonable inferences and deductions from the evidence presented to it.

Our review of the record reflects considerable conflict in the evidence. Findings by the court contrary to the ones made by it would find support in the record. In our opinion the findings made by the court have ample support in the record.

Appellant’s first two points attacking the sufficiency of the evidence to support the finding that Laney was totally and continuously disabled for the period from May 22, 1962, to February 11, 1968, will be examined in the light of the above rule, i. e., considering only such evidence which viewed in the most favorable light will support [483]*483the findings made by the trial court and disregarding all evidence to the contrary.

The policy was issued effective June 19, 1952, and was in full force and effect subject to the provisions of the policy until February 11, 1968. Appellant made full payments under the policy from May 18, 1955, until May 22, 1962.

Only benefits, if any, accruing between May 22, 1962, and February 11, 1968, are in issue.

The policy provides benefits for both accident and sickness. There is no contention by appellee that any benefits were payable under the accident portion of the policy. The applicable sickness provisions of the policy provide as follows:

“LOSS OF TIME BY SICKNESS
“(Confining Sickness)
“ARTICLE II. Section 1. If such sickness shall totally and continuously disable and necessarily confine the Insured continuously within doors and shall require the personal care and regular attendance of a legally qualified physician or surgeon, the Company will pay, beginning after the number of days excepted in the schedule, the monthly indemnity specified in the schedule and continuing as long as the Insured remains so disabled and so confined up to the Insured’s attained age of Sixty-Five, or a period of twenty-four months whichever period is greater.
“(Non-Confining Sickness)
“Section 2. Or, if such sickness shall totally and continuously disable the Insured, but shall not necessarily continuously confine the Insured within doors, and shall require the personal care and regular attendance of a legally qualified physician or surgeon, the Company will pay, beginning after the number of days excepted in the schedule, the monthly indemnity specified in the schedule, and continuing as long as the Insured remains so disabled, not to exceed twenty-four consecutive months for any period of sickness.”

Laney testified that he had not engaged in any occupation or activities from the standpoint of work since his heart attack. He had not felt like doing any work since he had his initial heart attack in May of 1955. He had not done any work of any kind that produced any money or engaged in any physical activity since that date. He had not felt like doing any kind of work even after he became 65 years of age on February 11, 1968, when the proceeds of the policy terminated.

The undisputed evidence showed that the appellee, prior to his heart attack in 1955, was extremely active in his work. He enjoyed good health. He was extremely active in civic affairs. He served as President of the School Board of the Denton Public Schools. After the heart attack in 1955, which Dr. Norgaard described as being a myocardial infarction, coronary occlusion, and a serious condition, the evidence shows that Mr. Laney never got well. He had repeated attacks of angina, pain in the chest, and shortness of breath upon the least exertion. He could not carry out the wishes of his doctor to take more exercise and do more walking. He was compelled to go into virtual seclusion, to spend all of his time close to his bed or chair and give up all outside activities. His condition has progressively grown worse.

The facts and circumstances in the record that he could not work, did not feel like working, and had not worked a day since his initial attack in 1955 constitutes ample evidence to support the court’s finding that Laney was totally disabled during all of such period of time from 1955 so as to entitle him to indemnity for “loss of time by sickness.”

Appellant’s first and second points are overruled.

By points three and four the appellant asserts that there is no evidence or insuf[484]*484ficient evidence to support a finding- that Laney was necessarily confined continuously within doors, within the meaning of the policy in question during the period from May 22, 1962, through February 11, 1968. These points are discussed with reference to the law which prevailed at the time the policy in question was issued.

“Under policy providing for payment of sick benefits in case of total disability from performing usual work, requirement that insured shall by reason of illness be strictly and continuously confined within house under care of qualified physician is evidentiary only of total incapacity and is not a prerequisite to recover for total incapacity.” Federal Surety Co. v. Waite, 297 S.W. 312 (Fort Worth, Tex.Civ.App., 1927, writ dism.). To the same effect see Provident Ins. Co. v. Shull, 62 S.W.2d 1017 (Amarillo, Tex.Civ.App., 1933, no writ hist.) followed by American Casualty Co. v. Horton, 152 S.W.2d 395 (Galveston, Tex. Civ.App., 1941, writ dism.).

The above cases represented the case law in Texas from the year 1927 until 1960, at which time the Texas Supreme Court in the case of United American Insurance Co. v. Selby, 161 Tex. 162, 338 S.W.2d 160 (1960) refused to follow the holdings in the Waite, Shull, Horton and other cases. The Selby case did not in our opinion specifically change the rule of construction adopted and followed by Texas concerning the construction to be placed upon the phrase, “continuously confined within doors”, and similar provisions. It made no reference to the case of Southern Surety Co. v. Diercks, 250 S.W.

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488 S.W.2d 481, 1972 Tex. App. LEXIS 2121, Counsel Stack Legal Research, https://law.counselstack.com/opinion/great-american-reserve-insurance-co-v-laney-texapp-1972.