Mercury Life and Health Company v. De Leon

314 S.W.2d 402, 1958 Tex. App. LEXIS 2063
CourtCourt of Appeals of Texas
DecidedMay 30, 1958
Docket3388
StatusPublished
Cited by10 cases

This text of 314 S.W.2d 402 (Mercury Life and Health Company v. De Leon) 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
Mercury Life and Health Company v. De Leon, 314 S.W.2d 402, 1958 Tex. App. LEXIS 2063 (Tex. Ct. App. 1958).

Opinion

*403 COLLINGS, Justice.

This case was filed by Mercury Life and Health Company as a bill of inter-pleader. The insurance company sought a determination as to whom it was obligated to pay $500 which it admitted was due and payable under the terms of an insurance policy issued to the defendant Gregorio Flores De Leon. In addition to the policy holder the insurance company also named St. Francis Hospital and Dr. Thomas G. Otto as defendants. The three named defendants answered affirming the existence of the insurance policy but denying that the liability of the plaintiff insurance company was limited to $500. They alleged that the policy provided that in case of an occupational injury to De Leon the insurer would pay benefits for hospitalization and medical expenses up to $5,000. The defendants alleged that on account of injuries sustained by De Leon in the course of his employment as provided in the policy he had incurred an indebtedness to St. Francis Hospital for hospital services in the sum of $1,778 and an indebtedness to Dr. Thomas G. Otto for medical services in the sum of $500. The defendants prayed judgment against the plaintiff insurance company for the amount of such medical and hospital bills, for statutory damages and attorneys fees. The case was tried before a jury which found the injury sustained by De Leon occurred while he was in the course of his employment. Based upon the verdict, judgment was rendered against the insurance company and for Dr. Thomas G. Otto in the sum of $500 and for St. Francis Hospital in the sum of $1,778. Mercury Life and Health Company has appealed.

Appellee, Gregorio Flores De Leon, is one of a group of Mexican nationals brought to the United States and to the State of Missouri under an individual work contract with E. E. Douglas and W. E. Young who were cotton farmers. Appellant Mercury Life and Health Company issued a policy of insurance to appellee De Leon which provided that it was issued only for the purpose of insuring migratory farm workers while they were under contract of employment under individual work contracts authorized by the Mexico-United States Farm Labor Agreement. The policy was an individual policy issued to De Leon insuring him against medical and hospital expenses on account of sickness and injury in a sum not to exceed $500 for any non-occupational injury or sickness and indemnity for medical and hospital expenses not to exceed $5,000 for injury or sickness which occurred in performance of the insured’s employment.

Appellant contends in two points that there was no evidence or in any event insufficient evidence to support the jury finding that De Leon at the time of his injury was engaged in the course of his employment with his employers Douglas and Young; that on the contrary the evidence showed conclusively that De Leon was at the time of his injury not in the course of his employment, and that the court erred in overruling appellant’s motions for an instructed verdict and for judgment non obstante veredicto.

Sections III, IV and VII (A) of the insurance policy are material to the question involved in this case. These sections read as follows:

“Section III — Indemnity for Injury or Sickness
“When injury or-sickness occurs in performance of the Insured’s employment and requires treatment by a legally qualified licensed physician or surgeon, confinement within a hospital, employment of a graduate nurse, X-Ray examinations, medical prescriptions, ambulance service or surgical apparatus or appliances, the Company will pay, in addition to any other indemnity payable, hereunder, the total amount expended or incurred for the benefit or use of each insured person hereunder within twenty-six (26) weeks after the injury or *404 sickness for the aforementioned items incurred; however, such total or aggregate sum payable under this Section III shall not exceed Five Thousand Dollars ($5,000.00); and except as stipulated and provided in Section IV herein.
“Section IV — Alternative Indemnity for Injury or Sickness
“Whenever the injury or sickness of the insured does not arise solely out of and in the course of the insured’s employment for wage or profit with the employer, then, and in that event, the insured shall be entitled to indemnity benefits under this Section IV and Section III herein shall not apply. When injury or sickness under this Section IV requires treatment by a legally qualified licensed physician or surgeon, confinement within a hospital, employment of a graduate nurse, X-Ray examination, use of an ambulance, medical prescriptions or medical and surgical apparatus or appliances, the Company will pay the entire amount or aggregate sum expended for the benefit of the cover.ed insured for the hereinabove named items being such sums or aggregate amount actually incurred within twenty-six (26) weeks after the date of the accident or commencement of the sickness, however, such sum shall not exceed in the aggregate the total maximum of Five Hundred ($500.00) Dollars for each insured.”
“Section VII — Special Provisions
“A. This policy is applicable to and shall be issued only for the purpose of insuring migratory farm laborers of the Republic of Mexico, while said farm laborers, herein called “insured persons”, are under contract of employment under individual work contracts authorized by the Mexico-United States Farm Labor Agreement.”

The evidence is undisputed that De Leon was a migratory farm worker under contract of employment under an individual work contract with Douglas and Young. Appellant urges that De Leon was at the time of his injury not in the performance of his employment with Douglas and Young, but was a borrowed employee; that, although he was employed as a cotton picker at the time of his injury, he was not in the course of his employment as contemplated by the insurance policy; that he was in the course of his employment as contemplated by the policy only while he was working for Douglas and Young, the employers with whom he had entered into an individual work contract; that at the time of his injury he was not working for Douglas and Young but had been loaned by them to an employer by the name of W. D. Blaylock and that, while en route to Blaylock’s farm for the purpose of picking Blaylock’s cotton, he was struck by a truck and received the injuries complained of.

There was no evidence that De Leon had an individual contract with Blaylock. The evidence indicated that H. A. Mahan, who operated a ginning company, also owned and operated a large cotton acreage. He leased land to several neighboring farmers for the purpose of producing cotton. Among the farmers who leased land from Mahan were Douglas, Young and Blaylock. In order to harvest his cotton crop and that produced on surrounding lands, including farms which he had leased to others in the neighborhood of his cotton gin, Mahan arranged to import a large number of Mexican laborers. It was under these circumstances that De Leon entered into his individual work contract with Douglas and Young. The evidence showed that each morning the Mexican laborers would gather at a designated point from which they were transported to the particular cotton fields which were ready for picking that day. On the day in question Blay-lock’s cotton was ready to be picked. Blay-

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Bluebook (online)
314 S.W.2d 402, 1958 Tex. App. LEXIS 2063, Counsel Stack Legal Research, https://law.counselstack.com/opinion/mercury-life-and-health-company-v-de-leon-texapp-1958.