Mid-Continent Life Ins. Co. v. Selmon

16 S.W.2d 374, 1929 Tex. App. LEXIS 457
CourtCourt of Appeals of Texas
DecidedMarch 6, 1929
DocketNo. 3191.
StatusPublished
Cited by2 cases

This text of 16 S.W.2d 374 (Mid-Continent Life Ins. Co. v. Selmon) 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
Mid-Continent Life Ins. Co. v. Selmon, 16 S.W.2d 374, 1929 Tex. App. LEXIS 457 (Tex. Ct. App. 1929).

Opinion

JACKSON, J.

This suit was instituted in the district court of Wichita county, Texas, by the plaintiff, Dee Roy Selmon, against the defendant, Mid-Continent Life Insurance Company, an insurance corporation, on an accident policy issued by the defendant on May 6, 1926, to the plaintiff, who paid the premium therefor.

Plaintiff alleges: That by the terms of said policy, the defendant agreed and promised to pay him $25’ per week for not exceeding 200 weeks, if he should suffer injuries totally disabling him, and, if he should receive accidental injuries disabling him to the extent that, he could not perform one-half of his important daily duties, the defendant promised and agreed to pay him $12.50 per week for a period not exceeding 26 weeks. That while the policy was in full force and effect, about July 17, 1926, he suffered an injury within ■the meaning of said policy, by which he was totally disabled for 26 weeks from the date of the injury. That thereafter, and at all times since, hie has been, by reason of such injury, disabled and prevented from performing one-half of his important daily duties, but not prevented from performing all of such duties. That by reason of the premises defendant became indebted to plaintiff in the sum of $975. That the defendant has paid $300 on said sum, leaving a balance of $675 unpaid, and which, though often requested, the defendant has failed and refused, and still fails and refuses, to pay. That plaintiff, more than 30 days before the institution of this suit, furnished proper proof of his said injuries, and made due and proper demand on the defendant for payment of said obligation, but the defendant has failed to pay plaintiff said sum, or - any part thereof, and he was compelled to employ counsel to bring suit to recover said insurance. That the defendant is therefore in law bound to pay reasonable attorney’s fees, which the plaintiff alleges to be the sum of $150', and the further sum of 12 per cent, as statutory penalty imposed by law for the failure and refusal to pay plaintiff’s demand within 30 days from notice thereof.

The defendant answered by general demurrer, special exceptions, and general denial, and specially alleged that the contract of insurance sued upon provided that, “if such in *375 juries [as are covered by said contract] shall wholly and continuously disable the insured from performing any and every kind of duty pertaining to his occupation for the period of one day or more, but not exceeding 200 weeks during which the insured lives and suffers such continuous total disability, the company will pay him the weekly accident indemnity above stated” — that is, $25 per week.

In this connection, the defendant alleges: That during such period of total disability it paid the plaintiff in two checks, totaling $321.43, which was all the indemnity that the plaintiff was entitled to under the terms of said policy. 'That said checks contain the provision that they are in full and final settlement by the defendant, and a release on the part of plaintiff for all claims arising under said policy by reason of the accidental injuries alleged. The defendant also alleges that the contract provides that, “if such injuries shall wholly and continuously disable the insured from performing one-half, but not all, the important daily duties pertaining to his occupation, or for a like partial disability following total loss of time and under the regular care and treatment of a physician or surgeon, the company will pay for the period of such disability or disabilities, but not exceeding 26 consecutive weeks, one-half of the weekly accident indemnity above stated.”

In this connection, the defendant alleges that the plaintiff, on or about November 21, 1927, the exact date being unknown to the defendant, resumed and ever since has discharged his regular and usual employment, and has been regularly employed, and has discharged at least more than one-half, if not all, of the important daily duties pertaining to his occupation, and at no time since the period of his total disability has he been under the regular care or treatment of a physician or surgeon, by reason of which the plaintiff is not entitled to the payment of further indemnity on account of the terms of his contract of insurance. By reason of all of which the terms of the policy have been satisfied and released, and the defendant is not liable in any sum or amount to the plaintiff.

The case was submitted to the court without the intervention of a jury. The court, in his judgment, finds that the plaintiff suffered total disability for a period of 26 weeks and partial disability for a period of 13 weeks after such total disability had ceased. He renders judgment for the plaintiff against the defendant on these findings for the sum of $812.50, less $321.43, the amount theretofore paid by.the defendant to the plaintiff. He also gave plaintiff judgment for 12 per cent, statutory penalties on the amount of the judgment and for the sum of $100 as a reasonable attorney’s fee. From this judgment this appeal is prosecuted.

The appellant urges as error the action of the trial court in rendering judgment against it for the 12 per cent, penalties and-the $100 attorney’s fees, because, under the undisputed facts, neither the 12 per cent, penalties nor the attorney’s fees are recoverable, as the amount for which demand was made upon the insurance company was in excess of the amount for which a recovery was had.

The suit was filed August 5, 1927. On April 18, 1927, appellee’s attorney forwarded to the appellant certain affidavits relative to the appellee’s disability, and in a letter with which such affidavits were inclosed stated: “It appears from the foregoing that I made you a very liberal offer of settlement in my letter of March 3d, wherein I offered to take $350, and, if you are now disposed to pay that sum for a full release, send me check. If you are not disposed to settle, you are advised that within 30 days from date hereof I will institute suit against you under the policy,” etc. This letter was written, and the receipt thereof is not questioned, more than 30 days before the institution of the suit, and constituted a sufficient demand. Penn Mutual Life Insurance Co. v. Maner, 101 Tex. 553, 109 S. W. 1084.

Appellee’s demand in this letter, which had theretofore been made on March 3d, was for the payment of $350, and he recovered judgment for $812.50, less the payment of $321.43, which leaves the judgment, exclusive of penalties and attorney’s fees, $491.07, which is an amount considerably in excess of the demand made. If article 4736 requires the insured to demand the correct amount to which he- is entitled under the policy before he can recover' the 12 per cent, damages and reasonable attorney’s fees, such article has no reference to the amount demanded in a suit where instituted, -but only to the amount of the demand which is to be made on the company liable for the loss, before such a suit is instituted.

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Cite This Page — Counsel Stack

Bluebook (online)
16 S.W.2d 374, 1929 Tex. App. LEXIS 457, Counsel Stack Legal Research, https://law.counselstack.com/opinion/mid-continent-life-ins-co-v-selmon-texapp-1929.