National Educators Life Insurance Co. v. Morgan

295 S.W.2d 713, 1956 Tex. App. LEXIS 1951
CourtCourt of Appeals of Texas
DecidedOctober 8, 1956
Docket6626
StatusPublished
Cited by5 cases

This text of 295 S.W.2d 713 (National Educators Life Insurance Co. v. Morgan) 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
National Educators Life Insurance Co. v. Morgan, 295 S.W.2d 713, 1956 Tex. App. LEXIS 1951 (Tex. Ct. App. 1956).

Opinion

MARTIN, Justice.

Appellants, National Educators Life Insurance Co. and American Security Life Insurance Company, were sued by the ap-pellee, W. E. Morgan, who sought recovery of hospitalization expense incurred due to illness of his daughter and as insured by a policy issued by each of the appellants. The suits against the two companies were consolidated as they involve like fact issues and principles of law.

Each of the policies sued upon contains the 'following provision:

“17 If the insured shall carry with another company, corporation, association or society other insurance covering the same loss without giving written notice to the Company, then .in *715 that case the company shall he liable only for such portion of the indemnity promised as the said indemnity bears to the total amount of like indemnity in all policies covering such loss, * * * ”

Under such provision, it is the theory of each appellant that since they did not receive notice in writing of other insurance carried by appellee they are liable for only their pro rata share of the loss incurred in the cause.

In the case of National Educators Life Insurance 'Company, appellee alleged that in the written application to be filed with the company he notified them of other insurance coverage but that the application as presented at the trial was a forgery. This matter was pleaded by trial amendment and appellee and his wife supported the allegation by testimony in the record. As to the policy issued by American Security Life Insurance Company, appellee alleged that in making his written application for said policy, as prepared by appellant’s agent, he advised the company agent that he carried other insurance and any variance from such statement in the application was due solely to the fraud of the agent. Ap-pellee contends each company was bound under its policy for the full amount of his loss together with statutory 12% penalty and attorney’s fees.

In the trial of the case the attorneys for appellants admitted in open court that upon receipt of notice in writing of other insurance, each of such companies was bound under the provisions of its policy to pay ap-pellee’s claim in full irrespective of any other insurance. It is doubtful whether such an admission alone would bind the company but the provision of each written policy bears out the interpretation thereof as given by the attorneys in their admissions. Such provision predicates full liability in the cause on the principle issue of whether ap-pellee gave written notice of other insurance coverage to each of the companies in making his application for insurance and whether such written notice was not delivered to one company due to the forgery of the company’s agent and a like notice was not delivered to the other company because of the failure of the company agent to correctly write in the application the fact that appellee had other insurance. It is an admitted fact that neither of the policies had attached thereto the respective applications as executed by appellee.

The major points in appellants’ appeal are based upon the theory that Article 21.35, Insurance Code, Vernon’s Texas Civil Statutes, requires that:

“ * * * every contract or policy of insurance issued or contracted for in this State shall be accompanied by a written, photographic or printed copy of the application for such insurance policy or contract, as well as a copy of all questions asked and answers given thereto.”

and that appellee’s applications not being attached to the policies in issue no evidence concerning the applications or answers therein are admissible. This theory of appellants as to such article and its application is not sustained under the ruling of Southwestern Surety Ins. Co. v. Hico Oil Mill, Tex.Com.App., 229 S.W. 479, 481. The above article as cited and relied upon by appellant companies was passed by the legislature solely for the protection of the policy holder. The purpose of the article is to compel insurance companies to attach to their policies the original application executed by the insured as a condition precedent to the company’s relying upon the application and statement therein as a defense to a suit on the policy. The cited case establishes the following rule:

“ Joyce on the Law of Insurance, vol. 1, § 190d, states that statutes of the character of article 4951 [Art. 21.35] are intended to protect the policy holder by requiring the insurer to place in his hands written evidence of all the terms,' conditions, and representations *716 to be incorporated or embodied in the policy.”

Appellants’ failure to attach to the respective policies the applications signed by the appellee, although prohibiting the companies from presenting evidence thereof, does not prohibit appellee from presenting evidence as to the contents of such applications. All of appellants’ points contrary to this ruling upon the legal effect of art. 21.35 are overruled.

Appellee’s evidence that National Educators Life Insurance Company did not receive, through his written application, the notice revealing other insurance due solely to the forgery of one of the agents of the company is a proper issue of defense. Likewise a defense is his evidence that the agent of National Security Life Insurance Company did not incorporate in his application the answer as given regarding other insurance. The courts of Texas have ruled that:

“ ‘Where the insured in good faith makes truthful answers to the questions contained in the application, but his answers owing to the fraud, mistake or negligence of the agent in filling out the application are incorrectly transcribed, the company is estopped to assert their falsity as a defense to the policy, for the solicitor of the insurance is the agent of the company, and all statements of assured in the absence of fraud must be deemed representations and not warranties.’ ”

Washington Nat. Ins. Co. v. Brock, Tex.Civ.App., 60 S.W.2d 861, 862, error refused. Schumann v. Brownwood Mut. Life Ins. Ass’n, Tex.Com.App. 286 S.W. 200; Home Ben. Ass’n. v. Salvato, Tex.Civ.App., 295 S.W. 638, writ refused.

In connection with the above ruling, it is further found that the evidence in the record supports the trial court’s findings of forgery and of the agent’s failure to correctly transcribe the appellee’s answers to the applications as well as like finding of fact as complained of by appellants. It is not the province of this court to substitute its finding on the evidence for those of the trial court though this court may not have ruled likewise on such evidence. Both the appellee and his wife testified that the agent of the National Educators Life Insurance Company was given the correct answers on appellee’s application. They also testified that the application presented in the trial court was not the one executed by appellee but was a forgery. With reference to American Security Life’s policy, the trial court had before it the testimony of the appellee that the agent of American Security Life Insurance Company had told him that the appellant company would pay his loss in full irrespective of any other insurance. Appellee testified he told such agent that he had other insurance coverage.

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Bluebook (online)
295 S.W.2d 713, 1956 Tex. App. LEXIS 1951, Counsel Stack Legal Research, https://law.counselstack.com/opinion/national-educators-life-insurance-co-v-morgan-texapp-1956.