International Security Life Insurance Co. v. Beauchamp

464 S.W.2d 679, 1971 Tex. App. LEXIS 2721
CourtCourt of Appeals of Texas
DecidedFebruary 22, 1971
Docket8094
StatusPublished
Cited by7 cases

This text of 464 S.W.2d 679 (International Security Life Insurance Co. v. Beauchamp) 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
International Security Life Insurance Co. v. Beauchamp, 464 S.W.2d 679, 1971 Tex. App. LEXIS 2721 (Tex. Ct. App. 1971).

Opinion

ELLIS, Chief Justice.

P. G. Beauchamp, Appellee, brought suit against International Security Life Insurance Company, Appellant, upon a claim for expenses incurred for hospitalization of *680 Bertie Beauchamp, wife of Appellee, allegedly covered by a medical and hospitalization insurance policy issued by appellant insurance company. Appellant answered by general denial and additionally urged in defense certain provisions, limitations and exclusions allegedly contained in the policy of insurance. Also, in Appel-lee’s petition Appellant was given notice to produce the insurance policy in court or its contents would be proved by secondary evidence.

The case was tried before the court without a jury, at which trial Appellant did not appear, although according'to the testimony of the deputy county clerk, she had mailed notice of the trial setting to Appellant’s attorneys more than ten days prior to the date of the trial. Appellant did not furnish the insurance policy as requested, and Appellee did not introduce the policy into evidence at the trial, but sought to prove the contents of the policy and his claim for indemnity thereunder by Appellee’s oral testimony. The evidence introduced during the trial is set out in a narrative statement of facts, and the court entered judgment against Appellant for “reasonable medical expenses” in the amount of $357.15, 12 per cent penalty in the sum of $42.85, attorney’s fees in the amount of $200.00 and an additional sum of $350.00 as attorney’s fees in the event of appeal. From such judgment Appellant has brought this appeal.

Various points of error and counterpoints have been briefed by Appellant and Appellee, respectively.

Appellant contends in its first point of error that the court erred in entering judgment for Appellee because he failed to offer into evidence the insurance policy upon which the suit was alleged to have been based and thereby failed to prove up the contract forming the basis for his claim against the Appellant.

The Appellee made general allegations in his petition regarding the coverage under the terms and conditions of the policy, stating therein that all of such terms and conditions “are fully set out in said policy and reference to which is here made for all purposes." In his petition Appellee identified the policy as being policy number CP 8724, and further alleged that “this policy of insurance, terms and conditions are well known to the Defendant.” Also, since Appellant was called upon to produce the policy in court and failed to do so, it cannot validly complain of the failure of Appellee to introduce the policy into evidence at the trial provided competent secondary evidence of the contents of the policy was submitted. The testimony of Appellee, in effect, stated in general terms that there was an insurance policy existing between himself and Appellant, identifying the same by number. Also, he alleged that his wife, Bertie Beauchamp, was insured under the policy and that she suffered a sickness covered by the policy while it was in force. He further alleged that he gave the required proof of loss, notice and demand for payment and was entitled to indemnities for expenses incurred as a result of his wife’s said sickness covered under said policy. Although the insurance policy was not introduced into evidence during the trial, in view of the allegations set out in the pleadings of the respective parties, it appears that both parties can be reasonably charged with sufficient general familiarity with and knowledge of the essential contents of the policy. The Appellant admitted in its pleadings, the existence of an insurance policy issued by Appellant to Appellee, and further pleaded a specific affirmative defense and certain exceptions, limitations and exclusions in broad and general fashion by reference to specific numbered subdivisions in the policy, to which pleadings Appellee did not except. Under these circumstances, it appears that Appellant is not in a position to justify its complaint regarding the failure of Appellee to introduce the policy of insurance into evidence. Mere proof of the existence and general nature of the contents of the insurance contract, however, without competent evidence to estab *681 lish the breach thereof is insufficient to sustain a judgment against the insurance company.

Among other points, the Appellant urges that the trial court erred in entering judgment for Appellee because (1) there was no competent evidence to prove that the charges made by the Lubbock Osteopathic Hospital and Dr. Robert Burns were reasonable, usual and customary or collectible; and (2) Appellee failed to negative the exceptions, limitations and exclusions pleaded by Appellant as defenses in its original answer.

The entire evidence regarding the charges made is the testimony of P. G. Beau-champ, Appellee, as set out in the narrative statement of facts as follows:

“ * * * while said policy of insurance was in effect and on or about the 21st day of September, 1969, his (P. G. Beauchamp’s) wife, Bertie Beauchamp, an insured under the policy was confined to Litbbock Osteopathic Hospital, Lubbock, Texas as a result of sickness covered by the policy; that at the time she was admitted to the hospital she complained of being sick and that she was taken to the hospital for treatment of such sickness; that while confined in the hospital she was treated by Dr. Robert Burns and upon being discharged from the hospital no longer complained of the sickness but appeared to be cured; that as a result of the sickness and confinement hospital and medical expenses were incurred in the amount of $357.15; that in his opinion these charges were reasonable, usual and customary charges made by the hospital and doctor and were necessary to the care of Bertie Beauchamp, and that they were expenses covered under the hospital policy; # * sjc )>

To enable a witness to give admissible opinion evidence as to any matter not ordinarily within the realm of common knowledge, it must be shown that the person giving such opinion possesses a higher degree of knowledge in this matter than the ordinary person or the jury or other trier of the facts. Watkins Land Mortgage Company v. Campbell, 98 Tex. 372, 84 S.W. 424 (1905). Also, it is well established that the party offering the witness has the burden of proving his qualifications. Woods v. Rustay, Martin & Vale, 430 S.W.2d 543 (Tex.Civ.App.—Houston, 14th District, 1968, ref’d n. r. e.). There is no evidence in this case that the Appellant, P. G. Beauchamp, possesses any special qualifications to testify as to the usual and customary hospital charges for alleged services rendered in Lubbock, Texas, or elsewhere. The only evidence regarding medical and hospitalization expenses is that they were incurred and only the Appellant’s opinion as to reasonableness. We hold that this testimony is not sufficient to support the claim that such charges are reasonable. Pelham Manufacturing Company v. Ridlehuber, 356 S.W.2d 502 (Tex.Civ.App.-Waco 1962, ref’d n. r. e.). Also, we find no evidence to establish the qualifications of Doctor Burns, with respect to training in the healing arts or otherwise, and no basis has been established for recovery of expenses for his services.

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Cite This Page — Counsel Stack

Bluebook (online)
464 S.W.2d 679, 1971 Tex. App. LEXIS 2721, Counsel Stack Legal Research, https://law.counselstack.com/opinion/international-security-life-insurance-co-v-beauchamp-texapp-1971.