North American Accident Ins. Co. v. Miller

193 S.W. 750, 1917 Tex. App. LEXIS 303
CourtCourt of Appeals of Texas
DecidedMarch 7, 1917
DocketNo. 1124.
StatusPublished
Cited by49 cases

This text of 193 S.W. 750 (North American Accident Ins. Co. v. Miller) 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
North American Accident Ins. Co. v. Miller, 193 S.W. 750, 1917 Tex. App. LEXIS 303 (Tex. Ct. App. 1917).

Opinion

HUFF, C. J.

Abbie D. Miller sued the North American Accident Insurance Company on an accident policy, issued by that company, insuring her husband against accident, etc., in the principal sum of $5,000, and weekly benefits for $25 per week, alleging substantially that William J. Miller, her husband, was accidently injured on or about the 10th day of October, 1911, and that he was immediately totally disabled, and which disability continued to the time of his death; that such injury was the direct, proximate, and sole cause, exclusive of all other causes, in total, immediate, and continuous disability which continued to his death, which occurred April 11, 1913, Mrs. Miller sought a recovery for the principal sum of $5,000, and weekly indemnity of $25 for 78 weeks, and reasonable attorney’s fees. It is alleged the injury received by Miller resulted in aneurism of the aorta, which was incurable and resulted in the death of Miller, on the date above stated; that Mrs. Miller, his wife, was the beneficiary named in the policy; and that the injury was received during the term of the policy.

The defendant answered by general denial and exceptions, and further the settlement of the claim by payment to Mrs, Miller of $1,000, in full compromise, settlement, and discharge of all liability _ under the policy, specially denied that the injury resulted from the accident as alleged, and that Miller was actively engaged in his occupation as a deep well driller, superintending, the only capacity in which he was insured, and in plumbing work long after the injury; that the insured died of acute dilation of the heart and arterio sclerosis primarily caused by syphilis.

The court submitted special issues to the jury as follows:

Special issue No. I: “Did the said W. J. Miller, on or about October 10, 1911, while engaged in superintending the work on the drilling of the well in Dallam county, sustain through accidental means a bodily injury in the manner alleged in plaintiff’s petition? Answer, ‘Yes,’ or ‘No.’ ” The jury answered: “Yes.”
Special issue No. 2: “If you answer the foregoing special issue in the affirmative, then you will find whether or not such bodily injury so sustained resulted directly, independently, and exclusively of all other causes in immediate,- continuous, and total disability that prevented him, the said William J. Miller, from performing any and every kind of duty pertaining to his occupation, continuing until the death of the said William J. Miller. Answer this special issue, ‘It did,’ or ‘It did not.’ ” The jury answered: “It did.”
Special issue No. 2a: “If you have answered special issue No. 1 in the affirmative, then you will find whether or not said accident, directly, independently, and exclusively of all other caus-' es, produced an aneurism of the aorta of the said William J. Miller. Answer this special issue, ‘It did,’ or, ‘It did not.’ ” The jury answered: “It did.”
Special issue No-. 3: “If you have answered special issues Nos. 1 and 2a each in the affirmative, then you will find whether or not the death of William J. Miller was caused directly, independently, and exclusively of all other causes by said aneurism of the aorta. Answer this special issue, ‘It was,’ or, ‘It was not.’ ” The jury answered:_ “It was.”
Special issue No. 4: “You will find whether or not the settlement, in which Mrs. Miller accepted the sum of $1,000 in satisfaction of her claim on the policy and executed the release introduced in evidence, was procured by fraud on the part of the defendant. Answer this special issue, ‘It was,’ or, ‘It was not.’ ” The jury answered: “It was.”
Special issue No. 5: “If your answer to the foregoing issue is in the affirmative, then you will find whether or not the plaintiff thereafter ratified such settlement. Your answer to this special issue will be, ‘She did,’ or, ‘.She did not.’”. The jury, answered: “Did not.”
Special issue No. 6: “What amount, if any, do you find from a preponderance of the evidence would be a reasonable attorney’s fee for the prosecution and collection of plaintiff’s claim on the policy herein, in the event it should be determined by the court, under your previous findings, that she is entitled to recover? You will answer this special issue by stating the amount, if any, found by you.” The jury answered: “$500.00.”

On this verdict the court rendered judgment, after allowing credit of $1,000, the total sum of $8,323, being the principal sum insured, weekly benefits, interest thereon, and attorney’s fees, after allowing the credit. The provisions of the policy material to the consideration of this ease are as follows:

“The Insuring Clause.
“Does hereby insure William J. Miller (herein called the insured) well-boring contractor, not handling explosives, superintending only in Class G, in the principal sum of five thousand dollars (herein called the principal sum) and in the sum of twenty-five dollars a week (herein called the weekly indemnity) against (1) bodily injury sustained during the term of this policy, through accidental means (excluding suicide, sane or insane, or any attempt thereat, sane or insane) and resulting directly, independently and exclusively of all other causes, in
“(a) Immediate, continuous and total-disability that prevents the insured from performing any and every kind of duty pertaining to his occupation. * * *
“(c) Death, as follows:
“Accident Indemnities. * * *
“Death.
“Article 3. If the insured suffers total disability, and if, during the period of said total disability, the insured suffers death as the direct result of the bodily injury, causing the said total disability; or, if within ninety days from the date of the accident, irrespective of total disabil *753 ity, the insured suffers death; the company will pay the beneficiary.
“The Principal Sum.
“And, for the period between the date of the accident and the date of death, an additional sum of
“The Weekly Indemnity. * * *
“Article 15. In the event of the insured’s death prior to the,payment of any indemnity to which the insured may have become entitled under this policy, such indemnity shall be paid by the company to the beneficiary. * * *
“Article 16. Written notice of am accident on account of which a claim may be made hereunder must be given to the company at its home office in Chicago, Illinois, as soon as may be reasonably possible, together with full particulars thereof, and the full name and address of the insured. Like notice of bodily injury or'death on account of which a claim is to be made must be given to the company in like manner. Affirmative proofs in writing must be filed with the company as follows:
“Section 1. Accident Claims.

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Bluebook (online)
193 S.W. 750, 1917 Tex. App. LEXIS 303, Counsel Stack Legal Research, https://law.counselstack.com/opinion/north-american-accident-ins-co-v-miller-texapp-1917.