Old Amercian Life Insurance v. Harvey

415 S.W.2d 66, 242 Ark. 720, 1967 Ark. LEXIS 1313
CourtSupreme Court of Arkansas
DecidedMay 29, 1967
Docket5-4246
StatusPublished
Cited by3 cases

This text of 415 S.W.2d 66 (Old Amercian Life Insurance v. Harvey) is published on Counsel Stack Legal Research, covering Supreme Court of Arkansas primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Old Amercian Life Insurance v. Harvey, 415 S.W.2d 66, 242 Ark. 720, 1967 Ark. LEXIS 1313 (Ark. 1967).

Opinion

John A. Fogleman, Justice.

The only real issue here is the entitlement of appellee to recover penalty and attorney’s fees from appellant.

Appellee brought suits against appellant on two insurance policies covering hospital, medical and other benefits. The two suits were consolidated for trial before the court, a jury trial having been waived. The policies were originally issued by other companies but appellant had assumed all obligation on both policies before any liability accrued on either. Appellee suffered injuries in a fall on July 2, 1965. On December 16, 1965 she underwent an appendectomy. She was in the hospital sixty days because of the injuries and ten days because of the surgery. Demand was made for $1,161.00 under one policy and $1,189.54 under the other. Appellant denied liability for these amounts before suit. The complaints sought recovery of $854.00 because of the injuries and $310.00 because of the appendectomy in the first action, and $826.23 because of the injuries and $363.31 because of the surgery in the second. The basis for recovery was set out in detail in the body of the complaints but the prayers were for the sums of $1,164.00 and $1,189.54, respectively, with penalty and attorney’s fees.

In its answer to the first complaint appellant admitted liability in the sum of $525.00 and in the answer to the second, admitted liability in the total sum of $538.31. Appellant offered to confess judgment for these amounts. In amendments to its answers appellant denied that the appellee was in the hospital 61 days as a result of her injuries as alleged in the complaints and denied that the hospital was licensed as a hospital or had' a graduate registered nurse on duty as required by the policy.

At the opening of the trial the attorney for appellant admitted liability for $310.00 for the appendectomy on the first policy, but denied liability for 61 days hospitalization and for penalty and attorney’s fees and said that the amended answers showed what they admitted.

Appellee offered Dr. Charles D. Avery as a witness. He testified that the Cora Donnell Hospital, at which he practiced, was a licensed hospital at the time in question and that a registered nurse was in charge of the hospital, lived next door thereto and was on call at all times. "While the doctor was on the witness stand, it was discovered that there was an error in the hospital bill in that the charge for August 26th was duplicated, an error that is apparent upon inspection of the statement. After a recess for examination of the statement, appel-lee’s attorney asked permission to amend the first complaint to ask $842.00 instead of $854.00 for the hospitalization for the injuries, the daily hospital charge being $12.00. He admitted that the hospitalization was for 60 days instead of 61. Appellant’s attorney did not object, but reserved appellant’s rights as to attorney’s fees and penalty. Appellee’s attorney stated that he did not ask to amend the other complaint, but admitted that appel-lee only claimed 60 days of hospitalization. At this point, after the doctor had left the witness stand, appellant, for the first time, objected to his testimony as to the qualification of the hospital under the policy.

In appellee’s complaint on the second policy recovery had been sought for hospitalization for her injuries on the basis of 10 days at $15.00 per day; 21 days at $12.00 per day; and 30 days at $6.00 per day. The policy actually provided as hospital benefits for the first 30 days the expenses actually incurred, not to exceed $15.00 per day for. the first 10 days and $12.00 per day thereafter. After the first 30 days, hospital benefits were 50% of the expense actually incurred, not to exceed a total of $12.00 per day. The hospital expenses incurred were more than $15.00 per day for the first 10 days and more than $12.00 per day for the next 20 days. For the last 30 days the hospital expenses were $526.25, and the expenses exceeded $12.00 on two days by a total of $5.40. Thus, under a correct application of 'the policy terms, appellee would have been entitled to recover $1,249.62 rather than $1,189.54 for which judgment was prayed. Appellant offered no evidence.

In his opinion, the trial judge stated that if appellant had confessed judgment upon amendment to the first complaint, appellee would not have been entitled to recover penalty and attorney’s fees, but not having done so and never having admitted liability except as set out in its answer, appellee was given judgment for the full amount prayed pursuant to amendment in open court, 12% penalty and attorney’s fee of $350.00. In the second suit, the court gave judgment for the full amount sued for, saying that under the terms of the policy ap-pellee would have been entitled to more, and that appellant would have paid less than the policy called for if it had confessed judgment for the amount sued for. In this the court apparently felt that even if the evidence showed that recovery of a larger amount was justified, appellee was limited to the amount sought by the complaint. Hudspeth & Sutton v. Gray, Durrive & Co. 5 Ark. 157; White v. Cannada, 25 Ark. 41; Arkansas Power & Light Co. v. Murry, 231 Ark. 559, 331 S. W. 2d 98. The court gave judgment for 12 %• penalty and $150.00 for attorney’s fee.

In the first case appellant contends that appellee was not entitled to recover penalty or attorney’s fees because appellant did not continue to deny liability after the amendment reducing the claimed number of days of hospitalization was made. We cannot agree that appellant was relieved of liability for these items. Never was there any offer to confess judgment, withdrawal of answer or other manifestation on the part of appellant that it agreed that appellee was entitled to recover the reduced amount.

This court has long been committed to the rule that, in the absence of an offer by an insurance company to confess judgment for the amount to which the recovery-sought is reduced by amendment to the complaint allowed by the court during trial, claimant is entitled to recover statutory penalty and attorney’s fees. In Queen of Arkansas Ins. Co. v. Milham, 102 Ark. 675, 145 S. W. 540, the insurance company asserted as a set-off an amount due it upon a premium note. The plaintiff promptly conceded that this amount should be deducted and only asked judgment for the difference. The court then said that if the insurance company wished to avoid the statutory penalty and attorney’s fee it should have offered to confess judgment and thus ended the suit. This rule has been applied and followed in many cases. Among them are: Life and Casualty Co. v. Sanders, 173 Ark. 362, 292 S. W. 657; Progressive Life Ins. Co. v. Hulbert, 196 Ark. 352, 357, 118 S. W. 2d 268; Old American Life Ins. Co. v. McKenzie, 240 Ark. 984, 403 S. W. 2d 94.

But appellant says that it did not continue to deny liability in the first case after the amendment, pointing out that it did not offer any proof on the defenses set out in its answer, having rested its case immediately after appellee rested. The amount for which appellant offered to confess judgment i«n its original answer was not identified as to which hospitalization or on which items the company admitted liability. In the amendment appellant denied all material allegations not admitted in the answer or the amendment, but admitted liability for certain items incurred because of appellee’s injury. It denied that appellee was entitled to> recover $732.00 for 61 days in the hospital.

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Bluebook (online)
415 S.W.2d 66, 242 Ark. 720, 1967 Ark. LEXIS 1313, Counsel Stack Legal Research, https://law.counselstack.com/opinion/old-amercian-life-insurance-v-harvey-ark-1967.